We are committed to the purpose of striving for better health outcomes for our private health insurance members.
As part of this commitment, ahm considers working collaboratively with our associated hospital partners as a priority to ensure this happens. Please find below information to assist with this process including frequently used forms and reference points for any hospital enquiries.
ahm actively utilises Eclipse for both claiming and eligibility and if not already doing so, would like to encourage all Private and Public hospitals to use this channel moving forward. Eclipse is quick and simple and provides more detail in eligibility checking. For further information, please contact us on the details below.
Forms and resources
- Cochlear replacement form
- Discretionary funding request form
- Insulin pump replacement form
- ahm PEC form
- ahm accident form
Submitting your form
Please upload your form by logging in to your account.
For enquiries and assistance with matters including:
- Member eligibility
- Waiting periods
- Pre-exising ailments
- Claims handling
- Excesses and co-payments
- Restricted services
Please email firstname.lastname@example.org and we will respond to your enquiry within 2 business days
For urgent enquiries please contact our Hospital Team by choosing the provider option on 134 246
If you need to make an adjustment to a claim that has already been submitted, please email a copy of the amended account to email@example.com
ahm are working towards moving away from issuing cheques to providers for claim benefits and won’t be accepting provider refunds via cheque. Instead, we’ll be use Electronic Funds Transfer (EFT) to get payments to you faster – in 2 to 3 business days. Now that’s gotta be good. This is an early notification to help you prepare for these changes. Stay tuned – updates are coming soon.