Affiliated Provider audits

To make sure Affiliated Providers are complying with the terms of their Affiliated Provider (AP) agreements, audits are regularly undertaken by Southern Cross.

The audit schedule is set annually and indicates what specialties will be audited and when. It is important to note that you will only be audited on the rights and obligations under your AP agreement. There are two types of audits an AP may be asked to participate in.

Standard audit: This involves auditing compliance with an AP agreement and will originate from the annual audit plan. 

Follow-up and Ad hoc audits:
These are conducted when irregularities or possible breaches of the AP agreement are identified in a standard audit, or as a result of data analysis or other investigations. These audits may also be essential to confirm required changes have been implemented following a standard audit or as a means to establish if an issue is systemic.  

Completed audits

Current audits

Future audits

Skin specialists

  ENT - adenoids and grommets

Cardiology - CTCA

Oral surgery

Urology - prostate laparoscopy

ENT - balloon sinuplasty

General surgery - cholecystectomy



Medical - radioactive iodine


Opthalmology - cataract and related procedures 

General surgery - gastric banding/bypass            

General surgery - skin GA procedures 


Notice of an audit

Affiliated Providers will be given no less than five working days’ notice of an audit. If there is reason to believe the integrity of the audit could be breached or a serious specific incident has taken place Affiliated Providers will be given 24 hours’ notice.

Audit results

The results of all audits will be kept confidential between you and Southern Cross. Identifiable personal information will not be recorded in the audit reports.
If you have any questions about this process, please contact or call the Provider line on
0800 770 843.