Registering with Health Funds

Registering with Health Funds

For new Cutting Edge accounts, if you have previously given your details to health funds, there is no need to inform them that you are using ECLIPSE, unless you need to change your banking details or ABN. As the funds already have your bank account details linked to your provider number(s) they can process the claims and make payment into your nominated account as before.  

If you've never sent claims to funds then you will need to provide banking details for each of your provider number(s) with each fund before submitting claims or they will be rejected.

You also need to inform each fund whenever you create a new provider number with Medicare/PRODA or change banking details.

The links and contact details below will help you to get set up with the funds. This is not an exhaustive list, however, it does cover most of the funds you are likely to come across. 

AHSA
AHSA is the umbrella organisation for 25+ 'Alliance' funds. 
https://www.ahsa.com.au/web/fundlist 
https://www.ahsa.com.au/web/doctors
email: access@ahsa.com.au
phone: 1800 664 277 option 3 
From 1 March 2026, the AGC online form will become mandatory for all provider registrations and changes.
To register you need to complete the form and attach the letter from Medicare or a screen shot from PRODA of the provider number/s that you wish to register. 
See this link for additional instructions https://support.cesoft.com.au/portal/en/kb/articles/registering-updating-details-with-ahsa
You will also need to send a redacted Bank Statement showing the account and BSB  number where the funds will be deposited.  
The application also needs to be emailed from a personal email address of the provider.

BUPA 
NOTE - BUPA issues a special 'Practice ID' when you register with them. This needs to be entered into the software on the Settings, Online page before you can submit claims. 
https://www.bupa.com.au/for-providers
email: ProvopsMedical@bupa.com.au
phone: 134 135 and follow the prompts
Form must be signed by provider and emailed to Bupa with a redacted bank statement showing the account and BSB number where the funds will be deposited.

Medibank Private 
https://www.medibank.com.au/content/dam/retail/providers/registration-forms/gapcover-nogap-application-change-of-details.pdf
phone: 1300 130 460 

HCF
http://www.hcf.com.au/provider-portals/
email: Medicoverenquiry@hcf.com.au
phone: 13 13 34 


NIB & Grand United & NIB Gapsure
https://www.nib.com.au/providers 
phone: 1300 853 530

Regional Health Funds 
There are a number of funds covering regional areas - see the AHRG list for details, and contact the relevant ones.  You can register online at the following website.
ARHG Member Funds www.arhg.com.au

HBF (for West Australia only)
https://www.hbf.com.au/
email: medicalgap@hbf.com.au for medical enquiries
Phone: 08 9265 6378
Fax: 08 9265 6282


NOTE - You will also need to contact the Workers' Compensation agency and the Transport Accident authority in your home state.
Not all participate in electronic claiming and these claims need to be submitted via mail or email.