Private Health Insurance (Data Provision) Rules 2013 (Cth)

Private Health Insurance (Data Provision) Rules 2013

I, GARETH SEBAR, delegate of the Minister for Health, make these Rules under item 9 of the table in section 333-20 of the Private Health Insurance Act 2007.

Dated

16 December 2013

____________________________________

Gareth Sebar

Assistant Secretary

Financing and Analysis Branch

Acute Care Division

Department of Health

Contents

2. Commencement and revocation 3

1.Name of Rules

These Rules are the Private Health Insurance (Data Provision) Rules 2013.

2.Commencement

These Rules commence on the day after these Rules are registered.

3.Revocation

These Rules revoke the Private Health Insurance (Data Provision) Rules 2012.

4.Definitions

In these Rules:

Act means the Private Health Insurance Act 2007.

GT-Dental Data from Insurers to the Department means the protocol set out in the document approved by the Assistant Secretary of the Financing and Analysis Branch of the Department of Health on 16 December 2013 which consists of “Data Specifications (GT-Dental)” and “Explanatory Notes (GT-Dental)”.

HCP1 Data from Insurers to the Department means the protocol set out in the document approved by the Assistant Secretary of the Financing and Analysis Branch of the Department of Health on 16 December 2013 which consists of “Data Specifications (HCP1)” and “Explanatory Notes (HCP1)”.

HCP2 Data from Insurers to the Department means the protocol set out in the document approved by the Assistant Secretary of the Financing and Analysis Branch of the Department of Health on 16 December 2013 which consists of “Data Specifications (HCP2)” and “Explanatory Notes (HCP2)”.

Note: Terms used in these Rules have the same meaning as in the Act ―see section 13 of the Legislative Instruments Act 2003. These terms include:

health benefits fund

private health insurer

5.Information to be provided

(1) For section 172-10 of the Act, the kinds of information, relating to the treatment of insured persons, that private health insurers are to give to the Secretary of the Department are the kinds of information specified in:

(a) GT-Dental Data from Insurers to the Department;

(b) HCP1 Data from Insurers to the Department; and

(c) HCP2 Data from Insurers to the Department.

(2) For the purposes of interpreting the kinds of information to be provided with respect to “Data Specifications (GT-Dental)”, reference must be made to “Explanatory Notes (GT-Dental)”.

(3) For the purposes of interpreting the kinds of information to be provided with respect to “Data Specifications (HCP1)”, reference must be made to “Explanatory Notes (HCP1)”.

(4) For the purposes of interpreting the kinds of information to be provided with respect to “Data Specifications (HCP2)”, reference must be made to “Explanatory Notes (HCP2)”.