Processing a health fund claim through Tyro Health/Medipass

To use Tyro Health, you must first add your API Key into My Appointments. 

Before you start processing claims, and to save you time, make sure you have updated your client's card with the following details:

• Full name
  
• DOB
  
• Mobile number

In the health fund section in the payments tab:

• Fund name
  
• Card number
  
• Number on card 
  
• Issue date (Medibank Private only)
  

If you're using our online intake forms, this data will automatically be collected and saved to your client's card.

Next, in your Services settings, you need to ensure you have added the correct item code. 

For a full list of item numbers, see the following articles:

• Telehealth - https://www.hicaps.com.au/support/item-codes#accordion-9ac7c1dacd-item-95e0398961 

• Allied health - https://myappointments.tawk.help/article/hicaps-item-codes

Once the above two steps are completed, all data required by Tyro Health will automatically pass through from My Appointments, allowing you to process claims quickly and easily. 

Processing claims

When you're ready to process the claim:

• Click on the booked appointment
  
• Select the Invoice button
  
• Click Health Fund Rebate

A Tyro Health pop-up will now open. If any details are missing, such as an item code or the client's information and/or health fund details, you can add them here, however, please note, these details cannot be saved into My Appointments, and each time you process a claim, you'll be required to complete missing fields again. If no fields are missing, your screen will look like this:

All you need to do is click 'Continue to payment'. You will instantly see whether the claim has been accepted or rejected, and your client will automatically receive an SMS from Tyro Health to approve the claim. If accepted, the benefit and gap will show.

You can either keep the Tyro Health pop-up open while waiting for the claim to be approved or click the close button. For the health fund benefit to be made to you, your client must accept the claim. They will receive an SMS which will look something like this.

To complete the claim, your client will need to do two things:

1. Select how the gap payment will be made. Your client can choose from In-person, Apple Pay or card. 
   
2. Click Approve.

If they select 'In person', the gap payment can be processed through My Appointments from 1.5% + 25c per transaction, according to your plan. You can also process the gap with any other existing payment method, including cash.

Please note: Tyro Health, by default, will not show the In-person option. This forces your clients to pay the gap via Tyro Health at a rate of 1.7% plus 30c per transaction. If you'd like the option to accept the gap payment via cash or through My Appointments' online payment, please contact Tyro Health and ask them to enable the In-person payment option. 

Whichever option your client chooses, your invoice will automatically be updated with one of the following responses:

1. Claim approved - Your client selected 'In person', and the health fund benefit has been approved with the gap to be processed through My Appointments
   
2. Paid in full via Tyro Health - the health fund benefit has been approved, and the gap has been paid through Tyro Health. The balance will reflect as $0 on your invoice. 

If you require any assistance, please reach out via email or live chat or visit our Tyro Health troubleshooting article here.