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Application: Materials related to nursing care compensation

Final update date April 28, 2021

8.Documents related to nursing care remuneration claims (in charge: The Long-term Care Insurance-4255)

(1)When the nursing care fee claim is returned or reserved

[Prepared]

  • "List of invoices and payment management slips returned (reserved)" (sent from the National Health Insurance Federation)
  • "Nursing care benefit statement" or "Benefit management slip" (sent to the National Health Insurance Federation)
  • Certificate of The Long-term Care Insurance Insured Person's Certificate

Please compare the above documents carefully to find out the reason for the return.
For frequently asked errors and how to read the "Request Statement / Benefit Management Form Return (Reserved) List", download the "Explanation on Payment Related Forms and Reasons for Return" from the page (external site) of the Kanagawa National Health Insurance Federation. Please check.

If the contents of the nursing care benefit statement match the insured person's card or the benefit management slip, and the cause of the return is considered to be due to an error in the insurer's beneficiary ledger, fax the following documents. Please contact us. It takes about 2 business days to answer.
※When sending a fax, please write all your names in ink.

(2)Request for withdrawal

If you want to correct the nursing care benefit statement after the payment of the incorrect content is determined, we will make an error adjustment (deposit / reclaim).
※Refunds and pending claims cannot be withdrawn.
◆If both the payment management slip and the service office request are incorrect,
Request to withdraw claims from service establishments ⇒ Correction of benefit management slips and reclaim of service establishments from the following month

◆If only the request of the service office is incorrect
Request for withdrawal / reclaim (possible in the same examination month)

◆If only the benefit management slip is incorrect
Correct only the benefit management slip (you do not need to withdraw the claim from the service office.)

(3)Service Provision Certificate

When the user collects the entire service cost (100%) 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 of insurance benefits to the ward office.
※The format has been partially changed since April 2018.

Service Certificate
Style Service Type

Style 2 (word: 52KB)

Home-visit nursing, home-visit nursing, home-visit nursing, home-visit nursing, home care management guidance, tsusho nursing, tsusho rehabilitation, welfare equipment lending, regular patrol / ad-hoc home-visit nursing, night-based home-based nursing care community-based nursing, dementia Support type outpatient care, small-scale multifunctional home care (other than short-term use), small-scale multifunctional home care (short-term use), complex services (other than

Style 2 (word: 52KB)

Preventive care visit nursing care, preventive care visit bathing nursing care, preventive care visit nursing care, preventive care home care management guidance, preventive care outpatient nursing care, preventive care outpatient rehabilitation, nursing care preventive welfare equipment lending, preventive care dementia responsive outpatient nursing care, care prevention small-scale multifunctional home care (other than short-term use), care prevention small-scale multifunctional home care (short-term use)

Style 2-3 (word: 54KB)

Comprehensive Care Prevention and Daily Life Support Business

Style 3 (word: 39KB)

Short-term nursing home care

2 (word: 40KB) of style 3

Long-term care prevention

Style 4 (word: 38KB)

Short-term nursing home care

Style 4-2, (word: 39KB)

Nursing care prevention short-term nursing care in nursing homes

3 (word: 39KB) of style 4

Short-term nursing care at nursing care clinics

4 of style 4 (word: 40KB)

Nursing care prevention short-term nursing home care

Style 5 (word: 38KB)

Short-term nursing care in hospitals and clinics nursing care

Style 5-2 (word: 39KB)

Nursing care prevention short-term nursing care in hospitals and clinics Care

Style 6 (word: 34KB)

Dementia-responsive cohabitation care (other than short-term use)

Style 6-2 (word: 34KB)

Preventive dementia-responsive cohabitation care (other than short-term use)

Style 6-3 (word: 35KB)

Specific facility resident life care (other than short-term use), community-based specific facility resident life care (other than short-term use)

Form 6-4 (word: 35KB)

Care Prevention Specific Facility Residents

Style 6-5 (word: 32KB)

Dementia-responsive cohabitation care (short-term use)

6 of style 6 (word: 32KB)

Preventive dementia-responsive cohabitation care (short-term use)

Style 6-7 (word: 33KB)

Specific facility resident life care (short-term use), community-based specific facility resident life care (short-term use)

Style 7 (word: 39KB)

Home care support

Style 7-2 (word: 40KB)

Care Prevention Support

Style 7-3 (word: 38KB)

Preventive care management

Style 8 (word: 42KB)

Nursing care and welfare facility services, community-based nursing home for the elderly

Style 9 (word: 42KB)

Long-term care insurance service

Style 9-2 (word: 40KB)

Nursing care services

Style 10 (word: 41KB)

Nursing care facilities

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Inquiries to this page

The Long-term Care Insurance Division, Health and Social Welfare Bureau Elderly Health and Welfare Department

Telephone: 045-671-42555

Telephone: 045-671-42555

Fax: 045-550-3614

Email address: [email protected]

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Page ID: 761-310-156

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