The Tyro Health Pro Key allows you to create standalone Private Health Insurance (PHI) claims on your device!
If you do do not have 'Process claim' as an option on your device, please follow these steps to onboard for PHI claims: Set up HealthPoint in Tyro Health Online
To initiate a Private Health Insurance claim on your device:
Swipe the patient's Health Insurance card OR press Process claim on the device screen to manually enter the patient's details. If manually entering:
Select the Health Fund
Enter the patient's Health Fund member/customer number
Enter the corresponding card rank for the patient and click Continue.
If you wish to change the location of this claim, click Select provider at the top of the screen and select the correct location.
Select the Provider that provided the service for this claim (if you do not see the relevant provider, they may not yet be enabled under your chosen location - to add a provider to your location, follow the steps here).
Select your Service item code for the provided service (to add a custom service item, scroll to the bottom of the list and choose Manually add service item).
Enter the service amount using the keypad and click Add to claim.
Review the claim summary and click Submit claim (Note: you can select items in the summary to amend them if required).
Your claim will be submitted to the health fund. If the submission was successful, you will see the overall claim response at the top. For a full list of response codes and their meanings click here.
Ask the patient to review and Accept or Reject the outcome of the claim.
If they accept, they will be prompted to provide their signature either on screen or select Sign on paper.
If they wish to reject the claim outcome, they can select the Reject button or by selecting the X on the top right of the screen.
NOTE: Both actions make the currently submitted claim void, but selecting Reject will also take the user back to the Claim summary screen where they can adjust the claim details and submit a new claim.
If the claim outcome is not accepted or rejected, the claim will be automatically voided.
If there is a Gap payment:
Confirm the gap amount (you may select the yellow backspace key to amend the gap amount if required). Click Continue.
If you have a multi-merchant group on your device, you will be required to select the relevant Merchant ID for the gap payment.
The payments screen will show for your patient to present their card.
Receipt options will be presented per your preferences.