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:
- the possibility of increased (specialist) referrals through our specialist appointment booking service
- negotiated fee uplifts in individual, complex cases
- no risk of fee shortfall to patients
- higher fees than for fee-limited providers.
Fee-limited providers, who don’t follow our Schedule of Procedures and Fees:
- won’t receive patients referred by our specialist appointment booking service
- receive fees which are 20% lower than those of fee-approved specialists
- can’t see all our members, as certain plans ask that patients see fee-approved doctors
- must recover any fee shortfall from patients.
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:
- the possibility of increased referrals through our specialist appointment booking service
- negotiated fee uplifts in individual, complex cases
- no risk of fee shortfall to your patient
- higher fees than for fee-limited specialists.
We believe contracting with specialists ensures fair and transparent dealings between us. It also helps ensure private healthcare offers good value for our members.
What happens if you don’t contract with us?
We’ll continue to work with you, but as a fee-limited specialist. This means:
- we won’t refer patients to you through our specialist appointment booking service
- your fees will be 20% lower than those of fee-approved specialists
- you won’t be able to see all our members, as certain plans ask that patients see fee-approved doctors
- it will be your responsibility to recover any fee shortfall from patients
- when your patients seek to authorise your proposed procedures, our Personal Advisers will offer them the choice of seeing a fee-approved specialist, who won’t make them pay a fee shortfall.
Please note that this link is for AXA Health recognised physicians and surgeons who wish to come into contract. If you are a practitioner or a psychiatrist please visit our recognition page.
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.