Best Practice integration for PRODA, Medicare, and MBS checks

The challenge

A private medical clinic needed direct access to current Medicare and MBS eligibility information from inside its existing Best Practice workflow. The objective was straightforward: let doctors check a patient’s Medicare status and service eligibility at the point of care, without switching systems or relying on stale administrative data.

The technical constraints were not straightforward. The clinic ran on on-premises Best Practice, the integration needed to work with Provider Digital Access (PRODA) as the identity layer, and the API calls had to run in the context of the doctor as an individual provider rather than as a generic shared system account.

That meant solving both backend integration and authentication design at the same time, while meeting the testing and approval standards required by Services Australia.

The solution

We designed and built an integration layer between Best Practice, PRODA, and the relevant healthcare APIs used for Medicare and MBS checks. The implementation combined backend services with clinician-authenticated flows, so the doctor could initiate requests as themselves and receive current patient eligibility information within the clinical workflow.

Because this type of integration has little tolerance for ambiguity, we treated reliability and compliance as first-class requirements. That included the authentication model, secure request handling, failure-path design, and the operational safeguards needed for production use in a medical setting.

We also managed the extensive testing and approval process required by Services Australia. That covered design validation, implementation, end-to-end test execution, and the evidence needed to move the integration through formal review.

The outcome

Doctors can now retrieve current Medicare status and service eligibility information from within their existing Best Practice workflow, using an authentication model tied to the individual practitioner rather than a shared credential pattern.

For the clinic, the value is practical. Staff have less need to chase eligibility information manually, clinicians get more reliable answers at the time they need them, and the integration operates within an approval pathway designed for government-connected healthcare systems.

This was not just an API connection. It was a production integration across clinical software, identity, and government service requirements, designed, built, tested, and taken through approval end to end.