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Laws & Regulations Database of The Republic of China (Taiwan)

Print Time:2024/11/24 01:11
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Chapter Law Content

Chapter I General Principles
Article 1
The Regulations is enacted pursuant to Paragraph 3, Article 6 of National Health Insurance Acts (hereinafter referred to as "the Act").
Article 2
If beneficiary, insured units, premium withholder and insurance contracted medical care institutions dispute against insurer over the following National Health Insurance benefit case evaluated by the insurer, they shall apply for mediation first in accordance with the Regulations:
I. The matters concerning the insured's qualification and the insurance procedures.
II. The matters concerning the insured amount.
III. The matters concerning the insurance premium, the late fee and the pecuniary fine.
IV. The matters concerning the insurance payment.
V. Other matters concerning the insurance benefits.
If insurance contracted medical care institutions dispute against insurer over the National Health Insurance medical expenditure case evaluated by the insurer, shall apply for mediation in accordance with the Regulation.
If insurance contracted medical care institutions dispute against insurer over the insurance contracted medical care institutions exclusive management case evaluated by the insurer, shall apply for mediation in accordance with the Regulation.
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