✨ Health Service Provider Regulations
7 NOVEMBER NEW ZEALAND GAZETTE 4239
E7.4 In the event that an audit identifies you have been under-claiming this will be noted in
the audit report and you should seek approval from the approving Dental Officer of
the District Health Board for reimbursement.
E8 OUTCOMES OF AN AUDIT
E8.1 If, as a result of an audit we have reason to believe that you have not met your
obligations set out in this Notice, in addition to any other rights we have under this
Notice, we may refer your case to a Complaints Body for investigation.
E8.2 In addition to clause E8.1 we may require that you obtain the approval of the Dental
Officer of the District Health Board, in every case, before claiming for payment for
any Services outlined in this Notice.
E9 ADVISORY COMMITTEE
E9.1 We may use an Advisory Committee at any time to advise us on any complaints or
issues regarding any aspect of this Notice, including any claiming or payment matters
or any aspect of your performance of your obligations under this Notice or your
delivery of the Services.
E9.2 The Advisory Committee will comprise a chairperson appointed by us and an even
number of members:
a. half of whom are to be appointed by us or our agent from nominations made
by DHBs and the Ministry, half of these members being Dentists; and
b. half of whom are Dentists who hold a current annual practising certificate and
who are to be appointed by us or our agent from nominations made by the
New Zealand Dental Association.
E9.3 We agree to meet the costs of the Advisory Committee.
E9.4 Any referral by us to an Advisory Committee is without prejudice to, and does not
amount to a waiver of, any other right we have under this Notice. We may withdraw
a matter from consideration by an Advisory Committee at any time if the matter
becomes subject to an investigation by another Complaints Body or becomes the
subject of court proceedings. We will consider any advice or recommendation of an
Advisory Committee with an open mind but are not bound to follow any advice or
recommendation given.
E9.5 Where any complaint or dispute is referred to the Advisory Committee, both of us
agree to assist the Advisory Committee in its enquiry by answering questions,
providing information and otherwise. You agree to make available to the Advisory
Committee any item which is material to the enquiry, whether or not that item is
specifically requested by the Advisory Committee. Any requirement to make
available the clinical records of a Patient will comply with the provisions of the
Privacy Act 1993 and the Health Information Privacy Code 1994.
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Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2003, No 151
Gazette.govt.nz —
NZ Gazette 2003, No 151
✨ LLM interpretation of page content
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Provider Quality Specifications for Services
(continued from previous page)
🏥 Health & Social WelfareAudit outcomes, Advisory Committee, Complaints Body, Claims processing, Compliance