Various application-related: Documents related to nursing care remuneration

[What to prepare]

• "Return (pending) table / benefit management slip return (pending) list" (sent by the National Health Insurance Federation)
• "Nursing care benefit statement" or "benefit management slip" (sent to the National Health Insurance Federation)
• Certificate of insured person in The Long-term Care Insurance

Please compare the above documents carefully to find out the reason for the return.
Frequently errors and how to read the "Request statement / benefit management slip return (pending) list", refer to the Kanagawa National Health Insurance Federation's "Frequently Asked Questions (External Site) pertaining to nursing care benefit billing work" and "Explanation of Return (External Site)" and check how to deal with errors.

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

• Recipient Ledger Survey Request Form (for insured) (PDF: 137KB)←Please use this request form as the cover of the fax machine.
• Recipient ledger survey request form (for protected persons) (PDF: 204KB)←In the case of a protected person with a number starting with H.
• List of return (pending) billing statement and benefit management slip
• 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 to be paid, we will make an error adjustment (claim withdrawal / reclaim).
※Refunded or pending claims cannot be withdrawn.
◆When both the benefit management slip and the service establishment's request are incorrect
Request for withdrawal from service establishment ⇒ Correction of the benefit management slip and reclaim the service establishment after the next month
◆If only the service establishment's request was incorrect
Request for withdrawal and reclaim (can be implemented in the same examination month)
◆If only the benefit management slip is incorrect
Only the benefit management slip (you do not need to withdraw the service establishment claim)

• Request acceptance period: 1st to 8th of every month (24 hours even on weekends and holidays)　※Due to Golden Week in May, the withdrawal period will be extended to 10 days.
• Method of withdrawal request: Electronic application service　※We will shift to the new electronic application service from March 2022. It is necessary to register user information for application (it cannot be used with the user ID and password of the old system). For details on how to register, please refer to the "Operation Manual" below.
  • New electronic application service top page (outside site)　(New registration of user information from the "New Registration" button at the top right of the screen.)
    Each procedure will be displayed from 5 days before the application period.
  • The Long-term Care Insurance billing error withdrawal (outside site)　　Operation Manual (withdrawal of billing error in The Long-term Care Insurance) (PDF: 2,976KB)
  • Error withdrawal of care prevention, daily life support total operating cost claim (outside site)　　Operation Manual (Comprehensive Business) (PDF: 2,740KB)
• In the case of a protected person with a number starting from H→About request withdrawal request to life support section (set) (PDF: 616KB)

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

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

• About service provision certificate (PDF: 12KB)