Private Health Insurance (Data Provision) Rules 2018 (Cth)
made under item 9 of the table in subsection 333‑20(1) of the
This is a compilation of the
The notes at the end of this compilation (the
The effect of uncommenced amendments is not shown in the text of the compiled law. The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. Any uncommenced amendments affecting the law are accessible on the Register ( saving and transitional provisions
If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.
For more information about any editorial changes made in this compilation, see the endnotes.
The
If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. Any modifications affecting the law are accessible on the Register.
If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.
These Rules are the
Private Health Insurance (Data Provision) Rules 2018 .
In these Rules:
Act means thePrivate Health Insurance Act 2007 .
GT‑Dental Data from Insurers to the Departmen t means the protocol set out in the document approved by the Assistant Secretary of the Private Hospitals Branch of the Department of Health and Aged Care on 14 April 2025 which consists of “Data Specifications (GT‑Dental)” and “Explanatory Notes (GT‑Dental)”.
HCP1 Data from Insurers to the Department means the protocol set out in the document Supplementary – HCP Data Specifications HCP1 Insurer to Department 2025‑26 approved by the Assistant Secretary of the Private Hospitals Branch of the Department of Health, Disability and Ageing on 17 October 2025 and which consists of:
(a) Explanatory Notes;
(b) Data Specifications – Episode;
(c) Data Specifications – Medical;
(d) Data Specifications – MDHT; and
(e) Data Specification – AN‑SNAP.
HCP1 Data from Insurers to the Department 2024‑25 means the protocol set out in the document Supplementary – HCP Data Specifications HCP1 Insurer to Department 2024‑25 approved by the Assistant Secretary of the Data and Analytics Branch of the Department of Health, Disability and Ageing on 17 October 2025 and which consists of:
(a) Explanatory Notes;
(b) Data Specifications – Episode;
(c) Data Specifications – Medical;
(d) Data Specifications – MDHT; and
(e) Data Specification – AN‑SNAP.
HCP2 Data from Insurers to the Department means the protocol set out in the document approved by the Assistant Secretary of the Private Hospitals Branch of the Department of Health and Aged Care on 14 April 2025 which consists of “Data Specifications (HCP2)” and “Explanatory Notes (HCP2)”.Note: Terms used in these Rules have the same meaning as in the Act―see section 13 of the
Legislation Act 2003 . These terms include:health benefits fund
private health insurer
complying health insurance products
(1) For the purpose of section 172‑10(1) of the Act, in relation to the treatment of insured persons under complying health insurance products that are referable to health benefits funds, private health insurers must give to the Secretary of the Department the information specified in:
(a) GT‑Dental Data from Insurers to the Department; and
(b) HCP1 Data from Insurers to the Department; and
(ba) HCP1 Data from Insurers to the Department 2024‑25; and
(c) HCP2 Data from Insurers to the Department.
The endnotes provide information about this compilation and the compiled law.
The following endnotes are included in every compilation:
Endnote 1—About the endnotes
Endnote 2—Abbreviation key
Endnote 3—Legislation history
Endnote 4—Amendment history
The abbreviation key sets out abbreviations that may be used in the endnotes.
Amending laws are annotated in the legislation history and amendment history.
The legislation history in endnote 3 provides information about each law that has amended (or will amend) the compiled law. The information includes commencement details for amending laws and details of any application, saving or transitional provisions that are not included in this compilation.
The amendment history in endnote 4 provides information about amendments at the provision (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.
The
If the compilation includes editorial changes, the endnotes include a brief outline of the changes in general terms. Full details of any changes can be obtained from the Office of Parliamentary Counsel.
A misdescribed amendment is an amendment that does not accurately describe how an amendment is to be made. If, despite the misdescription, the amendment can be given effect as intended, then the misdescribed amendment can be incorporated through an editorial change made under section 15V of the
If a misdescribed amendment cannot be given effect as intended, the amendment is not incorporated and “(md not incorp)” is added to the amendment history.
ad = added or inserted | orig = original |
am = amended | p = page(s) |
amdt = amendment | para = paragraph(s)/subparagraph(s) |
C[x] = Compilation No. x | /sub‑subparagraph(s) |
ch = Chapter(s) | pres = present |
cl = clause(s) | prev = previous |
cont. = continued | (prev…) = previously |
def = definition(s) | pt = Part(s) |
Dict = Dictionary | r = regulation(s)/Court rule(s) |
disallowed = disallowed by Parliament | reloc = relocated |
div = Division(s) | renum = renumbered |
ed = editorial change | rep = repealed |
exp = expires/expired or ceases/ceased to have | rs = repealed and substituted |
effect | s = section(s)/subsection(s) |
gaz = gazette | /rule(s)/subrule(s)/order(s)/suborder(s) |
LA = | sch = Schedule(s) |
LIA = | SLI = Select Legislative Instrument |
(md) = misdescribed amendment can be given | SR = Statutory Rules |
effect | sub ch = Sub‑Chapter(s) |
(md not incorp) = misdescribed amendment | sub div = Subdivision(s) |
cannot be given effect | sub pt = Subpart(s) |
mod = modified/modification | |
No. = Number(s) | commenced or to be commenced |
Ord = Ordinance |
Private Health Insurance (Data Provision) Rules 2018 | 6 June 2018 (F2018L00717) | 1 July 2018 (s 2) | |
Private Health Insurance (Data Provision) Amendment Rules 2019 | 13 June 2019 (F2019L00817) | 1 July 2019 (s 2) | — |
Private Health Insurance (Data Provision) Amendment Rules 2020 | 15 May 2020 (F2020L00577) | 1 July 2020 (s 2(1) item 1) | — |
Private Health Insurance (Data Provision) Amendment Rules 2021 | 10 Feb 2021 (F2021L00110) | 1 July 2021 (s 2(1) item 1) | — |
Private Health Insurance (Data Provision) Amendment Rules 2022 | 13 May 2022 (F2022L00698) | 1 July 2022 (s 2(1) item 1) | — |
Private Health Insurance (Data Provision) Amendment Rules 2023 | 27 June 2023 (F2023L00879) | 1 July 2023 (s 2(1) item 1) | — |
Private Health Insurance (Data Provision) Amendment Rules 2024 | 17 Apr 2024 (F2024L00459) | 1 July 2024 (s 2(1) item 1) | — |
Private Health Insurance (Data Provision) Amendment Rules 2025 | 22 Apr 2025 (F2025L00512) | 1 July 2025 (s 2(1) item 1) | — |
Private Health Insurance (Data Provision) Amendment Rules (No. 2) 2025 | 21 Oct 2025 (F2025L01255) | 1 Nov 2025 (s 2(1) item 1) | — |
s 2............................................. | rep LA s 48D |
s 3............................................. | rep LA s 48C |
s 4............................................. | am F2019L00817; F2020L00577; F2021L00110; F2022L00698; F2023L00879; F2024L00459; F2025L00512; F2025L01255 |
s 5............................................. | am F2025L01255 |
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