Information for providers

Frank has been offering simple, affordable health insurance since 2009. We’re part of GMHBA Limited, a well-respected not-for-profit health insurer that’s been caring for members since 1934.

Frank is here to make health insurance less confusing, cheaper and most importantly, something members will actually use. Honest, straightforward health insurance without the frills.

Here's what our Frank member cards (physical and digital) look like:

Contacting Frank

If you have any questions about Frank products or benefits, get in touch via webchat or call us on 1300 437 265.

Frank Health Insurance's ECLIPSE details

• Fund Brand ID: GMH
• Location ID: HSL00396

Information for hospital providers

Private hospital agreements

Frank members love the fact that we have agreements with more than 500 private hospitals around Australia. The Australian Health Service Alliance (AHSA) takes care of the paperwork.

Here's our current list of participating private hospitals.

If your hospital is on this list, there is a current AHSA agreement in place which you can refer to for further details.

Patient eligibility checks

You can perform Online Eligibility Checks (OEC) on ECLIPSE if a Frank member is being admitted to your hospital. All you need is the patient’s member number and admission details for an immediate response.

Refer to the Medicare ECLIPSE website for details on the functionality offered by each health fund.

ECLIPSE hospital claims

In short, billing Frank is just like sending an account to GMHBA.

You can submit Inpatient Hospital Claims (IHC) through ECLIPSE if a Frank member has been admitted to your hospital. All you need is the patient's member number and admission details.

Refer to the Medicare ECLIPSE website for details on the functionality offered by each health fund.

Information for medical providers

Access Gap Cover

Frank will pay inpatient medical benefits in line with the Australian Health Service Alliance’s Access Gap Cover scheme.

Medical providers can find out more information about Access Gap Cover and register here.

ECLIPSE medical claiming

You can submit Inpatient Medical Claims (IMC) through ECLIPSE if you've treated a Frank member as a private patient in hospital. All you need is the patient's member number and treatment details.

Refer to the Medicare ECLIPSE website for details on the functionality offered by each health fund.

Information for ancillary providers

We’ve put together a handy guide for ancillary providers with more information about:

• Frank benefits and general conditions
• Ancillary claiming criteria
• Exclusions

View the Frank Ancillary Providers Guide (effective October 2025)

If you're looking for details of Frank's Preferred, Member First, or Agreement network, you're not going to find them. Frank pays the same benefit, no matter who you are. So long as you're a registered provider of course.

Frank's members can use their member card to claim on the spot at any HICAPS or CSC HealthPoint terminal.

Frank participates in HICAPS Payments + Reconciliation solution and the Claims Settlement Service (CSS) for HealthPoint claims. That means payments for Frank members will be included in the single settlement payment each day.