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Private Health Insurance Act 2007
279‑10 Requirements relating to reimburs279‑10 Requirements relating to reimbursement claims
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279‑10 Requirements relating to reimbursement claims
(1) A private health insurer may only make one claim each month for reimbursement from the Chief Executive Medicare of amounts by which premiums under a *complying health insurance policy issued by the private health insurer are reduced.
(2) The claim must:
(a) be made within 7 days after the end of a month; and
(b) be given to the Chief Executive Medicare electronically in accordance with the electronic system approved by the Chief Executive Medicare under section 333‑16 for the purposes of this paragraph; and
(c) include the information required by that system to be included in the claim; and
(d) be accompanied by any documents required by that system to accompany the claim.
(3) Before making a claim, a private health insurer must be satisfied that:
(a) the claim only includes amounts by which premiums under a *complying health insurance policy issued by the private health insurer have been reduced because of the operation of Division 23; and
(b) the private health insurer was a *participating insurer when the premiums were reduced; and
(c) the premiums were reduced in the 36 month period ending before the month in which the claim for reimbursement is made; and
(d) the amounts have not previously been reimbursed to the private health insurer under this Division.