Affiliated Provider programme

Affiliated Providers (APs) include healthcare specialists, facilities and GPs contracted to provide Southern Cross members with certain healthcare services at agreed prices. APs arrange prior approval and submit invoices to Southern Cross on behalf of members through an online system.

 

We have more than 1,400 AP agreements covering more than 1,700 healthcare providers across more than 20 medical specialties nationwide. The AP programme started in 1997 and accounts for about 60 per cent of our claims costs.

 

Search for an AP here.

Benefits of becoming an Affiliated Provider

Certainty of payment. Prices for services are negotiated at the start of the agreement so you know what you will be paid.

Improved cash flow. Use our online system to claim payment for an eligible service as soon as it has been provided. The amount we pay is generally deposited within two days of requesting payment.

Online administration. Online claiming makes the administration of prior approval and payment much easier. Without all that paperwork, claiming is stress-free.

Dedicated support. Contract and relationship managers are your direct points of contact at Southern Cross. They help with any queries you have about your AP agreement and other issues.

Promotion. We promote the use of APs to more than 850,000 members. Members use our online directory Healthcare finder to find APs’ contact details and information. GPs can see APs in their electronic medical record via the Specialists & Referrals system or via HealthLink CareSelect e-referral system.


 

Benefits for Southern Cross members

1


It’s easy. The AP organises prior approval for the member's healthcare service and
claims on their behalf.

2


It keeps future premiums more affordable by helping us to manage
the cost of claims.

3

Agreed prices mean members know up-front how much their contribution will be (if any).