Australian Medical Billing Service: Terms and Conditions

In these Terms and Conditions: ‘we’, ‘us’, and ‘our’ refers to Australian Medical Billing Service Pty Ltd.

‘You’ and ‘your’ refers to the doctor, the medical practitioner, or the medical specialist who is an applicant and/or a successfully registered user of our services.

Your access to and use of all information on this website is provided subject to the following Terms and Conditions.

We reserve the right to amend this information at any time and recommend that you regularly review our Terms and Conditions.

Registration:

In order to participate in the receipt of our services, you must become a registered user. To do this, you must complete the Registration Form either on-line, or print it and fill it in then, fax, or scan and email or post it to us. For information about the collection, storage and use of your personal information, please visit our Privacy Policy.

When you register to use our services, your personal information will be collected with your consent, and will be held in the strictest confidence at all times by us, in accordance with, and subject to the Privacy Act 1988 (Cth).

Personal information collected includes your name, address, phone and fax numbers, email address, provider number, ABN, medical registration number, and AMA number.

We will then forward your personal information to the relevant health fund, the relevant private health fund insurance company, Medicare, the Department of Veteran Affairs, the TAC, WorkCover, the Australian Health Service Alliance or other appropriate health organisation (referred to collectively as “the Relevant Health Organisation(s)” for the purpose of registration, and to facilitate direct provider payments to you.

You must provide us with true and accurate information at all times, and you must contact us to update your information as required.

We will not collect any information that is not relevant to the delivery of our services.

The personal information that is provided to us at registration is used to assist in the administration and delivery of our services to you.

It is your responsibility to ensure that your provider number is registered, and that you are able to claim for the services provided.

Upon your registration, you agree to pay for our services as set out in our website.

Your registration with us constitutes your consent and confirms your agreement to be bound by our Terms and Conditions, and our Privacy Policy.

We reserve the right to terminate your registration at any time if you breach these Terms and Conditions.

Our Services:

We facilitate the electronic submission of patient details and information relating to services rendered by you to various third parties, which results in payment of your claim.
Only patient information that is relevant to the processing of medical bills is collected and utilised for the sole purpose of medical claiming. This patient information is sent securely to the Relevant Health Organisation.

Where there is a difference between the amount charged by you, and the amount paid for your services by the Relevant Health Organisations and the patient is to be out of pocket, that is referred to as a “Known Gap Claim” and it is your responsibility to obtain the patient’s written financial consent to pay this amount. The balance of payment is made up by the patient. The patient must be informed of the cost to them prior to their procedure, with a written Informed Financial Consent signed by the patient and held by you.

It is your responsibility to take reasonable steps to inform your patients and to obtain their consent to disclose their relevant patient information to us, whereby we shall transmit and store this information in the provision of our services to you.

The information is confidential and is only passed on to relevant third parties in the delivery of our services to you, for the sole purpose of medical billing.

All our paper copes of claim related information will be appropriately destroyed once the billing process has been finalised.

With the collection of any outstanding payments, we shall endeavour with reasonable measures to retrieve benefits from your patients directly, or from the Relevant Health Organisations following a process that includes the re-submission of invoices, and followed up with attempts at telephone contact and correspondence. If these measures are unsuccessful, then the matter will be referred back to you and you may wish to engage a debt collector.

It is your responsibility to ensure that all information relating to the claim is true and correct.
All prices are in Australian dollars and are exclusive of GST.

We endeavour to ensure that our fees are current.

We reserve the right to amend our fees and charges at any time.

Security of Your Information:

We will take all reasonable measures to ensure that all information collected is protected from misuse and loss, and from unauthorised access, modification or disclosure. However, we cannot guarantee the security of any information that you transmit to or receive from us in the provision of our services, as no data or information transmission over the Internet can be guaranteed as 100% safe. Any such transmission is done at your own risk. All communication including fax, email, SMS and telephone messages will be treated with confidentiality. We will securely store all personal and patient information received from you.

We have adopted the process of SSL Encryption for our on-line registration, to ensure a secure link for sending sensitive information through a web browser to protect privacy.

Copyright:

Our information and content on the website remains our intellectual property. You are not permitted to copy, reproduce, republish, distribute or display any of the information on this website without our prior written approval.

Hyperlinks:

Registration with us does not permit you to metatag or mirror our website.
This website may occasionally have hyperlinks to other websites. This is for your convenience only.
We take no responsibility for the content of any linked site.

Intellectual Property Rights:

Linking to our website is not permitted.

Disclaimers:

Whilst we take all due care in the provision of our services, we do not provide any warranty either express or implied including without limitation warranties of merchantability or fitness for a particular purpose.

To the extent permitted by law, any condition or warranty which would otherwise be implied into these Terms and Conditions is excluded.

Limitation of Liability:

To the maximum extent permitted by law, we specifically exclude warranties implied by law in relation to title, merchantability, fitness for a particular purpose and non-infringement of third party rights in respect of goods and services supplied through our services.

To the full extent permitted by law, our liability for breach of an implied warranty or condition is limited to the supply of the services again, or payment of the costs of having those services supplied again.

We will not be liable for any lost profits or any special incidental or consequential damages, however arising including negligence, arising directly or indirectly out of or in connection with your use of our services.

The following limitation of liability applies if the Australian Consumer Law or any consumer protection legislation of any Australian State or Territory applies to you. To the extent permitted by law we limit the remedies available under these Terms and Conditions, and our liability for breach of a condition or warranty implied by law or legislation to the following remedies, with the choice of which remedy being at our discretion:

In the case of supply of services:

  • supply of those services again, or
  • the payment of the cost of having the services supplied again.
  • These Terms and Conditions are not intended to limit or exclude any liability on our part, where and to the extent that applicable law prohibits such limitation or exclusion.
  • We do not exercise any control over material and content of information passed between you and various third parties. We do not accept any liability for the accuracy of any such content.

Changes to Website and Services:

We reserve the right to change or remove the website or any part of it without notice, and you agree that we shall not be liable to you for any such change or removal.

Indemnity:

By accessing our website, and through the use of our services, you agree to indemnify and hold us harmless from all claims, actions, damages, costs and expenses including legal fees arising from or in connection with the use of our website, and services.

You indemnify us, our affiliates, members, directors and employees from and against any action, liability, claim, loss, damage, proceeding and expense including legal costs suffered or incurred by us arising from, or which is directly or indirectly related to:

  • your breach or non-observance of any of these Terms and Conditions;
  • your breach or inaccuracy in your representations; and
  • any action or claim brought by a third party that relates to all or any part of the personal information.

In relation to a claim, we may require you to conduct the defence, including negotiations for settlement or compromise prior to the institution of legal proceedings or modify, alter, or substitute any potentially infringing part of the personal information at your own expense, to render the personal information non-infringing. You must comply with any requirement notified by us to you in accordance with this term.

Privacy:

We will take all due care with all information that you provide to us in the provision of our services to you. However, we do not warrant and cannot ensure the security of any information that is provided to us. Information that you send to us is done so entirely at your own risk. On-line registration is processed using Secure Socket Layer (SSL) technology. We undertake reasonable steps to ensure that all information collected, stored and used is secure.
Please refer to our Privacy Policy.

Payments:

We will provide a tax invoice to you on a fortnightly basis. Payment must be made within 14 days from the date of the invoice.

You must advise us of any payments made directly to you by private patients, a Relevant Health Organisation or any other source to enable our bank reconciliation.

Payment can be made by Direct Debit Transfer into the following bank account:
Australian Medical Billing Services Pty Ltd
BSB: 083-337
Acct: 24-379-3930

Payment can be made by Cheque or money order as follows:
Payee: Australian Medical Billing Service Pty Ltd
Mail to: P.O Box 5052 Mordialloc VIC 3195

We also accept credit card payments.
A 2.5% surcharge will be added to all credit card payments.

30 Day Money Back Guarantee:

We are confident that you will be completely satisfied with our services.
We encourage you to contact us to discuss any issues or problems that may arise, so that we may do our best to resolve them.
If you are not fully satisfied with our services, then we will provide you with a full refund of the fees that you have paid to us for the last 30 days of our services.

General Compliance with Laws:

You must comply with all laws, statutes, ordinances and regulations that apply to you in relation to your use of our site and services.

No Agency:

No agency, partnership, joint venture, employee-employer or franchisor-franchisee relationship is intended or created between you and us by these Terms and Conditions

General:

These Terms and Conditions are governed by and construed in accordance with the laws of the State of Victoria, Australia. All users of these services irrevocably submit to the non-exclusive jurisdiction of the courts of the State of Victoria, Australia. These Terms and Conditions are severable and if any provision of these Terms and Conditions is held to be invalid or unenforceable, that provision may be removed and the remaining provisions will be enforced.

Un-Subscribe and Opt-Out:

You may choose to unsubscribe or opt out of our services at any time. You just need to notify us in writing, giving us 30 days notice of your intention, so as to be able to finalise all payments.

Termination:

We reserve the right to suspend services during any period that you fail to pay the amount due under these Terms and Conditions or if you breach these Terms and Conditions.
All rights and obligations shall cease upon the termination of these Terms and Conditions. You will maintain full liability for the service fees due to us, for accounts prepared prior to and including the date of termination.

Acceptance of Terms of Use:

When you access this website you acknowledge that you have read and understood these Terms and Conditions. You also agree to comply with and to be bound by these Terms and Conditions.

For more information on Australian Medical Billing Service and how we can help you, please contact us.

Contact Us

Fees

We have a volume based schedule of fees:

5% + GST for billing processed 0-$100,000
4% + GST for billing processed $100-500,000
3% + GST for billing processed over $500,000

This includes health fund registration, obtaining IFC, arranging Pre-Payment of Known Gap or full amount, data entry, following up any rejected claims and resubmitting, following up any outstanding payments and monthly reporting.

There is a minimum fee of $15.00 per invoice.

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