Private Health Insurance - PruHealth with Vitality

Information for healthcare providers

Private health insurance - choose your hospital - PruHealth UK

EVERYTHING YOU NEED TO KNOW ABOUT RECOGNITION AS A PROVIDER, GOOD PRACTICE GUIDELINES, FEES, BILLING AND INVOICING

We’re committed to providing our members with access to high quality, affordable healthcare and when we say ‘Full Cover’ we mean it. This means our members don’t have to worry about consultant charges for procedures, because we take care of the fees as long as the condition is eligible on their plan. This means they’ll never have to make up a shortfall in relation to these fees.

We regularly undertake benchmarking reviews to identify fees that we believe are reasonable and customary for the service provided and that reflect current clinical practice.

If we believe that your fees are not in line with these guidelines, we will work with you to agree reimbursement that is mutually acceptable and enables us to continue to offer the best possible service to our members.

The following pages provide further information about our benchmarking exercise, rates for specific procedures and our recognition criteria.

If you would like to apply to register a new facility or clinic with PruHealth, please email hospital_queries@pruhealth.co.uk

CONSULTANT FEES

Find out about fee eligibility, multiple procedure billing guidelines and unbundling rules.
Please note that some of our fees have recently changed. You can search for our reasonable and customary fee for any procedure here.

MORE ABOUT CONSULTANT FEES

GOOD PRACTICE

We provide advice on good clinical and financial practice for all consultants and therapists that we recognise.

READ OUR ADVICE

BILLING AND PAYMENT

Everything you need to know about registering for e-billing and BACS payments.

MORE ABOUT BILLING AND PAYMENT

Health practitioner e-billing

Personal healthcare - PruHealth with Vitality

Submit invoices securely and conveniently online


Practitioner log-in

Hospital or facility e-billing

Health insurance from PruHealth with Vitality

Log in to facility or hospital billing through Healthcode


Hospital log-in

Search for procedures

Search for procedures

Search by procedure code or description, or browse our index


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