If patients pay only part of their account (ie. over and above the medicare rebate amount), we don't seem to be able to lodge the claim with medicare. This only seems to appear when a receipt for the full amount is raised, and the bill/payment screens don't give a PCI Claim option at all. This means the patient can't receive their rebate until they've paid us in full. Surely the outstanding balance is our problem, not Medicare's? Is there a reason for this and can it be changed so that as long as they have paid more than the rebate amount we can lodge their claim? Or is this a Medicare ruling?