Private health insurer registrations and updates for ECLIPSE form (HW081)

Use this form to register and update private health insurer details for the ECLIPSE Electronic Data Interchange and Manual.

ECLIPSE is the Electronic Claim Lodgement and Information Processing Service Environment.

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

Page last updated: 20 October 2016

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