Manual claims submissions for the nib and GU Health are no longer accepted, but you can use Tyro Health Online (previously "Medipass") to submit claims electronically via our ECLIPSE functionality.
Step 1: Set up Tyro Health
On any web browser, open tyrohealth.com and click "Get Started" in the top right-hand corner then click 'Sign up to Tyro Health Online'.
Follow the steps to sign up to Tyro Health and set a password - if you're processing claims for multiple providers, check out this article with more information on setting up Tyro Health for multiple providers.
Keep going until you reach a page with the heading that reads "Welcome to Tyro Health" - this page is referred to as the "Get Paid" page (named for the navigation bar on the left-hand side).
Part 2: Enable ECLIPSE for in-patient claiming
On the Get Paid page, scroll down to find the box labelled Medicare, DVA & ECLIPSE claiming. Click the pink "Get Started" button. If you have to exit the setup workflow at any time, you can come back to it by going back to the Get Paid page and clicking the same button, which will change to say "Resume".
You'll be taken to a page that shows all of the setup steps. Fill in each section, including your business, location and provider details. After completing each section, click through to the next step.
Tips for completing the setup of ECLIPSE
The 'Professional category' and 'Specialties' entered for each provider number determine which item codes are shown later when you create a claim. If you're not sure what to put here, have a read of this article.
The Business Verification is an important step to ensure the security of your business. In this part of the process, we need to complete an ID check on the beneficial owners of your business (or your clients business if you're setting up Tyro Health for multiple providers). Most of the time this can be done online, but for complex business structures you will receive an email with instructions - find out more about this process here.
Towards the end of the setup process, there is an option to download an Online Provider Agreement form (also called the HW027 form). If you are only using our software to process claims that you used to submit manually for nib MediGap or the GU Health Medical Gap Network, you do not need to fill in this form. If you are unsure, please talk to our team.
Part 3: Submit a claim
When the above steps are complete, follow these instructions to submit a claim:
Click this button to begin an ECLIPSE claim:
2. Next, click In-patient medical claim. You will then be asked to select the claim type - for information about the claim types available, refer to this article.
For a nib MediGap claim, select IMC SC: Scheme (PHI & Medicare).
You will then see a page where you need to enter the information of the claim. Most, if not all, of these fields should be familiar from processing manual claims. The advantage of sending these claims online is that you will be able to see a clear up-to-date status of the claim. You can also be more confident that a claim will be accepted when it's submitted online, because we will make sure all the relevant information is included. For a detailed breakdown of the claiming section, open this article and read from Step 4.
Where to get help
For help with setting up Tyro Health Online (previously Medipass), contact the Tyro Health support team via the pink live chat bubble or via email on support@tyrohealth.com.
To talk to nib about specific claim requirements or other questions, call nib's Provider Relations team on 1300 853 530.
The Tyro Health team do not currently have a direct phone number that you can call. Please email us on support@tyrohealth.com or message us via live chat with any questions. We are a small team and provide customer support through mostly online channels. However, we understand that sometimes it's easier to just speak on the phone, and will always do our best to arrange a phone call with you when needed.