Regulations Governing the National Health Insurance Dispute Mediation Article 2
If the beneficiary, the group insurance applicant, the premium withholder, and the contracted medical care institutions dispute against the Insurer over the following National Health Insurance benefit case evaluated by the Insurer, they shall apply for mediation first in accordance with the Regulations:1. The matters concerning the beneficiary’s qualification and the insurance procedures.2. The matters concerning the insured payroll-related amount.3. The matters concerning the insurance premium, the belated surcharge, and the fine.4. The matters concerning the insurance benefits.5. Other matters concerning the insurance rights and interests.If the contracted medical care institution disputes against the Insurer over the National Health Insurance medical expenses case evaluated by the Insurer, it shall apply for mediation in accordance with the Regulations.If the contracted medical care institution disputes against the Insurer over the contracted medical care institution’s exclusive management case evaluated by the Insurer, it shall apply for mediation in accordance with the Regulations.
中文原文 全民健康保險爭議事項審議辦法第2條
保險對象、投保單位、扣費義務人及保險醫事服務機構對於保險人核定下列全民健康保險權益案件有爭議時，得依本辦法規定申請權益案件之審議：
一、關於保險對象之資格及投保手續事項。
二、關於被保險人投保金額事項。
三、關於保險費、滯納金及罰鍰事項。
四、關於保險給付事項。
五、其他關於保險權益事項。
保險醫事服務機構對於保險人核定全民健康保險醫療費用案件有爭議時，得依本辦法規定申請醫療費用案件之審議。
保險醫事服務機構對於保險人核定保險醫事服務機構特約管理案件有爭議時，得依本辦法規定申請特約管理案件之審議。
一、關於保險對象之資格及投保手續事項。
二、關於被保險人投保金額事項。
三、關於保險費、滯納金及罰鍰事項。
四、關於保險給付事項。
五、其他關於保險權益事項。
保險醫事服務機構對於保險人核定全民健康保險醫療費用案件有爭議時，得依本辦法規定申請醫療費用案件之審議。
保險醫事服務機構對於保險人核定保險醫事服務機構特約管理案件有爭議時，得依本辦法規定申請特約管理案件之審議。