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

This information was printed Friday 24 March 2017 from humanservices.gov.au/health-professionals/forms/hw081 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.