Regulations Governing Contracting and Management of the National Health Insurance Contracted Medical Care Institutions Article 36

The Insurer may impose one contract-violation point to the contracted medical care institutions for any of the following circumstances:1. Patient transfer not conducted in accordance with medical laws or laws and regulations in relation to the Insurance;2. Violation of Articles 10 to 14, Articles 16 to 17, Article 25, Paragraph 2 of Article 32, Article 33 or Article 34;3. Failure to audit the medical papers of insurance beneficiaries in accordance with the Regulations Governing the National Health Insurance Medical Care. Notwithstanding, the above may not apply to the case where the National Health Insurance Card is later submitted for inspection after emergency treatment is given;4. Failure to return the Insurance medical expenses after deducting the co-payments made by the beneficiary pursuant to the Regulations;5. Failure to charge insurance beneficiaries the fees they shall pay at their own expense or declare medical expenses, as stipulated by the Regulations;6. Improper solicitation of patents for accepting medical services covered by the Insurance and such behavior penalized by the health competent authority;7. Improper request for difference payment from a beneficiary with the difference exceeding the maximum benefit set by the Insurer;8. In violation of Article 73 of the Act; or9. Failure to rectify the situation within the deadline set forth by the Insurer.