Hospital provider information

Hospital provider numbers are generated by the Australian Government Department of Health and Aged Care. These are communicated to private health insurance providers through PHI circulars. We load new provider numbers into our system from the PHI circulars.

To check if your hospital provider number has been included in a PHI circular, review the list of PHI circulars at health.gov.au.

To confirm that your hospital is in our system, contact us on 1300 130 460 or web messaging.

To make changes to your hospital’s EFT or billing address, contact your hospital contract manager. Otherwise, email our Hospital Network Team: MedibankHospital.Network@medibank.com.au

View step-by-step instructions and further information on making a claim here: 

MAKING A HOSPITAL CLAIM

You can check a patient’s eligibility for hospital services on ECLIPSE using the Online Eligibility Check (OEC) function.

An eligibility check can tell you:

• Patient's name and membership number
• Product name, plus any exclusions and restrictions that apply.
• Confirmation that applicable waiting periods have been served
• Financial Status for the date of service
• Any excess applicable for the hospital admission (based on Hospital claims processed to date).
• Any applicable Co-Payments
• Eligibility for MBS Item numbers OR Eclipse Presenting Illness (PIL) Codes
• A reference number for the eligibility check.

• ECFWeb
• THELMA
• Our provider web messaging service. You can access this via the red message box found on the bottom right of this page.  One of our agents will complete your eligibility check after the system collects some identification information from you.
• A phone call with our Provider Advocacy Team on 1300 130 460. They can complete an eligibility check with you over the phone.

Download the most common admission forms below. For any other forms, please visit our provider forms page.

Accident claim form

Cochlear Implant (sound processor) application Form

Cochlear Implant (speech processor) application Form

Medibank claim form

Pre-existing condition (PEC) certificate

Replacement insulin pump application form

Email the following information on hospital letterhead, or with email sign-off from the hospital finance manager, to MedibankHospital.Network@medibank.com.au:

• Hospital name
• Legal name
• ABN
• Address for correspondence
• Physical address
• General telephone
• General email
• Hospital provider number
• Main contact
• Direct telephone
• Direct email
• Bank name
• BSB
• Account number
• Account name

Our Health Partnerships and Networks team will action your request in 5-10 business days.

To help with reporting obligations, we have an HCP Portal that allows hospitals to submit HCP data securely to Medibank.

To get access to the HCP Portal, please email your request to our HCP team at: hcp@medibank.com.au

For information about HCP requirements and current specifications please visit the Department of Health and Aged Care.