Tyro Health Online (previously "Medipass") functionality is grouped into four categories, each with separate pricing:
There are no fixed monthly fees with Tyro Health Online, as all fees are transaction based, GST inclusive, and displayed in Australian Dollars (AUD) - read more about how and when Tyro Health Online bills. Therefore, if you do not use Tyro Health Online in a month, there are no fees charged for that month.
Further, Tyro Health Online has no lock in contracts, no cancellation fees, no administration fees, no setup fees and no exit fees - if you cancel your Tyro Health account, there are no refunds on fees already incurred.
1. Tyro Health Online Payments
Tyro Health Online Payments (previously "Medipass Card Payments") enables you to accept Visa and Mastercard debit and credit card payments directly from your patients, as well as advanced features like Payment Holds and Instalments.
The following standard Fees are incurred per Tyro Health Online Payments transaction:
Merchant Service Fee (MSF): 1.7% of the transaction amount, including Interchange.
Transaction Fee: $0.30 fee per transaction. This fee applies to all Tyro Health Online Payments transactions, pre-authorisations, holds and refunds, and applies to all transaction status, including approved, declined, rejected or cancelled.
Please note, Tyro Health Online Payments pricing varies for transactions that are raised via certain integrated software vendor systems. View the fees for users of Cliniko, PracSuite, and Core Practice.
When a refund is processed, a credit is added to your account for the original MSF for that transaction and a Transaction Fee is charged to process the refund (which is charged in addition to the Transaction Fee that was charged when the payment was originally processed).
A Transaction Fee applies to Payment Holds when they are processed. If the hold is converted to a charge, the relevant Merchant Service Fee and Transaction Fee applies. If the hold is released, no additional fees apply.
For example, (using standard Tyro Health Online pricing):
Hold is created, then expires after 7 days:
total charge = $0.30
Hold is created, then canceled:
total charge = $0.30
Hold is created, then payment is processed for hold amount:
total charge = $0.30 for hold, then 1.7% + $0.30 for payment
Hold is created, then a separate payment is processed for an amount higher than the hold amount:
total charge = $0.30 for hold, then 1.7% + $0.30 for transaction
Each payment in an instalment plan will be charged at standard Tyro Health Online Payments fees, applied per transaction.
2. Tyro Health Online Free Claims
The following claim types are included within Tyro Health Online Free Claims (previously "Medipass Free Claims"):
Tyro HealthPoint (Private Health Insurance and Overseas Health Cover),
WorkSafe Victoria, and
NDIS (Plan Manager Invoicing).
Tyro Health does not charge a fee for Tyro Health Online Free Claims. However, invoices that involve Tyro Health Online Payments (e.g., NDIS Self-Managed claims) incur a fee as per the standard Fees for Tyro Health Online Payments.
3. Tyro Health Online Paid Claims
The following claim types are included within Tyro Health Online Paid Claims (previously "Medipass Paid Claims"):
Department of Veterans' Affairs (DVA), and
WorkCover Queensland (WCQ)
Eligible claims are charged at $0.14 per claim, capped at $39 per location per month.
At the beginning of each month, we recommence charging at $0.14, until the cap of $39 for that Location is reached.
The cap will apply for all eligible claim types raised, regardless of whether they are raised via Tyro Health Online directly or via an integrated software vendor.
Service providers who raise claims must be allocated to a location which is set to the registered practicing address of that provider.
Medicare and DVA fees apply for claims which are approved by Medicare or the DVA and the approval date determines which month fees are billed. For example, a claim submitted in July but approved in August would appear on the invoice for August.
WCQ fees apply for claims which are successfully submitted to WCQ.
4. Tyro Health Online ECLIPSE Claims
The following ECLIPSE claim types are included:
In-patient Medical Claims (IMC)
Overseas claims (OVS)
The following standard Fee is incurred per eligible claim:
ECLIPSE Service Fee: 1.1% of the invoice total, inclusive of all medical event charge amounts.
Please note, any out of pocket costs (gap or patient payment) processed via Tyro Health Online Payments incur a fee as per the standard Fees for Tyro Health Online Payments.
ECLIPSE Service Fees only apply to approved IMC and OVS claims and the approval date determines which month fees are billed. For example, a claim submitted in July but approved in August would appear on the invoice for August.
Claims submitted for patients where the private health fund selected is either “nib” or “GU Health” will not incur the standard Fee for ECLIPSE.
Tyro Health does not charge a fee for Online Eligibility Checks (OEC).
1 – IMC AG/SC with no gap
A claim was submitted containing one medical event and two items – provider has no gap agreement with patient's health fund.
Item amounts entered factor in further benefits paid by the funder in addition to the MBS fee (up to the threshold amount) resulting in an invoice total of $500.
The invoice was approved, so the ESF of 1.1% applies to the charge amounts for all medical events of the submitted claim ($500), resulting in a fee of $5.50
2 – IMC AG/SC with gap
A claim was submitted containing two medical events, each with multiple item codes - provider has known gap agreement with patient's health fund.
Item amounts entered factor in further benefits paid by the funder in addition to the MBS fee (up to the threshold amount) resulting in an invoice total of $1,500 - the known gap amount is not factored into the item amounts.
The invoice was approved, so the ESF of 1.1% applies to the charge amounts for all medical events of the submitted claim ($1,500), resulting in a fee of $16.50
The $250 gap payment is processed as a seperate transaction, charged per episode care. In this example, Tyro Health Online Payments was used and subject to the standard Fees for Tyro Health Online Payments.
3 – IMC PC
When submitting a Patient Claim, the account can be specified as either being paid in full or not - the invoice total in Tyro Health Online will be the same.
Once approved, regardless of whether the account was paid in full, the ESF of 1.1% will apply to the total charge amount of the submitted claim.
Taking payment in full can be done in different ways and involve separate payment services, such as Tyro Health Online Payments which would incur a fee as per the standard Fees for Tyro Health Online Payments.
If you have any questions, click on the pink chat bubble on our website or email our Customer Support team.