Ancillary

View provider recognition requirements and information about claiming.

Man receiving physio treatment

GMHBA/Frank Health Insurance contributes to the cost of included ancillary services for eligible members.

Eligibility for benefits is dependent on the product the member holds with the fund, waiting periods, and the financial status of the policy.

Refer to our ancillary provider guides for further information on: 

  • fund benefits and general conditions
  • ancillary claiming criteria 
  • exclusions

View the GMHBA Ancillary Providers Guide (effective 1 November 2025)

View the Frank Ancillary Providers Guide (effective October 2025)

 

Register

To register as a recognised ancillary provider with GMHBA/Frank Health Insurance you must:

  • have a location specific provider number from Services Australia; or
  • be an active member of a fund approved professional organisation.

GMHBA/Frank Health Insurance has sole and absolute discretion in determining if someone becomes or remains a recognised practitioner and for which of their treatments GMHBA/Frank Health Insurance will pay benefits towards.

 

Services Australia Provider Numbers

If you’re registered with Services Australia for one of the below modalities, you do not need to apply for recognition with GMHBA/Frank Health Insurance:

  • Audiology
  • Chiropractic
  • Dental
  • Diabetes Education
  • Dietetics
  • Exercise Physiology
  • Occupational Therapy
  • Optometry
  • Physiotherapy
  • Podiatry
  • Psychology
  • Speech Pathology

 

Alternative Therapy Provider Numbers

Provider numbers are issued by the Australian Regional Health Group (ARHG).

GMHBA Ltd utilises the Australian Regional Health Group to maintain accreditation for the below modalities:

  • Remedial therapy
  • Myotherapy
  • Acupuncture
  • Traditional chinese medicine
  • Counselling

Please contact your association directly to discuss eligibility criteria for an ARHG Health Fund Provider Number.

Electronic Claiming: HICAPS and HealthPoint utilise Medibank Private provider numbers. Claiming via these channels for GMHBA/Frank Health Insurance members is enabled where a practitioner holds the relevant accreditation with ARHG for the modality.

How to update your details:

  • ARHG Provider Numbers: Please contact your association directly.
  • Electronic Claiming: Please contact vendor directly to update any payment or contact information.

Important: Data mismatch is a significant source of claiming issues. Please make sure your details (ARGH Provider Number, payment and contact information) are updated with both your association and electronic claiming provider.

 

Orthotic suppliers

GMHBA Ltd utilises the Australian Orthotic and Prosthetic Association (AOPA) for Orthotic and Prosthetic Suppliers. Please sent a copy of your AOPA membership certificate to registration@gmhba.com.au

 

Invoices and receipts

Practitioners and businesses must include the below information on all invoices or receipts:

  • The name of the client/member
  • The date of service
  • A description of the service provided that aligns with the Private Healthcare Australia (PHA) endorsed schedule (if applicable)
  • Itemised detail of each item or service  
  • Provider’s full name, company name or trading name
  • A valid ABN and/or ACN as applicable
  • The location the service was provided.
  • A valid provider number (including but not limited to):
    • Services Australia provider number for the location
    • ARHG Provider Number
    • Health Fund Issued Provider Number

Where the client/member address is not included on the invoice/receipt the health fund member is required to complete a claim form.