freshclaim.com.au

What It Is

FreshClaim is a medical billing and claims service for private specialists in Australia, centered on inpatient ECLIPSE claims. It is not a general-purpose CRM or practice management system. Instead, it integrates mobile data capture, ECLIPSE submission, error checking, claim tracking, payment reconciliation, and rejection follow-up into a single workflow. Its target users include physicians, anaesthetists, psychiatrists, procedural doctors, and surgical assistants.

Core Capabilities

The product emphasizes “submission in seconds”: doctors can use a mobile phone to scan ward stickers to capture patient information, select the location and service items, and submit. The system automatically pre-fills information, validates patient and claim data, and submits claims to ECLIPSE. FreshClaim also provides real-time claim status, payment status, historical record search, and web-based financial reports. For anaesthesia scenarios, it can handle calculations such as RVG time units and fund multipliers; for procedural and surgical assistant scenarios, it supports the Multiple Operation Rule, assistant fees, No-Gap/Known-Gap, and patient gap invoicing. In terms of data security, the materials state that patient data is stored in Australia, protected with AES-256 encryption, and hosted on infrastructure with ISO 27001 and PCI DSS Level 1 compliance.

Pricing

Pricing is straightforward: ECLIPSE claims are charged at 2.85% + GST of actual collected revenue; manual services such as TAC, WorkCover, private fees, and patient invoicing are charged at an all-inclusive 5%. There are no subscription fees, setup fees, lock-in contracts, or additional claim follow-up fees. Fees are billed monthly in arrears, typically paid by credit card.

Pros and Cons

The strengths are its strong fit for vertical use cases, especially Australian specialist inpatient billing; charging based on collected revenue lowers upfront costs; payments go directly from ECLIPSE into the doctor’s bank account, with FreshClaim not holding funds; and automated validation plus end-to-end follow-up help reduce missed billings, rejected claims, and payment delays. Limitations include its heavy dependence on the Australian ECLIPSE/Medicare ecosystem, making it unsuitable for other countries or general business billing; public materials do not specify APIs, open integrations, or granular permissions; and percentage-based fees may not always be the lowest-cost option for users with high-value claim volumes.

Who It’s For / Access from China

It is suitable for private specialist doctors in Australia, small to mid-sized specialist teams, and medical practices that want to reduce reliance on billing staff and improve claims payment speed. Access from mainland China is not stated in the source text, so it is assessed as unknown.