Regulations Governing Contracting and Management of the National Health Insurance Contracted Medical Care Institutions Article 37

The Insurer may deduct ten times the reported medical expenses by the contracted medical care institutions based on the average total value of the most recent quarter of their locations should the contracted medical care institutions be found under any of the following circumstances:1. Failure to provide medical services according to prescription slips, medical records, or other records;2. Provision of medical services without diagnoses from physicians;3. Prescription slips or medical expenses reported not recorded in medical history or records;4. Failure to produce medical history or records to facilitate the reporting of medical expenses;5. Declaration of medical expenses knowing that patients use the National Health Insurance Card of others;6. Retention of personnel who are not qualified medical personnel to conduct medical personnel duties other than those of physicians;The Insurer may directly deduct the medical expenses payable to the contracted medical care institutions for the abovementioned deductions.