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Testing

Testing integrated Medicare Easyclaim

There are two systems that we provide that Practice Management Systems (PMS) providers can use to test their Integrated Medicare Easyclaim development against:

  1. Tyro Integration Server Simulator.
  2. Tyro Test system.

Both of these systems are discussed in more detail on the Testing page.

Both of these systems are connected to a test Medicare Easyclaim system maintained by Medicare. To send test payloads through to the test Medicare Easyclaim system, Medicare have provided us with the following test patient card and provider details:

First nameLast nameMedicare cardIRNDOBGenderStreetSuburbStatePostcode
StuartLOSCH695178327116-Jun-69M138 Law GrDampierWA6713
MaynardFOWLER4951605331125-May-67M163 Plaza RdgeMount MulgraveQLD4871
EmersonCALLOW295447102112-Sep-59M127 Warrego EstKurrajongNSW2758
OdellPALMER495160542117-Apr-01M6 Cheddar PdeLanefieldQLD4340
JoleenALLAN4951605511112-Apr-75F130 Cresson StDalmaQLD4702
RachaelSHEA295447111116-Feb-96F82 Israel RdgeCooleys CreekNSW2729
RandyLEARY3951300341128-Oct-52M171 West CrHallstonVIC3953
DennisLESLIE2954471201113-Jun-00M33 Compton EstMurrulebaleNSW2652
  1. These providers can be used as servicing, payee, or referring providers.

    Provider numberLast nameFirst nameEquipment numberPathology provider
    2147661HRenouxYerda901No
    2147661FPilaticPrue901No
    2159081WJosieAmedosN/AYes

    If transmitting claims for Diagnostic Imaging, claims please use the LSPN Number 14. If transmitting claims for Pathology please use SCP Number 001. If transmitting claims for Radiation Oncology please use the Equipment Number supplied.

  2. The following providers may be used for Referral / Request purposes only.

    Provider typeProvider numberName
    General2054781WDr Brenda Reed
    Specialist2121331WDr Vivian Mortier

A note on Fully Paid claims

When a Fully Paid Medicare Easyclaim response is marked as APPROVED, this only means that we successfully submitted the claim to Medicare and received a response. It does not necessarily mean that the claim was approved or that the patient's bank account has been credited. To determine the outcome of the claim the medicareAcceptanceType attribute in the response should be determined as it will show the outcome of the claim. The possible values of medicareAcceptanceType are:

  1. PAID: The claim has been approved by Medicare and Tyro can go ahead with the refund.
  2. NAC: The claim has not been accepted and no benefit is payable.
  3. PEND: For “pended” patient claims where the claimant has not paid or only partially paid the accounts, Medicare Australia will issue a statement and a cheque made in favour of the Medical Practitioner where a benefit is payable, and forward to the claimant’s address recorded by Medicare Australia.
  4. PDVC: Medicare Australia will issue a statement and the Pay Doctor via Claimant (PDVC) cheque, which is mailed to the claimant's address recorded by Medicare Australia. This would be the case when a partly paid or an unpaid patient claim is submitted.