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Hospital Providers

Bupa’s extensive private hospital network provides our members with certainty about their hospital expenses.

Benefit statements online

Use Bupa's secure provider website for quick and easy access to your weekly hospital statements.

To register for access, complete the online hospital benefit statement access form (168kb PDF)

For further information, contact Bupa on 1800 060 239

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Clinical Documentation form

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Download the Clinical Documentation form (281kb PDF)

For further information, contact Bupa on 1800 060 239

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ECLIPSE hospital patient eligibility checking

Confirming patient hospital eligibility for benefits prior to admission is done via ECLIPSE. You are able to check online 24 hours a day, 7 days a week.

To register access to ECLIPSE, complete the register for ECLIPSE online patient eligibility checking form (239kb PDF)

Find out more information on online patient eligibility checking.

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Hospital claiming

To submit a hospital claim, complete the National Private Patient Claim form (55kb PDF)

Update - Changes for hospital claims

From 1 October 2016, any hospital claims received by Bupa (including claims with a service date prior to October) that do not have the Care Type accurately populated (as per the “HCP Data Specification (hospital to insurer) 2016-2017, element 20”) on either the Eclipse Episodic Data Segment (EPS), element number 060005), or on the National Private Patient Hospital Claim Form or any other hospital claim form, will not be assessed and will be returned to the hospital provider for re-submission.

Submission of Manual Claims

A number of data items that are transmitted in the HCP file must also be submitted on the hospital claim form. Therefore claims for all hospital separations on or after 1 November 2012 should include the Condition Onset Flag (COF flag) as the leading character for all diagnosis codes. And as a reminder, hospitals can submit up to 50 diagnosis codes and 50 procedure codes with the claim.

  • COF flag values are:
  • 1 = condition with onset during episode of admitted patient care
  • 2 = condition not noted as arising during episode of admitted patient care
  • 9 = not reported

Also to minimise delays in processing your claim, please ensure the following details are provided:

  • Correct spelling of the patient’s name
  • Patient's address
  • Eight digit Bupa membership number
  • Date of birth (DDMMCCYY)
  • Address of primary cardholder
  • Surname of primary cardholder
  • Fully completed National Private Patient Hospital Claim form including Section 3 Accommodation Details.

When submitting a hospital claim, if any of the forms listed below are required, please ensure they are completed fully and submitted with the claim. Where:

Please ensure that you have:

  • provided the member with Informed Financial Consent in relation to additional Hospital charges which will not be covered by Bupa.
  • arranged payment from the member for any excess and/or co-payment relating to their product.

If you have any queries regarding hospital claims, please do not hesitate to contact 1300 663 590 or email for hospital claims queries.

Hospital Casemix Protocol (HCP) Data Collection

All private hospitals (including day surgeries) are required to send Bupa Australia the Hospital Casemix Protocol (HCP) data, which contains the financial, clinical and demographic information about Bupa Australia’s customers who are admitted to their hospitals, within six weeks of separation. To submit HCP data or to send any HCP related queries, please contact More information regarding the HCP data specification can be found at the Department of Health and Ageing website.

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Prostheses List

For the most up-to-date Prostheses List, please refer to the Australian Government Department of Health and Ageing website (external link).

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Topic Useful links
Bupa hospital listing

List of private hospitals and day surgeries (124kb PDF)

A list of private hospitals and day surgeries at which members will experience certainty about the costs associated with their hospital treatment.

Claiming / Financial

Medicare Benefits Schedule (MBS)

MBS online contains the latest MBS information and is updated as changes to MBS occur.


The Australian Council for Safety and Quality in Healthcare

For the latest updates in issues of safety and quality of healthcare provision in Australia.

Australian Charter of Healthcare Rights

Information about healthcare rights for all people receiving or seeking healthcare in all settings in Australia.

National Institute of Clinical Studies

This body seeks to close the gaps between best available evidence and current clinical practice, providing a wealth of information for healthcare workers.

The Australian Council on Healthcare Standards

This independent, not-for-profit organisation is dedicated to improving the quality of healthcare in Australia through continually reviewing of performance, assessment and accreditation.

Australian Prescriber

Free access to current and back issues of this independent publication, providing readily accessible information about drugs and therapeutics.

Professional Organisations

Australian Private Hospitals Association

Keep in touch with the latest news and healthcare issues through this national association’s website.

Australian Day Hospital Association

For updates on the Association supporting and representing day hospitals within the healthcare environment.


Department of Health and Ageing

For the latest news, programs and resources.

Australian Institute of Health and Welfare

Access statistics, publications and information about the state of Australia’s health and healthcare systems.

Medicare Australia

Access Medicare Australia, the Australian government agency, for programs and services and health payment information and forms.

Private Health Insurance Administration Council (PHIAC)

An independent statutory authority that regulates the private health insurance industry.


Department of Health and Ageing Private Health Insurance circulars

The Private Health Insurance Branch of the Australian Government Department of Health and Ageing produces private health insurance (PHI) circulars on various topics.

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Hospital provider login

Login to Bupa's secure provider website for quick and easy access to your benefits statements information