PET - Plain English Taxonomy

Attribute: OI12888
Concept:
Label: Benefits paid
Concept Guidance:
This is the value, during the relevant period, for the benefits paid by the private health insurance fund. 
Form-Specifc Guidance:
When reporting by age category, the benefits paid should be reported against the relevant age at the time the treatment was done, not the against the age of the person in the current reporting period, because sometimes claims are made and benefits paid long after the actual treatment.
In Part 11 Total hospital treatment medical services statistics, only report medical benefits paid.
Dimensions
Dimension Member Description
(Ineligible)
This dimension categorises the reported data according to whether the benefit is eligible for inclusion in risk equalisation.
The information reported is in relation to a benefit paid by an insurer that is not for any of the following: planning and coordination services for chronic disease management programs (CDMP); allied health services which are provided as part of a CDMP; hospital-substitute treatment; or hospital treatment.