CESoft (Cutting Edge, or “CE”) is a cloud-based medical billing application built for Australian providers. It’s designed mainly for online claiming and payment, but it also handles printed invoices, receipting, email and SMS. It runs entirely in the browser (Firefox or Chrome are recommended) on Mac, Windows, Linux and tablets such as the iPad, so nothing needs to be installed locally.
Online claiming and verification. Once a provider is registered with Medicare, CESoft manages all electronic transmissions from its server to Medicare, DVA and the health funds. This covers:
- Patient verification: Medicare (PVM), fund (PVF) and DVA (OVV)
- Bulk bill, Medicare patient claims (PCS) and DVA paperless claims
- ECLIPSE No Gap and Known Gap in-patient claims (IMC)
- Overseas claims (OVS) and Allied Health claims
- Electronic remittance advice (ERA) and payment reports for reconciliation
Beyond claiming. The platform includes:
- Integrated card payments through Worldpay, with payment links that take patients to a CESoft payment landing page
- Email and SMS templates
- A list importer for theatre lists
- Smartphone apps for surgical assistants and anaesthetists
- Electronic prescribing for authorised providers, enabled on request
Security: CESoft operates under a Notice of Integration and a Cloud Computing Licence Agreement with Services Australia. Data is encrypted in transit and hosted on AWS in Australia, in line with the Australian Privacy Principles, with multiple redundant backups.