Impact of the Entrance to the EU on the Work in the Sector of Health Care of the Health InsuranceCompany
DOPADY VSTUPU DO EU NA PRÁCI ÚSEKU ZDRAVOTNÍ PÉČEZDRAVOTNÍ POJIŠŤOVNY
Článek se týká nové činnosti revizních lékařů, která souvisí se vstupem do EU, a to kontroly dokladů za péčiobčanů EU poskytnutou v našich zdravotnických zařízeních, dotazů na oprávněnou výši úhrad (formulář E126)jednak ze zemí EU pro jejich pojištěnce ošetřené za přímou úhradu v ČR, jednak od našich pojištěnců ošetřenýchza přímou platbu v zemích EU a také požadavků našich pojištěnců na úhradu vyžádané péče v EU.
Klíčová slova:
zdravotní péče občanům EU – vyžádaná péče – formulář E112 – dotazy na sazby náhrad zaposkytnutou péči – formulář E126 – zdravotní pojišťovny
Authors:
J. Žmolíková
Authors‘ workplace:
OP VZP hl. m. Prahy
Published in:
Listy rev. Lék., , 2004, č. 4, s. 0
Category:
Overview
Newactivities of revisionmedical officer related to the entrance to theEU– audit of documents of the care providedto the EU citizens in our health care facilities, inquiries for authorized height of payments (form E126) both fromEU countries for their clients treated for the direct payment in the CR and from our clients treated for the directpayment in EU countries and finally claims of our clients for reimbursement of the required care in the EU.
Key words:
health care provided to EU citizens – required care (form E112) – inquiries for rates of reimbursementsfor provided care (form E126) – health insurance companies
Labels
Medical assessment Occupational medicineArticle was published in
Revision Medicine Journal
2004 Issue 4
Most read in this issue
- Recommended Treatment Procedures in Oncology and Their Use in the Approval Proces
- Biologic Treatment in Rheumatology
- The Issue of Approval of the Long-term Home Oxygenotherapy and Noninvasive Ventilation Support
- The First Experience with the Implementation of the EU Law in the Field of Providing Health Care to theClients of Health Insurance Companies of Other Member States