Provider Networks - Register or Update Details

Honeysuckle Health acts on behalf of nib to manage the nib provider networks, including MediGap, GapSure, and GU Health networks.

To register or update your details, please review the relevant terms and conditions and rate schedules, then complete the form below.

nib MediGap Terms and Conditions
nib MediGap Rate Schedule

nib GapSure Anaesthetic Terms and Conditions, Rate Schedule & Key Variations

GU Health Medical Gap Terms and Conditions & Rate Schedule

I would like to register for nib MediGap

I would like to register for nib GapSure Anaesthetic

I would like to register for GU Health Medical Gap

I would like to register for both nib MediGap and GU Health Medical Gap

I would like to register for both nib GapSure Anaesthetic and GU Health Medical Gap

Provider details

Provider name, specialty and location(s) will be published on participating health fund and partner provider directories.

Title

First Name

Middle Name (optional)

Last Name

Must match Medicare Registration

Preferred First Name (optional)

AHPRA Number

AHPRA Medical Specialty

Provider bank details

Please add the Medicare provider number(s) you would like to register and bank details

Provider Details 1

Provider Number

BSB

Account Number

Account Name

Only add additional provider numbers for this provider

Where do patients visit this provider?

If there are no consulting rooms please include the Suburb, Postcode and State from the AHPRA Principal Place of Practice.
This information will be published in accordance with the Terms and Conditions.

If the provider works in multiple locations you may list each location.

Location 1

Address (optional)

Suburb

State

Postcode

Phone (optional)

Email (optional)

Website (optional)

How can Honeysuckle Health, nib or GU Health contact you?

Honeysuckle Health will use this information to contact you for network related updates.
nib and GU Health funds may use this information to contact you about claims related enquiries.

Title

First Name

Last Name

Job Role

Postal Address

This will not be published

Suburb

State

Postcode

Phone

This will not be published

Authorisation

Please acknowledge that you are the provider listed above or have authorisation from that provider to submit this form.

Please acknowledge that you have read and accept the Terms and Conditions for the network you are applying for.