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In order to be recognised, or to continue to be recognised, by Medibank as a Medibank Recognised Provider, Medibank require ancillary health care providers to meet recognition criteria.
The recognition criteria comprise of standards which are applicable by modality. Refer to your modality below to identify which recognition criteria, standards and application forms are applicable to you.
Recognised providers are encouraged to visit the Medibank website regularly to see the most current version. The recognition criteria, accompanying standards and/or application form were last updated on 2 November 2020 and may be amended by Medibank and ahm from time to time.
For further information, please call our Hospital and Provider Advocacy Team (HPAT) on 1300 654 887.
Requirements for recognition as AHPRA registered health care provider
For recognition with Medibank, you must be registered with Medicare Australia. Medicare Australia notifies us of provider numbers issued on a daily basis which are automatically updated in our system. See more information on Medicare Australia’s registration criteria.
As an ancillary health care provider, Medibank expect providers to meet the recognition criteria and standards as listed below:
- Recognition Criteria for AHPRA registered ancillary health care providers
- Ancillary Billing Standards
For more information about how the recognition criteria operate, please see the FAQs.
For recognition with Medibank, you must be registered with Medicare Australia. Medicare Australia notifies us of provider numbers issued on a daily basis which are automatically updated in our system. See more information on Medicare Australia’s registration criteria.
As an ancillary health care provider, Medibank expect providers to meet the recognition criteria and standards as listed below:
- Recognition Criteria for AHPRA registered ancillary health care providers
- Ancillary Billing Standards
- List of dental item numbers requiring tooth identification
The mandatory inclusion of the applicable FDI World Dental Federation Two-digit Tooth Identification number(s) on all invoices and patient records became effective from 15 June 2018.
For more information about how the recognition criteria operate, please see the FAQs.
For recognition with Medibank, you must be registered with Medicare Australia. Medicare Australia notifies us of provider numbers issued on a daily basis which are automatically updated in our system. See more information on Medicare Australia’s registration criteria.
As an ancillary health care provider, Medibank expect providers to meet the recognition criteria and standards as listed below:
- Recognition Criteria for AHPRA registered ancillary health care providers
- Ancillary Billing Standards
- List of dental item numbers requiring tooth identification
The mandatory inclusion of the applicable FDI World Dental Federation Two-digit Tooth Identification number(s) on all invoices and patient records became effective from 15 June 2018.
For more information about how the recognition criteria operate, please see the FAQs.
** The Medibank Fund Rules states that benefits will only be paid towards dental and Orthodontic treatments that are administered in person, and by a recognised provider. An example of an Orthodontic service and treatment that must be provided in person (and not via phone or online) by a recognised provider, is clear aligners.
For recognition with Medibank, you must be registered with Medicare Australia. Medicare Australia notifies us of provider numbers issued on a daily basis which are automatically updated in our system. See more information on Medicare Australia’s registration criteria.
As an ancillary health care provider, Medibank expect providers to meet the recognition criteria and standards as listed below:
- Recognition Criteria for AHPRA registered ancillary health care providers
- Ancillary Billing Standards
For more information about how the recognition criteria operate, please see the FAQs.
For recognition with Medibank, you must be registered with Medicare Australia. Medicare Australia notifies us of provider numbers issued on a daily basis which are automatically updated in our system. See more information on Medicare Australia’s registration criteria.
As an ancillary health care provider, Medibank expect providers to meet the recognition criteria and standards as listed below:
- Recognition Criteria for AHPRA registered ancillary health care providers
- Ancillary Billing Standards
For more information about how the recognition criteria operate, please see the FAQs.
For recognition with Medibank, you must be registered with Medicare Australia. Medicare Australia notifies us of provider numbers issued on a daily basis which are automatically updated in our system. See more information on Medicare Australia’s registration criteria.
As an ancillary health care provider, Medibank expect providers to meet the recognition criteria and standards as listed below:
- Recognition Criteria for AHPRA registered ancillary health care providers
- Ancillary Billing Standards
For more information about how the recognition criteria operate, please see the FAQs.
For recognition with Medibank, you must be registered with Medicare Australia. Medicare Australia notifies us of provider numbers issued on a daily basis which are automatically updated in our system. See more information on Medicare Australia’s registration criteria.
As an ancillary health care provider, Medibank expect providers to meet the recognition criteria and standards as listed below:
- Recognition Criteria for AHPRA registered ancillary health care providers
- Ancillary Billing Standards
For more information about how the recognition criteria operate, please see the FAQs.
For recognition with Medibank, you must be registered with Medicare Australia. Medicare Australia notifies us of provider numbers issued on a daily basis which are automatically updated in our system. See more information on Medicare Australia’s registration criteria.
As an ancillary health care provider, Medibank expect providers to meet the recognition criteria and standards as listed below:
- Recognition Criteria for AHPRA registered ancillary health care providers
- Ancillary Billing Standards
For more information about how the recognition criteria operate, please see the FAQs.
For recognition with Medibank, you must be registered with Medicare Australia. Medicare Australia notifies us of provider numbers issued on a daily basis which are automatically updated in our system. See more information on Medicare Australia’s registration criteria.
As an ancillary health care provider, Medibank expect providers to meet the recognition criteria and standards as listed below:
- Recognition Criteria for AHPRA registered ancillary health care providers
- Ancillary Billing Standards
For more information about how the recognition criteria operate, please see the FAQs.
For recognition with Medibank, you must be registered with Medicare Australia. Medicare Australia notifies us of provider numbers issued on a daily basis which are automatically updated in our system. See more information on Medicare Australia’s registration criteria.
As an ancillary health care provider, Medibank expect providers to meet the recognition criteria and standards as listed below:
- Recognition Criteria for AHPRA registered ancillary health care providers
- Ancillary Billing Standards
For more information about how the recognition criteria operate, please see the FAQs.
For recognition with Medibank, you must be registered with Medicare Australia. Medicare Australia notifies us of provider numbers issued on a daily basis which are automatically updated in our system. See more information on Medicare Australia’s registration criteria.
As an ancillary health care provider, Medibank expect providers to meet the recognition criteria and standards as listed below:
- Recognition Criteria for AHPRA registered ancillary health care providers
- Ancillary Billing Standards
For more information about how the recognition criteria operate, please see the FAQs.
For recognition with Medibank as an Optical Dispenser you must have an Australian Business Number (ABN).
Send the completed application form and certified true copies of the appropriate documentation to Medibank either via:
- Email: ancillaryregistrations@medibank.com.au
- Mail to: Ancillary Provider Registrations
Medibank Private Limited
GPO Box 9999 (your capital city)
As an ancillary health care provider, Medibank expect providers to meet the recognition criteria and standards as listed below:
- Recognition Criteria for other ancillary health care providers
- Ancillary Billing Standards
- Patient Record Standards
- Optical Standards
For more information about how the recognition criteria operate, please see the FAQs
For recognition with Medibank, you must be registered with Medicare Australia. Medicare Australia notifies us of provider numbers issued on a daily basis which are automatically updated in our system. See more information on Medicare Australia’s registration criteria.
As an ancillary health care provider, Medibank expect providers to meet the recognition criteria and standards as listed below:
- Recognition Criteria for AHPRA registered ancillary health care providers
- Ancillary Billing Standards
- Optical Standards
For more information about how the recognition criteria operate, please see the FAQs.
Requirements for recognition as an other ancillary heath care provider
For recognition with Medibank as an ancillary health care provider, you must be a member of a professional organisation that meets the requirements under rule 10 of the Private Health Insurance (Accreditation) Rules. A list of professional organisations currently recognised by Medibank is below.
Members of organisations listed below
We suggest you contact the organisation to ensure your level of membership is approved by Medibank for provider registration purposes. Some levels of membership (e.g. student member) may not be approved, however this will vary from organisation to organisation.
Members of a professional organisation not listed below
Please contact your organisation and arrange for them to contact Medibank as soon as possible on 1300 654 887 in relation to obtaining an organisation provider number.
Providers who are not members of a professional organisation in your area of speciality
You may wish to consider contacting one of the organisation listed below which is relevant to your discipline and enquire about becoming a member.
As an ancillary health care professional, Medibank expect you meet Medibank's recognition criteria.
- Recognition Criteria for Other ancillary health care providers
- Ancillary Billing Standards
- Patient Record Standards
For more information about how the recognition criteria operate, please see the FAQs.
Register banking details with us
To register your banking details with us, please complete our Provider EFT form via the link below.
We have recently made some improvements to our Provider EFT form to make this process easier for you. The new form can now be filled in digitally and contains a verify button that checks and ensures all mandatory fields have been completed. Forms are then submitted to a dedicated mailbox Medical_AncillaryProviders@medibank.com.au.
What do you need to do?
- You may need to download Adobe Acrobat Reader DC before you start
- Click here to view the new form and some brief instructions on how to complete.
List of professional organisations
- Association of Massage Therapists (AMT)
- Australian Acupuncture and Chinese Medicine Association (AACMA)
- Australian Natural Therapists Association (ANTA)
- Australian Traditional Medicine Society (ATMS)
- Chinese Medicine and Acupuncture Society of Australia Ltd (CMASA)
- Federation of Chinese Medicine and Acupuncture Societies of Australia (FCMA)
- Massage Association of Australia (MAA)
- Massage Australia (MGA)
- Massage & Myotherapy Australia
- Myotherapy Association Australia (MA)
- Society of Natural Therapists & Researchers (SNTR)
- Australasian Association and Register of Practicing Nutritionists (AARPN)
- Australian Natural Therapists Association (ANTA)
- Australian Traditional Medicine Society (ATMS)
- Complementary Medicine Association (CMA)
- Society of Natural Therapists & Researchers (SNTR)
- Association of Massage Therapists (AMT)
- Australian Natural Therapists Association (ANTA)
- Massage & Myotherapy Australia
- Myotherapy Association Australia (MA)
- Australian Association of Clinical Hypnotherapy and Psychotherapy (AACHP)
- Australian Hypnotherapy Association (AHA)
- Australian Society of Clinical Hypnotherapists (ASCH)
- Australian Traditional Medicine Society (ATMS)
- Australian Counselling Association (ACA)
- Australian Traditional Medicine Society (ATMS)
- Psychotherapy and Counselling Federation of Australia (PACFA)
- Australian Acupuncture Chinese Medicine Association (AACMA)
- Australian Natural Therapists Association (ANTA)
- Australian Traditional Medicine Society (ATMS)
- Chinese Medicine and Acupuncture Society of Australia Ltd (CMASA)
- Complementary Medicine Association (CMA)
- Federation of Chinese Medicine and Acupuncture Societies of Australia (FCMA)
- Society of Natural Therapists & Researchers (SNTR)
- Australian Natural Therapists Association (ANTA)
- Australian Traditional Medicine Society (ATMS)
- Acupuncture Association of Victoria Inc (AAV)
- Australian Acupuncture Chinese Medicine Association (AACMA)
- Australian Natural Therapists Association (ANTA)
- Australian Traditional Medicine Society (ATMS)
- Chinese Medicine and Acupuncture Society of Australia Ltd (CMASA)
- Federation of Chinese Medicine and Acupuncture Societies of Australia (FCMA)
- Society of Natural Therapists & Researchers (SNTR)
- Lactation Consultants of Australia and New Zealand
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