Entering provider numbers when claiming

Important notice:

On 1 July 2021, health.com.au will join Frank Health Insurance. 24 June is the last day to submit outstanding claims and update your address with health.com.au.

Claiming and the online member area are unavailable from 25 June onwards. You can claim again with Frank from 1 July 2021. 

Learn more about upcoming important dates that will affect claiming here.

 

 

 

 

Now, back to what you came here for: Entering provider numbers when claiming

 

You'll be asked for a provider number when you claim. So what’s a provider? That’s what we call the medical professionals (dentists, doctors, physios and so on) who provide health services here in Australia.

A recognised provider is a medical practitioner that's legally qualified to practice here in Australia.

With the help of Medicare and the Australian Regional Health Group (ARHG), we recognise healthcare providers that meet the following criteria:

  • Hold appropriate registration or licence under the relevant legislation
  • ​Have suitable qualifications or membership to a recognized professional body
  • Be in an independent private practice.

If you want, you can search providers in your area. This is a great way to make sure they're fully recognised, and that they'll use a HICAPS terminal to ensure an easy claiming experience. Just bring your member card along and you're on your way!