Application-related: Documents related to nursing care fees

[What to prepare]

• "List of claim statement, benefit management slip return (pending) table" (sent from the Federation of National Health Insurance Organizations)
• "Nursing care payment statement" or "benefit management slip" (sent to the Federation of National Health Insurance Organizations)
• Certificate of insured person in The Long-term Care Insurance

Please compare the above documents carefully and find out the reasons for the return.
Frequently frequent errors and how to read the "Return (returning) table of billing statements and payment management slips" are described by the Kanagawa National Health Insurance Federation's "Frequently Asked Questions (External Site) pertaining to nursing care payment billing affairs" and "Explanation of payment-related forms and reasons for return (outside site) "and check how to deal with errors.

If the reason for the return is only thought to be due to an error in the insurer's beneficiary ledger, such as when the contents of the nursing care benefit statement match the insured person's card or benefit management slip, fax the following documents Please contact us. It will take about 2 business days to respond.
※When sending a fax, please fill in all your names.

• Recipient ledger survey request form (for insured persons) (PDF: 137KB)←Please use this request form as the cover of the fax.
• Recipient ledger survey request form (for protected people) (PDF: 203KB)←For a protected person with a number starting from H.
• List of claim statements and payment management slip return (pending)
• Nursing care benefit statement or benefit management slip

If you want to correct the nursing care benefit statement after the incorrect claim has been determined, we will make an error adjustment (withdrawal / reclaim).
※Refunds or pending claims cannot be withdrawn.
◆If both the benefit management slip and the billing of the service establishment are incorrect
Request for withdrawal of service establishments ⇒ Revision of benefit management slips and reclaim of service establishments after the following month
◆If only the request from the service establishment is incorrect
Request for withdrawal and reclaim (can be implemented in the same examination month)
◆If only the benefit management slip is incorrect
Corrected only benefit management slips (it is not necessary to withdraw claims from service establishments)

• Request acceptance period: 1st to 8th of every month (24 hours a day on Saturdays, Sundays and holidays)　※Due to Golden Week in May, the withdrawal period will be extended to 10 days.
• How to request withdrawal: Electronic Application Service　※We will transition to the new electronic application service from March 2022. It is necessary to register user information for application (it cannot be used with user ID and password of old system). For details on how to register, please refer to the "Operation Manual" below.
  • New Electronic Application Service Top Page (External Site)　(For new registration of user information, click the "New Registration" button at the top right of the screen.)
    Each procedure is displayed from 5 days before the application period to the application period.
  • Withdrawal of The Long-term Care Insurance billing error (external site)　　Operation Manual (withdrawal of The Long-term Care Insurance billing error) (PDF: 2,976KB)
  • Error withdrawal of care prevention and daily life support total operating cost claims (outside site)　　Operation Manual (Comprehensive Business) (PDF: 2,740KB)
• In the case of a protected person with a number starting with H→About request withdrawal request to life support section (complete) (PDF: 513KB)

When the full service cost (100%) is collected from the user when using the service, it will be issued to the insured as a document certifying the service contents.

The user attaches the issued service provision certificate and receipt, and applies for reimbursement payment of insurance benefits to the ward office.
※The style has been partially changed since April 2018.

• About service offer certificate (PDF: 12KB)