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Providers

Hunter Health Insurance contracts hospitals through the Australian Regional Health Group www.arhg.com.au

Hunter Health Insurance is registered on Eclipse as CDH.

To update provider details including bank details please complete Registration Form on the link below. If you are updating details due to an invoice being issued please allow 24 hours before submitting the claim.

As a rule Hunter Health Insurance will finalise payments once Medicare makes payment to us.

Hunter Health Insurance work from the commonwealth schedule fee with the multiple procedure rule for all operations.

  1. First item, If greater than $200 a 50% payment over the schedule fee, if lower than $200 a 20% payment over the schedule fee
  2. Second item MBS rate is divided by 2. If greater than $200 a 50% payment over the divided schedule fee, lower than $200 a 20% payment over divided schedule fee
  3. Subsequent items MBS rate is divided by 4. If greater than $200 a 50% payment over the divided schedule fee, lower than $200 a 20% payment over divided schedule fee

Pathology and X-ray items are paid at the scheduled fee.

Anaesthetics items numbers are all 50% over the schedule fee excepting item numbers 17610, 17625 and prefix 18 numbers which are 20% over the MBS fee.

Generally MBS items over $200 will receive a payment 50% over the scheduled fee and where under $200 will receive a payment of 20% over the scheduled fee.

Note that these rates do not apply for Assistant Surgeons. We recommend that Assistant Surgeons contact the fund directly.

Registering Providers

The Australian Regional Health Group (ARHG) are handling all provider applications on behalf of Hunter Health Insurance by CDH

ARHG member funds will not accept provider registrations directly from medical providers. Provider Registrations are no longer accepted by email, post or fax.

To register providers visit https://providerregistration.arhg.com.au/

If you have any enquiries in relation to provider registrations, please contact ARHG by emailing medicalproviders@arhg.com.au

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