Before you start
Processing a HealthPoint claim online using Tyro Health Online allows your patients to instantly claim their health fund benefit and only pay the gap via an SMS link sent to their mobile device.
In order to process a gap payment for a private health insurance online claim, a business is required to have set up Tyro Health Online Payments (THOP) - enabling businesses to process Visa and MasterCard debit and credit card payments, all within the same online claim workflow. Read more about setting up THOP.
1. Enter the claim information in Tyro Health Online
a) Get started and select the transaction type
Click the Get Paid tab
Click the Private Health Insurance tile (select the Tyro HealthPoint tab if you have more than one claiming integration set up)
Select the transaction type and choose whether you want to submit a claim or rebate estimate (quote)
b) Enter the patient/claimant details and item codes
Select Add new patient or search for a saved patient
For certain funds, you may be required to enter card issue number or card issue date details
Select the location and provider for this invoice
Select the item code (check out HealthPoint Modality Item Codes) and enter the price for the consultation
ICD-10 item codes (e.g. HCF 'More For') are now supported and require a second claim item code (ICD-10) under the 'Service reference' section.
c) Choose patient approval method and submit
Select Approval via SMS to submit a digital claim
Click Submit to send the SMS to your patient using the mobile phone number entered (or saved under their patient record)
NOTE: The payment must be approved by the patient from your location within 15 minutes, or the transaction may be cancelled.
2. Process any gap payment
Your patient may choose to pay the gap via Apple/Google Pay or credit card within the link they receive. Alternatively, they can select Pay in Person which allows you to take payment via your connected Tyro EFTPOS machine (countertop or mobile).
In Tyro Health Online:
Click the Get Paid tab
Click the Card Payment tile
Enter the gap amount to be debited from the cardholder
Select Terminal as your payment method
Select Location, Terminal, Merchant from the drop downs (Patient optional)
Select Charge and follow the prompts on your EFTPOS machine.
Alternatively, if you're comfortable enabling your patients to not pay the gap via Tyro Health Online, and you will manage gap payments directly, you can enable Pay in Person.
If you have any questions, click on the pink chat bubble on our website or email our Customer Support team.