Health Fund Compliance

Along with the requirements set out by industry standard, each of the various private health funds require providers to comply with the health funds’ Terms and Conditions of Provider Status. Failure to comply with an individual Health Funds Terms and Conditions may result in the practitioner being removed as a provider, for that health fund. Health funds are entitled to conduct their own internal audits and may require you to supply information directly to them from time to time.

Please also refer to the Massage Australia Guidelines of Practice for more information concerning breaches in the requirements of health fund provider status (Accredited Members). As an Accredited Member it is important you are clear on the expectation of the organisation when it comes to such things as proper receipting, misuse of provider numbers and what constitutes health fund fraud.

Please refer to the below links for individual health fund information:

Australian Unity Health Ancillary Provider Terms and Conditions