Commonwealth Consolidated Acts

HEALTH INSURANCE ACT 1973 - SECT 129AAJ

             (1)  If the Chief Executive Medicare (the CEO ) makes a decision referred to in subsection 129AAI(1) about a person or an estate, the person or estate may apply in writing to the CEO, in the form approved in writing by the CEO, for a review of the decision.

             (2)  In making an application under subsection (1), the person or estate may provide the CEO with additional information to substantiate (wholly or partly) that the amount paid, purportedly by way of benefit or payment under this Act in respect of the service, should have been paid.

             (3)  An application for review of a decision must be made within 28 days after the person or estate is notified of the decision.

             (4)  On receiving an application for review of a decision, the CEO must:

                     (a)  review the decision; and

                     (b)  confirm, vary or revoke the decision.

             (5)  The CEO must give to the applicant written notice of the decision on the review within 28 days after receiving the application for review.

             (6)  To avoid doubt, a decision referred to in subsection 129AAI(1) (including such a decision varied under this section) may be reviewed under this section once only.