Page 61 - 2018-19全民健康保險年報

log onto the My Health Bank app provided via the NHI mobile app. This empowers users to check their medical information at any time and use it as reference information to doctors when users receive care. The NHIA expects that this service will reduce the medical information asymmetry between doctors and patients, and thereby enhance medical safety and effectiveness.
The number of “My Health Bank” users has increased steadily since the system was introduced in 2014. As of June 30, 2018, the system had approximately 715,000 users, and downloads had been made over 6.06 million person-times. Approximately 90% of users agreed that “My Health Bank” helped them to better understand their medical care status and facilitated monitoring of their health condition. These results indicate that the system is making a positive contribution to encouraging people to pay greater attention to their own personal healthcare.
Enhancing Efficiency Through Electronic Claims
Since the inception of the NHI program, the NHIA has encouraged contracted medical organizations to employ the Internet, media, and the NHI VPN to report expenses claims, and statistics indicate that the use of electronic submission of medical expenses claims by contracted medical organizations is approaching 100%.
After NHI cards went fully electronic in 2004, the NHIA set up an NHI virtual private network (VPN) to facilitate two-way communication with contracted medical institutions. Apart from being able to use the VPN to perform uploading and online NHI card verification and updating, contracted medical organizations can also file their expenses claims more efficiently. In June 2018, an average
健康科技 服務加值
Health IT and Value-added Services
of 2.01 million patient visit summaries containing approximately 7.45 million medical service orders (physician orders) were uploaded and verified daily through the system.
Furthermore, responding to the accelerating adoption of information technology by hospitals and clinics in recent years, the NHIA completed the introduction of the “Picture-Archiving and Communication System” (PACS) in September 2006, which established an online environment (including text and image data) for the professional review of medical expense reimbursement claims. This system is helping hospitals and clinics to perform online applications and reporting in connection with their reimbursement claims. In order to effectively apply information resources and make the best use of manpower, the NHIA instituted the centralized management of medical images and related electronic files in 2017. This initiative has prompted the NHIA to merge similar functions within the integration of operations, strengthened pre-authorization reviews, and added data processing functions for the random review of medical expenses, while also adding professional review of outpatient appeal cases, inpatient appeal cases, Tw-DRGs cases, catastrophic disease and injury, and orthodontic cases to the system.
At the same time, NHIA’s internal medical payment system ensures even greater automation of review processes, enhancing the efficiency of originally-manual review procedures and reducing administrative costs.
To encourage even more hospitals and clinics to claim medical expenses online, the NHIA has established a single electronic window–the IC Card Data Center (IDC)–on its website where all contracted medical organizations can file expenses online. In conjunction with its operating needs, NHIA
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