Private Health Insurance (Data Provision) Rules 2015 (Cth)

Private Health Insurance (Data Provision) Rules 2015

I, JANET ANDERSON, 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 7th May 2015

____________________________________

Janet Anderson

First Assistant Secretary

Acute Care Division

Department of Health

Contents

1.Name of Rules

These Rules are the Private Health Insurance (Data Provision) Rules 2015.

2.Commencement

These Rules commence on 1 July 2015.

3.Revocation

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

4.Definitions

In these Rules:

Act means the Private Health Insurance Act 2007.

HCP from Hospital to Insurers means the protocol set out in the document approved by the First Assistant Secretary of the Acute Care Division of the Department of Health on 25th April 2015 which consists of “Data Specifications (HCP)” and “Explanatory Notes (HCP)”.

HCP1 Data from Insurers to the Department means the protocol set out in the document approved by the First Assistant Secretary of the Acute Care Division of the Department of Health on 25th April 2015 which consists of “Data Specifications (HCP1)” and “Explanatory Notes (HCP1)”.

Private Hospital Data Bureau from Hospital to the Department means the protocol set out in the document approved by the First Assistant Secretary of the Acute Care Division of the Department of Health on 25th April 2015 which consists of “Data Specifications (Private Hospital Data Bureau)” and “Explanatory Notes (Private Hospital Data Bureau)”.

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) HCP Data from Hospital to Insurers;

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

(c) Private Hospital Data Bureau from Hospital to the Department.

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

(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 (Private Hospital Data Bureau)”, reference must be made to “Explanatory Notes (Private Hospital Data Bureau)”.