What does HICAPS stand for?
HICAPS stands for Health Industry Claims And Payments Service.
Which are the Funds that have signed with HICAPS?
Click here for Participating Health Funds.
When is the HICAPS system available?
The HICAPS network operates 24 Hours, 7 days. The hours of operation for health funds accepting HICAPS claims vary from fund to fund. For further information, click here .
Can I have a HICAPS terminal with no EFTPOS?
Yes, although EFTPOS functionality with the terminal is available at no extra rental charge through National Australia Bank*.
* subject to NAB's terms and conditions, merchant service fees apply to EFTPOS functionality.
When does EFTPOS settle?
EFTPOS transactions automatically settle each night at about 9.30pm EST, however, manual settlement is available to suit the needs of the practice.
When do the Funds settle?
HICAPS, on behalf of a number of health funds that are participating in a Payment & Reconciliation solution, will credit one amount on each settlement day that represents the consolidated total of all of the HICAPS claims you have processed for those health funds. For details of those health funds participating in this solution click here.
Can my partners or associates and I have seperate EFTPOS settlement arrangements?
Yes, HICAPS is able to facilitate individual payments directly to individual health service providers' bank accounts through one HICAPS terminal. There is no extra charge for this feature.
How do I settle HICAPS transactions?
HICAPS transactions (health fund transactions) automatically settle each night (Mon - Sat) at 11.59pm* and cannot be manually settled. All transactions processed between 12.00am and 11.59pm will be sent to the health fund each night at this time.
The terminal will not automatically print out totals at this time.
To obtain a print out of the totals, press the HICAPS Totals key. The HICAPS totals must be printed out each day. If at anytime when a patient's card is swiped and the terminal displays "Print Totals First " your terminal is prompting you to print out your last day's HICAPS totals. The terminal will not allow you to proceed with a HICAPS transaction until the HICAPS totals have been printed.
How do I order terminal receipt rolls for the HICAPS terminal?
To order terminal receipt rolls for your terminal simply press FUNCTION 7 and then the ENTER / YES Key. Then press FUNCTION 5 and then the ENTER / YES Key to send this order through. Stationery will be delivered with in 3 - 7 business days.
How do I add new providers to the terminal?
If you have a new provider joining* a provider leaving your practice or the practice bank account details have changed, you must complete a "Change of Practice Details" form** and fax it to HICAPS on 1300 725 726.
*A request to add a new provider must be accompanied by a HIC letter issuing the provider number.
**This form is available by calling the Help Desk on 1300 650 852 or Download the "Change of Practice Details" form click here.
What does "056-reswipe card" mean?
When you swipe a card through the terminal and there is no response or if the screen displays "056-reswipe Card", this usually means you have a faulty card. If the card is scratched or bent it will not be able to be read by the card reader in the terminal. A card kept with other magnetic cards can become demagnetised and will then not register in the terminal. Health Fund and EFTPOS cards that will not swipe through the terminal cannot be manually entered, an alternative arrangement must be sought.
Can I process more than one item number per transaction?
Up to 24 items can be processed in one transaction. However, the number of items you are able to process in one transaction will vary from health fund to health fund. Once you swipe the patient's card the maximum number of items you are able to process will display on the terminal screen. For more information click here .
What does it mean when a transaction is approved on "Fallback" or prompts for an authorisation number?
The occasional fallback transaction is normal. This may mean there was a momentary break in communications with the bank. However, if you receive several fallback transactions in succession, please call the HICAPS Help Desk for assistance.
For transactions with large amounts that exceed your floor limits, the terminal will not automatically approve them on fallback. Instead the terminal will display "Trans Fallback Enter Auth.No". For these transactions you must call the patient's financial institution to obtain an authorisation number to key into the terminal.
For authorisations call:
Credit Cards - 13 25 15
Debit cards - 1300 65 08 52
What do I need to do when the terminal displays 'Host sign on required'?
Press the FUNCTION key, Five and ENTER
* All times quoted on this page are Melbourne time