CareRight Billing and Claiming review
A broad Australian billing and claiming module for multi-payer healthcare organisations.
Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
CareRight Billing and Claiming is a web-based medical billing and revenue-cycle module from Clintel Systems. It is designed for Australian healthcare organisations, including outpatient services, hospitals, day hospitals, specialist clinics, education settings and multi-site providers. The module covers multi-payer patient accounts, invoicing, patient claims, inpatient medical claims and in-hospital claims, with support for Medicare, DVA and ECLIPSE workflows. Its scope makes it a strong fit for providers managing several payer types and regional claiming requirements rather than organisations seeking a narrowly focused patient-payments tool.
The published feature set spans the billing cycle from estimates and statements through adjustments, reversals, batch claim submission, tracking and rejected-claim recovery. Payment capabilities include EFTPOS and digital payments, payment allocation and reconciliation, while reporting covers revenue, debtors and claim performance. Configurable billing codes, fee schedules and payer rules support organisation-specific processes. CareRight also lists coding support, denial management, payment posting and patient payments among its category capabilities, alongside AI features. Buyers should expect a system with meaningful operational breadth, particularly where claims, collections and reconciliation need to sit together.
Platform fit is another strength. CareRight is available through the web and API, integrates with HL7, FHIR, JSON/REST APIs, Medical-Objects, HealthLink and Medicare Web Services, and connects with Stripe, Tyro, Power BI and Salesforce. It also integrates with the wider CareRight patient administration, clinical and hospital platform. Pricing follows a contact-sales model, so organisations will need a vendor conversation to assess fit and proposal terms. CareRight should suit Australian providers needing multi-payer claiming and revenue-cycle workflows; teams focused on eligibility verification, claim scrubbing or ERA posting should compare alternatives during selection.
CareRight Billing and Claiming pros and cons
- Where it wins
- Supports Medicare, DVA, ECLIPSE and multi-payer accounts
- Combines claims, payments, reconciliation and rejected-claim recovery
- Connects with HL7, FHIR, APIs, Stripe, Tyro and Power BI
- Where it doesn't
- Pricing requires contact with the vendor
- Designed around Australian healthcare workflows and payers
- Specialist eligibility and claim-scrubbing needs require comparison
CareRight Billing and Claiming fact sheet, pricing and score →
Advertiser disclosure: iTechGuides is reader-supported. Vendors can pay for top positions in our rankings and for a place on other products' pages, and we may earn a commission when you click some links. Bought places stand at the number bought; this page and our disclosure say so. Paying vendors may get a fuller, more detailed review from our editors, and that review can change their score. How we rank.
Last updated · How we research and update