Date published:
PHI circular type:
PHI announcement
Audience:
Health sector
The 2025-26 final data specifications for collections under the Private Health Insurance Act 2007 will apply from 1 July 2025. The documents can be accessed at:
- Hospital Casemix Protocol (HCP) – Hospital to insurer
- Hospital Casemix Protocol – Inpatient (HCP1) – Insurer to department
- Hospital Casemix Protocol – Outpatient (HCP2) – Insurer to department
- General Treatment Dental (GT-Dental) – Insurer to department
- Private Hospital Data Bureau (PHDB) – Hospital to department.
See a list of changes for 2025–26, any changes from the previous year’s specifications are indicated in this and the data specification documents in red text.
Any questions relating to the final data specifications should be sent to hcp@health.gov.au.