Submitting batch files with Tyro Health Online

Tyro Health Online supports bulk transmission of invoices to healthcare funders. Batched invoices are processed individually according to funder rules.

A single batch file can support multiple invoices and claimed items. For all invoices, it's important to note:

  • Files must be in a CSV format. Double quoted fields (i.e. using quotes as text qualifiers) are optional, but recommended when dealing with text columns (like descriptions).
  • Template and example CSV files for each funder are posted on Tyro Health Online.
  • The first row must be a header record and must conform to template values provided.
  • Each row's columns must be ordered according to the header record.
  • Up to 10,000 rows can be included in a single file.
  • Fields listed as mandatory for each funder must be complete and valid for successful upload.
  • After uploading to Tyro Health Online, invoices that pass business rule validation will be created as a Draft in a Ready to submit status. Select those invoices and click submit to process.
  • Invoices that fail validation will be in an Incomplete status and require attention prior to submission.

Importantly, if you create, open or save the file using Microsoft Excel or other spreadsheet programs, please note that date and time fields may be automatically updated to a format that is not accepted - be sure to save the file in the formats defined below.

Invoice guidelines:

  • An invoice will result in a single unique Tyro Health Online transaction identifier, invoice date and status;
  • An invoice will have a single unique invoiceReference as nominated by you;
  • An invoice will have a single patient and health fund account;
  • An invoice will have a single provider and payee;
  • An invoice will have one or more claimed items;
  • Each item will have at least a unique reference , serviceDate , itemCode and price ; and
  • Additional item attributes can be set.

To support invoices with multiple claimed items:

  • Invoices with the same invoiceReference will be grouped into a single invoice for submission to a funder.
  • Rows for a unique invoice should be grouped together sequentially and each item should use a unique claimItems.reference for that invoice.
  • For invoice level (but not item level) attributes that repeat, only the first instance of those values will be used.

For those that create batch files using Microsoft Excel, Apple Numbers or Google Sheets:

  • All fields should use a format of "Plan Text" or "Text" .
  • Special care should be taken while entering serviceDate , time of service and other date/time numbered fields as these tools may apply an automatic format different from expected.
  • Files must be saved/exported as:
    • Microsoft Excel - Windows: CSV Comma delimited ( * .csv)
    • Microsoft Excel - Mac: Comma-separated Values (.csv)
    • Apple Numbers: CSV, Text Encoding: Unicode (UTF-8)
    • Google Sheets: Comma-separated values (.csv, current sheet)

WorkSafe Victoria invoices

Request attributes have been listed in below table as mandatory, optional or conditional

Value Description
R Required?
M Mandatory
O Optional
C Conditional
Field R Format Example Values - Notes and Key Constraints
invoiceReference M Up to 16 characters 20200901ABCD - Your unique invoice/transaction reference.
Typically generated from a practice management or accounting system. This value will be traced through to settlement reporting and is separate from any funder defined transaction identifier or claim reference.
Where multiple service items exist for an invoice, all rows for a unique invoiceReference will be grouped into a single invoice and the first occurrence of repeating invoice level (but not service level) details will be used. Note: these rows should be grouped sequentially.
sequenceNumber O Up to 4 numbers 1 - Row counter starting with 1. Unique and sequential within a batch file. Used to identify row level errors/mistakes. Leading zeros NOT permitted. If not supplied, the row count will be used to identify processing issues.
providerNumber M Up to 16 alphanumeric characters - For GP's and Physiotherapists, a Medicare issued provider number should be used where available.
- Pharmacies will need to obtain a WorkSafe Vic issued provider number linked to their ABN and last name.
• A unique invoice can include only one provider
• The provider must be registered on Tyro Health Online and enabled for the selected funder
funder M Valid values only wsv - All wsv claims should have the funder set to wsv.
patient._id O 33 alphanumeric characters 6BE1F0653B5F4B47A88633F3A0DC1712 - Tyro Health Online generated value to represent a unique patient. Can be used as an alternative to submitting patient and health fund account details but only if a previous successful transaction was processed against a patient. Otherwise, do not use. A unique invoice can include only one patient.
patient.refId O Up to 128 characters 3DE2D2BC-17CC-4978-A79D-2151DC417B2F - A unique patient identifier generated by your system such as a UUID. By setting this value you can uniquely search and sort transactions by patient. Future transactions can also be processed using refId rather than providing patient and health fund account details. Any differing patient details for a given refId will update the patient record on Tyro Health Online.
• A unique invoice can include only one patient
• Can only contain alpha (A-Z and a-z), numeric (0-9), space ( ), apostrophe (') and hyphen (-) characters
• Spaces must not appear before or after apostrophes, hyphens, other spaces or the supplied value
• At least one alpha or numeric character required
patient.firstName O Up to 50 characters Mila - Patient first / given name as registered with funder. If patient has only one name, use "Onlyname" as placeholder in firstName field.
• A unique invoice can include only one patient
• Can only contain alpha (A-Z and a-z), numeric (0-9), space ( ), apostrophe (') and hyphen (-) characters
• Spaces must not appear before or after apostrophes, hyphens, other spaces or the supplied value
• At least one alpha or numeric character required
patient.lastName M Up to 25 characters Willis - Patient last / family name as registered with the funder.
• A unique invoice can include only one patient
• Can only contain alpha (A-Z and a-z), numeric (0-9), space ( ), apostrophe (') and hyphen (-) characters
• Spaces must not appear before or after apostrophes, hyphens, other spaces or the supplied value
• At least one alpha or numeric character required
patient.dobString M YYYY-MM-DD 2021-10-27 - wsv requires DOB to verify the eligibility of a claim. Date must be formatted YYYY-MM-DD
patient.email O Valid email address example@tyro.com
patient.mobile O Valid mobile phone number 0411111111 - Either domestic (04xxxxxxxx) or international (+614xxxxxxxx) format accepted.
healthFundAccount.healthFundCode M Valid values only wsv - All wsv claims should have this field set to wsv. A unique invoice can include only one healthFundCode.
healthFundAccount.membershipNumber M String 43201 - wsv claim number. A unique invoice can include only one membershipNumber.
healthFundAccount.cardRank O 1 digit 1 - Individual reference number, one digit of 1-9, as noted on the physical card.
wsv.claimItems.reference O Up to 128 alphanumeric characters 01 - Line item reference as nominated by you. Assists with reconciliation where multiple of the same item code and service date are claimed. This reference should be unique within a given invoice.
wsv.claimItems.serviceDate M YYYY-MM-DD 2020-08-25 - Date of service.
• Must be a valid date
• Must not be future dated
• Must not be before the patient date of birth
wsv.claimItems.serviceTime O HH:MM 14:25 - Time of service in 24 hour format. Usually only used if multiple of the same items are claimed on the same day, by the same provider, for the same patient.
wsv.claimItems.itemCode M Up to 8 alphanumeric characters PODIA - Any wsv supported paycode.
wsv.claimItems.price M Currency notation 50.67 - Item per unit pricing. This value will be deemed tax-inclusive if the isTaxable field is set to 'true'. If isExtendedPrice is set to 'true' this will be the aggregate amount for all quantity set.
wsv.claimItems.isTaxable O Boolean true - Default is false. When true, indicates that a GST of 10% is included in the wsv.claimItems.price field. Only certain item codes can include GST. Reference wsv provider docs for rules on GST.
wsv.claimItems.quantity O Up to 5 numbers 2 - Default is 1.
• Note that some items may auto-map quantity to time or period units
• For example, item WCO002 - case conferences, quantity will map to time duration per 5 minute block quantity
wsv.claimItems.unit O Valid values only Values include:
each
minutes (only for applicable item codes)
wsv.claimItems.customDescription C Up to 60 characters Foam roller to assist with rehab exercises - If the item code being used has the ability to accept a custom description, you can enter it here. This is typically used on generic item codes that need further elaboration eg item code AIDS (for rehab aids).
isServiceTimeSpecified O Boolean true - Time of service
wsv.claimItems.prescriberFirstName C Up to 48 Characters John - First Name of the Prescribing Practitioner. Mandatory for pharmacy items where the item type is private.
wsv.claimItems.prescriberLastName C Up to 96 Characters Harris - Surname of the Prescribing Practitioner. Mandatory for pharmacy items where the item type is private.
wsv.claimItems.prescriberNumber C Up to 20 Characters alphanumeric The Prescriber Number of the Prescribing Practitioner as assigned by Services Australia. This is in addition to their Medicare Provider Numbers (Stem & Suffixes). Mandatory for pharmacy items where the item type is private.
wsv.claimItems.scriptNumber C Up to 20 Characters alphanumeric Unique number of the script issued by Prescribing Practitioner. Mandatory for pharmacy items where the item type is private.
wsv.claimItems.authorityNumber O Up to 20 Characters alphanumeric Unique authority number supplied to authorise the individual prescription. Only particular sub-sets of prescribed drugs require this additional authorisation number to be captured.
wsv.claimItems.numberOfPatientsSeen O Up to 3 Characters alphanumeric 1 - Number of patients attending same service. Only where "MBS Attendance Item Flag" = True
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