Commonwealth Consolidated Acts

[Index] [Table] [Search] [Search this Act] [Notes] [Noteup] [Previous] [Next] [Download] [Help]

HEALTH INSURANCE ACT 1973 - SECT 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.



AustLII: Copyright Policy | Disclaimers | Privacy Policy | Feedback