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Health Fund ECLIPSE Functionality August Functionality

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Functionality

OPV EPV IMC ERA Medical OEC IHC ERA

Hospital OVS

OPV PVF PVM PVM AG SC PC MB TW ECF OEC AG SC PC MB

ACA Health Benefits Fund    x         x x x x x x Australian Health Management Group    x       x x   x x x x Australian Unity Health Limited   x x       x x   x x x x

BUPA Australia   x x x         x x x x

CBHS Health Fund Ltd   x x       x x   x x x x

CDH Benefits Fund Limited    x         x x x x x x

CUA Health Limited    x           x x x x

Defence Health Ltd    x           x x x x

FIT Health Insurance    x           x x x x

Frank Health Insurance    x           x x x x

GMHBA    x           x x x x

HCF of Australia   x x           x x x x

Health Care Insurance Limited    x         x x x x x x Health Insurance Fund of Australia    x           x x x x

Health Partners    x       x x x x x x x x

HealthGuard Health Benefits Limited    x         x x x x x x Hospital Benefits Fund of WA   x x x     x x x x x x x x Latrobe Health Services Limited    x   x      x x x x x x

Lysaght Peoplecare    x           x x x x

MBF (BUPA)   x x x         x x x x

MBF Alliances (BUPA)   x x x         x x x x

Medibank Private    x           x x x x

Mildura District Hospital Fund Limited    x         x x x x x x

Navy Health Limited    x           x x x x

NIB Health Fund Limited   x x           x x x x

(2)

Functionality

OPV EPV IMC ERA Medical OEC IHC ERA

Hospital OVS

OPV PVF PVM PVM AG SC PC MB TW ECF OEC AG SC PC MB

Phoenix Health Fund Ltd    x         x x x x x x

Police Health Limited    x         x x x x x x

Queensland Country Health Limited    x           x x x x Queensland Teachers Union Health    x           x x x x Railway & Transport Health Fund   x x       x x   x x x x

RACT Health Insurance x x x x x x x x x x   x x x x x x

Reserve Bank Health Society Ltd    x           x x x x

St Lukes Health    x         x x x x x x

Teachers Federation Health Limited    x           x x x x The Doctors’ Health Fund Limited    x       x x   x x x x

Transport Health    x         x x x x x x

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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

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Contact Details for Health Funds currently using ECLIPSE

Health Fund Contact

ACA Health Benefits Fund Fund Brand ID: ACA Location ID: HSL00299

Jody Burgoyne

email: [email protected] Phone: 1300 368 390

Fax: 02 9847 3357 ANZ Health Insurance

Fund Brand ID: ANZ Location ID: NMI00001

Covered under the BUPA Australia banner

Australian Health Management Group Limited

Fund Brand ID: AHM Location ID: WHI02105

Claims Support

email: [email protected] Phone: 02 4221 8713 Fax: 1300 329 246 Australian Unity Health Limited

Fund Brand ID: AUH Location ID: WHI03108

Bishop Grbic

email: [email protected] Phone: 03 8683 5390

Fax: 03 8682 3223 BUPA Australia

Fund Brand ID: HBA Location ID: NMI00001

Lynda Smith

[email protected] 1300 367 877

07 4946 4155 CBHS Health Fund Ltd

Fund Brand ID: CBH Location ID: CBH00001

Julie McKinnon

email: [email protected] Phone: 02 9843 7624

Fax: 02 9843 7677 CDH Benefits Fund Limited

Fund Brand ID: CDH Location ID: HSL00296

Christine Downie

email: [email protected] Phone : 02 4990 1385

Fax : 02 4991 2155 Central West Health

Fund Brand ID: CWF Location ID: HSL00699

Covered under Healthguard banner CSR Health Plan

Fund Brand ID: CSR Location ID: NMI00001

Covered under the BUPA Australia banner

CUA Health Limited Fund Brand ID: CHF Location ID: HSL00410 Cheryl Freeman email: [email protected] Phone: 1300 499 260 Fax: 1300 797 066 CY Health

Fund Brand ID: CYF Location ID: HSL00699

Covered under Healthguard banner Defence Health Ltd

Fund Brand ID: DHF Location ID: HSL00303

Bernadette Grosveld

email: [email protected] Phone: 1800 656 329

Fax: 1800 241 581 FIT Health Insurance

Fund Brand ID: GMH

Jade Ibrahimovic PO Box 90

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Health Fund Contact Location ID: HSL00396

Frank Health Insurance Fund Brand ID: GMH Location ID: HSL00396 Phone: 03 5202 8626 Michael Kervin PO Box 69 Geelong VIC 3220 Phone: 03 5202 8783 GMHBA Limited

Fund Brand ID: GMH Location ID: HSL00396 Jade Ibrahimovic email: [email protected] Phone: 03 5202 8626 Fax: 03 5224 8659 HBA

Fund Brand ID: HBA Location ID: NMI00001

Covered under the BUPA Australia banner

HCF of Australia Limited Fund Brand ID: HCF Location ID: WHI02301

Joseph Elias

email: [email protected] Phone: 02 9290 0246 Fax: 02 9262 5889 Health Care Insurance Limited

Fund Brand ID: HCI Location ID: HSL00702

Jamie Gillam

email: [email protected] Phone: 1800 804 950

Fax: 03 6432 1160 Health Insurance Fund of WA

Fund Brand ID: HIF Location ID: HSL00698 Alison Whyte email: [email protected] Phone: 1300 134 060 Fax : 08 9328 3345 Health Partners

Fund Brand ID: SPS Location ID: CBH00200

Veronica Maidment

email: [email protected] Phone: 08 8236 4555

Fax: 08 8227 2488 Healthguard Health Benefits Limited

Fund Brand ID: HHB Location ID: HSL00699

David Norman

email: [email protected] Phone: 08 9021 0721

Fax: 1300 653 098 Hospital Benefits Fund of WA

Fund Brand ID: HBF Location ID: HBF00003

Sharon Ibbotson

email: [email protected] Phone: 08 9265 6257

Fax: 08 9265 6356 Latrobe Health Services Limited

Fund Brand ID: LHS Location ID: HSL00397 Sue Latham email: [email protected] Phone: 1300 362 155 Fax: 03 5128 9289 Lysaght Peoplecare Fund Brand ID : LHM Location ID : HSL00211 Katie Placek email: [email protected] Phone: 1800 808 690 Fax : 02 4224 4300 Manchester Unity Australia Ltd

Fund Brand Id : MUI Location ID : WHI02104 Joseph Elias email: [email protected] Phone: 02 9290 0246 Fax: 02 9262 5889 MBF

Fund Brand ID: MBF Location ID: MBF00001

Gordon Barrett

email : [email protected] Phone: 08 8100 6719

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Health Fund Contact Fund Brand ID: SGI

Location ID: MBF00010

email: [email protected] Phone : 08 8100 6719 Medibank Private

Fund Brand ID: MPL Location ID: MPI00007

Medibank Private Medical Enquiry Line

email: [email protected] Phone: 1300 130 460

Mildura District Hospital Fund Limited

Fund Brand ID: MDH Location ID: HSL00398 Sue Bailey email: [email protected] Phone: 03 5023 0269 Fax: 03 5023 7732 Mutual Community

Fund Brand ID: MCL Location ID: NMI00005

Covered under the BUPA Australia banner

Navy Health Limited Fund Brand ID: NHB Location ID: HSL00315

Evelyn Constable

email: [email protected] Phone: 1300 306 289

Fax: 03 9899 4234 NIB Health Fund Limited

Fund Brand ID: NIB Location ID: WHI02114

NIB IT Service Desk

email: [email protected] Phone: 02 4914 1665

Fax: 02 4925 2057 One Medifund

Fund Brand ID: OMF Location ID: HSL00295

Katie Placek

email: [email protected] Phone: 02 4224 4308

Fax : 02 4224 4300 Phoenix Health Fund Ltd.

Fund Brand ID: PHF Location ID: HSL00220

Janice Gleeson

email: [email protected] Phone: 02 4935 5738

Fax: 02 4968 2229 Queensland Country Health Limited

Fund Brand ID: QCH Location ID: HSL00409

Kelly Bourke

email: [email protected] Phone: 07 4750 3273 Fax: 07 4725 7377 Queensland Teacher's Union Health

Fund

Fund Brand ID: QTU Location ID: HSL00499

Information Services

email: [email protected] Phone: 07 3259 5885

Fax: 07 3259 5828 RACT Health Insurance

Fund Brand ID: RAC Location ID: HSL00396

Jade Ibrahimovic Phone: 03 5202 8626

Email: [email protected] Railway and Transport Health Fund

Fund Brand ID: RTH Location ID: CBH00300

Matthew Moore

email: [email protected] Phone: 02 9701 6101

Fax: 02 9744 7438 Reserve Bank Health Society Ltd

Fund Brand ID: RBH Location ID: HSL00218

Angela Abela

email: [email protected] Phone: 1800 027 299 Fax: 02 9551 8130 Police Health Limited Graeme Field

(7)

Health Fund Contact Fund Brand ID: POL

Location ID: HSL00599

email: [email protected] Phone: 1800 603 603

Fax: 08 8112 7099 St. Luke’s Health

Fund Brand ID: SLM Location ID: HSL00799

Shaw Reid

email: [email protected] Phone: 03 6331 9255 Fax: 03 6334 0711 Super Members Health Plan

Fund Brand ID: SMH Location ID: NMI00001

Covered under the BUPA Australia banner

Teachers Federation Health Limited Fund Brand ID: TFH

Location ID: HSL00216 Jeffrey Martin email: [email protected] Phone: 1300 728 188 Fax: 1300 728 388 Territory Mututal

Fund Brand ID: TIO Location ID: NMI00005

Covered under the BUPA Australia banner The Card Member Health Insurance

(AMEX)

Fund Brand ID: AMX Location ID: NMI00001

Covered under the BUPA Australia banner

The Doctors’ Health Fund Limited Fund Brand ID: AMA

Location ID: HSL00224 Jocelyn Tumakay email: [email protected] Phone: 02 9438 2022 Fax: 02 9437 9326 Transport Health

Fund Brand ID: TFS Location ID: HSL00321 Joe Gionta email: [email protected] Phone: 03 8420 1888 Fax: 03 8420 1860 Westfund

Fund Brand ID: WFD Location ID: CBH00400

Paula Dowsett

email: [email protected] Phone: 1300 552 132

References

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