ahm Health Insurance
Provider Hub

This resource is for health professionals and their staff to access updated information, forms and search tools.

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Provider Recognition

ahm Health Insurance will only pay benefits for ahm Extras services where providers meet the criteria set out in the Private Health Insurance (PHI) Accreditation Rules and ahm recognition criteria.

GapCover (for Medical Specialists)

GapCover is a medical gap scheme offered by ahm Health Insurance which aims to reduce or eliminate the out-of-pocket medical expenses paid by our members when they have a hospital stay.

MPPA Billing Channel (for pathology and diagnostic imaging providers, and public hospitals)

The Medical Purchaser Provider Agreement (MPPA) Billing Channel is a claiming option offered by ahm Health Insurance to private providers of in-hospital pathology and diagnostic imaging services, and to public entities for diagnostics and all other services provided to private patients in public hospitals.