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Medical Network Registration Form

Honeysuckle Health acts as nib's agent in relation to nib MediGap, nib GapSure Anaesthetic, and GU Health's Medical Gap network. After your registration has been confirmed, you will receive an email with the registration details.

Note that the rate schedules for these networks are different. If you are unsure what network to register for please review the information below:

Provider details

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

Must match Medicare Registration

Provider bank details

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

Provider Details 1

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.

Location 1

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.

This will not be published
This will not be published
This will not be published

Authorisation