Health Funds
Private health funds and their gap configuration.
| Column | Description |
|---|---|
| Fund Name | Name of the private health fund |
| Gap Type | No Gap, Known Gap, or Gap |
The gap type determines how out-of-pocket costs are calculated and displayed on financial consent documents.
Ancillary Fees
Estimated out-of-pocket costs for anaesthetic and pathology services.
| Column | Description |
|---|---|
| Fee Type | Anaesthetic or Pathology |
| Billing Type | Default or No Gap |
| Estimated Range | Expected cost range (e.g., 300.00) |
These fee ranges are shown on financial consent documents to give patients an estimate of potential out-of-pocket costs for external providers.
Hospital Fees
Day surgery fees shown on self-funded financial consent documents.
| Column | Description |
|---|---|
| Location | Hospital or day surgery name |
| Contact | Phone number |
| Day Surgery Fee | Fee amount or “Contact for quote” |
These fees are displayed in the self-funded section of financial consent documents. If no fee is set, patients are advised to contact the hospital for a quote.
Health Fund Caps
Configure default known gap amounts and per-fund overrides.
Default Known Gap Amount
The default out-of-pocket amount for patients with Known Gap health funds. This can be overridden per health fund using fee caps below.Per-Fund Overrides
Override the default known gap amount for specific health funds.| Column | Description |
|---|---|
| Health Fund | Fund name |
| Applies To | Which procedures this cap covers |
| Max Out-of-Pocket | Maximum amount patient pays |
Fee caps override the default known gap amount for specific health funds on financial consent documents.
Consultation Costs
Consult fees and MBS rebates.
Consent Templates
Configure and preview the financial consent documents that patients will see and sign.
Consent Questions
Questions patients answer before signing consent. These ensure patients understand their financial obligations.