Private health insurer registrations and updates for ECLIPSE form (HW081)

Use this form to register and update private health insurer details for the ECLIPSE Electronic Data Interchange and Manual.

Download and complete the Private health insurer registrations and updates for ECLIPSE form.

ECLIPSE is the Electronic Claim Lodgement and Information Processing Service Environment.

To fill in this form digitally you will need a computer and Adobe Acrobat Reader, or a similar program. You can download Adobe Acrobat Reader for free. If you can’t complete the form digitally, you can print it, complete it by hand and return it to us following the instructions on the form.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please contact us. We can help you access, complete and submit them.

Page last updated: 3 March 2022