Registering with Health Funds

Registering with Health Funds

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
AHSA is the umbrella organisation for 25+ 'Alliance' funds. 
https://www.ahsa.com.au/web/fundlist 
https://www.ahsa.com.au/web/doctors
email: enquiries@ahsa.com.au
phone: (03) 9813 4088  

BUPA 
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. 
email: Medicoverenquiry@hcf.com.au
phone: 13 13 34 

NIB 
https://www.nib.com.au/providers 
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

Hunter Health Insurance & Cessnock District Health Fund
www.hunterhi.com.au
Phone 02 4990 1385

HBF (for West Australia only)
https://www.hbf.com.au/
email: medicalgap@hbf.com.au for medical enquiries
Phone: 08 9265 6378
Fax: 08 9265 6282

Latrobe Health Services
www.latrobehealth.com.au
Phone 03 5128 9200

Mildura District Hospital Fund
mdhf@mdhf.com.au
Phone 03 5023 0269

St.Luke’s Health
www.stlukes.com.au
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 or email.
 

    • Related Articles

    • Manually adding Health Funds

      Adding and Editing Fund Details   Cutting Edge is regularly updated with all funds participating in ECLIPSE. You never need to add registered health funds. Should you wish to manually add a specific fund, such as Workcover or an institution that you ...

    • Health Fund Contact Details

      Please see the attached link for a list of contact details for a large number of health funds. https://www.privatehealthcareaustralia.org.au/resources/provider-resources/contacts-for-providers/

    • Overseas student health cover (OSHC), Overseas Visitors Health Cover (OVHC) and Reciprocal health care agreements (RHCA)

      Students from overseas on a temporary student visa are not usually eligible for Medicare. To comply with visa requirements, they may have to purchase Overseas Student Health Cover (OSHC) to meet the costs of medical and hospital care while in ...

    • Finding the correct Health Fund code

      From time to time you may need to search for a fund code. From the Databases > Funds page, click on search and enter the name or code you're looking for. This will give you a list of possible matches. Some funds have updated their names or codes. AHB ...

    • Which funds are in AHSA?

      AHSA maintains a list of member funds on their website that is updated whenever the situation changes. Cutting Edge will automatically update the list and schedules in the software, you don't need to do this yourself. ...