THELMA by eHealthwise, part of MIMS
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Eligibility & Claims Platform

Real-time Medicare, DVA and private health fund checks for Australian healthcare.

THELMA gives healthcare providers of every size — from hospital networks to day surgeries to individual specialists — instant eligibility checks and streamlined claims, from admission to payment.

Let's talk See how it works
HospitalsHealthServicesHealth FundsMedicare & DVAMy Health RecordGovernmentSystemsReports &AnalyticsMedical Practices& Specialists THELMA Transactional HealthExchange LinkingMultiple Applications
Trusted by health departments and services across Australia
NSW Health Queensland Health SA Health WA Department of Health NT Government Victoria Department of Health
Certified & accredited
Queensland Government Approved Supplier — GITC Q-6003 QAssure Accredited Business Australian Government — Services Australia Medicare Online — ECLIPSE, DVA, AIR certified My Medicare My Health Record — Australian Digital Health Agency
How it works

From eligibility check to payment, in four steps.

Click a step to see it.

Data Entry screen
Our Services

Every eligibility and claiming pathway, covered.

Eligibility & Verification Check

Patient eligibility & verification check to all the PHI, Medicare & DVA.

Patient Claim Realtime

Real time patient claims to Medicare.

Bulk Bill Claim Medicare & DVA

Out patient (bulk bill) claiming to Medicare and DVA.

Medical Claim Fund

In patient claiming to all the Private Health Funds.

Hospital Claim Fund

In patient hospital claims to all Private Health Funds.

My Medicare

Manage MyMedicare patient registration through THELMA, alongside your other Medicare related transactions.

My Health Record

A safe and secure way for health professionals to access patient key health information.

Who it's for

Built for every scale of Australian healthcare provider.

Hospitals & Health Services

Real-time eligibility checks and claims processing built for high patient volumes across Medicare, DVA and private health funds.

— Multi-site deployment across your network — Integrates with existing hospital systems — Dedicated onboarding for IT and admissions teams
Talk to us about your organisation →

Day Surgeries & Clinics

For day surgeries and multi-practitioner clinics that need more than a single license but don't need an enterprise rollout.

— Multi-practitioner accounts under one clinic — Set up without a full IT project — Scales with you as your practice grows
See options for your clinic →

Specialist Practices

A single-license option for specialists who want the same real-time checks and claims tools — without enterprise overhead.

— Single-practitioner license — Set up in days, not months — Same claims accuracy as our hospital clients
See your options & pricing →
Why THELMA

Everything from eligibility to payment, in one place.

Real-time eligibility checks

Confirm Medicare, DVA and private health fund coverage before the appointment, not after.

Electronic claims submission

Submit claims directly to Medicare, DVA and private health funds without manual re-entry.

Fewer rejected claims

Catch eligibility issues upfront so claims go through correctly the first time.

Built to integrate

Documented APIs connect THELMA to the systems hospitals and specialists already use.

Aligned with Medicare & DVA requirements
Purpose-built for Australian healthcare
Security-conscious by design
API & Docs

Build eligibility and claims straight into your own systems.

Our core eligibility, claims and remittance APIs run on SOAP — proven across two decades of high-volume healthcare transactions — with newer REST/JSON APIs available for MyMedicare and My Health Record integrations. However you connect, your practice management, billing or hospital system gets direct access to the same real-time data available in THELMA, so patient workflows never have to leave your own software.

Access to the API documentation and a sandbox environment is provided to approved integration partners — get in touch and our team will set you up.

Talk to our integration team
SOAP · Eligibility & Claims
REST · MyMedicare & Health Record
POST /services/EligibilityService (SOAP 1.1)
<soapenv:Envelope> <soapenv:Body> <checkEligibility> <medicareNumber>•••• ••••• •</medicareNumber> <providerNumber>••••••</providerNumber> <serviceDate>2026-09-17</serviceDate> </checkEligibility> </soapenv:Body> </soapenv:Envelope>
200 OK
<checkEligibilityResponse> <eligible>true</eligible> <fundName>••••• Health Fund</fundName> <benefitAmount>85.20</benefitAmount> </checkEligibilityResponse>
About eHealthwise

20+ years powering Australia's healthcare revenue cycle.

eHealthwise owns and operates THELMA — Transactional Health Exchange Linking Multiple Applications — a health transaction platform built to simplify and streamline the healthcare revenue cycle, payment and e-claiming processes. We provide simple, seamless integration to Medicare for healthcare vendors, and our low-cost, web-based eligibility and claiming solutions let healthcare providers focus on patient care.

eHealthwise is a fully owned subsidiary of MIMS Australia Pty Ltd.

20+ Years in market
$1bn+ Claims value processed each year

Let's talk about your eligibility and claims workflow.

Whether you're a hospital network, a day surgery, or a single specialist practice, we'll show you how THELMA fits your workflow.

Contact us