CBHS Health Fund
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1300 654 123
CBHS Health Fund accepts electronic claims for medical services for admitted hospital patients from providers through HICAPS, HealthPoint CSC for Extras and with ECLIPSE.
As a provider, you can register for electronic claims through the HICAPS and HealthPoint websites. Claims can be made through HICAPS and HealthPoint for the following services:
Both claims systems are designed to be easy to use and to save providers time in processing claims by streamlining electronic claims and automating every possible step. Additionally, these services can be used to verify patient details and lodging claims with Medicare Australia.
If you encounter any problems when using HICAPS or HealthPoint CSC products, please feel free to contact our Member Care Centre by calling 1300 654 123.
Medical providers can use ECLIPSE (Medicare’s Electronic Claim Lodgement and Information Processing service Environment) to submit claims. ECLIPSE can be used to process claims with CBHS and Medicare in the one transaction, saving you time and administration costs.
ECLIPSE is a part of Medicare’s online claiming solution and offers providers (including hospitals and medical practices), billing agents, Medicare, the Department of Veterans' Affairs and CBHS a direct medium for communication.
ECLIPSE allows you to lodge bulk-bill, private-patient and in-patient medical claims, among other types of claims. The system supports online claiming for paid and unpaid medical services. It can also be used to conduct online patient verification and entitlement checking. As a health care provider, you can use ECLIPSE to confirm details and calculate out-of-pocket costs for hospital stays.
CBHS accepts the following through ECLIPSE:
You can find out more about signing up for and using ECLIPSE by visiting this page. If you have any problems or issues using ECLIPSE to process CBHS claims, please contact our Member Care Centre by calling 1300 654 123.
Please note that CBHS requires that providers meet CBHS’ Provider Recognition Criteria. Providers must comply with Rule 10 of the Private Health Insurance Accreditation Rules. Briefly, this means complementary or alternative therapy health care providers must be members of a professional organisation which covers health care practitioners who provide that type of treatment.
The professional organisation must be a national entity with membership requirements, and they must conduct assessments and implement continuing professional education schemes, among other criteria.
If you have any questions about a provider that you wish to use, or wish to find out more about the process of becoming a recognised provider with CBHS, contact Member Care on 1300 654 123 or send us an email at email@example.com.
I joined as a CBHS member in 1978. Through many health events and challenges CBHS has always been there for me and my family. Their exceptional service over this time has always been appreciated.
- Jenny J
I've not long joined CBHS from another fund, but so far I've been impressed by the super helpful and friendly staff, the higher claim limits and rebates at a very competitive premium, and how easy it is to lodge manual claims through the app. Thanks CBHS - you've won me over! 😃
- Jessica B
What I love about CBHS is their customer service - friendly staff and always ready to help and email you the information you ask about. Keep up the great work!!!
- Linda S
I love CBHS as its so so easy to lodge a claim and whenever i need a question answered friendly consultant is one phone call away. The phone back option instead of waiting is brilliant!
- Rachel N
I have been with CBHS since I began at CBA 15 years ago...Now I have three beautiful children, one who has a disability. Our top extras cover has been really essential for his early intervention. I do love the ease of claiming online.
- Annette E
I am relatively new to CBHS and am loving it already. I worked for a CBA subsidiary a long time ago but was still eligible to join. So much better that the for-profit funds - our premium is only a little more and we pay a lower co-contribution and get great benefits. I am loving the massage rebate for my partner and gym rebate for me!
- David G
I'm extremely happy with CBHS! I have been a customer for about six years. I think the price is reasonable. And i would refer you to my family and friends any day. Thank you CBHS!!!
- Karen W
Love CBHS as I never have to doubt that they've got my back when I need it. Been through other insurers who have limited options or limits, yet cost the same or more.
- Mark F
Find out if you're eligible to join by answering these THREE questions.
Have you ever worked (including contracting) for CBA or a CBA Group company?
Has anyone in your family ever worked (including contracting) for CBA or a
CBA Group company?
Was anyone in your family a member of CBHS before 27 March 2017?
You may not be eligible for CBHS Health Fund, but check out our sister fund CBHS Corporate Health.
CBHS Corporate Health brings you the same award-winning service and expert health cover, but is open to everyone.
Visit CBHS Corporate Health
If you have any questions, our friendly team is ready to assist you. Simply call 1300 654 123.
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