Commonwealth Consolidated Acts

DENTAL BENEFITS ACT 2008 - SECT 56B

Amount paid substantiated

  (1)   If:

  (a)   a person produces to the Chief Executive Medicare, or to a Human Services employee, a document, extract or copy relating to a dental service after being requested, or required under section   32C, to do so; and

  (b)   the Chief Executive Medicare decides that the information contained in the document, extract or copy properly substantiates that the amount paid, by way of dental benefit, in respect of the service, should have been paid;

the Chief Executive Medicare must give the person written notice of the decision.

Circumstances beyond control exist

  (2)   If the Chief Executive Medicare is satisfied, for the purposes of subsection   56A(2) or (4), that circumstances beyond a person's control exist, the Chief Executive Medicare must give the person written notice of the decision.

  (3)   If the Chief Executive Medicare is satisfied, for the purposes of subsection   56A(6), that circumstances exist beyond the control of:

  (a)   the person from whom the amount concerned is recoverable; and

  (b)   the recipient of the notice concerned;

the Chief Executive Medicare must give written notice of the decision to the person from whom the amount concerned is recoverable.

Notice may include notice of other decisions

  (4)   The Chief Executive Medicare's written notice to a person of a decision may include written notice of other decisions referred to in this section, or section   56C, that also are required to be given to the person.