Health fund functionality and contact details

A list of provider details of functionality for each private health insurer involved in ECLIPSE.

Private health insurer functionality

Private Health Insurer OPV OPV OPV PVF OPV PVM EPV PVM IMC AG IMC SC IMC PC IMC MB IMC TW ERA Medical OEC ECF OEC OEC IHC ERA Hospital OVS AG OVS SC OVS PC OVS MB
ACA Health Benefits Fund Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
Allianz Global Assistance No Yes No No No No No No No Yes Yes Yes Yes No Yes Yes Yes Yes
Australian Health Management Group Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Australian Unity Health Limited Yes Yes No No Yes Yes Yes Yes Yes Yes No No Yes Yes No No No No
BUPA Australia Yes Yes No No Yes No Yes Yes Yes Yes Yes Yes Yes Yes No No No No
CBHS Corporate Health Fund Pty Ltd Yes Yes Yes No Yes Yes Yes Yes Yes Yes No No Yes Yes No No No No
CBHS Health Fund Ltd Yes Yes No No Yes Yes Yes Yes Yes Yes No No Yes Yes No No No No
CDH Benefits Fund Limited Yes Yes Yes No Yes Yes Yes Yes Yes No Yes Yes Yes No No No No No
CUA Health Limited Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
Defence Health Ltd Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
Frank Health Insurance Yes Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes No No No No
GMF Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
GMHBA Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Grand United Corporate Health Limited Yes Yes Yes No Yes Yes Yes Yes Yes Yes No No Yes Yes No No No No
HCF of Australia Yes Yes No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
Health.com.au Pty Ltd Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
Health Care Insurance Limited Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
Health Insurance Fund of Australia Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Health Partners Yes Yes Yes No Yes Yes Yes Yes Yes Yes No No Yes No No No No No
Hospital Benefits Fund of WA Yes Yes No No Yes No Yes Yes Yes Yes No No Yes Yes No No No No
Latrobe Health Services Limited Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
Lysaght Peoplecare Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
Medibank Private Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Mildura District Hospital Fund Limited Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
Navy Health Limited Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
NIB Health Fund Limited Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
One Medifund Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
Phoenix Health Fund Ltd Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
Police Health Limited Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
Queensland Country Health Limited Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
Queensland Teachers Union Health Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
Railway & Transport Health Fund Yes Yes No No Yes Yes Yes Yes Yes Yes No No Yes Yes No No No No
RACT Health Insurance Yes Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes No No No No
Reserve Bank Health Society Ltd Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
St Luke’s Health Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No
Teachers Federation Health Limited Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
The Doctors’ Health Fund Limited Yes Yes Yes No Yes Yes Yes Yes Yes Yes No No Yes Yes No No No No
Transport Health Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No
Westfund Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No

Contact details for health funds currently using ECLIPSE

Health fund name Fund Brand ID Location ID Contact
ACA Health Benefits Fund ACA HSL00299 Jody Burgoyne
AGA Allianz Global Assistance AGA   Covered under the Peoplecare banner
ANZ Health Insurance ANZ BUP00001 Covered under the BUPA Australia banner
Australian Health Management Group Limited AHM WHI02105 Claims Support
Australian Pensioners Insurance Agency (APIA) NIB   Covered under the NIB banner
Australian Unity Health Limited AUH WHI03108 Member & Provider Services
  • Phone: 1800 035360

IHC

Hospital Claims

Budget Direct BUD HSL00396 Covered under GMHBA banner
BUPA Australia BUP BUP00001 Chryss Bryce
CBHS Corporate Health Fund Pty Ltd                 CBC CBC00001 Julie McKinnon
CBHS Health Fund Ltd                 CBH CBH00001 Julie McKinnon
CDH Benefits Fund Limited              CDH HSL00296 Christine Downie
Central West Health                 CWF HSL00699 Covered under HealthGuard banner
CUA Health Limited CHF HSL00410
CY Health                CYF HSL00699 Covered under HealthGuard banner
Defence Health Ltd                 DHF HSL00303 Hospital/Medical Team
FIT Health Insurance GMH HSL00396 Covered under GMHBA banner
Frank Health Insurance (FHI) GMH HSL00396 Covered under GMHBA banner
GMF Health HHB HSL00699 GMF Health Manager – Projects and Systems
GMHBA Limited GMH HSL00396 GMHBA Provider Line
Grand United Corporate Health Limited FAI WHI00351

Donna Gilder

Health.com.au Pty Ltd (HEA) HEA HSL00395 Rod Wright
HBA HBA BUP00001 Covered under the BUPA Australia banner
HCF of Australia Limited HCF WHI02301 Joseph Elias
Health Care Insurance Limited (HCI) HCI HSL00702 Jamie Gillam
Health Insurance Fund of WA HIF HSL00698 Alison Whyte
Health Partners SPS CBH00200 Veronica Maidment
Hospital Benefits Fund of WA HBF HBF00002 Angela Newland

Heidi McNeice

Latrobe Health Services Limited LHS HSL00397 Sue Latham
Peoplecare LHM HSL00211 Helen Stewart
MBF MBF BUP00001 Covered under the BUPA Australia banner
MBF Alliances SGI BUP00001 Covered under the BUPA Australia banner
Medibank Private MPL MPI00007 Medibank Private Medical Enquiry Line
Mildura District Hospital Fund Limited MDH HSL00398 Sue Bailey
Mutual Community MCL BUP00001 Covered under the BUPA Australia banner
Navy Health Limited NHB HSL00315 Evelyn Constable
NIB Health Fund Limited NIB WHI02114 NIB IT Service Desk
Onemedifund OMF HSL00295 Kylie Stylianou
Phoenix Health Fund Ltd. PHF HSL00220 Janice Gleeson
Queensland Country Health Limited QCH HSL00409 System Support Officer
Queensland Teacher's Union Health Fund QTU HSL00499 Maree Dennis
RACT Health Insurance RAC HSL00396 Covered under GMHBA banner
RT Health Fund RTH CBH00300 Matthew Moore
Reserve Bank Health Society Ltd RBH HSL00218 Angela Abela
Police Health Limited POL HSL00599 Graeme Field
St. Luke’s Health SLM HSL00799 Amanda Johns
Teachers Federation Health Limited TFH HSL00216 Simon Rowney
The Doctors’ Health Fund Limited AMA HSL00224 Jocelyn Tumakay
Transport Health TFS HSL00321
Westfund WFD CBH00400 Paula Dowsett

Legend

ECLIPSE claiming products available

  • OPV - Online Patient Verification
    • PVF - Patient Verification Fund
    • PVM - Patient Verification Medicare
  • EPV - Enterprise Patient Verification
  • IMC - In-Patient Medical Claim
    • AG - Agreements
    • SC - Schemes
    • PC - Patient Claim
    • MB - Medicare Benefit
    • TW - Two-Way
  • ERA Medical - Electronic Remittance Advice (Medical)
  • OEC - Online Eligibility Check
    • ECF - Eligibility Check Fund
    • ECO - Eligibility Check Overseas
  • IHC - In-Hospital Claim
  • ERA Hospital - Electronic Remittance Advice (Hospital)
  • OVS - Overseas Claim
    • AG - Agreements
    • SC - Schemes
    • PC - Patient Claim
    • MB - Medicare Benefit

Page last updated: 1 December 2016

This information was printed Thursday 8 December 2016 from humanservices.gov.au/health-professionals/enablers/health-fund-functionality-and-contact-details It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.