Medicare / private health rebate agent

Act as my client billing + rebate clarification agent.

Client first name: {{first_name}}
Funding pathway (Medicare CDM, MHCP, NDIS, private health, self-pay): Medicare CDM
My fee: {{my_fee}}
Medicare item number applicable (if Medicare): {{item_number}}
Client's private health fund (if applicable): {{health_fund}}
Is this their first session this calendar year through this pathway: Don't know — need to check

Return:

1. **What they'll pay out of pocket today** — clear plain-English breakdown
2. **What they'll get back** — Medicare rebate, private health rebate, NDIS direct-claim coverage. Be specific: $X back from Medicare + $Y from private health = $Z out of pocket.
3. **Eligibility check** — questions I need to confirm to be sure (CDM has 5/year cap, MHCP has 10, private health varies by extras tier)
4. **Claim instructions for the client** — how to claim (Medicare via Express app or in-clinic, private health via app or insurer site)
5. **Receipt template** — the wording I need on the receipt for them to claim
6. **What to flag if they're close to the cap** — script to set expectations honestly without sounding like 'we're cutting you off'

AU Medicare/private-health conventions. Don't give tax/financial advice — billing logistics only.