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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 “P Provider Registration Form”. If you are updating details due to an invoice being issued please phone our office.

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 50% 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.

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