Provider registration forms

Simply fill out the GapCover Application and Change of Details form as per the instructions on the form, and email it to GapCoverForms@medibank.com.au 

Note that when you register for GapCover, you will be registered with both Medibank and ahm.

If you’re a private pathology or diagnostic imaging provider, a public hospital, or a medical billing agent who represents providers of pathology and radiology services, you can register to claim under the MPPA Billing Channel.

Simply fill out the MPPA Billing Registration form and email it to us as per the instructions on the form, along with a list of providers to be linked to your billing entity(s).

If your registration meets our criteria, we will contact you to discuss potential arrangements.

Note that when approved, you will be registered with both Medibank and ahm.

If you haven’t already registered bank details with us (eg. for GapCover claims), please complete the Medical provider EFT form and email it to us at: medical_ancillaryproviders@medibank.com.au

Ancillary providers can only claim directly with Medibank with a HICAPs or Healthpoint terminal. If you have neither of these, you need to bill the patient so they can make a claim.

To register bank and address details with Medibank, please complete the Ancillary Provider EFT form and send to us as per the instructions on the form.

For any claiming errors made on a terminal that can’t be resolved through the terminal, please contact us on 1300 130 460 or through web messaging.