Hicaps add provider 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out Section A, which includes your Practice Details. Ensure you complete mandatory fields such as Company/Practice Name, Merchant Number, and Terminal Number(s).
3. In Section B, provide Provider Details. Select the appropriate title, enter the first name, surname, and provider number. If applicable, indicate whether this is a new or amended entry and specify your specialty.
4. Complete Section C with Bank Details. Indicate how the account will be used (HICAPS/Health Fund Payments or EFTPOS Settlement) and fill in the account name, bank name, BSB, and account number.
5. Finally, in Section D, gather all required signatures from authorized signatories. Ensure that each signatory's name and position are clearly indicated along with the date.

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