A-29 - Health Insurance Act

Section 49 Disposition versions

1994-10-15

49. The revisory committee to which a matter has been referred under section 47 shall, after study, recommend to the Board either to pay the amount claimed in whole or in part or to refuse to pay that amount, or to require the reimbursement of any overpayment, by compensation or otherwise. The revisory committee may, before making its recommendation, obtain the opinion of the professional order concerned.

The revisory committee may base its recommendation on the fact that, in the dispensation of an insured service for a given period, an appreciable discrepancy is apparent between the record of practice of a professional and the records of practice of the professionals in the same discipline or carrying on the same activities under similar conditions or in similar social health regions.

The recommendation must be substantiated and signed by the chairman or the vice-chairman or the vice-chairman and the assenting members. Any dissenting member may make a separate report.

The recommendation, the separate reports of dissenting members and the opinions obtained must be transmitted by the secretary of the revisory committee, by registered mail, to the secretary of the Board.

1970, c. 37, s. 36; 1970, c. 38, s. 13; 1973, c. 30, s. 9; 1979, c. 1, s. 36; 1994, c. 40, s. 457.

1979-04-04

49. The revisory committee to which a matter has been referred under section 47 shall, after study, recommend to the Board either to pay the amount claimed in whole or in part or to refuse to pay that amount, or to require the reimbursement of any overpayment, by compensation or otherwise. The revisory committee may, before making its recommendation, obtain the opinion of the professional corporation concerned.

The revisory committee may base its recommendation on the fact that, in the dispensation of an insured service for a given period, an appreciable discrepancy is apparent between the record of practice of a professional and the records of practice of the professionals in the same discipline or carrying on the same activities under similar conditions or in similar social health regions.

The recommendation must be substantiated and signed by the chairman or the vice-chairman or the vice-chairman and the assenting members. Any dissenting member may make a separate report.

The recommendation, the separate reports of dissenting members and the opinions obtained must be transmitted by the secretary of the revisory committee, by registered mail, to the secretary of the Board.

1970, c. 37, s. 36; 1970, c. 38, s. 13; 1973, c. 30, s. 9; 1979, c. 1, s. 36.

1977-12-31

49. The revisory committee seized of a matter under section 47 shall, after study, recommend to the Board by a writing signed by the chairman of the committee, stating the reasons for the recommendation, either to pay the amount claimed in whole or in part or to refuse to pay that amount, or to require the reimbursement of any overpayment, by compensation or otherwise.

1970, c. 37, s. 36; 1970, c. 38, s. 13; 1973, c. 30, s. 9.