Pathology billing category determined by our referrers

  • Please clearly indicate on our request form your preferred pathology billing option.

        if there is no indication from you, we will default to private billing.   


We will bulk bill the following categories of patients

  • Pensioners
  • Healthcare Card Holders
  • Department of Veterans Affairs Patients
  • Children under 16 yrs
  • Those patients you deem necessary


Non-rebatable tests

A comprehensive list of medicare rebate criteria is available on our website.  For current pricing on these tests please contact Accounts on 9371 4460


Inpatient pathology billing options

  • Rebate
  • Department of Veterans Affairs
  • Private Accounts Categories 

    Three categories exist, depending upon whether the patient is a member of a health fund and whether their private health fund is affiliated with Clinipath Pathology and has a no gaps agreement.

                    
    • Inpatient private accounts - affiliated private health funds
      Clinipath Pathology has a 'no-gap' arrangement with a number of affiliated private health funds. The list of participated funds can be viewed via this link - Health fund agreements.

    To enable us to directly invoice on behalf of your patients we require both the private health fund and Medicare numbers.
     
     
    • Inpatient private accounts - non affiliated funds
      These patients will receive a private account, part of which will be claimable from Medicare (75% of MBS) and part from their Health Fund (25%)
      Medicare and the patients Health Fund payment may not cover the entire fee.
      Our maximum gap for these accounts is $100 per episode.
     
     
    • Inpatient Uninsured Patients
      These patients will receive a private account with a maximum gap payable of $100 per episode.
     
         

Clinipath Pathology has no hidden surcharges

  • No Account Processing Fee
  • No Additional charges for 'special tests' e.g. Triple and First Trimester Tests
  • No location surcharges
  • No additional charges for urgent call outs, after hours tests, home visits
  • No additional charges for pathologist and senior scientist after hours urgent phone calls

 

Accounts information available for patients

 

 

Information correct at February 2017.