Participating health funds

Not all health funds in Australia are currently accepting Eclipse online transactions. However, as time goes on, more and more will be joining up, or will be adding additional functions. For this reason, Access Anaesthetics has a function to retrieve the latest information on participating health funds from Medicare Australia.

From the Eclipse Menu, click <Update funds list> on the lower right of the screen. An electronic transmission will be sent to Medicare requesting the details. After a short delay the progress box should show a list of participating health funds. To view the complete list, click the <Health funds list last updated> hyperlink on the bottom of the window. The list may also be viewed at any time on the Fund page of any account (click the <View fund info> button).

The listed health funds do not necessarily provide all Eclipse functions. For example, some funds accept electronic claims, but do not provide electronic payment advices. For these funds, payment advices will be sent by standard mail, and should be entered into Access Anaesthetics in the normal way on the Payment page. These are shown in the table below where there is no entry in the ERA column.

In Access Anaesthetics, if a health fund does not provide the required functions (as shown in the list), the claim will not be able to be sent. To make it easy to see which functions a fund provides, three checkboxes are shown on the Fund page indicating whether the selected fund accepts IMC-AG, IMC-SC and ERA transactions. At the time of writing this manual, Medibank Private and MBF were the only 2 major funds not accepting Eclipse claims. Both, however, were accepting patient verification transmissions (OPV).

The following list of participating health funds was retrieved in February 2008. Health funds not shown in a recently updated list do not accept Eclipse claims. Medicare Australia recommends updating the list of participating health funds at least monthly. The date of the last update is shown on the Eclipse menu. Where it is more than 60 days since the last update, the date will be shown in red type, and moving the mouse over the label will give a gentle reminder to update.

Code	Fund Name	OPV	IMC_AG	IMC_SC	IMC_PC	IMC_MB	ERA
ACA	ACA Health Benefits Fund	Accept	Accept	Accept
AHM	Australian Health Management Group Limited	Accept	Accept	Accept	Accept	Accept	Submit
AMA	The Doctors' Health Fund Limited	Accept	Accept	Accept	Accept	Accept	Submit
AMX	The Card Member Health Insurance (AMEX)	Accept	Accept		Accept	Accept	Submit
ANZ	ANZ Health Insurance	Accept	Accept		Accept	Accept	Submit
AUH	Australian Unity Health Limited	Accept	Accept	Accept
CBH	CBH Health Fund Ltd	Accept	Accept	Accept	Accept	Accept	Submit
CDH	CDH Benefits Fund Limited	Accept	Accept	Accept
CHF	Credicare Health Fund Limited	Accept	Accept	Accept
CSR	CSR Health Plan	Accept	Accept		Accept	Accept	Submit
CWF	Central West Health	Accept	Accept	Accept	Accept	Accept	Submit
CYF	CY Health	Accept	Accept	Accept	Accept	Accept	Submit
DHF	Defence Health	Accept	Accept	Accept	Accept	Accept	Submit
GMH	GMHBA Limited	Accept	Accept	Accept	Accept	Accept	Submit
HBA	HBA	Accept	Accept		Accept	Accept	Submit
HCD	Health Cover Direct	Accept	Accept		Accept	Accept	Submit
HCF	HCF of Australia Limited	Accept	Accept	Accept	Accept	Accept	Submit
HCI	Health Care Insurance Limited	Accept	Accept	Accept	Accept	Accept	Submit
HHB	GMF Health t/as Healthguard	Accept	Accept	Accept	Accept	Accept	Submit
HIF	Health Insurance Fund of WA	Accept	Accept	Accept	Accept	Accept	Submit
LHM	Lysaght Peoplecare	Accept	Accept	Accept	Accept	Accept	Submit
LHS	Latrobe Health Services	Accept	Accept	Accept			Submit
MBF	MBF	Accept
MCL	Mutual Community	Accept	Accept		Accept	Accept	Submit
MDH	Mildura District Hospital Fund Limited	Accept	Accept	Accept
MPL	Medibank Private	Accept			Accept	Accept
MUI	Manchester Unity Australia Ltd	Accept	Accept	Accept
NHB	Navy Health Limited	Accept	Accept	Accept
NIB	NIB Health Funds Limited	Accept	Accept	Accept	Accept	Accept	Submit
PHF	Phoenix Health Fund Ltd	Accept	Accept	Accept
POL	South Australian Police Employees Health Fund	Accept	Accept	Accept	Accept	Accept	Submit
QCH	Queensland Country Health Limited	Accept	Accept	Accept
QTU	Queensland Teacher's Union Health Fund	Accept	Accept	Accept	Accept	Accept	Submit
RBH	Reserve Bank Health Society Ltd	Accept	Accept	Accept
RTH	Railway & Transport Health Fund	Accept	Accept	Accept	Accept	Accept	Submit
SGI	MBF Alliances	Accept
SLM	St. Luke's Health	Accept	Accept	Accept	Accept	Accept	Submit
SMH	Super Members Health Plan	Accept	Accept		Accept	Accept	Submit
SPS	Health Partners	Accept	Accept	Accept	Accept	Accept	Submit
STG	St. George	Accept	Accept		Accept	Accept	Submit
TFH	Teachers Federation Health Limited	Accept	Accept	Accept	Accept	Accept	Submit
TIO	Territory Mutual	Accept	Accept		Accept	Accept	Submit
UAD	Druids Friendly Society	Accept	Accept	Accept	Accept	Accept	Submit