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IMPORTANT NOTICE

CHANGES IMPACTING MEDICAL PROVIDERS ON AND FROM

1 OCTOBER 2020


SYSTEM SHUTDOWN

HCF is currently undertaking a major systems upgrade. As part of the transition, regular services including the ECLIPSE eligibility and claiming channels will not be available as follows:

During the period 7.30pm (AEST) 1 October 2020 to approximately 12pm (AEDT) 6 October 2020 the following ECLIPSE services will not be available:

  • ECLIPSE hospital eligibility
  • ECLIPSE claiming

During the period 7.30pm (AEST) 1 October 2020 to approximately 6am (AEDT) 6 October 2020 the following services will not be available:

  • Data submission for HCP, Safety & Quality, Audits
  • Access to remittance advice and benefits statements
  • HICAPS and Health Point claiming
  • Access to the HCF Hospital Provider Portal – including membership eligibility and downloading forms
  • Access to the HCF Medical Provider Portal – including downloading of Medicover benefit schedules and forms
  • Access to all other HCF systems

We appreciate your patience as we make these changes, if you have any enquiries prior to, or during, the shutdown or if you need any help when we’re back online, please email the team at hospital_benefits@hcf.com.au

 
 
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Welcome to HCF's Medical Provider Portal home page

Useful Links:

  1. Medicover Registration Form (for new registrations or new locations)
  2. Terms and Conditions for Medicover
  3. Change of Nomination Form (to change between No and Known Gap)
  4. Medicover Change of Details Form (to change bank account or contact details)
  5. Link Provider Form

Latest News

Looking for the latest Medicover Fee Schedules? Click here...

Please note – A review of the HCF Medicover rates has been conducted. To ensure we continue to provide value for our members and support affordability and sustainability into the forward years, some procedures across the specialty categories of anaesthetics, orthopaedic, diagnostic procedures and ophthalmology have been reduced.

These changes will be effective from 1 January 2020.

You can access these new rates before 1 January 2020 by logging into this portal from 13 December 2019.

For more information or for any questions on our Medicover rates please email medicover@hcf.com.au


Important Updates:

1.  PAYMENTS TO MEDICAL PROVIDERS

HCF is changing the way it pays Medical Providers on and from 1 October 2020 as follows:

Cheques will no longer be in use from 1 October 2020, going forward payments will only be made to providers via Electronic Funds Transfer.

IF YOU RECEIVE PAYMENT FROM HCF VIA CHEQUE PLEASE ADVISE US OF YOUR BANK DETAILS TO ENSURE WE CAN PAY YOU FROM 1 OCTOBER 2020.

From 1 October 2020 Linked Servicing Providers must register for HCF’s Medicover No or Known Gap scheme arrangement to receive the extra benefits assigned to those schemes. Claims will be held until we receive confirmation of your registration to the Medicover Gap Scheme. To register, please refer to Useful Links above.
If you need any assistance please contact us on our new email address at:
HospitalMedicalRegistrations@hcf.com.au.

PRINCIPAL PAYEES PLEASE ADVISE YOUR LINKED PROVIDERS TO REGISTER FOR MEDICOVER AS SOON AS POSSIBLE.

2.  HCF CONTACT EMAIL ADDRESS

From 1 October 2020 enquiries relating to Medical Purchaser Provider Agreements or Medicover registrations must be emailed to HospitalMedicalRegistrations@hcf.com.au
Medicover@hcf.com.au email address will no longer be in use from that time.

Important Information

HCF Medicover Medical Gap arrangement forms

New versions of the Medicover medical gap scheme forms are available on the Medical Provider Portal – see links above. These forms can be used to register for Medicover for the first time, register a new provider number for Medicover, changing details such as bank account or changing nomination between No Gap and Known Gap. Previous versions of HCF Medicover forms made available from May 2015 will be accepted up until 31.12.2016 however all previous versions of forms will no longer be accepted as of 01.01.2017.

Medicover Backdating Policy

If you want to use HCF’s Medicover gap scheme you must apply and be accepted by HCF to participate in your chosen Medicover arrangement for each provider location prior to providing and claiming services for an HCF member.

HCF registers Medicover applications (including additional provider locations) from the date we receive the fully completed application. In special circumstances we will backdate a maximum of 30 days from the receipt date. This means any claims for services prior to the date of registration will not be applicable for Medicover ‘extra benefits’ and claims submitted under Medicover arrangements will reject.

Eligibility for Medicover

Medicover is only available to specialist doctors working in Private Practice. Doctors employed or engaged by a publicly funded facility are not eligible to participate. It is also not available to Pathologists or Radiologists however other no gap arrangements are available.

For more information see FAQs

 
 

FAQs

 

Contacting HCF

If you have a question about claims/payments or a question not answered by content on our portal, please call us on our dedicated provider line 1800 670 302 available between 8am-5pm AEST Monday to Friday.

 

In the wrong place?

  Go to the Ancillary Provider Portal
  Go to the Hospital Provider Portal
  Go to the Dental Provider Portal
  Go to the HCF main Website
 
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Call HCF Health Fund on 13 13 34