Health Insurance Act 1973
23DZZIEMeaning of requester and provider
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23DZZIE Meaning of requester and provider
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.