Regulations Governing Contracting and Management of the National Health Insurance Contracted Medical Care Institutions Article 35
The Insurer shall inform contracted medical care institutions to make improvements for any of the following circumstances:1. Failure to register the National Health Insurance Card and upload medical data of insurance beneficiaries in accordance with the regulations;2. Failure to assist the Insurer in applying for coverage by labor insurance for occupational diseases and accidents and the subrogation right under the compulsory automobile liability system by issuing the necessary receipts or assisting in filing;3. Non-purposeful errors in data filed for the survey of medicine prices;4. Other non-major breach of the terms and conditions of the franchise contract.
中文原文 全民健康保險醫事服務機構特約及管理辦法第35條
保險醫事服務機構有下列情事之一,保險人應通知其限期改善:
一、未依規定登錄保險對象之保險憑證及上傳保險對象之就醫資料者。
二、未協助保險人有關代辦勞工保險職業傷病醫療給付及強制汽車責任保險代位求償所需表單之收繳、填報等事宜者。
三、藥價調查申報資料錯誤,非屬故意者。
四、其他違反特約事項,非屬情節重大者。
一、未依規定登錄保險對象之保險憑證及上傳保險對象之就醫資料者。
二、未協助保險人有關代辦勞工保險職業傷病醫療給付及強制汽車責任保險代位求償所需表單之收繳、填報等事宜者。
三、藥價調查申報資料錯誤,非屬故意者。
四、其他違反特約事項,非屬情節重大者。