Find out more about Tyro Health private health (PHI) claims
Introduction
Setting up PHI claims via Tyro Health Online (THO) will activate claiming at your location and enable your providers to process claims using both your Tyro EFTPOS terminal and Tyro Health Online (online claims).
This step-by-step guide explains how you can use our single onboarding process to either set up:
Online only claiming: enable providers at a location without terminals; or
EFTPOS and online claiming: if you have a Tyro EFTPOS terminal, this enables providers at a location for both terminal and online claiming.
Before you start
Set-up via THO not available to all businesses
If you already process PHI claims on your Tyro EFTPOS terminal and signed up before May 2023, then unfortunately THO functionality isn't yet available to you. To make changes to your PHI claiming setup, please refer to our help centre article on adding providers.
If you signed up with Tyro before October 2021, online claiming may not be available because of your PHI claims settlement arrangement – find out if this affects you.
Sign up for Tyro Health Online
Enabling providers online and activating digital claiming requires signing up to Tyro Health Online – get started for free.
'Get started' in Tyro Health Online
After your application for PHI claims is approved, locations will be automatically activated for online claiming and providers can be managed in THO from the Tyro HealthPoint settings, including updating settlement bank details.
All providers enabled at a location will be able to submit claims both online and via a Tyro EFTPOS terminal (if available).
1. Log in and navigate to ‘Tyro HealthPoint’
Select ‘Get paid’ from the sidebar, then select 'Get Started' on the HealthPoint tile. Note, If you do not see the HealthPoint tile, please contact us.
2. Confirm your business details
Here you'll be asked to confirm the business details for the location(s) where you will be submitting private health insurance claims from.
3. Verify your business owners
Depending on whether you have already onboarded to another funder, or you’ve enabled Tyro Health Online Payments, you may need to complete our identity verification – find out more about our verification process.
4. Confirm your location details
This section shows the list of locations you have in Tyro Health Online – when adding provider details on the next screen, these will become the available options you can select from. You can add locations by clicking the ‘add another location’ button or edit the existing locations by clicking ‘Edit’ beside each option.
The email address for each location will be used to send electronic remittance for all the provider numbers submitting claims from that location.
Please note, once a provider is enabled under a location, the address will become linked to the provider number, so any changes to the address in Tyro Health Online (under ‘Locations’) this will create a new location for Tyro HealthPoint when adding a new provider later (the existing provider numbers will still be under the first address, so will error when claiming).
5. Confirm your provider details and settlement bank details
This section is for adding the details of any providers who will be performing services that require a claim to be submitted to a private health insurance fund. You can add as many providers and provider numbers for as many locations as you need by selecting the ‘add another line’ or ‘add another provider' button.
Ensure the uploaded letter or screenshot is not cropped/hiding any information and as higher resolution within the file size limit - find out more about the documentation required to register a provider at a location.
Settlement bank details are captured for every provider number and can be changed at any time from the Tyro HealthPoint settings. HealthPoint manages settlement for claims – find out more about HealthPoint settlement..
6. Finalise
Click 'Confirm and Continue' to be taken to a summary page, including the Tyro HealthPoint Acknowledge and Agreement. When you're ready, click 'Submit'.
7. THO Payments
If you wish to process online claims, you’ll need to set up THO Payments after completing the get started steps for PHI claims.
Next steps
How to submit PHI claims
After completing onboarding, providers will show as ‘pending’ until the provider number applications are reviewed. Once approved, the provider number will show as ‘active’, but some funds will be ready to accept claims the day after, while others can take a few days longer.
Processing terminal claims via THO
If you have a compatible PMS, you'll also need to set-up the integration to send claiming and payments requests to your terminal. If you don't have a compatible PMS, you can still send claim and payments requests by connecting your terminal to Tyro Health Online.
Managing providers for PHI claims
Use THO to add more providers, edit settlement bank details, and remove providers – check out our step-by-step guide on managing HealthPoint enabled providers.
If you have any questions, click on the pink chat bubble on our website or email our Customer Support team.