About us

We're Australia's leading claims and payments solution for healthcare providers.

Our Story

HICAPS was formed in June 1998 in response to the need to provide an electronic claim and payment solution for the Healthcare sector.

Today, 23+ years on, HICAPS is utilised by 100% of Private Health Funds in Australia, and has over 94,000 registered health service providers nationally that provide patients the convenience of automatic claims processing on the spot, in the practice.

The HICAPS solution also provides Medicare processing, the lodgement of WorkSafe (Vic) claims, the processing of pre-approved treatment services by the Insurance Commission of WA, and can be used to process Gap, and fully patient funded services via Credit Card and EFTPOS. HICAPS can also be used by health services providers to electronically lodge overseas health care claims today for select health funds that are enabled on the HICAPS system.

HICAPS continues to offer innovation and efficiency to the healthcare sector and remains Australia’s leading claims and payments solution for health service providers.

HICAPS is available to participating health services providers in 21 health modalities including General Practitioners, Medical Specialists, Dental, Optical, Physiotherapy, Chiropractic, Acupuncture, Remedial Massage, Podiatry, Speech Therapy, Counselling and Audiology.

Today a HICAPS terminal can be found in over 25,000 healthcare practices and medical centres across Australia, with over 114,000 claims processed through the HICAPS system every day.

We're part of NAB Health - a group of businesses that includes Medfin - who specialise in providing financial services for practitioners, pharmacists and corporate healthcare businesses.

We are confident that our team and our technology can deliver a seamless end-to-end claims and payments solution for your practice.

Quick Facts

  • Over 94,000 registered health service providers across Australia.
  • 100% of integrated private health insurers and statutory payers including Medicare, WorkSafe Victoria and the Insurance Commission of WA.
  • 12+ million serviced members.
  • Over 41 million claims processed per year, accounting for 87% of all allied health private health insurance claims.
  • Used in over 25,000 healthcare practices and medical centres across Australia.

Find out how HICAPS could benefit you and your business.

Participating health fund and practitioners

100% of heath funds accept HICAPS

HICAPS can process claims for every Australian health fund. Explore which services they allow you to claim electronically.

View participating health funds

Find a HICAPS practitioner

Use our search tool to find your nearest practitioner using HICAPS.

Find a local HICAPS practitioner