WILKINS, J.
A judge of the United States District Court, District of Massachusetts, has certified four questions to us concerning the application and interpretation of G.L.c. 231, § 60B, inserted by St. 1975, c. 362, § 5, which provides for a preliminary hearing by a tribunal in every action for malpractice, error, or mistake against a provider of health care. See S.J.C. Rule 3:21, as amended,
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