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Plan required to update data

This article was translated by an automatic translation system, and was therefore not reviewed by people.




From now health plans are required to maintain a corporate portal on the internet with updated information on the types of products and accredited network of doctors, hospitals, clinics and laboratories. It is expected that the Resolution No. 190/09 of the National Agency for Supplementary Health (ANS). The site of each company should be available 24 hours a day, seven days a week for consultation with users. They will have access to health care network on-line with the addresses and phone numbers. In addition, the portal will allow comparison of the types of plans, facilitating portability. Moreover, the measure may be the end of booklets printed with the care network that reaches the house of the User.

The resolution of the NSA does not leave explicit, but the tendency is to relieve the operators send the updated guides physicians to beneficiaries. The coordinator of Information Standards Health ANS, Rigolet Dutra, reports that the end of the booklet is umatendência and is part of the development of additional health services through electronic means. But the mass consumer find the guide of medical services essential to users of health plans.

"The availability of accredited network updated on the Internet is a breakthrough, but does not exclude the printed guide, medical information," says Rene Patriota, president of Aduseps (Association for the Defense of Users of Health Plans). She said, users with less purchasing power, the elderly and those who do not have internet access will be harmed by the end of the medical guide printed.

The national president of Abramge (Brazilian Association of Corporate Medical Group), Arlindo de Almeida, says that the printing of booklets is a higher cost for operators. "The ideal is that the network upgrade is made by the corporate portal on the Internet," he says. Adams believes, however, that the medical guide will not stop immediately because they have people who are not accustomed to using the computer.

Site - According to Almeida, most operators already have a website with information on products and services. "The larger operators would have no difficulty to adapt to the resolution," he says. The NR 190/09 standardizes the types of information that companies must provide and defines a maximum deployment of a corporate portal (see table).

For medical and hospital operators with more than 100 million users, the deadline for deploying the portal is three months. Those with portfolio between 10 thousand to 99,999 should fit in six months and between 1 thousand and 9999, up to twelve months. Since the dental plan will have the deadline of three months if they have more than 20 thousand customers, six months 5 billion to 19,999, and 1 thousand in the 4999 period of up to twelve months. Companies who break the limits may be punished with warnings and fines ranging from $ 5 thousand to $ 1 million.

"The availability on the Internet is a breakthrough, but does not exclude the printed guide"
Rene Patriota - Aduseps



Source:  Diário de Pernambuco

This article was translated by an automatic translation system, and was therefore not reviewed by people.

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