Private Health Claims

Private health claiming: fast & paper-free from quote to settlement

Give your team one connected private health payment workflow to quote, claim, take payment and reconcile, whether you’re using Tyro Health EFTPOS, Tyro Health Online or both together.

Integrated to your PMS

Initiate claims directly from the patient invoice to reduce manual entry, minimise errors and avoid double handling. *

Say goodbye to paper receipts

Patients can sign for private health claims digitally with Sign on Glass on Pro Key – receipts are stored securely online.

Faster at the front desk

Patients can tap their digital health fund card to automatically capture their details, reducing manual entry and helping your team process claims and payments faster.

Get your funds faster

Private health claims are settled together in one consolidated next day settlement, 7 days a week. ^

Private health quotes, claims and payments connected from start to finish.

From quotes and claims to next day settlement, Tyro Health simplifies every step of private health claiming and payments. Generate standalone treatment estimates, process claims, collect gap payments and get paid the next day.

With 120+ PMS integrations, Tap & Claim for digital health cards, Sign-on-Glass, flexible payment options and on the spot quotes and claims, Tyro Health has you covered.

Start estimates on Pro Key with one tap

Patients simply tap their digital health fund card to capture their membership details. You can then generate a private health estimate directly on Pro Key, without creating a patient record or opening your PMS.

When you’re ready, you can easily convert the estimate to a claim on Pro Key and skip re-entering the same details.

Claim directly from your PMS

Tyro Health CounterTop EFTPOS integrates with leading practice management systems, letting you initiate private health claims directly from the patient record. There’s no need to re-enter item codes and amounts or switch between systems.

Submit the claim, receive the claim outcome and collect the gap payment from the same workflow, making billing faster and simpler for your team and your patients.

Tap instead of type

With Tap & Claim on EFTPOS, patients simply tap their digital private health fund membership card to securely capture their membership details.

It’s a faster, simpler alternative to presenting a physical card or manually entering membership details and is available on all Tyro Health EFTPOS devices.

Say goodbye to paper receipts

Private health claiming no longer means piles of printed receipts. With Sign-on-Glass on Pro Key, patients can sign for private health claims digitally, and receipts are securely stored in Tyro Health Online.

Print only when you need to – no more lost receipts or shoeboxes full of paperwork.

Get paid the next day.
Every day of the week

Private health claims are settled the next day, 7 days a week, including weekends and public holidays. It’s one of the fastest settlement cycles available, helping your practice get paid sooner with a simpler, more predictable settlement experience. ^

Health fund coverage you can count on

Tyro Health supports claiming with almost all private health funds in Australia, so you can confidently process claims for privately insured patients, including those with overseas visitors health cover. ^

EFTPOS + Tyro Health Online
More ways to claim.
More ways to get paid

Alongside Tyro Health EFTPOS, Tyro Health Online gives you more ways to claim, manage and get paid.

  • Manage providers digitally
    Register and manage providers online, then sync changes to your Tyro Health EFTPOS.
  • Process private health claims online
    Send your patients an SMS to approve claims from their mobile device and save their membership details for next time.
  • Send payment links
    Patients can pay the gap using Apple Pay, Google Pay, or by entering their card details on their mobile device.
  • More claiming options
    Create, submit and track claims for Medicare Online (including eligible telehealth services), DVA, CTP and workers’ compensation schemes from one place.

Get Started with Tyro Health

Start simplifying payments and claims today.

We’re Here to Help

Talk to us

Need help? Our friendly Australian-based support team is here for you Monday to Friday, 8am–6pm (Sydney time).

Explore our Help Centre

Find quick answers with step-by-step guides and helpful resources at your fingertips.

Good to know

  • Is Tyro Health an alternative to HICAPS for private health claiming?

    Yes. Tyro Health has a private health claiming solution that allows eligible healthcare providers to process private health insurance claims.

    Currently, Tyro Health supports 46 of Australia’s 48 private health funds, covering 99.7% of privately insured Australians, and offers integrated EFTPOS and browser-based private health claiming, next-day, consolidated settlement across supported funds, and digital provider registration and management. *

  • What modalities or professions are supported for private health claiming?

    Tyro Health supports private health claiming across a wide range of healthcare professions. All participating health funds support claiming for chiropractic, dental, dietetics, occupational therapy, optometry, osteopathy, physiotherapy, podiatry and speech pathology.

    Additional professions, including acupuncture, audiology, counselling, exercise physiology, psychology, remedial massage and more, are supported by some, not all health funds.

    Tyro Health also supports Overseas Visitor Health Cover (OVHC) claiming for eligible medical providers, including general practitioners, medical specialists and nurse practitioners, with participating funds including AHM, Bupa, IMAN, Medibank and nib.


    View the full list of supported professions and participating health funds.

  • Why should I get EFTPOS when I can process claims online?

    Tyro Health EFTPOS and Tyro Health Online are designed to work together, with each offering great benefits.

    EFTPOS provides the fastest in-clinic claiming experience, allowing patients to tap their digital health fund card to automatically capture their membership details and complete claims at the front desk. With Pro Key, you also get features like Sign on Glass.

    Tyro Health Online extends how you can claim and get paid by enabling browser-based claiming, secure payment requests and claim approvals via SMS, using stored member and payment card details where available.

    Together, they provide a connected workflow for claiming, payments, reporting and provider management, with support for 46 of Australia’s 48 private health funds, covering 99.7% of privately insured Australians. ^

  • Does Tyro Health support overseas visitors cover?

    Yes. Tyro Health supports claims for participating Overseas Visitors Health Cover (OVHC) funds, allowing eligible providers to process claims for overseas visitors alongside Australian private health fund members.

  • Which private health funds does Tyro Health support?

    Tyro Health supports 46 of Australia’s 48 private health funds, covering 99.7% of privately insured Australians, including overseas visitors cover. View the full list of supported health funds.