Private health insurers’ functions and contact details for ECLIPSE - Health professionals

Private health insurer functions

The table details the functions individual private health insurers provide to health professionals through Electronic Claim Lodgement and Information Processing Service Environment (ECLIPSE).

Legend - web services functionality

OPVW - Online Patient Verification Web Service
OECW - Online Eligibility Check Web Service
OEC - Online Eligibility Check
ECO - Eligibility Check Overseas
ECF - Eligibility Check Fund
IMCW - In-Patient Medical Claim Web Service
AG - Agreements
SC - Schemes
PC - Patient Claim
MB - Medicare and Private Health Insurer (Billing Agents)
TW - Two-Way
IHCW - In-Hospital Claim Web Service
OVSW - Overseas Claim Web Service
AG - Agreements
SC - Schemes
PC - Patient Claim
MB - Medicare and Private Health Insurer (Billing Agents)
ERAW - ECLIPSE Remittance Advice Web Service.

Use the filter box. Type in the private health insurer.

Private Health Insurer	OPVW	OECW - OEC	OECW - ECO	OECW - ECF	IMCW - AG	IMCW - SC	IMCW - PC	IMCW - MB	IMCW - TW	IHCW	OVSW - AG	OVSW - SC	OVSW - PC	OVSW - MB	ERAW
ACA Health Benefits Fund	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
AHM Health Insurance	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
AIA Health Insurance Pty Ltd	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Australian Unity Health Limited	Yes	No	No	No	Yes	Yes	Yes	Yes	Yes	Yes	No	No	No	No	Yes
Bupa Australia	Yes	Yes	No	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	No	Yes	Yes	Yes
CBHS Corporate Health Fund Pty Ltd	Yes	No	No	No	Yes	Yes	Yes	Yes	Yes	Yes	No	No	No	No	Yes
CBHS Health Fund Limited	Yes	No	No	No	Yes	Yes	Yes	Yes	Yes	Yes	No	No	No	No	Yes
CDH Benefits Fund Limited	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Defence Health Limited	Yes	No	No	Yes	Yes	Yes	No	Yes	Yes	Yes	No	No	No	No	Yes
(The) Doctors’ Health Fund Limited	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
GMHBA Limited	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
HBF Health Limited	Yes	No	No	Yes	Yes	No	Yes	Yes	Yes	Yes	No	No	No	No	Yes
HCF of Australia Limited	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	No	No	No	No	Yes
Health Care Insurance Limited	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Health Insurance Fund of Australia	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Health Partners	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	No	No	No	No	Yes
Latrobe Health Services Ltd	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Medibank Private Limited	Yes	No	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Mildura District Hospital Fund Ltd	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
National Health Benefits Australia	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Navy Health Ltd	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
NIB Health Fund Limited	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	No	No	No	No	Yes
Peoplecare Health Limited	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Phoenix Health Fund Limited	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Police Health Limited	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	No	No	No	No	Yes
Queensland Country Health Ltd	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Queensland Teachers Union Health	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Railway and Transport Health Fund	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	No	No	No	No	Yes
Reserve Bank Health Society Limited	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
see-u by HBF	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
St Luke’s Health	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	No	No	No	No	Yes
Teachers Federation Health Ltd	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Transport Health Pty Ltd	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Westfund Limited	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	No	No	No	No	Yes

Contact details for private health insurers who use ECLIPSE

This table details the contact details of health insurers who use ECLIPSE.

Use the filter box. Type in the health fund name.

Health fund name	Fund Brand ID	Location ID	Contact
ACA Health Benefits Fund	ACA	HSL00299	Jody Burgoyne Email: info@acahealth.com.au Locked Bag 2014 WAHROONGA NSW 2076 Phone: 1300 368 390 Fax: 02 8072 3932
AHM Health Insurance	AHM	WHI02105	Claims Support Email:info@ahm.com.au Locked Bag 4 WETHERILL PARK NSW 2164 Phone: 134 246 Fax: 1300 329 246
AIA Health Insurance Pty Ltd	MYO	HSL00325	Vaibhav Makin Email: Health.Claims@aia.com.au PO Box 7302 MELBOURNE VIC 3004 Phone: 1800 333 613
Australian Unity Health Limited	AUH	WHI03108	Member Provider Services Email: providerservices@australianunity.com.au Level 9/271 Spring Street MELBOURNE VIC 3000 Phone: 1800 035 360 Fax: 1800 852 030 Hospital Claims Email: Eclipsehospclms@australianunity.com.au
Bupa Australia	BUP	BUP00001	Swati Alladi Email: swati.alladi@bupa.com.au Phone: 03 9937 4525 Gordon Barrett Email: Gordon.Barrett@bupa.com.au Phone: 08 8100 6719 Level 1, 151 Pirie Street ADELAIDE SA 5000
CBHS Corporate Health Fund Pty Ltd	CBC	CBC00001	Julie McKinnon Phone: 02 9843 7624 Nicola Sawyer Phone: 02 9843 7660 Afina Jorgenson Phone: 02 7685 7593 Lorraine Gauci Phone: 02 9843 7662 Dominik Zalcman Phone: No direct phone Email: access@cbhscorp.com.au Level 16 6 Hassall Street PARRAMATTA NSW 2150 Fax: 02 9843 7676
CBHS Health Fund Limited	CBH	CBH00001	Julie McKinnon Phone: 02 9843 7624 Nicola Sawyer Phone: 02 9843 7660 Afina Jorgenson Phone: 02 7685 7593 Lorraine Gauci Phone: 02 9843 7662 Dominik Zalcman Phone: No direct phone Email: access@cbhs.com.au Fax: 02 9843 7676 Level 16 6 Hassall Street PARRAMATTA NSW 2124
CDH Benefits Fund Limited	CDH	HSL00296	Scott Player Email: enquiries@hunterhi.com.au PO Box 183 CESSNOCK NSW 2325 Phone: 02 4990 1385 Fax: 02 4991 2155
Defence Health Limited	DHF	DHF00001	Hospital/Medical Team Email: hosmedclaims@defencehealth.com.au Phone: 1800 656 329 Fax: 1800 241 581
(The) Doctors’ Health Fund Limited	AMA	HSL00224	Lesley Rutter Email: info@doctorshealthfund.com.au PO BOX Q1749 Queen Victoria Building SYDNEY NSW 1230 Phone: 1800 226 126 Fax: 02 9260 9958
GMHBA Limited Includes Frank Health Insurance	GMH	HSL00396	GMHBA Provider Line Email: providers@gmhba.com.au PO Box 761 GEELONG VIC 3220 Phone: 1300 301 437 Fax: 03 5221 4582
HBF Health Limited	HBF	HBF00002	Sarah McKie Phone: 08 9265 6137 Email: Sarah.McKie@hbf.com.au Jade Tame Phone: 08 9265 8836 Email: Jade.Tame@hbf.com.au Alex Pearson Phone: 08 9265 8863 Email: alex.pearson@hbf.com.au
HCF of Australia Limited	HCF	WHI02301	Tristine Ioane Phone: 0451 719 449 Email: tioane@hcf.com.au Esen Nidai Phone: 0416 799 800 Email: enidai@hcf.com.au Sana Hayat Phone: 0481 090 100 Email: shayat@hcf.com.au Email: MedicoverEnquiry@hcf.com.au Fax: 02 9262 5889
Health Care Insurance Limited	HCI	HSL00702	Members Services Manager Email: enquiries@hciltd.com.au Email: lorraine.holohan@hciltd.com.au PO Box 931 BURNIE TAS 7320 Phone: 1800 804 950 Fax: 03 6432 1160
Health Insurance Fund of Australia Limited	HIF	HSL00698	Medical Claims Team Email: medical.team@hif.com.au GPO Box X2221 PERTH WA 6847 Phone: 1300 134 060 Fax: 08 9328 3345
Health Partners	SPS	CBH00200	Claims Assessor Email: medicalclaims@healthpartners.com.au L2 101 Pirie Street ADELAIDE SA 5000 Phone: 1300 113 113 Fax: 08 8227 2488
Latrobe Health Services Limited	LHS	HSL00397	Debbie Cook Email: deb@lhs.com.au Charlene Sukaserm Email: cms@lhs.com.au 32-34 Darlimurla Avenue NEWBOROUGH VIC 3825 Phone: 1300 362 144
Medibank Private Limited	MPL	MPI00007	Medibank Private Medical Enquiry Line Email: Eclipse@medibank.com.au Phone: 1300 130 460
Mildura District Hospital Fund Limited	MDH	HSL00398	Katherine Rodger Mariah Harmer Email: eclipse@mildurahealthfund.com.au PO Box 5046 MILDURA VIC 3502 Phone: 03 5021 7091 Fax: 03 5023 7732
National Health Benefits Australia	OMF	HSL00295	Helen Stewart Email: info@onemedifund.com.au Locked Bag 25 WOLLONGONG NSW 2500 Phone: 1800 148 626 Fax: 1300 673 406
Navy Health Limited	NHB	HSL00315	Navy Health Claims Email: claims@navyhealth.com.au PO Box 172 BOX HILL VIC 3128 Phone: 1300 306 289 Fax: 03 9880 7939
NIB Health Fund Limited	NIB	WHI02114	NIB IT Service Desk Email: eclipsetechsupport@nib.com.au 22 Honeysuckle Drive NEWCASTLE NSW 2300 Phone: 02 4914 1665 Fax: 02 4925 2057
Peoplecare Health Limited	LHM	HSL00211	Helen Stewart Email: info@peoplecare.com.au Locked Bag 33 WOLLONGONG NSW 2500 Phone: 1800 808 690 Fax: 1300 309 704
Phoenix Health Fund Limited	PHF	HSL00220	Leonie Fox Tracy Shepherd Email: medicalclaims@phoenixhealthfund.com.au PO Box 156 NEWCASTLE NSW 2304 Phone: 1800 028 817 Fax: 02 4968 2229
Police Health Limited	POL	HSL00599	Sandy Furness Email: providerenquiries@policehealth.com.au PO Box 6111 Halifax Street ADELAIDE SA 5000 Phone: 08 8112 7000 Fax: 08 8112 7099
Queensland Country Health Limited	QCH	HSL00409	Robyn Harding Email: qch-claims@queenslandcountry.health PO Box 42 AITKENVALE QLD 4814 Phone: 1800 813 415 Fax: 07 4725 7377
Queensland Teacher’s Union Health Fund	QTU	HSL00499	Brendon Keall Phone: 07 3613 5753 Shane Jackson Phone: 1300 360 701 Email: informationservices@tuh.com.au GPO Box 265 FORTITUDE VALLEY QLD 4006 Fax: 07 3259 3239
Railway and Transport Health Fund	RTH	CBH00300	Shadhana Prassad Crystal Bailey Email: help@rthealth.com.au PO Box 545 STRAWBERRY HILLS NSW 2012 Phone: 1300 886 123 Fax: 1300 887 123
Reserve Bank Health Society Limited	RBH	HSL00218	Helen Stewart Email: info@myrbhs.com.au Locked Bag 23 WOLLONGONG NSW 2500 Phone: 1800 027 299 Fax: 1300 309 704
see-u by HBF	CHF	HSL00410	Tali Olsen Email: info@seeuhealthinsurance.com.au Locked Bag 2234 BRISBANE QLD 4001 Phone: 1300 499 260
St. Luke’s Health	SLM	HSL00799	Claims Department Email: general@stlukes.com.au Phone: 1300 651 988 Fax: 03 6334 0711
Teachers Federation Health Limited	TFH	HSL00216	Simon Rowney Email: servicedesk@teachershealth.com.au Phone: 1300 728 188 Fax: 1300 728 388
Transport Health Pty Ltd	TFS	HSL00321	Shadhana Prassad Crystal Bailey Email: access@transporthealth.com.au Phone: 1300 886 123 Fax: 1300 887 123
Westfund Limited	WFD	CBH00400	Dianne Garland Phone: 02 6354 1116 Kallan Phillips Phone: 02 6354 1190 Email: medicalbenefits@westfund.com.au PO Box 235 LITHGOW NSW 2790

Private health insurers’ functions and contact details

on this page

Private health insurer functions

Legend - web services functionality

Contact details for private health insurers who use ECLIPSE

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