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.
HealthPoint claims can also be submitted online using Tyro Health Online without a physical EFTPOS terminal - send an approval request to the patient's mobile phone (via SMS), swiping a physical health fund card is not required.
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, then the "Private health insurance" tile, and select the "Tyro HealthPoint" option 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
Search for a saved patient or enter their details by clicking 'Add new patient' if you haven't created an invoice for this patient before (optional).
Afterwards, select the location and provider for this 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
There are two ways to submit a private health insurance claims (via HealthPoint) and each option involves a different way for patients to approve the claim. Find out more about the different ways claims can be submitted.
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 (including showing any additional HCF loyalty item codes returned).
At this point you can either select "Cancel" to cancel the whole transaction or 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.
The last prompt will ask you if you would like to print a copy of the invoice to the patient.
If you have any questions, click on the pink chat bubble on our website or email our Customer Support team.