The majority of AXA Health-recognised individual providers have accepted our agreement and follow our Schedule of Procedures and Fees. We believe contracting with providers ensures fair and transparent dealings between us. It also helps ensure private healthcare offers good value for our members.
In return, we offer:
Fee-limited providers, who don’t follow our Schedule of Procedures and Fees:
When patients seek to authorise procedures proposed by a fee-limited specialist, our Personal Advisers will offer them the choice of seeing a fee-approved specialist, who won’t make them pay a fee shortfall.
To become a fee-approved specialist, please click on the button below to fill out a form.
In return for abiding by our Schedule of Procedures and Fees, we offer:
We believe contracting with specialists ensures fair and transparent dealings between us. It also helps ensure private healthcare offers good value for our members.
We’ll continue to work with you, but as a fee-limited specialist. This means:
We work with the Clinical Coding and Schedule Development (CCSD) group to help create industry standard procedure codes.
We publish any new codes in the "Important information" section of our Schedule of Procedures and Fees. Please use these codes when billing us for treatment. They should be reasonable and within their intended purpose, as defined by the CCSD.
If you’re not sure which code to use, please submit your query to us here:
For new Clinical Coding and Schedule Development (CCSD) codes, please submit your request here:
Our Billing Principles support your recognition status and form part of your contract, giving clarity in your work with us and support for your patients’ care. Please take some time to read these principles, which will guide you on the best way to work with us.