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How to submit a nib Direct claim

A step-by-step guide to using Tyro Health Online to claim with nib Direct

Nick avatar
Written by Nick
Updated over 9 months ago

Before you start

There are two ways to process nib claims using Tyro Health Online:

1. Go to the 'Get paid' tab

Log in to Tyro Health Online. If you have not yet signed up for your free Tyro Health Online provider account, you can do so here.

2. Select Private Health Insurance

Click on the "Private Health Insurance" tile to begin the claim process. If you have not yet activated nib Direct, you can do so by following these instructions.

Note: there may be numerous private health insurance (PHI) options after you click on the ‘PHI’ tile, including Tyro HealthPoint and nib Direct.

3. Enter details

After selecting the transaction type (claim or quote), the nib Direct claim will require the following information:

  • Invoice details: enter an invoice number from your practice management software, or accounting system.

  • Provider details: add the details of the provider who performed the service. Providers will need to be set up for nib Direct claiming in Tyro Health Online for them to appear here - you can add another provider by clicking the settings cog icon of the private health insurance tile on the ‘Get paid’ page.

  • Patient details: you can either search for a patient you’ve invoiced for before or click 'Add New Patient' to enter their details. When you raise an invoice for a new patient, their details will be added to a new ‘Patient Record’ in Tyro Health Online, so they'll be saved for next time.

  • Payment codes: enter item codes for the service delivered. If needed, you can add multiple item codes by clicking "Add another item".
    Note: The service date automatically defaults to today’s date, i.e. the day you raise the invoice and some item codes require a description when what they cover can be varied.

Note: If you're a GP, you may notice a couple of ways you can submit an overseas health claim via Tyro Health Online. If you want more information on the different options, please see here.

4. Submit claim

Review the total amount of your claim and your settlement bank details then click 'Submit' to continue to the gap payment (if applicable).

Note: The 'Settlement bank details' will have been added when you activated nib direct claiming and will be the bank details that Tyro Health Online will deposit funds into. To update settlement bank details, follow these steps.

5. Summary page

After submitting your claim, you’ll be taken to a summary screen which contains all the information of your invoice and its current status. You can return to this screen any time to check the progress of an invoice by going to the 'Invoices' section of Tyro Health Online.

For detailed information about invoice status, click here.

If you require further assistance, you can contact the Tyro Health Online support team by clicking the chat bubble located on the bottom right of your browser or by emailing support@tyrohealth.com.

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