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HOME > Korean J Prev Med > Volume 22(2); 1989 > Article
Original Article A Study of the Factors Causing Delayed Reimbursement of Medical Insurance Benefit.
Myongsei Sohn, Ki Hong Chun, Young Doo Lee
Journal of Preventive Medicine and Public Health 1989;22(2):259-267
DOI: https://doi.org/
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1Department of Preventive Medicine and Public Health, Yonsei University College of Medicine, Korea.
2Department of Preventive Medicine, Kosin Medical College, Korea.

The objective of this study was to analyze the influence of the hospital and insurer in causing delayed reimbursement of medical insurance benefits. We analyzed major variables at three different sized hospitals to examine the effect of the hospital and insurer using the two-way ANOVA method. The results were as follows: 1. The time interval between claim by hospitals and payment of the benefit was statistically different according to hospital in both admission and outpatient care. 2. The time needed by the insurer for investigating the claimers was statistically different according to hospital and insurer in both admission and outpatient care. There was interaction between the hospital and insurer factors in outpatient care. 3. Although there was interaction between the hospital and insurer factors in admission care, the time interval between claim and payment was statistically different. In outpatient care, the payment interval between claim and payment was also statistically different according to the hospital and insurer.

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JPMPH : Journal of Preventive Medicine and Public Health