Information for medical specialists about billing, claiming and nib MediGap.
At nib we have built the MediGap network to help eliminate out of pocket costs for nib customers for inpatient medical and surgical fees. If you’re a medical specialist, you can register to become a MediGap specialist, which means you agree not to charge the nib customer any out of pocket costs for their inpatient service. The benefits to you as a provider include receiving faster payment from nib, not having to chase your patients for payment of their invoice, and being listed in our MediGap specialist search directory.
If you are a medical specialist (such as Diagnostic or Imaging specialist) there are a few things we want you to know to help you service our nib customers, bill nib customers (or submit claims directly with us) and how to get in contact with us if you have any questions.
If you are a medical specialist that does not wish to register for nib MediGap or if you are not eligible (such as Pathologist) we can still pay you directly. So that we can simplify payments to you, we are switching from cheque payments to direct deposit into your account. If you would like to receive payments electronically, please register for direct billing.
Innovative digital tools
We are helping our customers find medical specialists by directing them to search for a specialist who is registered to participate in MediGap.
Customers can search for a MediGap specialist in our Going to Hospital tool in Online Services, our Find a Provider search on the nib website or within the nib App.
Frequently Asked Questions
Provider Relation nib
nib Health Funds Limited
22 Honeysuckle Drive
Newcastle NSW 2300