Regulations Governing the National Health Insurance Dispute Mediation Article 19
The NHI Dispute Mediation Committee shall dismiss the mediation disposition for those who put forward applications without reason.The NHI Dispute Mediation Committee shall revoke all or one part of the original evaluation for those who put forward applications with reasons and shall approve the evaluation modification directly or remand it back to the Insurer for re-evaluation within the designate days according to the status.If the Insurer presents a position paper not in detail or fails to present a position paper within the designate days, the NHI Dispute Mediation Committee shall carry out the mediation disposition directly in conformity with the legal procedures.
中文原文 全民健康保險爭議事項審議辦法第19條
申請無理由者,爭審會應為駁回之審定。
申請有理由者,爭審會應撤銷原核定之全部或一部,並得視事件之情節,逕為變更之審定或發回保險人於指定相當期間內另為核定。
保險人所提意見書內容欠詳或屆期不提意見書者,爭審會得依職權逕為審定。
申請有理由者,爭審會應撤銷原核定之全部或一部,並得視事件之情節,逕為變更之審定或發回保險人於指定相當期間內另為核定。
保險人所提意見書內容欠詳或屆期不提意見書者,爭審會得依職權逕為審定。