Billing & Claiming Software for Smarter Revenue Cycle Management
Unify billing, claiming, payments, reconciliation, and recovery in one integrated platform — built for Australian healthcare.
As featured in
The trusted software solution for healthcare services since 2006.
Why Choose
CareRight for Billing & Claiming Software
A purpose-built revenue cycle platform that gives healthcare organisations complete financial control — from first invoice to final reconciliation.
One platform for all claiming types
Outpatient, PCI, IMC, and IHC workflows natively supported. No third-party systems or integration gaps.
Full revenue lifecycle management
Billing, claiming, payments, reconciliation, reporting, and recovery — complete financial control.
No reliance on third-party systems
Direct Medicare, DVA, and ECLIPSE claiming from within the platform itself.
Flexible and configurable
Rate tables, fee schedules, billing codes, and payer rules — adapt without redevelopment.
Real-time financial visibility
Automated reconciliation, payment allocation, and exception handling with a full audit trail.
Enterprise-ready integrations
HL7, FHIR, and JSON/REST APIs connect CareRight to your broader digital health ecosystem.
Scales with your organisation
Supports multi-site, multi-payer, and high-volume environments without added complexity.
Education & training support
Student-led workflows, role-based access, and simulation environments for teaching settings.
Transparent patient billing
Estimates, digital payments, and faster claiming reduce admin and improve the patient experience.
Billing & Claiming Software Features
Comprehensive billing and claiming capabilities that streamline your revenue cycle, improve claim accuracy, and consolidate financial operations across your organisation.
Medicare Online Claiming
ECLIPSE (Private Health)
Patient Claiming (PCI)
IMC — Inpatient Medical Claims
IHC — In-Hospital Claims
Batch Submission & Tracking
Invoicing & Estimates
Adjustments & Reversals
EFTPOS & Digital Payments
Exception & Recovery Workflows
Revenue & Debtor Reporting
About CareRight’s Billing & Claiming Solution
CareRight’s Billing & Claiming module is a unified, scalable revenue cycle platform designed for Australian healthcare.
It replaces fragmented systems, manual processes, and disconnected workflows with a single integrated platform that manages the full financial lifecycle — from service to payment — without reliance on third-party claiming systems.
Purpose-built for Medicare (online), DVA, private health (ECLIPSE), and third-party funding, CareRight supports inpatient, outpatient, hospital, and hybrid billing environments — all in one place.
- Medicare, DVA, ECLIPSE and third-party payer support
- Inpatient Medical Claims (IMC) and In-Hospital Claims (IHC)
- No third-party claiming systems required
- Full audit trail and compliance controls
- Configurable for outpatient, hospital, and hybrid models
Revenue Lifecycle
The CareRight Revenue Lifecycle
From service delivery to payment recovery — every step managed in one platform. No spreadsheets. No fragmented tools.
Accounts
- Multi-payer patient accounts
- Guarantor configuration
- Provider & location context
Invoicing
- Real-time & delayed billing
- Multi-payer invoices
- Estimates & statements
- Adjustments & reversals
Claiming
- Medicare, DVA, PCI
- IMC and IHC
- Batch submission & tracking
Payments
- Full, partial & deposit
- EFTPOS & digital payments
- Flexible allocation & refunds
Reconciliation
- Processing & payment reports
- Expected vs actual comparison
- Batch lifecycle tracking
Recovery
- Rejected & partial claims
- Correction & resubmission
- Exception workflows
Reporting
- Revenue & aged debtors
- Claim outcomes & performance
- Exportable & analytics-ready
One platform.
Full lifecycle.
No workarounds — CareRight manages it all.
Workflow Automation – The CareRight Billing Wizard
CareRight includes full billing and claiming capability out of the box — no add-ons required. For organisations ready to take things further, the Billing Wizard adds a configurable automation layer. It transforms CareRight’s billing tools into rule-driven, automated workflows, making it ideal for hospital billing, multi-payer funding models, high-volume services, and multi-site organisations.
What It Enables
- Invoice validation and automation
- Claim routing and batch orchestration
- Payer-specific billing rules
- Exception handling and resubmission
- Reconciliation checkpoints
Proven In Real Environments
- ICON Cancer Centre
- Catholic Education Australia
- Queensland University of Technology
- Gidget Foundation Australia
- Genea Fertility & MSI Australia
CareRight is
A Fully Integrated, End-to-End Digital Health Ecosystem
CareRight has a great Billing & Claiming module, and can be used with just that module, but our digital health ecosystem offers much more.
Smart & Adaptable
Modules
Patient Administration (PAS)
Electronic Medical Record (EMR)
Billing/Claiming Platform
A Cloud-Based, Workflow
Enabled Platform
A Fully Integrated End-to-
end CareRight Deployment
CareRight – The Core Product.
Smart & adaptable modules. All the tools you need at your fingertips.
Patient Administration (PAS)
Electronic Medical Record (EMR)
Billing/Claiming
Platform
Hospital
Clintel Systems’ Professional Services
Clintel Systems’ Professional Services are designed to guide healthcare organisations from initial concept through to sustained operational excellence with CareRight.
We partner closely with clients to define and refine their requirements, commencing with structured discovery and exploratory workshops that translate clinical, operational and governance needs into a clear, future-ready solution blueprint. These sessions assess alignment with CareRight’s standard functionality while also exploring opportunities for workflow automation, interoperability, data migration, system integration, reporting, and tailored enhancements.
Our implementation planning studies provide a deeper level of analysis, documenting configuration pathways, integration architecture, change impacts, and recommended deployment strategies to support informed executive decision-making.
During delivery, our team provides end-to-end project management, solution configuration, data transition oversight, stakeholder engagement, training coordination, and clinical workflow optimisation to ensure safe and efficient adoption.
We support go-live with structured hypercare and transitional support to stabilise operations, followed by comprehensive SLA-based support and maintenance services that underpin business-as-usual performance, continuous improvement, and long-term value realisation.
How to get started.
1
Enquire
Let us show you how CareRight can make a positive impact on your organisation.
2
Discover
We take the time to understand your needs so we can provide the right solution.
3
Proposal
A breakdown of everything you need to enhance patient outcomes.
4
Roll Out
Get ready for high fives in the hallway. We’ll support you at every step including training and technical support.
We’ll support you at every step including training and technical support.
About Us
Since 2006, Clintel has been a leading provider of healthcare practice management software and medical management solutions for healthcare providers across Australasia.
We support a diverse range of clients, from government health departments to private medical organisations and individual specialists, offering tailored care management services to improve operational efficiency.
Our team is proudly based in Australia, with all development and support delivered locally, ensuring high-quality, reliable solutions for medical professionals.
About CareRight
The smarter way to
manage healthcare.
Our web-based clinic suite software enhances workflows with a suite of purpose-built clinical, billing, and administration modules, designed to improve efficiency and patient care.
Streamline every aspect of your medical practice with a tailored solution backed by industry expertise and continuous development.
CareRight is an advanced healthcare practice management software that centralises people, data, and communication into one seamless platform.
500,000
Patients
5,000+
Users
15 Years
In Operation
What our clients say.
CEO
Day Surgery Group, Australia
A key element in our choice was CareRight’s ability to streamline end-to-end workflow and processes. CareRight offers a collaborative approach and has demonstrated a flexibility to meet our specific needs.
ASA General Manager
Australian Surgical Assisting
Flexible and detailed reporting CareRight offered this together with a high level of system configurability. Clintel have demonstrated themselves to be a committed, responsive organisation who will go the extra yard to meet our needs.
The most common questions, answered.
Which payers and claiming types does CareRight support?
CareRight supports a comprehensive range of payers and claiming types within a single platform — with no reliance on third-party claiming systems.
- Medicare online claiming
- Department of Veterans’ Affairs (DVA)
- Private health insurance via ECLIPSE
- Patient claiming (PCI)
- Inpatient Medical Claims (IMC)
- In-Hospital Claims (IHC)
- Third-party and self-funded billing
Whether you operate an outpatient clinic, a day hospital, or a complex multi-payer environment, CareRight handles all claiming types natively — in one place.
What is the Billing Wizard and do we need it?
CareRight delivers full billing and claiming capability out of the box. The Billing Wizard is an optional automation layer for organisations looking to scale further.
It transforms standard workflows into automated, rule-driven processes — including invoice validation, claim routing, payer-specific billing rules, and reconciliation checkpoints.
The Billing Wizard is particularly suited to:
- Hospital billing environments (IMC / IHC)
- High-volume or multi-site organisations
- Multi-payer funding models
- Organisations with event-driven or procedure-based billing logic
There is no single way to use it — the Billing Wizard is configured to fit your organisation’s specific workflows.
How does CareRight handle claim rejections and payment recovery?
CareRight includes a structured recovery workflow designed to minimise revenue leakage from rejected or partially paid claims.
- Automatic identification of rejected and partially paid claims
- Guided correction and resubmission workflows
- Exception queues that surface outstanding items for action
- Expected vs actual payment comparison across batch runs
- Full audit trail of all claim activity and corrections
Rather than relying on manual tracking or spreadsheets, CareRight keeps your team focused on the claims that need attention — and ensures nothing falls through the cracks.
Can CareRight integrate with our existing clinical and practice management systems?
Yes. CareRight is built with interoperability at its core and supports integration with a broad range of clinical and operational systems.
Integration approaches include:
- HL7 messaging for clinical data exchange
- FHIR APIs for modern interoperability frameworks
- JSON/REST APIs for bespoke enterprise integrations
CareRight can receive billing triggers from external clinical systems, enabling event-driven billing workflows where charges are generated automatically based on clinical activity. This is especially valuable in hospital and procedural environments.
For organisations already using the CareRight PAS or EMR modules, billing operates as a fully native, seamlessly connected part of the same platform.
How does CareRight support reconciliation and financial reporting?
CareRight provides automated reconciliation and real-time financial visibility across the full revenue cycle.
- Processing and payment reports aligned to each batch run
- Expected vs actual payment comparisons
- Aged debtor tracking and revenue summaries
- Claim outcome and performance analytics
- Exportable reports for finance, compliance, and audit purposes
Because data is captured in a structured format throughout the lifecycle, your finance team has access to meaningful, accurate insights — without manual consolidation or external reporting tools.
What does implementation involve and how long does it take?
CareRight implementations follow a structured, collaborative process designed to minimise disruption to your billing operations.
Typical stages include:
- Discovery and workflow design workshops
- Configuration of payer rules, fee schedules, and billing codes
- Integration setup and testing with clinical or practice management systems
- Staff training and go-live support
- Hypercare period with dedicated transition support
Because CareRight is highly configurable and modular, implementations can often be completed faster than traditional enterprise platforms — allowing your team to start processing claims and recovering revenue sooner.
Ongoing SLA-based support ensures long-term operational stability and continuous improvement.
Enquire now
Find out how our solutions can help. Fill out your details and our team will be in touch as soon as possible.
Want to talk sooner?
Give us a call on
(08) 8203 0500
Office Location
18 Dequetteville Terrace,
Kent Town, SA, 5067
Email Address
CareRight is the flagship product by Clintel. We are an Australian owned and based team, with an intimate knowledge of the healthcare industry. Clintel is focused on future-thinking technologies to support the development of health services across Australia and beyond.
