ASOURCE Navi

The full-scale implementation of the online qualification verification system, which uses my number card as a substitute for a health insurance card for identity verification, has been postponed from March to October this year. It was scheduled to start in late March, but it was taken into consideration that there was a delay in the introduction of medical institutions and pharmacies due to the effects of the new coronavirus infection, and that an error due to a data entry error was discovered during pre-operation. Will be done.

This online qualification confirmation system utilizes the online billing network of medical receipts to centrally manage the qualification history of national public medical insurance, and uses the IC chip of my number card and the symbol number of the health insurance card to provide medical care. It allows institutions and pharmacies to query patient credentials in real time.

In order for medical institutions to introduce this system, after registering an account on the "Online Qualification Confirmation / Medical Informatization Support Fund-related Medical Institution Portal Site", (1) software / equipment for reading my number card and confirming qualification It is necessary to introduce, (2) improve the network environment, and (3) repair existing systems such as receipt computers and electronic medical records. One "card reader with face recognition" that reads my number card is provided free of charge to clinics and pharmacies, and up to three to hospitals. The Ministry of Health, Labor and Welfare subsidizes three-quarters of the subsidy limit for clinics and half of the subsidy limit for hospitals.

The flow of using My Number Card as a health insurance card requires pre-registration (first registration) of the user. Registration is done by accessing the government-operated online service "Mynaportal" from a computer or smartphone. You can also do this at an ATM at a 7-Eleven store or at a medical institution or pharmacy that has a card reader with face recognition installed. After registration, the patient authenticates at the reception desk of a medical institution using a "card reader with face recognition". Then, the patient's insurance qualification is confirmed by accessing the "online qualification confirmation system" from the receipt computer through the network used when making an insurance medical claim.

In this system, the insured number and credential information entered in advance by the insurer such as the health insurance association are registered. For this reason, it is said that medical institutions have the advantage of reducing the time and effort required to enter a health insurance card and reducing the work of returning medical receipts due to incorrect qualifications. In addition, with the consent of the patient, doctors can view the patient's drug information and the results of specific medical examinations, which may help prevent double doses of drugs and interactions.

As a user's merit, you can browse information such as the results of your own specific medical examination, prescription drugs in the past, and medical expenses. Also, if you change jobs or move, it will take some time for you to receive your new insurance card, but you will be able to see a medical institution as soon as the insurer's procedures are completed. In addition, by acquiring medical expense information from "Mynaportal", it is possible to file a final tax return in cooperation with the NTA's online service "e-Tax" even if you do not have a receipt for medical expenses.

From 2022 onward, operations such as issuing electronic prescriptions are planned using this system.

As of March 21, this year, 102,565 facilities (44.9%) applied for a card reader. The breakdown is about 5,002 hospitals (60.4%), medical clinics 30,778 (34.6%), dental clinics 26,885 (37.9%), and pharmacies 39,900 (66.5%). It has become. On the other hand, the number of applications for the use of My Number Card health insurance card is only about 3.11 million (8.9% of the number of My Number issued).

According to the Ministry of Health, Labor and Welfare, the reasons for postponing full-scale operation until October this year are (1) delay in system repair due to the effects of the new coronavirus infection, (2) delay in PC procurement due to a global shortage of semiconductors, and (3) one. It is said that preparations for introduction have been delayed due to delays in production by the department card reader manufacturer.
In addition, in the pre-operation conducted in March this year as a test before full-scale operation, qualification confirmation errors due to inadequate subscriber data registered by the insurer and reading errors to the in-hospital system also occurred. I am.

In the new schedule presented by the Ministry of Health, Labor and Welfare, a function to systematically check for incorrect input of My Number will be introduced from April to June, and reconfirmation and correction of insurance qualification information required for claims will be focused on. I'm going to do it. In addition, you can reconfirm whether there is any erroneous input of My Number by inquiring to the "Japan Agency for Local Authority Information Systems (J-LIS)", and confirming and correcting data including data errors detected in actual operation. to hold. After performing these confirmation and correction work, the final confirmation will be carried out, and full-scale operation will start by October.