Test data

Patient / Claimant details

To get you going quickly, we’ve created the following test patients / claimants:

EmailLast nameFirst nameDate of birthMedicare cardIndividual referenceicare claim number
francis@medipass.ioARTHURFRANCIS15/01/1987295120184234000162
chantelle@medipass.ioARTHURCHANTELLE15/01/198729512018422
kym@medipass.ioHEATHKYM22/02/198329509753621
claudia@medipass.ioCONNORCLAUDIA25/11/1998695050748214001079

Note that some stubs track claims against each patient and so duplicate claim attempts (same provider, same patient, same day, same item code) may be automatically declined by the system. Note for Comcare claims, a specific combination of DOB and claim number is required. See "Comcare details" below.

Note for Comcare claims, a specific combination of DOB and claim number is required. See "Comcare details" below.

Test details for each funding type are as follows:

Payment card details

Use a valid test card number:

Test cardsCard number
MasterCard5555555555554444
Visa4111111111111111
Visa4242424242424242

Payment card can have any valid expiration, some have set responses:

Expiry dateSimulated response
05 / 23APPROVED
08 / 28TIMED_OUT
04 / 27EXPIRED_CARD
  • Note: At present, the Medipass STG environement is connected live to payment card schemes test networks. Payment schemes do not always honour simulated timeout/expired responses.

Payment card CSC/CVV can be one of:

CSC/CVVSimulated response
100MATCH (APPROVED)
200NO MATCH (DECLINED)

Apple Pay and Google Pay

Note that these payment options require a special setup for testing and can be problematic.

Generally, Google Pay can only be tested in production. Contact the Medipass support team at hello@medipass.com.au for other testing options.

For Apple Pay, follow the Create a Sandbox Tester Account and Test Card Number instructions as posted by Apple: https://developer.apple.com/apple-pay/sandbox-testing/

Medicare details

Valid test details include:

Medicare cardIndividual referenceLast nameFirst nameDate of birth
69505073921HENDRIXFELICA14/04/1975
29509753621HEATHKYM22/02/1983
69505074821CONNORCLAUDIA25/11/1998
39503876521BAXTERCORAZON28/12/1983
29512018421ARTHURMADELAINE15/01/1987
29512018422ARTHURCHANTELLE02/01/1986
29512018423ARTHURFRANCIS13/02/2012
29512018424ARTHURDIMITY10/02/2011

Alternative / exception test details include:

Medicare cardIndividual referenceLast nameFirst nameDate of birthEnrolment type
22974603351DevoOnlyname01/01/1980Only Name
22980398731JonesMarrianna-Louise19/05/1967Long First Name
22983255231Thompson-BlackwoodAnnette15/08/2009Long Name
22975823431XpatriotEnglish15/09/1975RHCA
22974022041ForeignerFrench16/05/1980Expired RHCA
55003939231BoyesSimon23/05/1980Lost card
29508620412JonesHappy04/05/1964Transferred to different card, Old card quoted.
22965101264JonesSad15/09/1964Deceased (20112008)
23981252611DoeJohn13/09/1979Unknown on Medicare Australia systems
22982648331WattsGregory12/05/1970Old Issue Number
22959197451DavisEva02/05/1979Safety Net Patient - concession entitled

Concession details:

Medicare CardIndividual referenceLast nameFirst nameDate of birthEntitlement IdEnrolment Type
22936532841LeonardBobby10/02/1958100015482AConcession Entitled

Medicare Bulk Bill and DVA simulated responses

Medicare Bulk Bill and DVA submissions are usually processed overnight. To quickly simulate responses (and test configured webhooks), transactions can be stubbed. Stubs can be applied at multiple levels:

  • Submission
  • Processing
  • Processing claim item
  • Payment
Stub textLevelExpected responseNotes
STUB_OKSubmissions (required)Submission succeeds
STUB_DOWNSubmissions (required)Submission fails with 3004 (medicare down)Claim will be successful after the next batch run. Approx every 2 hour
STUB_FAILSubmissions (required)Submission returns a fail 3999Claim will not be resubmitted
STUB_FAIL_XXXXSubmissions (required)Submission returns a fail XXXXReplace XXXX
STUB_PROCESSING_ITEM_FAILProcessing claim itemProcessing report returns with Explaination code 160
STUB_PROCESSING_ITEM_FAIL_XXXProcessing claim itemProcessing report returns with Explaination code XXXLinks to return codes: Medicare, DVA
STUB_PAYMENT_FAILPaymentPayment report returns with fail 8002
STUB_PAYMENT_FAIL_XXXXPaymentPayment report returns with fail XXXX

Stub text(s) are applied on claim item's Service Text field and should be set on the first claim item of the claim, with the exception of STUB_PROCESSING_ITEM_FAIL, which can differ for each claim item. Stub outcome can also be applied on different levels ie. Submission, Processing claim item, Payment. To initiate a stub, Submission level is mandatory.

Examples:

  • STUB_OK;STUB_PROCESSING_ITEM_FAIL_123: Submission submits successfully, but processing report returns an explaination code of 123 and results in no benefits paid for the item.
  • STUB_DOWN;STUB_PAYMENT_FAIL_1234: Submission failed because medicare was down. After a couple of hours, re-submission succeeds with a successful approval of claim. Payment fails with an error code of 1234

DVA details

Veteran File NoLast nameFirst nameDate of birth
QX901543FIONAANNE-MARIE10/04/1954
QX901544GRAHEMEDIMITRY27/05/1961
QX901545JACKIGERRY13/07/1969
QX901546KEVINJADE28/09/1956

Provider details

To get going quickly, we’ve created test business, practice and providers. Each test business has:

  • two practice locations
  • three providers: one allied healthcare professional, one GP and one Medical Specialist
  • Providers enabled for claims across all HICAPS funds, all Medicare functions, all CTP / icare functions
  • A merchant account enabled for all card payments

Contact the Medipass support team at hello@medipass.com.au for access credentials and API keys.

Alternatively, you can use the details listed below:

Servicing providers
Provider typeProvider numberLast nameFirst nameEnabled funders
Physiotherapist2429581THanCliftonHICAPS, Medicare, DVA, icare
General Practitioner2409661BMirandaRaphaelHICAPS, Medicare, DVA, icare
Medical Specialist2429591LBrowningCharleneHICAPS, Medicare, DVA, icare
Payee providers

(Medicare only) Any valid servicing provider can be used as payee provider.

Referee providers
Provider typeProvider numberProvider name
General Practitioner2054781WDr Brenda Reed
Medical Specialist2121331WDr Vivian Mortier

HICAPS details

For patients/members:

  • Select any supported health fund
  • You can input any data for a health fund card as long as it passes the input validation:
    • Any membership number, some may require an alpha character where noted
    • Any card issue number where prompted - start with ‘01’, else if card issue date enter any previous date
    • A unique patient identifier - start with ‘01’
simulated HICAPS claim responses

The health fund claiming engine is stubbed in non-production environments. By default, claims are successful with each item receiving a 60% benefit (rounded to the nearest dollar less than the benefit). You can use other dollar amounts to simulate different scenarios:

Claim total amountSimulated response
$12.XXEntire claim is rejected with response code of XX.
$11.50Internal server error.
Claim item amountSimulated response
$13.XXClaim item is rejected with response code of XX.
$21.00Claim item is no gap i.e. full benefit.
$22.00Claim item is all gap i.e. no benefit.
Payment and health fund physical cards

Test payment and health fund cards can be arranged for testing. Contact the Medipass support team at hello@medipass.com.au to arrange test cards.

Comcare details

Claims submitted to Comcare are validated by claim number and DOB. Of note, the format of the claim number must include a forward slash followed by two digits. For testing purposes, any patient name can be used with the following claim numbers and DOB:

Claim numberDate of birth
1048428/2
1963-29-04

Note:If the above details do not work please contact our integration team partnerships@medipass.io.

Stubbing

For Comcare injured worker insurance claims, any patient name can be used with the following claim number

To receive a simulated response :

  • 7777/77

To receive a simulated rejection:

Claim total amountSimulated response
$0.11Entire claim is rejected

icare details

For workers insurance claims, any patient name can be used with the following claim numbers:

To receive a simulated response

  • 7777777

To submit to icare's testing environment claiming engine

  • 4000162
  • 4001079
simulated icare claim responses

The icare test claiming engine will not generate a response unless manually triggered by icare staff. Please contact us if this is required. It is preferred where possible to test using simulated responses. Only specified claim numbers above will receive a simulated response. By default, all claims from these numbers will receive an approved response from the stub. To simulate other responses, see the following table:

Claim total amountSimulated response
$21.36Entire claim is rejected with a randomised rejection reason and rejection details
$31.22Entire claim is under-review by icare

WSV details

The WSV test claiming engine will not generate a response unless manually triggered by WSV staff. To test cases where invoices go “Under Review” Please contact us . It is preferred where possible to test using simulated responses. Only the specified claim numbers below will receive a simulated response.

Providers:

Provider TypeProvider NumberFrist nameLast nameABN
Physio2382464ARTPHYSIO CHIRO SERVICE PROVIDER59 336 445 411
Physio0710446TMTABLITT PHYSIO50 144 889 636
GP0111827YJohnGENERAL PRACTIONER GP99 128 211 843
GP0111829XJohnGENERAL PRACTIONER GP99 128 211 843
PharmacyPH0060JPHARMACY SERVICE PROVIDER78 414 009 530
PharmacyPH0038SPHARMACY SERVICE PROVIDER43 083 841 007

Claims:

Claim TypeClaim NumberFrist nameLast nameDate of birthDate of InjuryComments
Standard12210000492StandardclaimMedipass1/07/198030/05/2021Can invoice for all types (GP, Physio, Pharmacy) Updated to reject depression, anxiety and headache migraine pharmacy categories
Catastrophic12210000502CatastropicMedipass1/06/19901/03/2021Can invoice for all types (GP, Physio, Pharmacy)
Provision Payments12210000515JPPClaimohnMedipass1/08/198930/03/2021Can invoice for all types (GP, Physio, Pharmacy)
EMPLOYER Liability NOT ACCEPTED12210000528MANDLNOMedipass1/01/19951/02/2021Invoice will fail
Self InsuredPPJensenGibb13/09/1949
Exclusion period12210000272ExclusionMedipass13/06/198301/01/2020Exclusion - services not valid within the below dates. If you bill either side of these dates then invoice will be approved/Pending Doctor between 01/10/21 - 5/11/21 Physio between 01/10/21 -05/11/2
Gap in Treatment1091024377AnthonyBlazer10/06/195818/12/1991No claim for more than 3 years; this should go to WSV for review.