There are several forms that relate to Simplified Billing and ECLIPSE
Use the Simplified Billing or ECLIPSE adjustment form to request a latter day adjustment to a Simplified Billing or ECLIPSE claim.
Use the Hospital or Day Procedure Centre Registration for In Hospital Claiming form to register a hospital a day procedure centre for In Hospital claiming.
Use the Application for late lodgement of a Simplified Billing claim for assigned Medicare benefits form to apply for the lodgement of a Simplified Billing claim for assigned Medicare benefits, which must be submitted to us through a nominated private health insurer or Billing Agent.
Private Health Insurers (PHIs) use the Private health insurer registrations and updates for ECLIPSE form to:
- register and update PHI details for ECLIPSE, Electronic Data Interchange (EDI) and manual claiming, or
- add or remove ECLIPSE functionality
Private health insurers or approved billing agents can use the Simplified Billing Manual Claims batch header form to submit manual simplified billing claims.