The range of the total amount of the medical payment of this Insurance each year shall be proposed by the Competent Authority no later than six months prior to the commencement of the fiscal year and reported to the Executive Yuan for approval after consultation with the NHIC.

the NHIC shall negotiate and reach the agreement on, no later than 3 months prior to the commencement of each fiscal year, the aggregate amount of the medical payment and the method of allocation, within the range of the total amount of the medical payment approved by the Executive Yuan under the previous article, and report to the Competent Authority for approval. The Competent Authority shall make decision at its own discretion in case the NHIC does not reach an agreement in time.
The allotment for ambulatory care and hospitalization expenses of the budget for the aggregate payment described in the preceding paragraph may be specified by district.
The allocation ratio and a system of separating accounts for medical and pharmaceutical expenses may be established in regard to the budget for payment of the ambulatory care described in the preceding paragraph, according to the ambulatory care services provided by physicians, Chinese medicine doctors and dentists, pharmaceutical services and expense of drugs.
After the benefit expense package in Paragraph 1 has been drafted, the Insurer should ask premium payer representatives, insurance medical care provider representatives, and experts to study and promote the global budget payment system.
The agenda for the study process in the preceding paragraph should be announced seven days before and the list of attendees and minutes of the meeting made public within ten days after the meeting.
The scope of district mentioned in Paragraph 2 shall be determined by the Insurer and submitted to the Competent Authority for approval.

The contracted medical care institutions shall declare to the Insurer the points of the medical services rendered and expense of drugs, based on the Fee Schedule and Reference List for Medical Services and the Reference List for Drugs.
Contracted medical care institutions should declare the medical expenses in the preceding paragraph within the first day of month following the treatment to six months. However, should there be unavoidable circumstances, another six months after the fact will be provided.
The Insurer shall calculate the value of each point based on the budget allocated according to in the preceding article and the total points of medical service as reviewed by the Insurer. The Insurer shall pay each contracted medical care institution according to the reviewed points.
The drug expenses shall be paid to the contracted medical care institutions after being examined by the Insurer. In case the payment of expense exceeds the preset total of drug expense ratio target, exceeding the targeted amount, the Insurer shall adjust the drug expense payment and payment schedule for the following year. The amount in excess shall be deducted from the budget for the medical benefit payment for the current season and adjust the payment to contracted medical care institutions according to expenditure targets.

The Insurer, in order to examine the item, quantity and quality of the medical service of this Insurance provided by the contracted medical care institutions, shall appoint medical and pharmaceutical specialists who have clinical or relevant experiences to conduct the review, which should be based on the approved payment; the review work should be assigned to the relevant professional agency or group.
Review of the medical services in the preceding paragraph shall be done before, during, and after the matter; sampling or case analysis will be the methods used.
The Competent Authority shall establish the procedure and schedule for medical expense application and payment, as well as rules for reviewing medical services.
The Insurer shall be responsible for drafting the contract items of Paragraph 1, the contracted institutions, qualifications of the group, selection and revision of procedure, supervision and relevant pertaining to rights and responsibilities and reporting these matters to the Competent Authority for approval.

In case the other contracted medical care institutions fill the prescription, conduct lab tests or diagnostic examinations in accordance with the physician's instruction, and the Insurer, after the examination determines not to pay the benefits due to the physician's improper instruction, such expenses incurred thereof shall be borne by the medical institution where the physician practices by applying for reduction of medical expenses.

Paragraph 3 of Article 61, and Paragraph 4 of Article 62 may be implemented in stages, with the respective implementation dates to be set by the Competent Authority. Before the implementation date, the amount of payment for each point in the Fee Schedule and Reference List for Medical Services shall be decided by the Competent Authority.