Document ID: chunk:federal_register_of_legislation:C2014A00115:clause:1_56a:p1
Version: federal_register_of_legislation:C2014A00115
Segment Type: clause
Provision Reference: sch 1 cl 56A (pt 1/2)
Character Range: 30064–32800

56A  Recovery of amounts paid: requirements under Part 4A to produce documents

Failure to produce document: notice to person referred to in paragraph 32C(1)(a)
 (1) If:
 (a) a person referred to in paragraph 32C(1)(a) is required, by a notice given under section 32C, to produce a document, extract or copy in respect of a dental service; and
 (b) the person does not comply with the requirement within the period specified in the notice;
the amount paid, purportedly by way of dental benefit, in respect of the service, is recoverable as a debt due to the Commonwealth from the person, or the estate of the person.
 (2) Subsection (1) does not apply if the person concerned satisfies the Chief Executive Medicare that the person's non‑compliance is due to circumstances beyond the person's control.
Note: See section 56D for review of decisions.

Amount not properly substantiated: notice to person referred to in paragraph 32C(1)(a)
 (3) If:
 (a) a person referred to in paragraph 32C(1)(a) is required, by a notice given under section 32C, to produce a document, extract or copy in respect of a dental service; and
 (b) the person complies with the requirement within the period specified in the notice; and
 (c) the information contained in the document, extract or copy does not properly substantiate (wholly or partly) that the amount paid, purportedly by way of dental benefit, in respect of the service, should have been paid;
then, to the extent that the amount is not properly substantiated, the amount is recoverable as a debt due to the Commonwealth from the person, or the estate of the person.
 (4) Subsection (3) does not apply if the person concerned satisfies the Chief Executive Medicare that the reason that the information contained in the document, extract or copy does not properly substantiate the amount is due to circumstances beyond the person's control.
Note: See section 56D for review of decisions.

Amount not properly substantiated: notice to person referred to in paragraph 32C(1)(b)
 (5) If:
 (a) a person (the notice recipient) referred to in paragraph 32C(1)(b) is required, by a notice given under section 32C, to produce a document, extract or copy in respect of a dental service; and
 (b) the notice recipient complies with the requirement within the period specified in the notice; and
 (c) the information contained in the document, extract or copy does not properly substantiate (wholly or partly) that the amount paid, purportedly by way of dental benefit, in respect of the service, should have been paid;
then, to the extent that the amount is not properly substantiated, the amount is recoverable as a debt due to the Commonwealth from:
 (d) the person who rendered the service, or on whose