Medicare permissions by role
Praxi is completing Services Australia conformance testing for Medicare Online Claiming. Production claiming becomes available once Services Australia grants the Notice of Integration (NOI). This page describes the workflow so your practice can prepare.
Praxi controls every Medicare-related screen and API call based on your role. This page shows which roles have which Medicare capabilities by default, and explains how to diagnose an access issue when a practitioner expects to be able to claim but cannot.
Role capabilities
| Role | View own claim status | Submit claims for own clients | Submit claims for any client in the practice | Effective access |
|---|---|---|---|---|
| Practice Owner | Yes (via broader access) | Yes (via broader access) | Yes | Full claiming across the organisation. |
| Practice Manager | Yes (via broader access) | Yes (via broader access) | Yes | Submit org-wide on behalf of any practitioner. Use case: end-of-day bulk claiming on behalf of clinical staff. |
| Practitioner | Yes | Yes | No | Day-to-day claiming for own clients only. |
| Clinical Supervisor | Yes | Yes | No | Same as Practitioner. Visibility into supervised practitioners' claims comes from supervision-scoped access on adjacent features, not Medicare-specific access. |
| Intern | Yes | Yes | No | Submit own-client claims under their supervisor's provider number; co-signing is enforced by the supervision workflow. |
| Behaviour Support Practitioner | Yes | Yes | No | Same surface as Practitioner for own clients. |
| Receptionist | No | Yes | No | Can submit own-scope Medicare claims (front-desk end-of-day claiming), run patient verification (OPVW), and capture DB4 bulk-bill consent. |
| Accountant | No | No | No | No direct Medicare claim access. Accountants have access to reconciliation reporting for payment data already processed, but cannot submit claims. |
| EAP Administrator | No | Yes | No | Own-scope claiming. EAP-specific billing also runs under separate EAP billing access. |
| External Referrer | No | No | No | No Medicare access of any kind. |
| Clinical Governance | No | No | No | Governance review role; reads notes and incident records but does not submit claims. |
How scope works
Praxi uses a three-level scope for Medicare access:
- Own — the resource belongs to the current practitioner (their clients, appointments, claims).
- Supervised — the resource belongs to a practitioner they supervise.
- Organisation — any resource in the current organisation, regardless of owner.
A broader scope subsumes a narrower one. Practice Owners and Practice Managers hold organisation-wide access, which automatically covers the narrower own-client checks — they do not need a separate explicit grant to view an individual practitioner's claim.
Read access via broader scope Roles with organisation-wide access (Practice Owner, Practice Manager) gain read access automatically — a Practice Owner does not need separate read access to view a practitioner's claim; the broader scope already covers it.
Accountant cannot submit claims The Accountant role has access to reconciliation reporting but cannot submit Medicare claims. If your practice needs the accountant to claim, you will need to either:
- Have a practitioner, practice manager, or receptionist perform the submission, or
- Promote the staff member to a role that holds Medicare claim submission — but be aware this carries implications for AHPRA scope-of-practice and Medicare provider eligibility.
Troubleshooting access issues
When a practitioner reports that they cannot submit a Medicare claim, the diagnosis sequence is:
- Confirm the role. Go to Settings → Team Members and click the practitioner. The role chip shows the roles assigned (e.g. Practitioner, Clinical Supervisor).
- Cross-check against the table above. A staff member with only the Accountant role will not have Medicare claim submission access no matter what other billing access they've been given through invoicing.
- Check supervision context. Interns submit under their supervisor's provider number — if the intern has been onboarded without a supervisor assignment, the supervision workflow blocks submission before the access check is reached.
- Check the practitioner-provider linkage. A practitioner may have the right access but not have a valid provider number recorded for the appointment's location. This surfaces as a different error (related to provider number configuration), not an access denial, but the symptoms can look similar from the invoice screen.
- Check simulation mode. If the practice has simulation mode enabled on its Medicare settings, real Medicare claims are blocked at submission regardless of access level. The error surfaces clearly in the response — it is not an access denial.
For broader role-assignment questions and the team management workflow, see Practice owner and Team Management.
Cross-references
- Medicare Claiming — the full claiming workflow.
- Per-claim Audit Trail — what's logged when a claim is submitted.
- Practitioner role — Medicare responsibilities for the most common role.
- Practice owner role — administration, including team-member role assignment.
- Practice manager role — org-wide claiming workflow.
- Clinical Supervisor role — supervised-practitioner visibility.
- Intern role — submission under supervisor's provider number.
- Accountant role — read-only reconciliation access.
Verified against the current Praxi role-template configuration on 2026-06-05.