logobeta
본 영문본은 리걸엔진의 AI 번역 엔진으로 번역되었습니다. 수정이 필요한 부분이 있는 경우 피드백 부탁드립니다.
텍스트 조절
arrow
arrow
(영문) 수원지방법원 2019.09.19 2019구합60319
의료급여비용 지급보류처분 취소
Text

1. On December 18, 2018, the Defendant’s disposition to suspend the payment of medical benefits to the Plaintiff is revoked.

2...

Reasons

1. Details of the disposition;

A. On February 11, 2014, the Plaintiff was established for the purpose of establishing and operating a medical institution and obtained permission to establish a medical institution from the Defendant on March 3, 2014, and was established and operated by the “Cvalescent Hospital” (hereinafter “instant hospital”), which is a medical institution that established the Plaintiff from Pyeongtaek-si B to Pyeongtaek-si (hereinafter “instant hospital”).

B. On November 9, 2018, the Gyeonggi-do Local Police Agency established the Plaintiff under the name of E and operated the instant hospital under the same business contract with E, and concluded a contract with the suspect F and the suspect G to operate the instant hospital and the said suspect cannot establish a medical institution, despite the fact that the said suspect was unable to establish the instant hospital, established and operated the instant hospital from February 2014 to June 2018, and received insurance benefits of KRW 12,319,545,280 from March 2014 to June 2018 from the National Health Insurance Corporation (hereinafter “instant notification”).

C. On December 18, 2018, the Defendant notified the Plaintiff of the postponement of payment of medical benefits costs as follows:

(hereinafter referred to as “instant disposition”). He is found to have violated Article 33(2) of the Medical Service Act as a result of the investigation by a judicial institution, and is not an institution providing medical care under Article 9 of the Medical Care Assistance Act, and in such cases, he may not claim medical care costs.

(Non-existence of Right to Claim Medical Care Costs). Therefore, our livelihood security agency notifies that the payment of medical care costs is suspended until it is confirmed that it is a medical care institution prescribed in the Medical Care Assistance Act.

◀ 의료급여비용 지급보류 대상 의료기관 의료급여기관명 (의료급여기관기호) 대표자 주소 지급보류 예정금액 원고 C요양병원 (I) H 평택시 B 지급보류 시행일(18.12.12.) 이후 지급될 진료비 일체 [인정근거] 다툼 없는 사실, 갑 제1 내지 3호증, 을...

arrow