electronic claiming

CBHS Health Fund accepts electronic claiming for services with HICAPS, iSOFT for Extras and with ECLIPSE for medical services for admitted hospital patients. To find out how to register for the electronic claiming systems, click on the logos below for more information.

Electronic claiming is available for providers through

 


with CBHS Health Fund for the following services:

  • Acupuncture
  • Dental
  • Massage
  • Occupational Therapy
  • Osteopathic
  • Podiatry
  • Speech Therapy
  • Chiropractic
  • Dietician
  • Naturopathy
  • Optical
  • Physiotherapy
  • Psychology

 

If you experience any issues whilst claiming using HICAPS or iSOFT you can contact our Member Care Centre.

Please note that providers must meet CBHS Provider Recognition Criteria and must comply with the Private Health Insurance Accreditation Rules effective 1 July 2009 (Rule 10).

ECLIPSE (Medical Providers)
Electronic Claiming using the ECLIPSE (Electronic Claim Lodgement and Information Processing Service Environment) system enables faster processing of claims as it incorporates the provider, Medicare Australia and CBHS in the one transaction.

CBHS Health Fund is enabled to receive medical claims through ECLIPSE for the following:

  • Online Patient Verification (OPV)
  • In-patient Medical Claiming (IMC)
  • ECLIPSE Remittance Advice (ERA)
  • Two-Way Claiming
  • In-patient Hospital Claiming (IHC)

 

If you would like more information on ECLIPSE please click on the link below.

www.medicareaustralia.gov.au/onlineclaiming

Already ECLIPSE enabled and experiencing problems with CBHS claims?
Please contact the CBHS Member Care Centre on 1300 654 123.