Replacing the Medical Insurance Payment and Assessment Data Standard

Decision No. 4210/QD-BYT dated September 20, 2017 of the Ministry of Health on standardization and output data format used in management, assessment and payment of medical examination and treatment expenses covered by insurance. medical

The decision to renew the Standard Data used in the management, assessment and payment of Health Insurance, includes the following 9 tables:

  1. Table 1: General criteria for medical examination and treatment covered by health insurance;
  2. Table 2: Detailed criteria for drugs to pay for health insurance;
  3. Table 3: Details of technical services and medical insurance payment materials;
  4. Table 4: Indicators of subclinical results;
  5. Table 5: Criteria for monitoring clinical developments;
  6. Table 6: List of groups by cost;
  7. Table 7: List of key codes;
  8. Table 8: List of accident and injury codes;
  9. Table 9: List of bidding package codes and bidding group codes of drugs.

Compared with the old regulations, this Decision has added data standards on bidding package codes and drug group codes in Table 9.

The Decision takes effect from the date of signing and promulgates Decision No. 2286/QD-BYT dated June 2, 2017.

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