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Creating and Sending a HealthPoint Claim


Prerequisites
A claim can only be for:
 
Create an appointment for the Client with the appropriate Health Fund item selected as the Consultation Type.
 
Right click on the Appointment and click Create Invoice
Create a Client Invoice
 
Click No to create a New Invoice
 
The Payment Processing dialog will display
If additional items need to be added to the Invoice, click No
If only the one Item is to be claimed, click Yes
 
Select Payment Method =  HealthPoint Claim (Tyro)
Click OK
 
The Lodge Claim screen will display
Add a Body Part/Tooth Number if required
Click Lodge Claim
A Tyro Healthpoint prompt will display asking for the Client’s health fund card to be swiped.
Once the card has been swiped then the claim will be processed.
Once processed, the tyro terminal will print a copy of the claim for the client to view. The possible Claim Statuses are:
If the claim is Approved by the fund, then the Healthpoint screen will prompt for the Client to either Accept or Reject the Claim.
 
 
If Accepted (green box above) by the Client, then:
 
 
Click Yes or No to pay the Gap as required
Follow the usual method to select and process a payment.
The Invoice Status will be updated depending on whether full payment has been received or not.
 
If Rejected (red box above) by the Client, then:
See Tyro's Response codes for private health claims for more information.
 
If Declined by the Health fund, then the following details will be displayed: