To get you going quickly, we’ve created the following test patients / claimants:
Last name | First name | Date of birth | Medicare card | Individual reference | icare claim number | |
---|---|---|---|---|---|---|
francis@medipass.io | ARTHUR | FRANCIS | 15/01/1987 | 2951201842 | 3 | 4000162 |
chantelle@medipass.io | ARTHUR | CHANTELLE | 15/01/1987 | 2951201842 | 2 | |
kym@medipass.io | HEATH | KYM | 22/02/1983 | 2950975362 | 1 | |
claudia@medipass.io | CONNOR | CLAUDIA | 25/11/1998 | 6950507482 | 1 | 4001079 |
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:
Use a valid test card number:
Test cards | Card number |
---|---|
MasterCard | 5555555555554444 |
Visa | 4111111111111111 |
Visa | 4242424242424242 |
Payment card can have any valid expiration, some have set responses:
Expiry date | Simulated response |
---|---|
05 / 23 | APPROVED |
08 / 28 | TIMED_OUT |
04 / 27 | EXPIRED_CARD |
Payment card CSC/CVV can be one of:
CSC/CVV | Simulated response |
---|---|
100 | MATCH (APPROVED) |
200 | NO MATCH (DECLINED) |
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/
Valid test details include:
Medicare card | Individual reference | Last name | First name | Date of birth |
---|---|---|---|---|
6950507392 | 1 | HENDRIX | FELICA | 14/04/1975 |
2950975362 | 1 | HEATH | KYM | 22/02/1983 |
6950507482 | 1 | CONNOR | CLAUDIA | 25/11/1998 |
3950387652 | 1 | BAXTER | CORAZON | 28/12/1983 |
2951201842 | 1 | ARTHUR | MADELAINE | 15/01/1987 |
2951201842 | 2 | ARTHUR | CHANTELLE | 02/01/1986 |
2951201842 | 3 | ARTHUR | FRANCIS | 13/02/2012 |
2951201842 | 4 | ARTHUR | DIMITY | 10/02/2011 |
Alternative / exception test details include:
Medicare card | Individual reference | Last name | First name | Date of birth | Enrolment type |
---|---|---|---|---|---|
2297460335 | 1 | Devo | Onlyname | 01/01/1980 | Only Name |
2298039873 | 1 | Jones | Marrianna-Louise | 19/05/1967 | Long First Name |
2298325523 | 1 | Thompson-Blackwood | Annette | 15/08/2009 | Long Name |
2297582343 | 1 | Xpatriot | English | 15/09/1975 | RHCA |
2297402204 | 1 | Foreigner | French | 16/05/1980 | Expired RHCA |
5500393923 | 1 | Boyes | Simon | 23/05/1980 | Lost card |
2950862041 | 2 | Jones | Happy | 04/05/1964 | Transferred to different card, Old card quoted. |
2296510126 | 4 | Jones | Sad | 15/09/1964 | Deceased (20112008) |
2398125261 | 1 | Doe | John | 13/09/1979 | Unknown on Medicare Australia systems |
2298264833 | 1 | Watts | Gregory | 12/05/1970 | Old Issue Number |
2295919745 | 1 | Davis | Eva | 02/05/1979 | Safety Net Patient - concession entitled |
Medicare Card | Individual reference | Last name | First name | Date of birth | Entitlement Id | Enrolment Type |
---|---|---|---|---|---|---|
2293653284 | 1 | Leonard | Bobby | 10/02/1958 | 100015482A | Concession Entitled |
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:
Stub text | Level | Expected response | Notes |
---|---|---|---|
STUB_OK | Submissions (required) | Submission succeeds | |
STUB_DOWN | Submissions (required) | Submission fails with 3004 (medicare down) | Claim will be successful after the next batch run. Approx every 2 hour |
STUB_FAIL | Submissions (required) | Submission returns a fail 3999 | Claim will not be resubmitted |
STUB_FAIL_XXXX | Submissions (required) | Submission returns a fail XXXX | Replace XXXX |
STUB_PROCESSING_ITEM_FAIL | Processing claim item | Processing report returns with Explaination code 160 | |
STUB_PROCESSING_ITEM_FAIL_XXX | Processing claim item | Processing report returns with Explaination code XXX | Links to return codes: Medicare, DVA |
STUB_PAYMENT_FAIL | Payment | Payment report returns with fail 8002 | |
STUB_PAYMENT_FAIL_XXXX | Payment | Payment 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:
Veteran File No | Last name | First name | Date of birth |
---|---|---|---|
QX901543 | FIONA | ANNE-MARIE | 10/04/1954 |
QX901544 | GRAHEME | DIMITRY | 27/05/1961 |
QX901545 | JACKI | GERRY | 13/07/1969 |
QX901546 | KEVIN | JADE | 28/09/1956 |
To get going quickly, we’ve created test business, practice and providers. Each test business has:
Contact the Medipass support team at hello@medipass.com.au for access credentials and API keys.
Alternatively, you can use the details listed below:
Provider type | Provider number | Last name | First name | Enabled funders |
---|---|---|---|---|
Physiotherapist | 2429581T | Han | Clifton | HICAPS, Medicare, DVA, icare |
General Practitioner | 2409661B | Miranda | Raphael | HICAPS, Medicare, DVA, icare |
Medical Specialist | 2429591L | Browning | Charlene | HICAPS, Medicare, DVA, icare |
(Medicare only) Any valid servicing provider can be used as payee provider.
Provider type | Provider number | Provider name |
---|---|---|
General Practitioner | 2054781W | Dr Brenda Reed |
Medical Specialist | 2121331W | Dr Vivian Mortier |
For patients/members:
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 amount | Simulated response |
---|---|
$12.XX | Entire claim is rejected with response code of XX. |
$11.50 | Internal server error. |
Claim item amount | Simulated response |
---|---|
$13.XX | Claim item is rejected with response code of XX. |
$21.00 | Claim item is no gap i.e. full benefit. |
$22.00 | Claim item is all gap i.e. no benefit. |
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.
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 number | Date of birth |
---|---|
1048428/2 | 1963-29-04 |
Note:If the above details do not work please contact our integration team partnerships@medipass.io.
For Comcare injured worker insurance claims, any patient name can be used with the following claim number
To receive a simulated response :
To receive a simulated rejection:
Claim total amount | Simulated response |
---|---|
$0.11 | Entire claim is rejected |
For workers insurance claims, any patient name can be used with the following claim numbers:
To receive a simulated response
To submit to icare's testing environment claiming engine
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 amount | Simulated response |
---|---|
$21.36 | Entire claim is rejected with a randomised rejection reason and rejection details |
$31.22 | Entire claim is under-review by icare |
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.
Provider Type | Provider Number | Frist name | Last name | ABN |
---|---|---|---|---|
Physio | 2382464A | RT | PHYSIO CHIRO SERVICE PROVIDER | 59 336 445 411 |
Physio | 0710446T | MT | ABLITT PHYSIO | 50 144 889 636 |
GP | 0111827Y | John | GENERAL PRACTIONER GP | 99 128 211 843 |
GP | 0111829X | John | GENERAL PRACTIONER GP | 99 128 211 843 |
Pharmacy | PH0060 | J | PHARMACY SERVICE PROVIDER | 78 414 009 530 |
Pharmacy | PH0038 | S | PHARMACY SERVICE PROVIDER | 43 083 841 007 |
Claim Type | Claim Number | Frist name | Last name | Date of birth | Date of Injury | Comments |
---|---|---|---|---|---|---|
Standard | 12210000492 | Standardclaim | Medipass | 1/07/1980 | 30/05/2021 | Can invoice for all types (GP, Physio, Pharmacy) Updated to reject depression, anxiety and headache migraine pharmacy categories |
Catastrophic | 12210000502 | Catastropic | Medipass | 1/06/1990 | 1/03/2021 | Can invoice for all types (GP, Physio, Pharmacy) |
Provision Payments | 12210000515 | JPPClaimohn | Medipass | 1/08/1989 | 30/03/2021 | Can invoice for all types (GP, Physio, Pharmacy) |
EMPLOYER Liability NOT ACCEPTED | 12210000528 | MANDLNO | Medipass | 1/01/1995 | 1/02/2021 | Invoice will fail |
Self Insured | PP | Jensen | Gibb | 13/09/1949 | ||
Exclusion period | 12210000272 | Exclusion | Medipass | 13/06/1983 | 01/01/2020 | Exclusion - 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 Treatment | 1091024377 | Anthony | Blazer | 10/06/1958 | 18/12/1991 | No claim for more than 3 years; this should go to WSV for review. |