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Statutory funders

Claim with more Government Schemes quickly and easily with HICAPS:

Our partners

We simplify the complexity of claim payments to provide greater choice and control to participants, providers, approvers and programs across the health, care, disability, insurance and ageing sectors.

HICAPS has partnered with Medicare, WorkSafe Victoria and Insurance Commission of Western Australia to make claiming under these schemes easier for patients.

Making claiming easy

A proven claim payment platform that enables the transformation of the delivery of supports for participants, providers and programs, resulting in better participant experiences and outcomes.

We partner with programs and funders to deliver a secure claim payment solution that is quick to implement and simplifies the complexity of claims in a cloud-based, agile and scalable platform, built to drive provider participation and support the partner's current and future goals.

Simple

Simplifies the complexity of claim payments

Easy

Easy to use, cloud based multi-program platform

Fast

Real-time invoice verification and payment certainty. Fast payment for providers on approved services

Medicare

HICAPS has integrations to the full suite of Medicare Web Services, including bulk bill, eclipse claiming and in-hospital claiming.

Medicare Easyclaim allows patients to lodge their claims and receive their rebates all through the HICAPS terminal.

Depending on how you and your patient agree to settle the account, there are three payment options that you can lodge through Medicare Easyclaim:

Fully paid account – the patient has paid their account in full.
Part paid account – the patient has contributed to the settlement of the account.
Unpaid account – the account has not been paid.

Following the full payment of the account, you can swipe your patient's Medicare card, and the rebate will be paid directly into their account.

For more information on claiming with Medicare, reconciling bulk bill payments and more, please refer to our Medicare reference guide (PDF, 395KB) and Medicare Easyclaim User Guide (PDF, 5.7MB)

Please note: it's at your discretion whether to bulk bill a patient or not. If you choose to bulk bill, additional fees or co-payments shouldn't be charged to your patient following bulk bill claims.

Worksafe Victoria

You can lodge WorkSafe Victoria invoices through your HICAPS terminal. This removes the need to send invoices (for most services) and reduces the time that it takes for you to get paid.

For more information about lodging WorkSafe Victoria claims including helpful hints, see our Lodging a WorkSafe Invoice Reference Guide (PDF 133KB).

WorkSafe Victoria is now available with no cost to providers:

Enjoy easy paperless invoicing
Receive fast payment on approved invoices

Please note: to process WorkSafe claims via your HICAPS terminal you’ll need be a registered provider with WorkSafe. If you would like to register to process Worksafe claims, update your details or to view a list of approved services, visit the WorkSafe website.

Insurance Commission of Western Australia

Insurance Commission of Western Australia, together with HICAPS have enabled eligible health service providers (physiotherapists, general practitioners, osteopaths, chiropractors, psychologists, occupational therapists, speech pathologists and medical specialists) to receive prompt payment for treatments, that the Insurance Commission has pre-approved.

The Insurance Commission has continued to enhance its services, and now introduced a Digital Claiming Card to make payment of these pre-approved treatments even easier. Digital Claiming Card can be downloaded to claimant’s smartphone (Apple and Android) and added to their digital wallet.

Apple users will be able to use their Apple Wallet to ‘tap and pay’ for approved treatments on a HICAPS terminal.

Android users# will be able to store a copy of their treatment number in their digital wallet for convenience. Payment for approved treatments can be processed by manually entering the 19-digit treatment number into a HICAPS terminal.

Processing pre-approved treatment services through the HICAPS terminal removes the need for manual processing of services and reduces the time (in most cases) from 20 days down to 24 hours.

# Android users are currently unable to use the Digital Claiming Card to 'tap and pay' for approved treatments. This capability will be made available once Google Pay services can be processed on HICAPS terminals.

View our ICWA Automated Payments Guide to see which pre-approved service items are available for processing with HICAPS.

For more information and helpful hints, please see our ICWA Quick Reference Guide

TAC

On the spot claims for eligible Transport Accident Commission of Victoria (TAC) patients. You can lodge TAC invoices through our online portal.

HICAPS continues to bring more value to it’s customers. Delivering a digital solution that gives you access to an expanded list of private Health Insurers, Government Schemes and other healthcare providers.

The TAC provides medical, rehabilitation and financial support to Victorians who have been injured in transport accidents to help them get their lives back on track.

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NDIS and HICAPS

The NDIS is the nationally funded insurance program aimed at improving the lives of people with a disability in Australia.

For over 25 years, HICAPS has been Australia’s leading all-in-one claiming solution, supporting the wider health community by delivering tailored claiming solutions to health practitioners Australia-wide.

HICAPS has now launched a new solution where you can process claims and payments for plan-managed participants and NDIA-managed participants, making claiming easier and faster, and providing NDIS participants better access to their choice of health practitioner.

The NDIS is the nationally funded insurance program aimed at improving the lives of people with a disability in Australia.

Department of Veterans' Affairs - DVA

Process claims on the spot for Department of Veterans' Affairs - DVA via the HICAPS digital portal.

HICAPS continues to bring more value to it’s customers. Delivering a digital solution that gives you access to an expanded list of private Health Insurers, Government Schemes and other healthcare providers.

Get Started