Grievances

(1) A beneficiary or NHI health care provider who is aggrieved by the act or omission of any person operating under the NHI Scheme may seek redress on the following grounds– (a) any violation of the rights of a patient; (b) a wilful neglect of duties by the Board or NHI health care providers which results in the loss or non- enjoyment of by beneficiaries; (c) unjustifiable delay in actions on claims; (d) exclusion from licensing as a NHI health care provider; or (e) any act or omission that undermines or defeats the purpose of the NHI Scheme. (2) Until such time as a separate appeals tribunal is established for the hearing of complaints in regard to the NHI Scheme, the procedure for determining claims and questions under the Social Security (Determination of Claims and Questions) Regulations shall apply mutatis mutandis to the hearing of grievances under this section, and for the purposes of the said Regulations, the above-mentioned grounds in sub- section (1) (a) to (e), shall be treated as “reserved questions” under such Regulations. 71