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 health.com.au card along. and you're on your way!