Commonwealth Consolidated Acts

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PRIVATE HEALTH INSURANCE ACT 2007 - SECT 328.5

ART review of decisions

    An application may be made to the Administrative Review Tribunal for the review of any of the following decisions:

 

Reviewable decisions

Item

Decision

Provision under which decision is made

1

To reject an application for registration of a person in respect of a health insurance policy

section   23 - 20

2

To revoke a person's registration in respect of a health insurance policy

section   23 - 35

4

To refuse to make a declaration, or to revoke a declaration, that a facility is a * hospital

subsection   121 - 5(6)

4A

To specify a condition, in relation to a particular facility, to which a declaration that a facility is a * hospital is subject

paragraph   121 - 7(1)(b)

5

To decide that a * hospital does not satisfy the assessment criteria set out in the Private Health Insurance (Health Insurance Business) Rules

section   121 - 8A

6

To decide to revoke a * hospital's inclusion in a class set out in the Private Health Insurance (Health Insurance Business) Rules

section   121 - 8C

31

To direct a private health insurer not to make a change that it proposes to make to its * rules

subsection   169 - 10(2)

32

To refuse a request for a longer period for a private health insurer to respond to a request for an explanation

subsection   191 - 1(3)

33

To refuse to consent to a private health insurer withdrawing or varying an undertaking

subsection   197 - 1(3)

34

To give a direction to a private health insurer

section   200 - 1

35

To revoke a private health insurer's status as a * participating insurer

section   206 - 1

38

To reject an application to become a * participating insurer

section   279 - 5

39

On reconsideration of a decision notifying a private health insurer in relation to a claim for payment under Division   279

section   279 - 45

41

To affirm an original decision by the Chief Executive Medicare that an amount is recoverable as a debt under paragraph   282 - 1(1)(h) in respect of a payment made to an individual

section   282 - 15

42

To affirm an original decision by the Chief Executive Medicare to set off a debt against an amount otherwise payable to a person or his or her estate

section   282 - 15

43

Not to waive, or to waive only a part of, an amount of * late payment penalty

section   307 - 20



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