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Article 85-2Basic Principles of Business Operation

第八十五条の二(業務運営の基本理念)

A Federation must endeavor to improve the health and medical care of the people and promote their welfare through ensuring fairness and neutrality in the review of medical bills, to improve the health and medical care of the people, promote their welfare and achieve optimization of medical expenses through analysis, etc. of medical bill information, etc. (meaning the operations prescribed in paragraph (3) of the following Article), to promote greater efficiency of business operation through the use of information and communications technology, and to ensure transparency in business operation, and must also endeavor, so as to contribute to the stable and efficient administration of the medical insurance system, to provide support contributing to the proper claiming of medical fees and to undertake other initiatives, in organic cooperation with the organization.

連合会は、診療報酬請求書の審査における公正性及び中立性の確保を通じた国民の保健医療の向上及び福祉の増進、診療報酬請求書情報等の分析等(次条第三項に規定する業務をいう。)を通じた国民の保健医療の向上及び福祉の増進並びに医療費適正化、情報通信の技術の活用による業務運営の効率化の推進並びに業務運営における透明性の確保に努めるとともに、医療保険制度の安定的かつ効率的な運営に資するよう、機構と有機的に連携しつつ、診療報酬の適正な請求に資する支援その他の取組を行うよう努めなければならない。

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