Become a recognised provider

Ensure your clients can claim a rebate by becoming a Recognised Provider.

CBHS Corporate Health provides exceptional member care by ensuring that the claims process is simple and streamlined. CBHS Corporate Health 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 Corporate Health and recognised providers

Please note that as an insurer, we do not recommended practitioners to members and we do not participate in the clinical relationship between member and provider. CBHS Corporate Health is not responsible for clinical outcomes for services provided or not provided by recognised providers. The extent of CBHS Corporate Health’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 Corporate Health 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 Corporate Health. 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
Audiologist Chiropractor Dental Prosthetist Dentist Dietician Exercise Physiologist	Occupational Therapist Optometrist Osteopath Physiotherapist Podiatrist Psychologist Speech Pathologist

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 Corporate Health’s Extras cover products, you are considered to be a recognised provider by CBHS Corporate Health. As such, a separate provider recognition application is not necessary.

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

Acupuncture
Chinese Herbal Medicine

Complementary and alternative therapy providers
CBHS Corporate Health recognises many complementary and alternative therapy associations and boards as either meeting or exceeding CBHS Corporate Health’s criteria for recognised providers. Providers that belong to associations and/or boards that meet CBHS Corporate Health’s criteria are deemed to be recognised providers. These are CBHS Corporate Health’s recognition criteria: Relevant qualifications for the service provided Current Professional Indemnity Insurance Certificate of Currency Current Senior First Aid Certificate
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. The standard for treatment is that the complementary or alternative therapy health care provider (among others) providing the treatment must be a member of a professional organisation which covers health care practitioners who provide that type of treatment (the profession). The professional organisation must be a national entity which has membership requirements for the profession. The professional organisation must provide assessment of the health care provider in terms of the appropriate level of training and education required to practise in that profession. The professional organisation must administer a continuing professional education development scheme in which the health care provider is required, as a condition of membership, to participate. The professional organisation must maintain a code of conduct which the health care provider must uphold in order to continue to be a member. The professional organisation must maintain a formal disciplinary procedure, which includes a process to suspend or expel members, and an appropriate complaints resolution procedure.
(i) Massage therapies: Deep tissue massage Lymphatic drainage Myotherapy Remedial massage Sports massage Swedish massage Therapeutic massage (ii) Oriental Therapies Acupressure Acupuncture Chinese herbal medicine consultation Chinese massage Traditional Chinese medicine consultation

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 Corporate Health’s Recognition Criteria in order for benefits to be payable.
Dental Hygienist Dental Technician Diabetes Educator Lactation Consultant	Optical Dispenser Orthotist Orthoptist

If you have any questions about a provider that you wish to use, or wish to find out more about the process of becoming a recognised provider with CBHS Corporate Health, contact Member Care on 1300 586 462 or send us an email at help@cbhscorp.com.au.