Commonwealth Consolidated Acts

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HEALTH INSURANCE ACT 1973 - SECT 106ZPM

Failing to produce documents or give information--benefits not payable, disqualification etc.

  (1)   If:

  (a)   a person under review is required to produce a document or give information by a notice given under subsection   89B(2) or 105A(2); and

  (b)   the person intentionally refuses or fails to comply with the requirement within the period specified in the notice;

a medicare benefit or dental benefit is not payable in respect of a service rendered or initiated by the person under review, by a person employed or otherwise engaged by the person under review, or by a person employed or otherwise engaged by a body corporate of which the person under review is an officer, at a time after the end of the period specified in the notice and before the document is produced or the information is given, as the case may be.

  (2)   If the Director considers that subsection   (1) prevents medicare benefits and dental benefits from being payable in respect of services rendered or initiated by the person under review, the Director must give a notice to that effect to the person.

  (3)   The Director must give a copy of a notice under subsection   (2) to the Chief Executive Medicare.

  (4)   If:

  (a)   subsection   (1) prevents medicare benefits and dental benefits from being payable in respect of services rendered or initiated by the person under review at a time; and

  (b)   the Director gave a notice under subsection   (2) to the person before that time;

the person is taken to be:

  (c)   fully disqualified at that time for the purposes of section   19D; and

  (d)   a disqualified practitioner for the purposes of sections   20B to 20E of the Dental Benefits Act 2008 .


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