Before you start
There are two ways to process nib claims using Tyro Health Online:
Tyro Health Online' nib direct integration (below) enables a number of select professions to instantly process nib private health insurance claims digitally without requiring a physical terminal or needing to tap or swipe the patient's nib membership card. nib Direct cannot be used for MediGap.
Tyro Health Online’ ECLIPSE integration enables health professionals to process online eligibility checks and submit both in-patients medical and Overseas Visitors (in and out of hospital services) claims via Services Australia. Use our ECLIPSE solution for MediGap - read more about when to use ECLIPSE vs nib Direct for in-patient claiming.
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.
Ensure to select the nib tile if presented with multiple options on the next screen.
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: Claim funds from nib will be settled into the bank details entered when nib Direct claiming was activated. To update settlement bank details, follow these steps.
5. Summary
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.
Note: Once a nib Direct claim is submitted there's no option to cancel from Tyro Health Online. If a claim has been incorrectly submitted and processed (e.g. a claim was raised instead of a quote) you will need to contact nib in order to arrange a reversal.
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.