| 1. | Purposes related to the provision of insurance benefits to the insured and other covered individuals: |
| (1) | [Examples of such use within the Society] |
* |
Providing insurance and additional benefits |
*
|
Approval of eligibility as dependents |
| (2) | [Examples of cases in which such information is provided to service providers and other parties outside the Society] |
* |
Automatic payment of high-cost medical care benefits, copayment reimbursements, etc. |
*
|
Outsourcing of translation operations in connection with overseas medical care costs |
*
|
Requests for payment from insurance companies and other parties in connection with the acts of third parties |
*
|
Joint operations managed by the National Federation of Health Insurance Societies to pay high-cost medical care benefits |
|
|
|
| 2. | Purposes related to collection of insurance premiums: |
| (1) | [Examples of such use within the Society] |
*
|
Confirmation of coverage eligibility and ascertainment of standard monthly remuneration and standard bonus amount |
*
|
Collection of health insurance premiums and approval of eligibility as dependents |
*
|
Issuing of health insurance cards |
| (2) | [Examples of cases in which such information is provided to service providers and other parties outside the Society] |
*
|
Outsourcing data processing related to eligibility of insured individuals and other matters |
|
|
|
| 3. | Purposes related to health insurance operations: |
| (1) | [Examples of such use within the Society] |
*
|
Medical checkups to keep and improve personal health; health instructions and consultations |
*
|
Operation of health promotion facilities (such as recreation facilities) |
| (2) | [Examples of cases in which such information is provided to service providers and other parties outside the Society] |
*
|
Joint operations and entrusting operation of health promotion facilities (such as recreation facilities) |
*
|
Notifying the insured and other covered individuals of medical expenses |
*
|
Joint operations managed by the National Federation of Health Insurance Societies |
*
|
Entrusting operations related to insurance operations (distribution of a set of household medicines, home healthcare support services, and home-visit health consultation for the elderly or spouse) |
|
|
|
| 4. | Purposes related to examination and payment of medical treatment compensation: |
| (1) | [Examples of such use within the Society] |
*
|
Inspection and examination of contents of detailed statements of medical costs from hospitals |
| (2) | [Examples of providing such information to service providers and other parties outside the Society] |
*
|
Outsourcing inspection and examination of data on detailed statements of medical costs from hospitals |
*
|
Outsourcing of data entry operations and OCR document conversion processing for computer processing of data on detailed statements of medical costs from hospitals |
|
|
|
| 5. | Uses involving ensuring stable Society operations: |
| (1) | [Examples of such use within the Society] |
*
|
Analysis of medical costs and conditions |
| (2) | [Examples of providing such information to service providers and other parties outside the Society] |
*
|
Outsourcing data processing and other operations related to analysis of medical costs and medical costs notification |
|
|
|
| 6. | Other purposes |
| (1) | [Examples of such use within the Society] |
*
|
Basic data used to implement improvements and maintenance of Society management operations |
*
|
Records of Society management operations |
*
|
Appropriate administration of bookkeeping operations |
| (2) | [Examples of cases in which such information is provided to service providers and other parties outside the Society] |
*
|
Verification or response required to ensure appropriate processing of operations (exchange of information between insurers) |
*
|
Consultations with or notifications sent to insurance companies or medical institutions in connection with operations concerning demands for payment made to third parties |
|
|
|