Entering provider numbers when claiming

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 is 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 to search providers in your area to ensure they are recognised as well as use a HICAPS terminal to ensure easy claiming.