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.
Medicare Online Claiming Provider Agreement
Services Australia now requires all software vendors and PMS products to use PRODA authentication for claims submission. Integrated online claiming software, such as Tyro Health Online usually require an Online Provider Agreement form to be submitted to Services Australia. To simplify registration, Tyro Health Online will pre-populate the Online Provider Agreement which is also called the HW027 form. See here for more information on this process.
When completing the HW027, a Minor ID is required. A Minor ID (also known as a Software site ID or Location ID) links a Medicare provider number to online claiming software and is generated and provided by a software vendor.
Only one Minor ID can be assigned to each individual provider number - both Principal and Servicing Provider must separately register for online claiming. Similarly, Billing Agents must register and link their registration number to a Minor ID.
If you’re a Tyro Health Online user already set-up for Medicare Online, there’s no further action required - you are automatically enabled for ECLIPSE (please contact Support if the ECLIPSE tile is not visible on the ‘Get paid’ page).
Minor IDs can only be registered from one software vendor
Services Australia limits each provider number to one registered integrated software vendor. Once registered, this Minor ID becomes associated with the provider number. If a new HW027 form is submitted with a different Minor ID, the prior association will be removed.
If you currently use another software vendor for submitting Medicare Online (PCI, Bulk Bill, or DVA claims) or ECLIPSE claims, registering the Tyro Health Online Minor ID will disable submission of claims for the other software vendor.
Providers who use a PMS integrated with Tyro Health Online to process Medicare Online claims or only use Tyro’s Medicare EasyClaim enabled terminals are not impacted by this.
HW027 form submission - and Minor ID registration - is not necessarily required
In the context of ECLIPSE, a registered Minor ID is not necessarily required to submit certain claims and checks. This means a provider number can be set-up for online claiming with one integrated software vendor formally registered (via the HW027 form) and another unregistered. This will only work if the provider number is valid and active for some form of Medicare online claiming and only for select claim and check types - this also applies to Billing Agent numbers which must be registered.
If your provider number is already registered with another software product for Medicare Online or ECLIPSE claims processing, the same provider number can be added into Tyro Health Online for the following ECLIPSE functions without further Minor ID registration:
Online Eligibility Checks, including:
Medicare & PHI (OEC) checks
PHI - fund only (ECF) checks
PHI - overseas (OVS) checks
In-patient Medical Claims, including:
Agreement claims (IMC-AG)
Scheme claims (IMC-SC)
Patient claims ( IMC-PC)
Billing Agent claims (IMC-MB)
All overseas claims, including:
Agreement claims (OVS-AG)
Scheme claims (OVS-SC)
Patient claims (OVS-PC)
Billing Agent claims (OVS-MB)
In-patient Medicare Only (IMC-MO) claims is not available without Tyro Health Online Minor ID registration is required - see below for more information. Similarly Medicare Online Bulk Bill and DVA functionality requires Minor ID registration (PCI does not).
Options when Minor ID registration is required
There are options available if you wish to use Tyro Health Online with the full ECLIPSE functionality, including IMC-MO claims:
Apply for a new provider number (HW019) at the same location (identical street address plus a differentiator, such as a suite number or floor number). This form must be hand signed by the provider and emailed to <provider.registration@servicesaustralia.gov.au> with an explanation noting this is to enable two integrated software vendors for online claiming and specifying the address differentiator, so the existing provider number’s address is not updated instead. Note: the standard PRODA - HPOS “add provider location” function cannot be used for this scenario.
If you want to switch to Tyro Health Online for ECLIPSE and/or Medicare Online claiming and no longer need your existing third party software vendor, you can submit a new HW027 form with the Tyro Health Online Minor ID. Note: this will prevent you from claiming beyond the above scenarios with your existing vendor.
Where to find your Minor ID in Tyro Health Online
Minor IDs are listed under each location in Tyro Health Online, see here for more information.
If you have any questions, click on the pink chat bubble on our website or email our Customer Support team. Tyro Health Online also offers an extensive User Guide for ECLIPSE - you can also request this from our support team.