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Process health insurance claims with Tyro Health

Process health insurance claims via Tyro Health.

The Tyro Health integration is only available for Australian workspaces.

Process health insurance claims using the Tyro Health integration. Connect Tyro Health with Splose before reading this guide.

This help guide will cover:

  • Configuring health insurance claims in Tyro Health

  • Setting up health fund details in the client record

  • Process a health insurance claims claim from an invoice

  • Process a gap payment with Tyro Health card payments

  • Checking the status of a health insurance claims claim


Configure health insurance claims in Tyro Health

Connect and configure Tyro Health with Splose to enable health insurance claims.


Add private health insurance details for a client

To pass a client's private health insurance details to Tyro Health, and save you from having to enter their details each time you need to process a claim for a client, you must enter the fund details from the client details page by clicking edit, then search the health fund and adding the client's health fund details.

Screenshot of the client details page showing the health fund search field and private health insurance details

Process a health insurance claims claim with Tyro Health

Create a health insurance claims appointment and click Add invoice.

Screenshot of an appointment showing the Add Invoice button for a health insurance claims appointment

Make sure that the health insurance claims provider number is selected.

Screenshot of the invoice creation form showing the health insurance claims provider number selector

Once the invoice is created, click health insurance claim under the Pay button.

Screenshot of an invoice showing the Pay drop-down with Health Insurance Claim option

The Tyro Health modal will appear with client details, location details and service items pre-filled. Review the claim and click Continue to payment.

Screenshot of the Tyro Health modal showing the pre-filled claim details with a Continue to Payment button

Tyro Health will send the client an SMS with a link to approve the claim.

Screenshot showing a confirmation that Tyro Health sent the client an SMS with a link to approve the claim

Ask the client to approve the claim

The client should click continue when location is needed.

The client can review the health insurance claims claim. If Tyro Health card payments is enabled, you can ask clients to pay the gap payment in the same transaction.

Screenshot of the client's claim approval view showing the claim details and gap payment option

Once completed, the invoice will be marked as paid.


Check the status of a health insurance claims claim

Review the claim status from the invoice, or open in Tyro Health to see more details.

Screenshot of the invoice page showing the health insurance claim status in the Tyro Health panel
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