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Find quick answers to our providers' most commonly asked questions.
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What information does a member eligibility check give medical providers?
A member eligibility check can give medical providers information regarding a member’s eligibility to claim on a service, including:
- The member’s level of cover
- Any exclusions or restrictions that apply
- If the member’s policy is financial (i.e. premiums have been paid to date)
- How much excess a member will need to pay and if any co-payment applies
I received a member eligibility check back from HBF but I don’t understand the information provided. Who can I contact for assistance?
You can contact the eligibility team for assistance. Call 1300 810 475 from 8am-4pm WST Monday to Friday, excluding public holidays, or email eligibility@hbf.com.au.
Will the online eligibility check advise what out-of-pocket costs the member will have?
The online eligibility check will only advise any co-payments or excess that is to be paid. It will not advise any other costs from the hospital or medical providers.
What should I do if the online eligibility check lists a member as unfinancial?
Please contact the member directly and advise that they are currently unfinancial at the expected treatment date.
You can direct the member to contact HBF on 133 423 and speak with one of our member experience consultants to arrange payment, as payments made online are not applied instantly to the policy.
Once the member has contacted you to confirm payment has been processed, please complete a new online eligibility check.
Which Member Plus hospital providers can access online member eligibility checks?
HBF Member Plus hospital providers with a valid Medicare provider number will have access to online eligibility checks for HBF members.
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