If you have previously given your details to health funds, there is no need to inform them that you are using ECLIPSE, unless you need to change your banking details. Inpatient Medical Claims (IMC) are transmitted via Medicare's ECLIPSE gateway, and after processing by Medicare are passed on to the participating funds. As the funds already have your bank account details linked to your provider number(s) they can process the claims and make payment into your nominated account as before.
If you've never sent claims to funds and haven't yet nominated banking details with each fund, then you will need to do this before submitting claims, or they may be rejected. The links and contact details below will help you to get set up with the funds. This is not an exhaustive list, however, it does cover most of the funds you are likely to come across.
AHSA is the umbrella organisation for 25+ 'Alliance' funds.
phone: (03) 9813 4088
NOTE - BUPA issues a special 'Practice ID' when you register with them. This needs to be entered into the software on the Settings, Online page before you can submit claims.
phone: 1300 367 877 or 1800 060 239
phone: 1300 130460
phone: 13 13 34
phone: 1300 135 540
Regional Health Funds
There are a number of funds covering regional areas - see the AHRG list for details, and contact the relevant ones. ARHG Member Funds www.arhg.com.au
Cessnock & District Health Benefits Fund
Phone 02 4990 1385
email: firstname.lastname@example.org for medical enquiries
Phone: 08 9265 6378
Fax: 08 9265 6282
Latrobe Health Services
Phone 03 5128 9200
Mildura District Hospital Fund
Phone 03 5023 0269
Phone 03 6331 9255
NOTE - You will also need to contact the Workers' Compensation agency and the Transport Accident authority in your home state. They don't participate in electronic claiming and these claims need to be submitted via mail.
- Email Us
- Call Us @ 1300 CESOFT (1300 237 638)