To participate in GapCover you must agree to and abide by the GapCover terms and conditions.
How to claim through Eclipse
Claiming is easy and quick through Eclipse, the in-patient claiming system developed by Medicare Australia that enables providers, health insurers and Medicare to exchange and pay claims electronically. To claim through Eclipse simply send your claims for our members to ahm health insurance using Fund ID ‘ahm' and Claim Type ‘SC'.
If you don't have eclipse you can also claim manually by using a batch header.
The benefit we pay you will be based on the MBS item numbers provided by you on your account.
We use our best endeavours to process accounts within 21 days, provided they satisfy our requirements (see the GapCover Provider Guide for more information). The benefit will be paid in accordance with the GapCover Schedule of Benefits and the Medicare Australia assessing rules, which are subject to change.
Registering for Eclipse
To register for Eclipse or if you want more information about how it works, contact the Medicare Australia eBusiness Service Centre on 1800 700 199 or email firstname.lastname@example.org.
Already an Eclipse user? To start transacting with us, simply register to participate in GapCover and start sending your bills via Eclipse by using Fund ID ‘ahm' for our members and Claim Type ‘SC'.
Have a question about claiming? Call 1300 309 438.