Regulations Governing Contracting and Management of the National Health Insurance Contracted Medical Care Institutions Article 4
The medical care institution or the responsible medical personnel applying to be a contractor will be disqualified should any of the following circumstances occur:1. Violation of medical care laws, currently under disciplinary suspension, or having unpaid fines;2. Violations of the laws and regulations governing National Health Insurance (hereinafter referred to as the “Insurance”) and as a result, contract suspended or terminated, or fines not paid up in full;3. Pending issues with the Insurer and refusal to cooperate to seek resolutions;4. Outstanding debts to the Insurer and refusal to allow the Insurer to deduct such outstanding payments from payable medical costs and expenses;5. Responsible medical personnel unable to practice due to illness as diagnosed by professional physician(s) and deemed by the Insurer on the basis of on-site investigations;6. Failure to renew expired licenses held by responsible medical personnel;7. Retention of responsible medical personnel(s) or medical personnel who have been subject to disciplinary action for violations but have not yet completed the enforcement.
中文原文 全民健康保險醫事服務機構特約及管理辦法第4條
申請特約之醫事機構或其負責醫事人員有下列情事之一者，不予特約：
一、違反醫事法令，受停業處分期間未屆滿，或受罰鍰處分未繳清。
二、違反全民健康保險（以下稱本保險）有關法令，經停止特約（以下稱停約）或終止特約，期間未屆滿，或受罰鍰處分未繳清。
三、與保險人有未結案件，且拒絕配合辦結。
四、對保險人負有債務未結清，且不同意由保險人於應支付之醫療費用中扣抵。
五、負責醫事人員因罹患疾病，經保險人實地訪查，並請相關專科醫師認定有不能執行業務之情事。
六、負責醫事人員執業執照逾有效期限，未辦理更新。
七、容留受違約處分尚未完成執行之服務機構之負責醫事人員或負有行為責任之醫事人員。
一、違反醫事法令，受停業處分期間未屆滿，或受罰鍰處分未繳清。
二、違反全民健康保險（以下稱本保險）有關法令，經停止特約（以下稱停約）或終止特約，期間未屆滿，或受罰鍰處分未繳清。
三、與保險人有未結案件，且拒絕配合辦結。
四、對保險人負有債務未結清，且不同意由保險人於應支付之醫療費用中扣抵。
五、負責醫事人員因罹患疾病，經保險人實地訪查，並請相關專科醫師認定有不能執行業務之情事。
六、負責醫事人員執業執照逾有效期限，未辦理更新。
七、容留受違約處分尚未完成執行之服務機構之負責醫事人員或負有行為責任之醫事人員。