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.

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

Tyro HealthPoint (Private Health Insurance and Overseas Health Cover),

nib Direct

Comcare

icare

QBE

WorkSafe Victoria

NDIS (Plan Manager Invoicing)

Medicare Online,

Department of Veterans' Affairs (DVA), and

WorkCover Queensland (WCQ)

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.

In-patient Medical Claims (IMC)

Overseas claims (OVS)

ECLIPSE Service Fee: 1.1% of the invoice total, inclusive of all medical event charge amounts.

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).

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

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.

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.