Health Fund Registration & Resubmission Guide
Registration - overview
Resubmission - overview
Medicare - PRODA
Fee Schedules - overview
Most Practice Management Software has the Health Fund Fee Schedules integrated and should be available for download.
Links
Health Fund Groups
Groups or Alliances include a number of Health Funds under the one representative body.
Providers register with the Group, who then distribute their information out to all their associated Health Funds. This streamlines the registration process making it easier for providers to reach all Health Funds.
AHSA (*) Australian Health Services Alliance
ARHG(#) Australian Regional Hospitals Group
BUPA(^)
Medibank Private(+) (MBP)
NIB(~)
Health Fund Information
Australian Unity*
Code: AUF
Email: [email protected]
Ph: 1800 035 360
Open 8:30am-5pm Monday-Friday
Postal Address: Australian Unity Health, Reply Paid 91943, Melbourne VIC 3000
Provider Portal: https://www.australianunity.com.au/ProviderPortal/Account/LogOn
Call to register: 1800 035 360
Registration
See AHSA in the list above
Resubmission Via Provider Portal
Include Original & amended invoice required, no batch header required
BUPA(^)
BUPA ADF Health Services
CBHS Corporate Health Pty Ltd*
AIA Health Insurance*
CBHS Health Fund Limited*
CUA*
Defence Health*
AAMI~
ACA*
Doctors Health Fund Pty Ltd*
DVA corrections
Emergency Services Health*
Frank Health*
GU Health ~
GMHBA*
HBF of WA*
HCF
HCI*
Health Partners*
health.com.au*
HIF *
Hunter Health #
IMAN Australian Health Plans~ (NIB)
Latrobe Health Services # (ARHG)
Mildura # (ARHG)
myOwn Health* See AIA
Navy Health * (AHSA)
NIB~
Nurses & Midwives Health* AHSA
onemedifund* AHSA
Peoplecare Health* AHSA
Phoenix Health Fund* AHSA
Police Health* AHSA
Qantas Assure~ NIB
Qld Country Health* AHSA
rtHealth (HCF)
Reserve Bank Health Society* AHSA
St Lukes # ARHG
Suncorp Health ~ NIB
Teachers Health * AHSA
Territory Health * AHSA
Transport Health
TUH * AHSA
UniHealth*
Westfund * AHSA
International Health Funds
Overseas Student Health Cover OSHC
Overseas Visitor Health Cover OVHC
Cannot be submitted via ECLIPSE. Consider accepting payment as a deposit in full PRIOR to the appointments and surgery dates.
If the patient does not have a Medicare card, remember that you cannot bulk bill. You would need to take payment in full for the service.
Allianz Global Assistance OVHC
Allianz Overseas Student OSHC
BUPA Global ^
BUPA OSHC ^
NIB OSHC/OSVC ~
UnitedHealthcare Global~
Workcover/3rd Party
ADF Health Services
Email: [email protected]
Phone: 1800 316 915
Allianz
Email: [email protected]
Phone: 03 9224 3379
EML
Email: [email protected]
Phone:
EnAble
Email: [email protected]
Phone:
Gallagher Bassett
Email: [email protected]
Phone:
QBE
Email: [email protected]
Phone:
SA Health
Email: [email protected]
Phone: 1800 317 333