The trusted platform for smarter patient eligibility checks
The Civica Eligibility Portal gives participating healthcare providers secure, real-time access to patient coverage information through Services Australia ECLIPSE and our network of Private Health Insurer (PHI) partners.
With connectivity to over 90% of Australia’s private health insurance membership, including BUPA, Medibank, ahm, HCF, HBF, and NIB, healthcare providers can verify patient eligibility instantly, without the need for manual follow-up.
The portal also supports Online Eligibility Checking (OEC), giving you a complete eligibility verification solution that works when you need it — no extra setup required.
Why Healthcare providers choose Civica?
Healthcare providers & Hospitals
Extend your reach. Reduce your load.
Civica’s Eligibility Portal gives hospitals instant access to private patient eligibility checks across 90% of Australis’s PHI membership – all through a single portal.
For Private Health Insurers (PHIs)
Simple. Fast. Connected.
Civica’s Eligibility Portal connects you automatically to all providers – including those without their own connection to ECLIPSE.
Why Healthcare providers choose Civica?
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One portal for 90% of Australian PHI membership
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No technical setup required - ECLIPSE connection is handled for you
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Real-time eligibility responses with accurate data
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Less admin time - no more waiting on hold or chasing manual checks
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Faster pre-admission and a smoother patient experience.
Why PHIs choose Civica?
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Automatic integration with non-ECLIPSE providers
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Fewer manual enquiries from hospitals and providers
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Reduced internal support costs
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Enhanced provider experience and smoother claims processing.
The value we deliver
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Streamlined pre-admission workflows
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Improved operational efficiency
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Enhanced patient satisfaction and trust.
The value we deliver
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Reduced operational overhead
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Broader provider connectivity
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Improved service delivery across the healthcare ecosystem.
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