The following funds allow you to produce quotes on a HICAPS terminal.
Private Health Insurers
HICAPS has partnered with 100% of Australian health insurers to make processing claims easier for patients and health practitioners Australia-wide.
Overseas health claiming with HICAPS
Having partnered with select health funds*, HICAPS makes it easy to process health care claims for overseas workers, students and visitors.
How to process overseas visitor claims
If your patient has either overseas visitor health cover or overseas student health cover, you can process a claim by following these simple steps:
- After consultation swipe the patient’s private health insurance card through the HICAPS terminal.
- Enter the patient’s claim details into the HICAPS terminal or PMS.
- Once authorised, the patient can then pay the gap amount (if there is any).
- Like all claims with HICAPS, we’ll deposit a consolidated settlement within one to two business days.
View and download the Overseas Visitor Cover item number guides.
Want to know more about processing overseas visitor health claims? Give our customer service team a call Monday to Saturday 8am – 10pm (AEDT) on 1300 650 852.
*Currently only available with Medibank, Bupa, nib.
Other information
Not every health fund allows for every service to be processed through your HICAPS terminal. See the list below for a list of services that can be claimed per health fund.
HICAPS participating health funds service list (PDF, 996KB)
HICAPS participating health fund for remedial massage therapist (PDF, 831KB)
The following funds can process claims on a HICAPS Mobile terminal.
HICAPS mobile participating health funds service list (PDF,697KB)
*Please note that claiming when the terminal is using a mobile network or Wifi is not available from the following insureres except for the following modalities:
AHM: only available to participating Chiropractors, Dentists, Dieticians, Exercise Physiologists, Occupational Therapist, Podiatrists, Optometrists, Osteopaths, Physiotherapists, Psychologists and Speech Therapists.
Australian Unity: only available to participating Chiropractors, Dentists, Dieticians, Exercise Physiologist, Occupational Therapist, Optometrists, Osteopath Podiatrists, Psychologists, Physiotherapists and Speech Therapists
BUPA: only available to participating Chiropractors, Dentists, Dieticians, Exercise Physiologists, Medical Practitioners, Occupational Therapist, Podiatrists, Optometrists, Osteopaths, Physiotherapists, Psychologists and Speech Therapists
HCF: Only available to participating Chiropractors, Dentists, Dieticians, Exercise Physiologists, Occupational Therapist, Optometrists, Osteopaths, Physiotherapists and Speech Therapists.
La Trobe Health Services: only available to participating podiatrists, physiotherapists and psychologists.
Medibank Private: only available to participating: physiotherapists, psychologists, podiatrists, occupational therapists and chiropractors.
TUH: only available to participating dentists, physiotherapists, psychologists, podiatrists, osteopaths, optometrists, occupational therapists, chiropractors, acupuncturists, dietitians, speech pathologists and exercise physiologists.
Note: the times listed below are when the health funds are generally available to process claims through a HICAPS terminal – these times may change. To confirm, we recommend contacting them directly.
Health fund operating hours (PDF, 35.7KB)
Fund | Health Fund Name Abbreviations | Monday-Friday | Saturday | Sunday |
|---|---|---|---|---|
ACA Health Benefits Fund | ACA | 24 hours | 24 hours | 24 hours |
ADF Family Health | ADF | 8.30am – 5.00pm | 8.30am – 5.00pm | - |
ahm Health Insurance | AHM | 6.00am – 11.00pm | 6.00am – 8.00pm | 6.00am – 8.00pm |
Australian Unity | AU | 7.00am – 10.00pm | 7.00am – 10.00pm | 7.00am – 10.00pm |
BUPA | BUPA | 24 hours | 24 hours | 24 hours |
CBHS Friendly Society | CBHS | 24 hours | 24 hours | 24 hours |
CBHS Corporate | CBHCRP | 24 hours | 24 hours | 24 hours |
Credicare Health Fund | CHF | 24 hours | 24 hours | 24 hours |
Defence Health | DEF | 24 hours | 24 hours | 24 hours |
Doctors Health Fund | DHF | 6.00am – 10.00pm | 6.00am – 10.00pm | – |
Emergency Services Health | ESH | 24 hours | 24 hours | 24 hours |
GMF | GMF | 6.00am – 10.00pm | 6.00am – 10.00pm | – |
GMHBA | GMHBA | 24 hours | 24 hours | 24 hours |
Grand United | GUH | 6.00am – 10.00pm | 6.00am – 10.00pm | 6.00am – 10.00pm |
HBF (WA time) | HBF | 24 hours | 24 hours | 24 hours |
HCF | HCF | 24 hours | 24 hours | 24 hours |
Health.com.au | NIA | 24 hours | 24 hours | 24 hours |
Health Care Insurance (Tas time) | HCI | 24 hours | 24 hours | 24 hours |
Health Partners (SA time) | HPI | 24 hours | 24 hours | 24 hours |
HIF of WA (WA time) | HIFWA | 24 hours | 24 hours | 24 hours |
Hunter Health Insurance | CDH | 24 hours | 24 hours | 24 hours |
Latrobe Health Services | LHS | 24 hours | 24 hours | 24 hours |
Medibank Private Limited | MBP | 5.00am – 23.59pm EST | 5.00am – 23.59pm EST | 5.00am – 23.59pm EST |
Mildura Health Fund | MDH | 24 hours | 24 hours | 24 hours |
My Own Health Insurance | AIA | 24 hours | 24 hours | 24 hours |
Navy Health | NAVY | 24 hours | 24 hours | 24 hours |
NIB Health Funds Ltd | NIB | 6.00am – 9.00pm | 6.00am – 9.00pm | 6.00am – 9.00pm |
Nurses & Midwives Health | NMH | 24 hours | 24 hours | 24 hours |
Onemedifund | OMF | 6.00am – 10.00pm | 6.00am – 10.00pm | – |
Police Health (SA time) | PHF | 24 hours | 24 hours | 24 hours |
Phoenix Health Fund | PHNX | 24 hours | 24 hours | 24 hours |
Queensland Country Health (Qld time) | QCH | 24 hours | 24 hours | 24 hours |
RB Health Society | RBHS | 6.00am – 10.00pm | 6.00am – 10.00pm | – |
rtHealth Fund | RNT | 6.00am – 10.00pm | 6.00am – 10.00pm | – |
St Lukes Health (Tas time) | STL | 24 hours | 24 hours | 24 hours |
Teachers Federation Health Ltd | TFH | 24 hours | 24 hours | 24 hours |
Teachers’ Union Health | TUH | 7.00am – 10.00pm | 7.00am – 10.00pm | 24 hours |
Transport Health | TFS | 24 hours | 24 hours | 24 hours |
Westfund | WDH | 6.00am – 10.00pm | 6.00am – 10.00pm | – |
Need a hand? We’re here to help. You can call us Monday to Saturday 8am – 9pm EST on 1300 65 08 52.
HICAPS terminals can process up to 24 item numbers in one transaction. However, the actual number of items per transaction can vary from health fund to health fund.
Once the patient’s health fund is swiped through the terminal, the screen will display the maximum number of items available.
The list below details the maximum number of items accepted by each health fund.
Maximum item number guide (PDF 66KB)
Fund | Card Prefix | Number of items accepted | Contact phone Monday – Friday | Contact hours Monday – Friday |
ACA Health Benefits Fund | 90360012 | 21 | 9.00am – 5.00pm | |
ADF Family Health | 90360109 | 23 | 8.30am – 5.00pm | |
ahm Health Insurance | 90360041 | 24 | 8.30am – 5.00pm | |
APIA | 90360002 | 24 | 9.00am – 5.00pm | |
Australian Unity | 90360008 | 24 | 8.30am – 8.00pm | |
Budget Direct | 24 | 8.30am – 5.00pm | ||
BUPA | 90360006 | 16 | 8.00am – 8.00pm | |
CBHS Health Fund Limited | 90360009 | 24 | 8.15am – 5.00pm | |
CBHS Corporate | 90360139 | 24 | 8.15am – 5.00pm | |
see-u by HBF (Qld time) | 90360045 | 16 | 8.00am – 5.00pm | |
Defence Health | 90360020 | 23 | 8.30am – 5.00pm | |
Doctors Health Fund | 90360005 | 23 | 8.30am – 6.00pm | |
Emergency Services Health | 90360140 | 23 | 9.00am – 5.00pm | |
Frank Health Insurance | 90360042 | 24 | 8.00am – 6.00pm | |
GMHBA | 90360042 | 14 | 8.00am – 6.00pm | |
Grand United Health | 90360043 | 15 | 8.30am – 5.00pm | |
HBF (WA time) | 90360025 | 23 | 8.30am – 5.00pm | |
HCF | 90360015 | 16 | 8.30am – 4.30pm | |
Health Care Insurance | 90360013 | 23 | 8.45am – 5.00pm | |
Health.com.au | 90360125 | 23 | 8.00am – 6.00pm | |
Health Partners (SA time) | 90360024 | 24 | 8.00am – 5.30pm | |
HIF of WA (WA time) | 90360026 | 16 | 8.30am – 5.30pm | |
Hunter Health Insurance | 90360058 | 23 | 8.30am – 5.00pm | |
Latrobe Health Services | 90360038 | 16 | 9.00am – 5.00pm | |
Medibank Private Limited | 90360004 | 16 | 8.00am – 4.30pm | |
Mildura Health Fund | 90360048 | 9 | 8.30am – 5.00pm | |
My Own Health Insurance | 90360138 | 23 | 9.00am – 5.00pm | |
Navy Health | 90360010 | 23 | 8.30am – 7.00pm | |
NIB Health Funds Ltd | 90360002 | 22 | 1300 853 530 | 9.00am – 5.00pm |
Nurses & Midwives Health | 90360142 | 23 | 9.00am – 5.00pm | |
OneMedifund | 90360088 | 23 | 8.30am – 5.00pm | |
Peoplecare | 90360016 | 23 | 8.30am – 5.00pm | |
Police Health | 90360021 | 23 | 8.30am – 5.00pm | |
Qantas Assure Health Insurance | 90360002 | 22 | 9.00am – 5.00pm | |
Phoenix Health Fund | 90360019 | 23 | 7.45am – 4.30pm | |
Queensland Country Health (Qld time) | 90360022 | 23 | 8.30am – 5.30pm | |
Reserve Bank Health Society | 90360089 | 23 | 8.30am – 5.00pm | |
RT Health Fund Ltd | 90360084 | 23 | 8.30am – 5.00pm | |
St.LukesHealth | 90360044 | 23 | 9.00am – 5.00pm | |
Teachers Health Fund | 90360011 | 16 | 8.00am – 5.00pm | |
Teachers’ Union Health | 90360018 | 23 | 7.30am – 5.30pm | |
Territory Health Fund | 90360022 | 23 | 7.30am - 5.00pm | |
Transport Health | 90360056 | 23 | 8.30am – 5.00pm | |
Uni Health | 9036001 | 24 | 8.00am – 5.00pm | |
Westfund | 90360096 | 23 | 8.00am – 5.00pm |