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Privacy Policy

Operations subcontracted by the Health Insurance Society (details of subcontracted operations)

Insurance benefits

  • Data processing related to insurance benefits, additional benefits, etc.
  • Automatic payment of high-cost medical care benefits, patient cost-sharing reimbursements, etc.
  • Coordinating operations related to medical assistance from municipalities
  • Translations and calculations involving overseas medical care expenses
  • Joint efforts involving high-cost medical care benefits with the National Federation of Health Insurance Societies

Screening for membership eligibility, collecting insurance premiums, etc.

  • Data processing involving the eligibility, etc. of insured persons, etc.
  • Investigation of income of insured persons aged 70 and older
  • Dependent status confirmation (authorization)
  • Issuing health insurance cards and responding to inquiries
  • Requesting the return of health insurance cards and collecting and disposing of the cards returned
  • Collecting premiums from Special-Case Retired Insured Persons and Voluntarily and Continuously Insured Persons
  • Acceptance of applications for change in the payment method/payment unit of insurance premiums from Special-Case Retired Insured Persons and Voluntarily and Continuously Insured Persons
  • Sending of certificates of payment of insurance premiums to Special-Case Retired Insured Persons and Voluntarily and Continuously Insured Persons
  • Distributing notices of insurance premiums and payment decisions to Special-Case Retired Insured Persons and Voluntarily and Continuously Insured Persons and responding to inquiries

Promoting health activities

  • Subcontracting health screenings (examinations) to medical care institutions (providing examination application information)
  • Subcontracting subsidy payments for health examinations, specific health guidance, and infectious disease prevention
  • Subcontracting digitization (data entry by punching input), data management, checking for discrepancies, etc. of results of health examinations and specified health guidance in paper and electronic media
  • Subcontracting retention of data on specified health diagnosis results
  • Subcontracting to establishments and external health guidance institutions for providing health guidance and health consultation
  • Subcontracting activities designed to prevent lifestyle-related conditions and prevent their worsening
  • Subcontracting operations involving viewing health examination results, provision of health information, etc. via the Internet
  • Subcontracting operations for individual analysis and reconciliation of health examination results and rezept data
  • Subcontracting the distribution of information on health examinations and application data entry
  • Subcontracting the distribution of bulletins, medical care cost information, etc.
  • Subcontracting health promotion activities
  • Subcontracting the operation of health care facilities for the elderly requiring long-term care, etc.
  • Subcontracting data processing, etc. related to medical care cost analysis and medical care cost information
  • Distributing dental hygiene sets
  • Subcontracting acceptance of subsidy application forms for flu vaccinations, their digitization (data entry by punching input), checking for discrepancies, etc.

Review and payment of medical fees, etc., normalization of medical care costs, etc.

  • Subcontracting reviews of the contents of rezepts
  • Subcontracting data entry and scanning for computer processing of rezepts
  • Inquiries concerning treatment, reviews, and payment in response to invoices from judotherapists, etc.
  • Subcontracting data entry and scanning for processing of invoices from judotherapists, etc.
  • Guidance for those receiving lengthy treatment by judotherapists, etc.
  • Subcontracting tasks such as sending out notices of price differences for generic drugs to promote the use and raise awareness of generic drugs
  • Guidance for those receiving duplicate prescriptions, etc.

Health Insurance Society operations

  • Reception and handling of requests and inquiries by telephone from members, etc.
  • Entrusting claim management, etc. to attorneys
  • Subcontracting binding of documents related to accounting work
  • Issuance of various documents and certificates
  • Document retention
  • Disposal of confidential documents
  • Subcontracting administrative processing such as payroll calculations

System development, operation, and maintenance

  • Health insurance system development, operation, and maintenance
  • Health insurance infrastructure operation and maintenance

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