How ClaimLogic Works
In short, it is simple and seamless – with visibility and support from our experienced team throughout the whole process:
- Click & Forget – We handle the rest.
- Submit your billing sheets via our secure Web App, Desktop Portal or send us your paper billing sheets.
- We review and process your claims, with software logic and validation rules ensuring 100% compliance.
- Any issues or queries are flagged prior to submission.
- Claim status is continuously updated as the claim progresses.
- Payments are deposited directly into your nominated account.
Benefits
Why You Need an ICU Billing Specialist
ICU billing is complex. With dozens of item numbers, a web of intricate MBS rules, variations in location-specific workflows and strict compliance requirements, even small mistakes can have a significant impact. Lost revenue or rejected claims are no trivial matters to consider, but an adverse outcome from a Medicare audit can have even more serious consequences.
Still using paper billing sheets? You are not alone. Most ICU specialists continue to rely on inefficient processes with manual paper billing sheets, email or fax submissions and third-party billing companies taking up to 5% of their hard-earned revenue.
At ClaimLogic, we specialise in ICU billing – it is what we do best. We understand these intricacies and have built powerful software validation tools into our platform, so nothing gets missed, every dollar is accounted for, and claims adhere to all relevant rules to ensure maximal compliance.
The efficiency realised through this process means we can bring this to you at an unbeatable price.
Ease of Use
Patients deserve your undivided attention. That is why we have made ClaimLogic as simple and intuitive as possible. From submitting claims to tracking payments, everything is designed to be fast and straightforward.
Smartphone App for rounds, or desktop data entry.
Smart templates for paper claims with easy upload options
Easy to navigate dashboard to track claims and payments.
Fast Claims
Time matters – especially when it comes to getting paid. Our purpose built software logic and expert team work hand in hand to ensure your claims are submitted promptly, reducing delays and keeping your cash flow healthy.
Most claims processed within 24-48 hours
Spend less time chasing invoices and more on patient care.
We prioritise speed without sacrificing accuracy.
Guaranteed Savings
Unbeatable prices equal substantial savings. In addition, most of our clients see a 5% to 15% revenue boost through improved claim capture and zero rejections. Join the growing number of Intensivists saving thousands on their billing.
Starting from just 1.0 – 2.0% + GST of claims processed.
Potential for 5% to 15% increase in overall revenue
Individually tailored pricing solutions are also available.
Service Plans
Fee Structure
Our pricing is simple and transparent — no hidden costs or confusing percentages. You only pay when we process your claims, so there is no risk and no upfront or recurring fees. We believe in fair pricing that reflects the value we deliver.
If you are a Hospital Clinical or Billing department, please book an appointment to discuss a solution tailored to your needs.
Contact Us TodayPractice Groups
2%+GST*
Full featured service tailored to your specific practice needs
Full featured billing service for groups
Support for Medicare, DVA, Funds, Insurance and Overseas claiming
Mobile Friendly and Desktop App
Site specific paper forms
Advanced reports and reconciliation
Simple commission fee for all claims
Most Popular
Specialists
1.5%+GST*
Complete billing solution for individual Specialists and VMOs
Full featured billing service
Support for Medicare, DVA, Funds, Insurance and Overseas claiming
Mobile Friendly and Desktop App
Easy to use customised paper forms
Status reports, audits, reconciliation
Simple commission fee for all claims
Fee Schedule API
Enquire
For teams requiring up to date MBS, Fund and DVA fee schedules
Full REST-based API
Get access to DVA, MBS and Private Health Fund Fees
Schedules are always up to date
Receive update notifications
2 Years of Fee history included
For software and enterprise teams
* Notes on pricing:
We provide services for practice groups based on negotiated rates starting at 2% + GST, depending on volume of claims, the complexity of reporting and distribution arrangements.
While our platform is designed around an electronic interface, we can also accommodate Intensivists who prefer to continue to use paper billing sheets. As these require significantly more manual data entry, an additional 0.2% surcharge applies (1.7% + GST).
There are no other fees or ongoing costs. If no invoices are submitted, there are no charges. There is no minimum or maximum volume of invoices. Our service can also be cancelled at any time without penalty.
Frequently Asked Questions
Whilst we would love to start processing your invoices today, the transition to our new electronic platform means that we still have a short period where for technical reasons we can not yet register new customers. Our ClaimLogic ICU electronic platform launches in September, so register today to ensure all the registration and transfer processes can be completed in time. Invoices can be processed retrospectively for 2 years, so rest assured you will not loose out on any billing.
All of the signup and registration process and your transfer to ClaimLogic from your current billing provider (if you already have one) happens digitally. When you register for our services we will collect your details, including existing provider numbers you would like to use for billing. Once we generate the required Health Fund and Medicare forms these will be sent to you in a digital format for electronic signature. The transfer process can take up to two weeks, as the Health Funds need to register your new billing provider details against your provider numbers.
Most claims are validated and ready for electronic transmission to Services Australia for processing immediately. We aim to have all claims (including manual claims) fully processed within 24-48hrs. Online claims submitted through the ECLIPSE interface are usually paid by Medicare and the Health Funds in a matter of days (though some funds can take up to two weeks). Claims that require manual submission (e.g. compensation or overseas travel insurance claims) can take significantly longer.
ClaimLogic has been built to do exactly that. Not only do we have the most comprehensive collection of ICU related item numbers at your fingertips, our software has been built to validate all items against all relevant MBS rules and requirements, ensuring that you bill all the right item numbers every time. As part of the registration process we review your existing billing setup, including any billing sheets and item numbers you use and we provide complimentary education on use of our software platform and appropriate use of item numbers. And support does not end there, our locally based support team is always on standby to answer any of your questions.
Providing Anaesthetic services is a core element of Intensive Care practice for many Intensivists and ClaimLogic has a full featured Anaesthesia module where you can select items, modifiers and anaesthetic procedures at a click of a button. If you are qualified to perform diagnostic imaging services (e.g. echocardiography or general ultrasound) we also have you covered. Any additional services that fall outside of these that you may wish provide can also be added in at the time of registration or at any later date, for a fully customised personal billing experience.
While ICU billing is our specialty, our Software platform provides full integration with Services Australia opening up endless possibilities, allowing us to provide bespoke solutions to all craft groups working in a hospital setting. We are already working on additional modules, and if you are interested in streamlined, expert billing support for your specialty, we would love to hear from you. Please get in touch today to discuss your requirements.
ClaimLogic works best if you utilise the full power of the software interface, but we understand that old habits are hard to break and we fully support traditional paper based claims submission. We will provide you with a tailored smart billing sheet template that can then be uploaded and returned to us for processing. Still using a fax machine? We have you covered. Most modern machines will support fax to email, however if you need to fax your billing sheets properly old-school, our convenient fax to email number will still deliver your billing information straight to our inbox. Processing paper billing sheets does come with a very small (0.2%) additional cost and we encourage all users to transition to our digital platform.
Electronic claims currently can be lodged within 2 years of the date of service. So if you happen to have claims from last month (or last year) ClaimLogic can process these for you. It is important to note that best practice is to submit the claim as soon as practical as significant time delays make the likelihood of an invoice being rejected significantly higher.
ClaimLogic is web based, ensuring the software is always available and always up to date. Built with Progressive Web App (PWA) technology it can not only be viewed inside a browser, it can also be downloaded straight from your browser and functions exactly like a standalone desktop or smartphone app. Installation instructions and complimentary onboarding will cover any aspects of installing the software you may require assistance with.
ClaimLogic is hosted in Amazon Web Services in Sydney and complies with all local health record regulations. All data is encrypted at the infrastructure level and in transit via SSL. For more details about how we protect your patient data, reach out to our support team.
Ready to switch?
We are busy moving our operations across to the new ClaimLogic ICU platform
Register today and process your invoices for free until the 1st of January 2026!