CareRight Billing and Claiming

Spec sheet

Purpose

CareRight Billing & Claiming is a revenue cycle platform for Australian healthcare that manages billing, claims, payments, reconciliation, reporting and recovery.Read 8 Oct 2026 · careright.au

Intended users

The billing module is described for outpatient, inpatient, hospital and hybrid billing environments, including multi-site, multi-payer and high-volume organisations.Read 8 Oct 2026 · careright.au

Integrations

The billing module lists HL7, FHIR and JSON/REST APIs for connecting with other systems.Read 8 Oct 2026 · careright.au

Headquarters

Kent Town, South Australia, AustraliaRead 28 Sep 2026 · careright.au

Founded

2006Read 28 Sep 2026 · careright.au

Billing features

Features include multi-payer accounts, invoicing and estimates, adjustments and reversals, EFTPOS and digital payments, batch submission and tracking, and revenue and debtor reporting.Read 8 Oct 2026 · careright.au

Billing Wizard

Full billing and claiming capability is included out of the box; the optional Billing Wizard adds configurable automation for invoice validation, claim routing, payer rules, and reconciliation checkpoints.Read 8 Oct 2026 · careright.au

Claim types

It supports Medicare online, DVA, private health claims through ECLIPSE, patient claiming (PCI), Inpatient Medical Claims (IMC), In-Hospital Claims (IHC), and third-party funding.Read 8 Oct 2026 · careright.au

Configurable workflows

Rate tables, fee schedules, billing codes, and payer rules can be configured without redevelopment.Read 8 Oct 2026 · careright.au

Configuration

Rate tables, fee schedules, billing codes and payer rules can be configured without redevelopment.Read 8 Oct 2026 · careright.au

Hosting and data location

CareRight’s website says it uses Amazon Web Services for hosting and stores data in Australia.Read 8 Oct 2026 · careright.au

Implementation and support

Clintel describes discovery, configuration, integration, training, go-live assistance, transitional hypercare and ongoing SLA-based support for implementations.Read 8 Oct 2026 · careright.au

Optional automation

The optional Billing Wizard adds rule-driven invoice validation, claim routing, payer-specific billing rules, exception handling and reconciliation checkpoints.Read 8 Oct 2026 · careright.au

Payers

It supports Medicare online claiming, DVA, private health insurance via ECLIPSE, patient claiming (PCI), third-party and self-funded billing.Read 8 Oct 2026 · careright.au

Platform

CareRight describes its clinic suite software as web-based.Read 8 Oct 2026 · careright.au

Reconciliation and recovery

The platform supports automated reconciliation, expected-versus-actual payment comparisons, exception workflows, and correction and resubmission of rejected or partial claims.Read 8 Oct 2026 · careright.au

Security and audit

The billing page states that the module includes a full audit trail and compliance controls.Read 8 Oct 2026 · careright.au

Security and compliance

Clintel's information security statement names the Privacy Act 1988, Healthcare Identifiers Act 2010, and Health Insurance Act 1973 among the laws and regulations it says it adheres to.Read 8 Oct 2026 · careright.au

Web access

CareRight describes its clinic suite software as web-based.Read 8 Oct 2026 · careright.au

Where Specifiction places it

• Medical Billing Software#16 of 287.2