Clubs · Dec 16, 2024 · 1 min read
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Clubs · Dec 16, 2024 · 1 min read
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This article explains the concept of health insurance (HI) disputes and provides detailed information on how to resolve disputes according to the law. It helps readers better understand the situations where disputes may arise and the steps to take to protect their rights when participating in health insurance.
Disputes on health insurance and dispute resolution are regulated as follows (Article 48 of the Law on Health Insurance):
1. 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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