CHAPTER 01 개요 ······················································································· 5

CHAPTER 02 자동차보험진료수가 심사 ······················· 17

CHAPTER 03 주요 안내사항 ······················································ 45

CHAPTER 04 기타 ··················································································· 71

Ⅰ. 조직 현황 및 심사 절차 ······································7

Ⅱ. 자동차보험진료수가에 관한 기준 ·························9

Ⅲ. 심사업무처리에 관한 규정 ·································13

01개요

Ⅰ. 조직 현황 및 심사 절차

7

CHAPTER 01. 개요

8

Ⅱ. 자동차보험진료수가에 관한 기준

9

CHAPTER 01. 개요

10

Ⅱ. 자동차보험진료수가에 관한 기준

11

CHAPTER 01. 개요

12

Ⅲ. 심사업무처리에 관한 규정

13

CHAPTER 01. 개요

14

Ⅲ. 심사업무처리에 관한 규정

15

CHAPTER 01. 개요

16

Ⅰ. 심사현황 및 방향[의과] ····································19

Ⅱ. 심사기준 및 사례[의과] ····································21

Ⅲ. 심사현황 및 방향[한의과] ································29

Ⅳ. 심사기준 및 사례[한의과] ································31

Ⅴ. 심사현황[치과] ·················································40

Ⅵ. 심사기준[치과] ··················································42

02자동차보험진료수가 심사

Ⅰ. 심사현황 및 방향[의과]

19

CHAPTER 02. 자동차보험진료수가 심사

20

Ⅱ. 심사기준 및 사례[의과]

21

CHAPTER 02. 자동차보험진료수가 심사

22

Ⅱ. 심사기준 및 사례[의과]

23

CHAPTER 02. 자동차보험진료수가 심사

24

Ⅱ. 심사기준 및 사례[의과]

25

CHAPTER 02. 자동차보험진료수가 심사

26

Ⅱ. 심사기준 및 사례[의과]

27

CHAPTER 02. 자동차보험진료수가 심사

28

Ⅲ. 심사현황 및 방향[한의과]

29

CHAPTER 02. 자동차보험진료수가 심사

30

Ⅳ. 심사기준 및 사례[한의과]

31

CHAPTER 02. 자동차보험진료수가 심사

32

Ⅳ. 심사기준 및 사례[한의과]

33

CHAPTER 02. 자동차보험진료수가 심사

34

Ⅳ. 심사기준 및 사례[한의과]

35

CHAPTER 02. 자동차보험진료수가 심사

36

Ⅳ. 심사기준 및 사례[한의과]

37

CHAPTER 02. 자동차보험진료수가 심사

38

Ⅳ. 심사기준 및 사례[한의과]

39

CHAPTER 02. 자동차보험진료수가 심사

40

Ⅴ. 심사현황[치과]

41

CHAPTER 02. 자동차보험진료수가 심사

42

Ⅵ. 심사기준[치과]

43

CHAPTER 02. 자동차보험진료수가 심사

44

Ⅰ.이의제기 절차 및 방법 ·······································47

Ⅱ. 심사참고자료 ·····················································51

Ⅲ. 지급보증정보 중계시스템 구축 ···························53

Ⅳ. 요양기관업무포털 통한 자료 제출 관련 등 ······· 57

Ⅴ. 추나요법 관리시스템 ·········································65

Ⅵ. 의료기관 경영지원을 위한 서비스 ·····················67

03주요 안내사항

Ⅰ.이의제기 절차 및 방법

47

CHAPTER 03. 주요 안내사항

48

Ⅰ.이의제기 절차 및 방법

49

CHAPTER 03. 주요 안내사항

50

Ⅱ. 심사참고자료

51

CHAPTER 03. 주요 안내사항

52

Ⅲ. 지급보증정보 중계시스템 구축

53

CHAPTER 03. 주요 안내사항

54

Ⅲ. 지급보증정보 중계시스템 구축

55

CHAPTER 03. 주요 안내사항

56

Ⅳ. 요양기관업무포털 통한 자료 제출 관련 등

57

CHAPTER 03. 주요 안내사항

58

Ⅳ. 요양기관업무포털 통한 자료 제출 관련 등

59

CHAPTER 03. 주요 안내사항

60

Ⅳ. 요양기관업무포털 통한 자료 제출 관련 등

61

CHAPTER 03. 주요 안내사항

62

Ⅳ. 요양기관업무포털 통한 자료 제출 관련 등

63

CHAPTER 03. 주요 안내사항

64

Ⅴ. 추나요법 관리시스템

65

CHAPTER 03. 주요 안내사항

66

Ⅵ. 의료기관 경영지원을 위한 서비스

67

CHAPTER 03. 주요 안내사항

68

Ⅵ. 의료기관 경영지원을 위한 서비스

69

Ⅰ. 청구오류 점검 ···················································73

04기타

Ⅰ. 청구오류 점검

73

CHAPTER 04. 기타

74

Ⅰ. 청구오류 점검

75

CHAPTER 04. 기타

76

Ⅰ. 청구오류 점검

77

CHAPTER 04. 기타

78