Multi Merchant New Facility Form - Hicaps 2026

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The document outlines the necessary steps and information required for health providers to set up a new Multi Merchant Facility with HICAPS, Australia's leading health claiming service. It includes sections for provider details, bank account information, and declarations needed to complete the application process.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the Provider Details section. Enter your profession or specialty, title, given name(s), surname, and registered company name if applicable. Ensure you provide your ABN and the terminal receipt name.
Next, complete the Site Address section with the location address of the terminal, including state, phone number, mailing address, and email.
If applicable, provide your Medicare Australia provider number based on your profession. For dentists and other specified health providers, this is mandatory.
In Section B, indicate whether you are an existing health provider and fill in your details accordingly.
Proceed to Section C for Bank Details. Include a deposit slip or bank statement to validate your account information. Ensure that the account can be credited and debited by a third party.
Finally, complete Section D by signing the terminal owner’s declaration and indicating if you require additional credit facilities linked to your HICAPS terminal.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I set up a merchant?

Get a business license. To open a merchant account, youll have to prove your business is legitimate. Open a business bank account. Evaluate your needs. Compare providers. Complete an application to open your merchant account. Submit to underwriting. Get your merchant account approved and start processing. How to Open a Merchant Account: 7 Easy to Follow Steps to Set up an EBizCharge blog how-to-open-a-merchant EBizCharge blog how-to-open-a-merchant

How do I add a merchant account?

How to set up a merchant account Register your business. Get an EIN. Open a business bank account. Research merchant account providers. Complete an application. Provide supporting documentation. Wait for approval. Set up payment processing. How to get a merchant account: A step-by-step guide for businesses - Stripe Stripe resources more how-to-get-a-mer Stripe resources more how-to-get-a-mer

How do I add a merchant to HICAPS?

Steps: To add a provider to your existing HICAPS terminal go to hicaps.com.au/forms and select Register a new provider. Fill out your contact and HICAPS facility details including your Merchant ID and Terminal ID. Select the request type. Fill out the Add Provider component.

How do I order more HICAPS rolls?

To remove a Provider registration: Click on the Provider tab in the menu options of your HICAPS Digital account. Find and select the relevant Provider record in the Provider list or search by name. Find the relevant Provider registration. Select Remove.

How do I get a merchant ID?

A merchant account acts as an intermediary between the customer and the business, and holds a customers funds once a transaction is processed. Most merchants need a business bank account for regular operations and a merchant account to accept and hold digital payment funds. What is a Merchant Account? When How to Open One - Airwallex Airwallex blog merchant-account Airwallex blog merchant-account

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What is the meaning of HICAPS?

You can now order stationery (receipt rolls) directly from your HICAPS Trinity terminal by following these 4 simple steps. Tap Support on the screen. Tap Order Stationery. Tap Order Roll. Enter your mobile number to track order or Skip.