Clubs · Dec 16, 2024 · 1 min read
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Clubs · Dec 16, 2024 · 1 min read
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iGuide Stories
This article explains the concept of health insurance disputes and provides detailed information on how disputes are resolved according to legal regulations. It helps readers better understand the situations where disputes may arise, the steps to take to protect their rights, and effective dispute resolution measures. Understanding these regulations will help health insurance participants handle arising issues confidently and accurately.
1. Disputes on health insurance and dispute resolution are stipulated in Article 48 of the Law on Health Insurance as follows:
Disputes over health insurance are disputes related to health insurance rights, obligations and responsibilities between the following subjects:
- Health insurance participants as prescribed, representatives of health insurance participants;
- Organizations and individuals pay health insurance according to regulations;
- Health insurance organization;
- Health insurance medical examination and treatment facilities.
2. Disputes about health insurance are resolved as follows:
- The disputing parties are responsible for self-reconciliation regarding the content of the dispute;
- In case of unsuccessful conciliation, the disputing parties have the right to file a lawsuit at Court in accordance with the provisions of law.
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