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How to process a HealthPoint online claim

How to submit a HealthPoint claim and process a gap payment online using Tyro Health Online

Nick avatar
Written by Nick
Updated over 2 weeks ago

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.

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