Commonwealth Consolidated Acts Commonwealth Consolidated Acts(1) The complaint may be about:
(a) any matter arising out of or connected with a private health insurance arrangement; or
(b) any matter arising out of or connected with Chapter 2 of the Private Health Insurance Act 2007 .
(2) A complaint against a health care provider must, in addition to being about a matter in subsection (1), also:
(a) be about either or both of the following:
(i) the application of a private health insurance arrangement to goods or a service provided, or goods manufactured or supplied, by the health care provider;
(ii) a private health insurance arrangement to which the health care provider is, or was at the time of the incident to which the complaint relates, a party; and
(b) satisfy at least one of the following:
(i) the complaint must also be made against a private health insurer;
(ii) the complainant must be a private health insurer or a person insured under a private health insurance policy;
(iii) if the complainant is another health care provider or a private health insurance broker--a private health insurer or a person insured under a private health insurance policy must also be a complainant in relation to the complaint.
(3) The Private Health Insurance Ombudsman Rules may prescribe matters about which complaints cannot be made.