Tyro Health Online enables healthcare providers to submit private health insurance and overseas health insurance claims digitally, without a physical EFTPOS machine – this is currently available via:
Do patients need their member card for digital claims?
While your patient doesn't need to tap or swipe their private health insurance card, they do need to know their member details, so that they can be manually entered into Tyro Health Online.
An approval request is sent to your patients' mobile phone via SMS for the claim. To see what the SMS experience for patients looks like, click here.
Are there any fees?
Digital private health insurance claiming via HealthPoint and nib Direct do not incur any transaction fees. However, if Tyro Health Online Payments is used to process a gap amount, then standard transaction fees apply to the gap payment only. Our pricing is available here.
Do all HealthPoint funds support digital claiming?
Over 98% of Australian's with private health insurance are able to use Tyro HealthPoint, but while most funds support HealthPoint claims via a Tyro terminal, not all funds support digital claims and professions are either supported by all or some funds. Check out the full list of participating private health insurers and supported professions, here.
Who manages settlement?
For Tyro HealthPoint, settlement is not managed by Tyro Health and can vary depending on when you set up HealthPoint – find out more.
For nib Direct and Tyro Health Online Payments, Tyro Health manages the settlement of funds – find out more.
How do I get set up to claim online
For Tyro HealthPoint, if your business is not already set up for claiming via HealthPoint you can onboard via Tyro Health Online, check out our step-by-step guide.
Online private health insurance claiming (via HealthPoint) is not currently available to businesses already set up for HealthPoint or with Tyro Consolidated Settlements.
For nib Direct claiming, check out the separate step-by-step guide.
How to process private health insurance claims online
Please check out the following step-by-step guides:
If you have any questions, click on the pink chat bubble on our website or email our Customer Support team.