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05 September 2011
Louise Macleod
Director
Intelligence, Infocentre & Policy Liaison Branch
GPO Box 3131 Canberra, ACT 2601
Dear Director,
I am responding on behalf of the Australian Society of Orthodontists, Inc. (ASO).
The ASO supports the submission by the affiliate Association the Australian
Dental Association, Inc..
There is one area of concern of the ASO that relates to the use of ADA Item
numbers.
1.
Private Insurance providers are inconsistent in the ADA Item number
required to claim for a full-course of Orthodontic treatment or the application of
full-fixed appliances “braces”. In several states the ADA item number 881 is
required for a patient to gain a rebate. However, in other states a different ADA
Item number or sets of ADA Item numbers are required. This inherently will
result in different rebates being provided to patients. In some States no rebate
will be offered to the patient until the ADA Item number the Private Health
Insurance Company requires is submitted.
2.
Private Health Insurance providers are reported to give preferential
treatment to Specialists within one or more Sates when allowing exclusive use of
individual ADA Item numbers. This preferential treatment creates an unfair
situation between practitioners within different States.
Thank you for the opportunity to comment on Private Health Insurance to the
Australian Competition and Consumer Commission.
Kind regards,
J. Mike Razza
ASO – Federal President