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HEALTH INSURANCE ACT 1973 - SECT 20AD Review of decisions

HEALTH INSURANCE ACT 1973 - SECT 20AD

Review of decisions

  (1)   If the Chief Executive Medicare:

  (a)   decides not to approve a person or body as a billing agent under section   20AB; or

  (b)   revokes the approval of a person or body as a billing agent under section   20AC;

the person or body may apply to the Chief Executive Medicare for reconsideration by the Chief Executive Medicare of the decision.

  (2)   On receiving an application under subsection   (1) relating to a decision not to approve a person or body as a billing agent under section   20AB, the Chief Executive Medicare must reconsider the decision and:

  (a)   affirm the decision; or

  (b)   approve the person or body as a billing agent.

An approval under paragraph   (b) is taken, for the purposes of this Act, to be an approval under section   20AB.

  (3)   On receiving an application under subsection   (1) relating to a revocation of the approval of a person or body under section   20AC, the Chief Executive Medicare must reconsider the decision and:

  (a)   affirm the revocation; or

  (b)   reinstate the approval of the person or body.

A reinstatement under paragraph   (b) has effect as if the approval had never been revoked.

  (4)   The Chief Executive Medicare must give to the applicant written notice of the Chief Executive Medicare's decision on the revocation.

Note:   Section   27A of the Administrative Appeals Tribunal Act 1975 requires the person to be notified of the person's review rights.

  (5)   Application may be made to the Administrative Appeals Tribunal for review of a decision of the Chief Executive Medicare under paragraph   (2)(a) or (3)(a).

  (6)   In this section:

"decision" has the same meaning as in the Administrative Appeals Tribunal Act 1975 .

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