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How to Submit an ECLIPSE In-Patient Medical or OVS Claim

A step-by-step guide to using Tyro Health Online to submit ECLIPSE claims

Nick avatar
Written by Nick
Updated today

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.

Before you start

What you will need:

  • Access to Tyro Health Online with ECLIPSE activated

  • Provider number set up for Medicare Online and ECLIPSE

  • Hospital Facility ID (Commonwealth Hospital Facility Provider Number)

  • (Optional) CSV templates for batch uploads

Step-by-step instructions

Step 1: Sign up or log in

Manual claims submissions for nib and GU Health are no longer accepted.
Submit claims electronically via ECLIPSE - find out more.

Step 2: Select ECLIPSE

  • Click the ECLIPSE tile to begin.
    If you haven’t activated ECLIPSE yet, follow these instructions.

For in-patient claims (e.g. MediGap), use the ECLIPSE integration, not nib Direct - learn more.

Step 3: Choose your claim type

Select either:

  • In-patient medical claim, or

  • Overseas claim (OVS)

Then choose the correct claim type from the dropdown.
Find out more about claim types, including whether to use an Agreement or Scheme.

DVA in-patient claims cannot be submitted via ECLIPSE.
Use Medicare Online instead. or batch upload

Step 4: Enter details or upload a batch

Option A - Batch upload

  1. After choosing a processing option, select Batch upload.

  2. Download the correct CSV template (in-patient or overseas).

  3. Complete and upload the file following the batch upload guide.

For required fields, see the CSV file template guide and funder codes.

Option B - Enter details manually

When entering an individual claim, Tyro Health Online will request these details:

  1. Invoice details

    • Enter your invoice number

    • Specify if the account is paid in full or relates to accident/compensation

  2. Patient details

    • Search for an existing patient, or select Add New Patient

    • New patient details are saved automatically in Patient Records

  3. Patient verification

    • Tyro Health Online verifies eligibility with Services Australia

    • You’ll receive an error if Medicare or insurer details are incorrect

  4. Principal provider & location

    • Enter the provider number where payment should be directed

    • Enter the Facility ID (hospital provider number where the admission occurred)

  5. Medical events (each event)

    • Add servicing provider details

    • Confirm disclosure of financial interest under a gap-cover scheme

    • Record how Informed Financial Consent was provided (If it was an emergency, “Not issued” or “Not obtained” must be used)

    • Include referral details or a referral override if required

  6. Services (each event)

    • Enter item codes and open Advanced options for extra details

    • Add multiple items as needed

    • The MBS fee may auto-populate; otherwise, enter the scheduled benefit amount (excluding any gap)

    • Learn more about setting item fees

The item code 'fee' you enter should be the scheduled benefit amount you can expect to be paid by Medicare and the private health fund, exclusive of any gap - find out more.

Step 5: Submit invoice

  1. Review your invoice total

  2. Click Submit Invoice

  3. To process out-of-pocket (gap) payments using Tyro Health Online, go to Get paid > Card payments after the summary page.

Step 6: View the Summary page

After submission, you’ll see a Summary page showing invoice details and current status.
You can return to this screen anytime under Invoices in Tyro Health Online.
Read more about invoice status.


Troubleshooting and Tips

  • Can’t find the ECLIPSE tile?
    Your integration might not be activated. Follow these setup instructions.

  • Claim type confusion
    If you’re unsure which claim type to use, refer to the claim type guide or your funder’s instructions.

  • DVA claims
    DVA in-patient claims are submitted via Medicare Online, not ECLIPSE.

  • Batch upload errors

    • Use the correct CSV template (in-patient vs overseas).

    • All mandatory fields must match the CSV template guide.

  • Patient verification failed

    • Check for typos in Medicare or fund details.

    • Confirm the patient has an active Services Australia account.

  • Provider or facility missing
    Ensure your provider number and Facility ID are activated for Medicare Online and ECLIPSE in Tyro Health Online.


If you have any questions, click on the pink chat bubble on our website or email our Customer Support team. Tyro Health also offers an extensive User Guide for ECLIPSE - you can also request this from our support team.

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