HEALTH INSURANCE ACT 1973 - SECT 23DZZIE Meaning of requester and provider

HEALTH INSURANCE ACT 1973 - SECT 23DZZIE

Meaning of requester

  (1)   For the purposes of this Part, a person is a requester of a kind of pathology service if the person is one or more of the following:

  (a)   a practitioner, a participating midwife or a participating nurse practitioner;

  (b)   a person who employs, or engages under a contract for services, a person specified in paragraph   (a);

  (c)   a person who exercises control or direction over a person specified in paragraph   (a) (in his or her capacity as such a person).

  (2)   For the purposes of this Part, a person is a requester of a kind of diagnostic imaging service if the person is one or more of the following:

  (a)   a medical practitioner;

  (b)   if the service is of a kind specified in regulations made for the purposes of subsection   16B(2)--a dental practitioner;

  (c)   if the service is of a kind specified in regulations made for the purposes of subsection   16B(3)--a chiropractor;

  (d)   if the service is of a kind specified in regulations made for the purposes of subsection   16B(3A)--a physiotherapist;

  (e)   if the service is of a kind specified in regulations made for the purposes of subsection   16B(3B)--a podiatrist;

  (f)   if the service is of a kind specified in regulations made for the purposes of subsection   16B(3C)--an osteopath;

  (fa)   if the service is of a kind specified in regulations made for the purposes of subsection   16B(3D)--a participating midwife;

  (fb)   if the service is of a kind specified in regulations made for the purposes of subsection   16B(3E)--a participating nurse practitioner;

  (g)   in any case:

  (i)   a person who employs, or engages under a contract for services, a person specified in paragraphs   (a) to (fb); or

  (ii)   a person who exercises control or direction over a person specified in paragraphs   (a) to (fb) (in his or her capacity as such a person).

Meaning of provider

  (3)   For the purposes of this Part, a person is a provider of a kind of pathology service or diagnostic imaging service if the person is one or more of the following:

  (a)   a person who renders that kind of service;

  (b)   a person who carries on a business of rendering that kind of service;

  (c)   a person who employs, or engages under a contract for services, a person specified in paragraph   (a) or (b);

  (d)   a person who exercises control or direction over a person (the second person ) specified in paragraph   (a) or (b) (in the second person's capacity as a person specified in paragraph   (a) or (b));

  (e)   an approved pathology practitioner;

  (f)   an approved pathology authority.

  (4)   For the purposes of this Part, a person is a provider if the person is a provider of any kind of pathology service or diagnostic imaging service.