Making Claims through HICAPS and HealthPoint

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:

  • Acupuncture
  • Dental
  • Remedial Massage
  • Occupational Therapy
  • Osteopathic
  • Podiatry
  • Speech Therapy
  • Chiropractic
  • Dietitian
  • Naturopathy
  • Optical
  • Physiotherapy
  • Psychology
  • Myotherapy

Easy-to-Use Systems

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.

Technical Support and Questions for HICAPS and HealthPoint

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.

Making Claims through ECLIPSE

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.

What is ECLIPSE?

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:

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

Technical Support and Questions for 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.

Provider Recognition Criteria

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 help@cbhs.com.au.

What Our Members Think

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

What Our Members Think

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 Our Members Think

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

What Our Members Think

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

What Our Members Think

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

What Our Members Think

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

What Our Members Think

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. Thankyou CBHS!!!

- Karen W

What Our Members Think

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

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