Setup

The following areas of Bp Allied need to be updated to enable Health Fund claiming to occur. The details on how to update these areas are below:
  • Data Maintenance > Health Funds
  • Data Maintenance > Products and Services
  • Options > User Administration > Provider Numbers
  • Clients
 

Updating Health Fund table

Each fund that is going to be claimed for via Tyro Health Point must be entered into Data Maintenance > Health Fund. The details to be entered are:
  • Health Fund – an identifying name for the Health Fund. Will appear in all the drop-down lists
  • Enabled – Must be checked to allow a claim to be made against it
  • HealthFund ID – The identifying ID for the Health Fund
  • HealthFund Digits - The identifying digits for the Health Fund (this relates to the client’s HF card)
  • CSC Settlement – Identifies how the payments related to the HF claims are settled with Tyro. No longer relevant to merchants claiming via Tyro HealthPoint.
 
Please contact the Bp Allied support team for a list of these details of required at alliedsupport@bpsoftware.net.
 
 

Updating Products and Services table

Each Health Fund has its own series of Item Codes that can be claimed against. There are also some common claim Item Codes. When creating a Quote or an Invoice against which a claim request is sent, the Item Code is used to determine which Item is being claimed for and therefore what rebate is received. These Items need to be created in Products and Services. There are two fields that are required for a valid claim to be sent:
  • Item Code – relevant for each specialty (modality) and service performed
  • Service Type – which specialty or modality the service relates to. E.g. E = Dietitian, P = Physio and Y = Psychology.
 
 
Service Type can be selected from the drop down list of values available.
 

Update Provider

Each Health Fund that a provider requires claims to be submitted for needs an entry in their user information. This is entered into System > Options > User Administration > Provider IDs. The details required are:
  • Health Fund – a line for each fund to be claimed for
  • Location – If the provider number is the same for each location then the <ALL> location can be selected, otherwise a line for each Fund / Location combination is required.
  • Provider Number – Relevant provider number for the Fund / Location combination
  • Auth Group – only relevant for Medicare Online Claiming and not to be selected for Health Point claiming
  • Active – To be checked if the line is to be used
 
 

Update Client

Each client having a claim processed on their behalf requires the following information:
  • Health Fund – select from the drop-down list. Determines which Health fund the claim is submitted to.
  • HF Family Number – manually enter in the two digit code. This is not transmitted when the magnetic strip of the HF card is swiped so must be manually sent with the claim.
 
The currently available field called Health Fund Number (or HealthFund / DVA Number in V4) is not used in processing a HealthPoint Claim. The client MUST provide and swipe their Health Fund card to have a claim submitted via Tyro HealthPoint. The clients HF Family Number can be saved.
 
See the Adding more Client Details section on how to update / add these fields to a Client’s record.
 

Pair the Tyro Terminal

This is carried out in the same way as for Tyro Eftpos. Discuss with Tyro Support whether the terminal will need re-pairing or rebooting if adding HealthPoint to an existing Eftpos setup.