Become a recognised provider

CBHS provides exceptional member care by ensuring that the claims process is simple and streamlined. CBHS can only pay benefits for services provided by ‘recognised providers’. On this page you will find information about the types of providers that are deemed to be recognised providers and the services for which they are considered to be recognised providers.

CBHS and recognised providers Please note that as an insurer, we do not recommend practitioners to members and we do not participate in the clinical relationship between member and provider. CBHS is not responsible for clinical outcomes for services provided or not provided by recognised providers. The extent of CBHS’s responsibility, as a health insurer, is to decide whether to pay or not to pay fund benefits. In doing so, we act in accordance with the CBHS Health Benefit Fund Rules and the applicable Government regulations.

Providers registered with Medicare Australia

If you are a provider registered with Medicare Australia for services that are payable under our Extras levels of cover, you are considered a Recognised Provider by CBHS. Therefore, there is no requirement for you to make a separate application for Provider Recognition.

The services that are payable under our Extras cover products under this category

Providers registered with the Australian Health Practitioner Regulation Agency

If you are a provider who is registered with the Australian Health Practitioner Regulation Agency (AHPRA) for services that are payable under CBHS’s Extras cover products, you are considered to be a recognised provider by CBHS. As such, a separate provider recognition application is not necessary.

The services that are payable under our Extras cover products under this category

Complementary and alternative therapy providers

CBHS recognises many complementary and alternative therapy associations and boards as either meeting or exceeding CBHS’s criteria for recognised providers. Providers that belong to associations and/or boards that meet CBHS’s criteria are deemed to be recognised providers.

These are CBHS’s recognition criteria:

In addition, Rule 10 of the Private Health Insurance (Accreditation) Rules 2011 applies to complementary or alternative providers. This rule requires the provider or treatment to meet each of the following criteria.

Provider recognition and other services

The following services are outside the scope of Rule 10 of the Private Health Insurance (Accreditation) Rules 2011 but must meet CBHS’s Recognition Criteria in order for benefits to be payable.