A Federation conducts the operations of examination and payment, performed as entrusted by Municipalities and Societies pursuant to the provisions of Article 45, paragraph (5) (including as applied mutatis mutandis pursuant to Article 52, paragraph (6), Article 52-2, paragraph (3), Article 53, paragraph (3) and Article 54-2, paragraph (12)), concerning claims for the expenses required for benefits for medical treatment and for expenses for Dietary Treatment for inpatients, expenses for Living Support for inpatients, medical expenses combined with treatment outside insurance coverage and medical expenses for home-nursing.
連合会は、第四十五条第五項(第五十二条第六項、第五十二条の二第三項、第五十三条第三項及び第五十四条の二第十二項において準用する場合を含む。)の規定により市町村及び組合から委託を受けて行う療養の給付に要する費用並びに入院時食事療養費、入院時生活療養費、保険外併用療養費及び訪問看護療養費の請求に関する審査及び支払の業務を行う。
In addition to the operations prescribed in the preceding paragraph, a Federation may conduct the operations listed in the following items in order to contribute to the smooth administration of national health insurance services.
affairs, performed as entrusted by Municipalities and Societies pursuant to the provisions of Article 58, paragraph (3), of payment of the insurance benefits under paragraph (1) of that Article and the injury and sickness allowances under paragraph (2) of that Article;
affairs of collection or receipt of compensation for damages from third parties, performed pursuant to the provisions of Article 64, paragraph (4) as entrusted by Municipalities and Societies and by prefectures that perform the affairs under paragraph (3) of that Article as entrusted by Municipalities;
operations incidental to the operations in the preceding two items.
前二号の業務に附帯する業務
projects, other than those listed in the preceding three items, that contribute to the smooth administration of national health insurance services.
前三号に掲げるもののほか、国民健康保険事業の円滑な運営に資する事業
In addition to the operations prescribed in the preceding two paragraphs, a Federation may conduct operations concerning the collection, organization and analysis of information pertaining to records of medical bills and specified health checkups, etc. (meaning the specified health checkups, etc. prescribed in Article 18, paragraph (2), item (i) of the Act on Assurance of Medical Care for Elderly People) and other information that contributes to the improvement of the health and medical care of the people, the promotion of their welfare and optimization of medical expenses, and concerning the promotion of the use of the results thereof.
連合会は、前二項に規定する業務のほか、診療報酬請求書及び特定健康診査等(高齢者の医療の確保に関する法律第十八条第二項第一号に規定する特定健康診査等をいう。)に関する記録に係る情報その他の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に資する情報の収集、整理及び分析並びにその結果の活用の促進に関する業務を行うことができる。
In addition to the operations that a Federation is to conduct under the provisions of this Act and other laws and regulations, a Federation may conduct the operations listed in the following items to the extent that they do not hinder the performance of those operations.
連合会は、この法律及び他の法令の規定により連合会が行うこととされている業務のほか、当該業務の遂行に支障のない範囲内において、次に掲げる業務を行うことができる。
health, medical care and welfare operations performed as entrusted by the national government, prefectures, Municipalities, corporations or other organizations;
国、都道府県、市町村、法人その他の団体の委託を受けて行う保健、医療及び福祉に関する業務
operations incidental to the operations in the preceding item.
前号の業務に附帯する業務