요양급여비용 조정처분 취소
1. The part of the judgment of the first instance against the plaintiff shall be revoked.
2. As to the Plaintiff on June 20, 2012.
1. Details of the disposition;
A. The Plaintiff is a legal entity that establishes and operates a branch hospital of the National Health Insurance Corporation under the National Health Insurance Act (hereinafter “instant hospital”).
B. 1) The instant hospital’s medical care benefit cost reduction disposition against A is diagnosed to A with E as an evaculatory vertecule vertecule vertecule vertecule (hereinafter “instant surgery”). On December 2, 2011, the instant hospital conducted recule cule cule culeacule de kyphosis and LDK (hereinafter “instant surgery”).
(2) On March 13, 2012, the Defendant rendered a disposition to reduce the costs of health care benefit for the instant veterinary alcohol among the costs of health care benefit on the ground that A does not meet the criteria for recognition of the instant surgery.
(3) The Plaintiff filed an objection against the instant disposition against the Defendant, but the Defendant dismissed the objection on October 16, 2012. The Plaintiff filed a request for a trial with the Health Insurance Dispute Mediation Committee on January 11, 2013, but the Health Insurance Dispute Mediation Committee dismissed the Plaintiff’s request on October 5, 2016. (c) The instant hospital: (a) diagnosed B with the Epic vertec vertec vertec verteculec spacul; (b) diagnosed B as the chume spacule spacul spacul spacul spaculs; and (c) claimed the Defendant for medical care benefits for the instant operation, etc. on March 23, 2012.
2) On June 20, 2012, the Defendant rendered a disposition to reduce the amount of medical care benefit costs of this case from KRW 11,175,866 among the amount claimed for medical care benefit costs on the ground that B does not meet the criteria for recognition of the instant surgery (hereinafter “instant disposition 2”).
(3) The Plaintiff filed an objection against the instant disposition 2 with the Defendant, but the Defendant dismissed the objection on December 11, 2012, and the Plaintiff filed a request for a trial with the Health Insurance Dispute Mediation Committee on March 8, 2013.