A-29 - Health Insurance Act

Full text
64. A person who has furnished or received a service insured by the Board, his advocate or his representative duly authorized by or acting for him under the law may have access, notwithstanding section 83 of the Act respecting Access to documents held by public bodies and the Protection of personal information (chapter A-2.1), only to the following information:
(a)  the date on which the service was furnished;
(b)  the name and address of the person who furnished the service;
(c)  the sums paid by the Board for the service and the name of the persons to whom they were paid;
(d)  the description of the service that was furnished.
The Board shall be required to disclose such information, except that referred to in subparagraph d of the first paragraph, to the Minister of Revenue of Québec or to the Minister of Revenue of Canada, to the extent that such communication is necessary for the administration of an Act whose administration is under the responsibility of either of them, whenever he makes application to it therefor and it must disclose to the Minister of Health of Canada the information which it has obtained for the carrying out of this Act, whenever he makes application to it therefor, but it shall disclose such information only to such extent as is required for the purposes of the carrying out of the Canada Health Act (Revised Statutes of Canada, 1985, chapter C-6). In such cases, section 63 shall not apply to the members of the Board or to the officers and employees thereof authorized by it to disclose the information contemplated in this paragraph.
The Board must, in the cases, conditions and circumstances and for the services determined by regulation, transmit to every insured person for whom it has paid insured services a statement giving
(a)  the name of the health professional, of the institution, of the laboratory or of any person having furnished the services;
(b)  the dates on which the services were furnished;
(c)  the cost of each provision of service received by an insured person; and
(d)  the total sum thus paid for such services.
The Board is bound to verify periodically, using sampling techniques, whether the insured services of which it has assumed the cost have in fact been furnished.
1970, c. 37, s. 51; 1974, c. 40, s. 14; 1979, c. 1, s. 40; 1981, c. 22, s. 19; 1986, c. 95, s. 19; 1987, c. 68, s. 20; 1989, c. 50, s. 35; 1991, c. 42, s. 576; 1992, c. 21, s. 375; S.C. 1996, c. 8, s. 32; 1999, c. 89, s. 32, s. 42; 2016, c. 282016, c. 28, s. 27.
64. A person who has furnished or received a service insured by the Board, his advocate or his representative duly authorized by or acting for him under the law may have access, notwithstanding section 83 of the Act respecting Access to documents held by public bodies and the Protection of personal information (chapter A-2.1), only to the following information:
(a)  the date on which the service was furnished;
(b)  the name and address of the person who furnished the service;
(c)  the sums paid by the Board for the service and the name of the persons to whom they were paid.
The Board shall be required to disclose such information to the Minister of Revenue of Québec or to the Minister of Revenue of Canada, to the extent that such communication is necessary for the administration of an Act whose administration is under the responsibility of either of them, whenever he makes application to it therefor and it must disclose to the Minister of Health of Canada the information which it has obtained for the carrying out of this Act, whenever he makes application to it therefor, but it shall disclose such information only to such extent as is required for the purposes of the carrying out of the Canada Health Act (Revised Statutes of Canada, 1985, chapter C-6). In such cases, section 63 shall not apply to the members of the Board or to the officers and employees thereof authorized by it to disclose the information contemplated in this paragraph.
The Board must, in the cases, conditions and circumstances and for the services determined by regulation, transmit to every insured person for whom it has paid insured services a statement giving
(a)  the name of the health professional, of the institution, of the laboratory or of any person having furnished the services;
(b)  the dates on which the services were furnished;
(c)  the cost of each provision of service received by an insured person; and
(d)  the total sum thus paid for such services.
The Board is bound to verify periodically, using sampling techniques, whether the insured services of which it has assumed the cost have in fact been furnished.
1970, c. 37, s. 51; 1974, c. 40, s. 14; 1979, c. 1, s. 40; 1981, c. 22, s. 19; 1986, c. 95, s. 19; 1987, c. 68, s. 20; 1989, c. 50, s. 35; 1991, c. 42, s. 576; 1992, c. 21, s. 375; S.C. 1996, c. 8, s. 32; 1999, c. 89, s. 32, s. 42.
64. A person who has furnished or received a service insured by the Board, his advocate or his representative duly authorized by or acting for him under the law may have access, notwithstanding section 83 of the Act respecting Access to documents held by public bodies and the Protection of personal information (chapter A-2.1), only to the following information:
(a)  the date on which the service was furnished;
(b)  the name and address of the person who furnished the service;
(c)  the sums paid by the Board for the service and the name of the persons to whom they were paid.
The Board shall be required to disclose such information to the Minister of Revenue of Québec or to the Minister of Revenue of Canada, to the extent that such communication is necessary for the administration of an Act whose administration is under the responsibility of either of them, whenever he makes application to it therefor and it must disclose to the Minister of National Health and Social Welfare the information which it has obtained for the carrying out of this Act, whenever he makes application to it therefor, but it shall disclose such information only to such extent as is required for the purposes of the carrying out of the Canada Health Act (Revised Statutes of Canada, 1985, chapter C-6). In such cases, section 63 shall not apply to the members of the Board or to the officers and employees thereof authorized by it to disclose the information contemplated in this paragraph.
The Board must, in the cases, conditions and circumstances and for the services determined by regulation, transmit to every beneficiary for whom it has paid insured services a statement giving
(a)  the name of the health professional, of the institution, of the laboratory or of any person having furnished the services;
(b)  the dates on which the services were furnished;
(c)  the cost of each provision of service received by a beneficiary; and
(d)  the total sum thus paid for such services.
The Board is bound to make periodic sampling surveys for the purposes of verifying whether the insured services of which it has assumed the cost have in fact been furnished.
1970, c. 37, s. 51; 1974, c. 40, s. 14; 1979, c. 1, s. 40; 1981, c. 22, s. 19; 1986, c. 95, s. 19; 1987, c. 68, s. 20; 1989, c. 50, s. 35; 1991, c. 42, s. 576; 1992, c. 21, s. 375.
64. A person who has furnished or received a service insured by the Board, his advocate or his representative duly authorized by or acting for him under the law may have access, notwithstanding section 83 of the Act respecting Access to documents held by public bodies and the Protection of personal information (chapter A-2.1), only to the following information:
(a)  the date on which the service was furnished;
(b)  the name and address of the person who furnished the service;
(c)  the sums paid by the Board for the service and the name of the persons to whom they were paid.
The Board shall be required to disclose such information to the Minister of Revenue of Québec or to the Minister of Revenue of Canada, to the extent that such communication is necessary for the administration of an Act whose administration is under the responsibility of either of them, whenever he makes application to it therefor and it must disclose to the Minister of National Health and Social Welfare the information which it has obtained for the carrying out of this Act, whenever he makes application to it therefor, but it shall disclose such information only to such extent as is required for the purposes of the carrying out of the Canada Health Act (Revised Statutes of Canada, 1985, chapter C-6). In such cases, section 63 shall not apply to the members of the Board or to the officers and employees thereof authorized by it to disclose the information contemplated in this paragraph.
The Board must, in the cases, conditions and circumstances and for the services determined by regulation, transmit to every beneficiary for whom it has paid insured services a statement giving
(a)  the name of the health professional, of the establishment, of the laboratory or of any person having furnished the services;
(b)  the dates on which the services were furnished;
(c)  the cost of each provision of service received by a beneficiary; and
(d)  the total sum thus paid for such services.
The Board is bound to make periodic sampling surveys for the purposes of verifying whether the insured services of which it has assumed the cost have in fact been furnished.
1970, c. 37, s. 51; 1974, c. 40, s. 14; 1979, c. 1, s. 40; 1981, c. 22, s. 19; 1986, c. 95, s. 19; 1987, c. 68, s. 20; 1989, c. 50, s. 35; 1991, c. 42, s. 576.
64. A person who has furnished or received a service insured by the Board, his advocate or his representative duly authorized by or acting for him under the law may have access, notwithstanding section 83 of the Act respecting Access to documents held by public bodies and the Protection of personal information (chapter A-2.1), only to the following information:
(a)  the date on which the service was furnished;
(b)  the name and address of the person who furnished the service;
(c)  the sums paid by the Board for the service and the name of the persons to whom they were paid.
The Board shall be required to disclose such information to the Minister of Revenue of Québec or to the Minister of Revenue of Canada, to the extent that such communication is necessary for the administration of an Act whose administration is under the responsibility of either of them, whenever he makes application to it therefor and it must disclose to the Minister of National Health and Social Welfare the information which it has obtained for the carrying out of this Act, whenever he makes application to it therefor, but it shall disclose such information only to such extent as is required for the purposes of the carrying out of the Canada Health Act (Revised Statutes of Canada, 1985, chapter C-6). In such cases, section 63 shall not apply to the members of the Board or to the officers and employees thereof authorized by it to disclose the information contemplated in this paragraph.
The Board must, in the cases, conditions or circumstances determined by regulation, send to every beneficiary for whom it has paid insured services a statement giving:
(a)  the name of the professional in the field of health who furnished the services;
(b)  the date on which they were furnished and the nature of such services;
(c)  the amount paid by the Board for each performance of services; and
(d)  the total sum so paid for such services.
The Board is bound to make periodic sampling surveys for the purposes of verifying whether the insured services of which it has assumed the cost have in fact been furnished.
1970, c. 37, s. 51; 1974, c. 40, s. 14; 1979, c. 1, s. 40; 1981, c. 22, s. 19; 1986, c. 95, s. 19; 1987, c. 68, s. 20; 1989, c. 50, s. 35.
64. A person who has furnished or received a service insured by the Board, his advocate or his representative duly authorized by or acting for him under the law may have access, notwithstanding section 83 of the Act respecting Access to documents held by public bodies and the Protection of personal information (chapter A-2.1), only to the following information:
(a)  the date on which the service was furnished;
(b)  the name and address of the person who furnished the service;
(c)  the sums paid by the Board for the service and the name of the persons to whom they were paid.
The Board shall be required to disclose such information to the Minister of Revenue of Québec or to the Minister of Revenue of Canada, to the extent that such communication is necessary for the administration of an Act whose administration is under the responsibility of either of them, whenever he makes application to it therefor and it must disclose to the Minister of National Health and Social Welfare the information which it has obtained for the carrying out of this act, whenever he makes application to it therefor, but it shall disclose such information only to such extent as is required for the purposes of the carrying out of the Medical Care Act (Statutes of Canada). In such cases, section 63 shall not apply to the members of the Board or to the officers and employees thereof authorized by it to disclose the information contemplated in this paragraph.
The Board must, in the cases, conditions or circumstances determined by regulation, send to every beneficiary for whom it has paid insured services a statement giving:
(a)  the name of the professional in the field of health who furnished the services;
(b)  the date on which they were furnished and the nature of such services;
(c)  the amount paid by the Board for each performance of services; and
(d)  the total sum so paid for such services.
The Board is bound to make periodic sampling surveys for the purposes of verifying whether the insured services of which it has assumed the cost have in fact been furnished.
1970, c. 37, s. 51; 1974, c. 40, s. 14; 1979, c. 1, s. 40; 1981, c. 22, s. 19; 1986, c. 95, s. 19; 1987, c. 68, s. 20.
64. Nevertheless, a person contemplated in section 63 may disclose the date on which an insured service was furnished, the name and address of the person who furnished it, the sums paid by the Board for such service and the names of the persons to whom they were paid, but such information may be disclosed only to the person who furnished or received the service, his advocate or his representative duly authorized by or acting for him under the law.
The Board shall also be required to disclose such information to the Minister of Revenue of Québec or to the Minister of Revenue of Canada, to the extent that such communication is necessary for the administration of an Act whose administration is under the responsibility of either of them, whenever he makes application to it therefor and it must disclose to the Minister of National Health and Social Welfare the information which it has obtained for the carrying out of this act, whenever he makes application to it therefor, but it shall disclose such information only to such extent as is required for the purposes of the carrying out of the Medical Care Act (Statutes of Canada). In such cases, section 63 shall not apply to the members of the Board or to the officers and employees thereof authorized by it to disclose the information contemplated in this paragraph.
The Board must, in the cases, conditions or circumstances determined by regulation, send to every beneficiary for whom it has paid insured services a statement giving:
(a)  the name of the professional in the field of health who furnished the services;
(b)  the date on which they were furnished and the nature of such services;
(c)  the amount paid by the Board for each performance of services; and
(d)  the total sum so paid for such services.
The Board is bound to make periodic sampling surveys for the purposes of verifying whether the insured services of which it has assumed the cost have in fact been furnished.
1970, c. 37, s. 51; 1974, c. 40, s. 14; 1979, c. 1, s. 40; 1981, c. 22, s. 19; 1986, c. 95, s. 19.
64. Nevertheless, a person contemplated in section 63 may disclose the date on which an insured service was furnished, the name and address of the person who furnished it, the sums paid by the Board for such service and the names of the persons to whom they were paid, but such information may be disclosed only to the person who furnished or received the service, his advocate or his representative duly authorized by or acting for him under the law.
The Board shall also be required to disclose such information to the Minister of Revenue of Québec or to the Minister of Revenue of Canada whenever he makes application to it therefor and it must disclose to the Minister of National Health and Social Welfare the information which it has obtained for the carrying out of this act, whenever he makes application to it therefor, but it shall disclose such information only to such extent as is required for the purposes of the carrying out of the Medical Care Act (Statutes of Canada). In such cases, section 63 shall not apply to the members of the Board or to the officers and employees thereof authorized by it to disclose the information contemplated in this paragraph.
The Board must, in the cases, conditions or circumstances determined by regulation, send to every beneficiary for whom it has paid insured services a statement giving:
(a)  the name of the professional in the field of health who furnished the services;
(b)  the date on which they were furnished and the nature of such services;
(c)  the amount paid by the Board for each performance of services; and
(d)  the total sum so paid for such services.
The Board is bound to make periodic sampling surveys for the purposes of verifying whether the insured services of which it has assumed the cost have in fact been furnished.
1970, c. 37, s. 51; 1974, c. 40, s. 14; 1979, c. 1, s. 40; 1981, c. 22, s. 19.
64. Nevertheless, a person contemplated in section 63 may disclose the date on which an insured service was furnished, the name and address of the person who furnished it, the sums paid by the Board for such service and the names of the persons to whom they were paid, but such information may be disclosed only to the person who furnished or received the service, his advocate or his representative duly authorized by or acting for him under the law.
The Board shall also be required to disclose such information to the Minister of Revenue of Québec or to the Minister of Revenue of Canada whenever he makes application to it therefor and it must disclose to the Minister of National Health and Social Welfare the information which it has obtained for the carrying out of this act, whenever he makes application to it therefor, but it shall disclose such information only to such extent as is required for the purposes of the carrying out of the Medical Care Act (Statutes of Canada). In such cases, section 63 shall not apply to the members of the Board or to the officers and employees thereof authorized by it to disclose the information contemplated in this paragraph.
The Board is bound to make periodic sampling surveys for the purposes of verifying whether the insured services of which it has assumed the cost have in fact been furnished.
1970, c. 37, s. 51; 1979, c. 1, s. 40.
64. Nevertheless, a person contemplated in section 63 may disclose the date on which an insured service was furnished, the name and address of the person who furnished it, the sums paid by the Board for such service and the names of the persons to whom they were paid, but such information may be disclosed only to the person who furnished or received the service, his advocate or his representative duly authorized by or acting for him under the law.
The Board shall also be required to disclose such information to the Minister of Revenue of Québec or to the Minister of Revenue of Canada whenever he makes application to it therefor and it must disclose to the Minister of National Health and Social Welfare the information which it has obtained for the carrying out of this act, whenever he makes application to it therefor, but it shall disclose such information only to such extent as is required for the purposes of the carrying out of the Medical Care Act (Statutes of Canada). In such cases, section 63 shall not apply to the members of the Board or to the officers and employees thereof authorized by it to disclose the information contemplated in this paragraph.
1970, c. 37, s. 51.