Use the online form on this page to register or update your medical provider numbers with AHSA for Access Gap Cover (AGC).
You can use the online form on this page to:
- Register your medical provider number(s)
- Update your existing registration details (e.g. bank account, email, phone number, contact person, or postal address).
You do not need to register provider numbers that are only used for outpatient services.
To start the on-line form please scroll to the end of this page, where the text box says
"Please enter your email address"
"Please enter your email address"
Before you start
Please make sure you have all the required documents and information ready. You will need:
- AHPRA number(s)
- medical specialty(s)
- provider number(s)
- a copy of your current and new Bank details if they are changing
- a copy of the redacted bank statement to upload
- a copy of your Medicare confirmation letter OR screenshot of PRODA profile for each provider number (to upload).
- Doctor’s mobile number and personal (non-work related) email address.
For guidance on how to prepare your documents, please read Preparing documents for the provider form – AHSA Doctors.
Important: Please ensure you use the accepted format (PDF, jpg, tif) for these files, or the form may be rejected.
- AHPRA number(s)
- medical specialty(s)
- provider number(s)
- a copy of your current and new Bank details if they are changing
- a copy of the redacted bank statement to upload
- a copy of your Medicare confirmation letter OR screenshot of PRODA profile for each provider number (to upload).
- Doctor’s mobile number and personal (non-work related) email address.
For guidance on how to prepare your documents, please read Preparing documents for the provider form – AHSA Doctors.
Important: Please ensure you use the accepted format (PDF, jpg, tif) for these files, or the form may be rejected.
What to expect after lodgement
- Forms can take up to 14 days to process.
- You will receive an email once your registration or changes have been confirmed.
- Your registration will be backdated 3 months from the date it is processed. You will receive an email to confirm when you can start claiming.
Already registered with Access Gap Cover?
If your provider numbers are already registered with Access Gap Cover, you do not need to re-register.
Provider Details & Direct Credit Authority online form
To get started, please enter your email address below. This will then load the online form to register or update your details for Access Gap Cover.