PRIVATE HEALTH INSURANCE INCENTIVES ACT 1998

CHAPTER 2 - THE INCENTIVE PAYMENTS SCHEME  

PART 3 - CLAIMS FOR PAYMENTS UNDER INCENTIVE PAYMENTS SCHEME  

Division 6 - Claims for payments  

SECTION 6-20   DETERMINATION OF CLAIM AND PAYMENT OF AMOUNT  

6-20(1)   [Decision within 14 days]  

The Medicare Australia CEO must make a decision granting or refusing the claim within 14 days after the day on which the claim is made.

6-20(2)   [Claim granted]  

If the claim is granted, the Medicare Australia CEO must pay to you the amount to which you are entitled.

6-20(3)   [Claim refused]  

If the claim is refused, the Medicare Australia CEO must cause to be served on you a notice stating that the claim has been refused and setting out the reasons for the refusal.