Before you start
Processing a HealthPoint claim using a Tyro terminal allows your patients to instantly claim their health fund benefit and just pay the gap. Claim requests can be sent from Tyro Health Online or an integrated PMS; the Tyro terminal then submits the claim directly to HealthPoint - using a Tyro terminal requires the patient to tap or swipe their health fund card.
Making the selection between an 'online' or 'terminal' claim is done after selecting the transaction type and entering patient/claimant details and item codes (see 1C below).
1. Enter the claim information in Tyro Health Online
A) Get started and select the transaction type
Click the Get Paid tab.
Select the Private health insurance tile.
Select the Tyro HealthPoint tab if you have more than one claiming integration set up.
Select the transaction type and choose whether you want to submit a claim or rebate estimate (quote).
B) Enter the patient/claimant details and item codes
Click Add new patient or select saved patient details.
Select the location and provider for the invoice.
Next select the item code (check out HealthPoint Modality Item Codes) and enter the price for the consultation.
ICD-10 item codes (e.g. HCF 'More For') are now supported and require a second claim item code (ICD-10) under the 'Service reference' section.
C) Choose patient approval method and submit
Select Approval via terminal to send a claim request from Tyro Health Online to your connected Tyro EFTPOS machine (which will submit the claim to HealthPoint).
Click Send to terminal and if not previously entered, you'll be required to input the members card rank found on their membership card.
2. Process any gap payment
An overview of the invoice will then be prompted showing you details of the consultation amount, the health benefit being deducted and the gap amount.
Select Take Payment in Cash or select Pay via Terminal.
If you select Pay via Terminal, you will be prompted to collect your patient's credit/debit card to either swipe or insert into your terminal to process the payment.
Select if you would like to print a copy of the invoice for the patient.
If you have any questions, click on the pink chat bubble on our website or email our Customer Support team.