open access
메뉴ISSN : 0376-4672
Dental care is becoming more available on the NHI(National Health Insurance) in Korea. Especially, complete denture, partial denture, dental scaling, and dental implant has been applied by NHI from 2012 to 2014. Although, the entire nation is not eligible for the benefit now, the more dental coverage of NHI is extended, the more regulaition is tightened. Essential documents for proof of correctness of dental treatment covered by NHI are dental records and the receipt book. Summary of regal regulation about them is as follows 1. Chief complaints of patients, diagnosis, progress, and act of treatment, drugs and materials of treatment, doctor’s sign, date and hour should be placed accurately on dental record 2. Dental clinic should collect patients sharing of the dental cost covered by NHI. 3. Dental clinic should keep the receipt as proof of purchase of dental drugs or materials
1. 국가법령정보센터; http://www.law.go.kr/main.html
2. 건강보험심사평가원 : 건강보험행위 급여비급여목록표 및 급여상대가치점수, 2016
3. 대한치과의사협회 보험국 : 치과건강보험 요양급여비용 및 급여기준, 아람에디트, 2016
4. 김영삼 : 치과건강보험 달인되기, 군자출판사, 2016
5. 최희수 : 치과보험 경영지침서, 도서출판웰, 2014
6. 황성연 : 임상사례로 풀어보는 치과건강보험, 서울치의학교육원, 2014
7. 양익성, 진상배, 이수종, 이창한, 심재한, 김인걸 :똑똑한 보험청구, 서울멀티넷, 2015
8. 보건복지부, 건강보험심사평가원, 국민건강보험공단 : 치과임플란트 급여 관련 Q&A, 2014
9. 건강보험심사평가원(정설희) : 노인틀니 급여적용방안(I) -국내외 제도고찰 및 정책제언, 2010
10. 보건복지부, 건강보험심사평가원, 국민건강보험공단 : 레진상 완전틀니 급여화 등 치과 주요 개정사항 관련 Q&A, 2012
11. 보건복지부, 건강보험심사평가원, 국민건강보험공단 : 부분틀니-치석제거 급여확대 등 치과 주요개정사항 관련 Q&A, 2013
12. 건강보험심사평가원 : 상대가치정수 개정연구보고서, 2006