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tv   [untitled]    December 2, 2023 7:30pm-8:01pm IRST

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see kabir, the engine is all in motion. meeting of the first page. oh sit, the first page of safar is there. look on the other side of the fence, the pleasure of visiting is there. you are sitting the first page stand up to justice, stand up on your shoulders, stand up, the first row, the first row, the row of your people , your stronghold, your stronghold, this table, and there is hope for you on the other side of the table, your eyes are on you.
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in the name of allah, the most merciful, the most merciful, hello and good night, dear viewers of the news network , you have chosen the first page program for all, and we hope that tonight's conversation will be of use to you. the 13th of december is insurance day, and for this reason, the presence of the general chairman dear central insurance of iran, mr. dr. ostad hashemi , we have invited you to be on the front page of your service and to chat with him about insurance issues . channel 1 and all the viewers who will watch this program live or later offline, hello, if you allow me to explain a little about the fast you mentioned, then let's go to the questions you probably have. you
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said that december 13 is the national insurance day in the calendar the most important issue that we consider in naming a day in the calendar of the islamic republic as an insurance day is the issue of culture building for our beloved people so that we can familiarize them more with commercial insurance services. for this issue , we chose a discussion called popularization or socialization of insurance in order to achieve our main goal , which is to create a culture of insurance. we started insurance on the first day of the week
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our action was to call the insurance bell or dedicate an hour to insurance culture in schools across the country. my colleagues in the central insurance board of the bodily damage fund and ceos of insurance companies and heads of branches throughout the country appeared in different schools and rang the school bell. reminiscent of the day of insurance for children , we started talking about insurance with school children in elementary schools, etc. in the
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virtual space, i am in a state of dubbing and these are some children be encouraged to write an article about insurance, get a prize from us, draw a picture, etc. he explained the bodily damage fund of 6,000 casket caps on the occasion of insurance week in the whole country in order to create a culture of buying motor insurance policies for the day. we hold a scientific conference every year , usually on the 13th day of the year. we have come to the scientific conference
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. we held about 10 panels. our conference is international this means that we have invited about 20 academic and executive members of other countries who are active in the field of insurance this year . we have four scientific speakers tomorrow. about 600 people who are insurance experts have registered for these courses . we have accepted 537 articles. in the insurance discussions , out of these 537 articles, 62 articles will be presented tomorrow in two external panels or workshops, and we have 50 internal articles that will be presented.
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it will be implemented with the presence of the honorable minister of economy the chairman of the economic committee of the parliament will attend. we left the second day to sit down with the authorities and discuss insurance governance issues, and we will have executive discussions that day, god willing. another thing that we did for the first time in um salal was the provincial conferences in this one week. my colleagues made provincial trips. 17 provinces, we had a provincial conference this year, usually with the presence of governors and general managers and other people who are usually our loved ones from rahor farajeh police because usually insurance discussions with these friends are also divorce.
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he is participating in our conferences . we tried to bring some more insurance to the society and present people with these discussions . we prepared teasers for the provincial networks and showed them about insurance . we tried to introduce ourselves to the social arena a little more this year with the same slogan of socialization or popularization of insurance . it was hafez's poems that live a life that is not an escape from problems, but a life don't worry about any problem with easy insurance.
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we hope that we can make this happen for the people with the things we are doing, and when people face various accidents , they will not feel the sadness of the accident anymore by being with the insurance company . the report, if you agree , let's go back and ask our questions, god willing , everyone is free, all of them are free to calculate the removal of paper prescriptions for drugs in supplementary insurances from the end of february to the end of february, the removal of paper from the country's drug process. we will have additional insurers. according to the deputy official of the central insurance, the process of removing the paperwork from the bookkeeping department is supposed to be completed by the end of june 1403. elimination of paper prescriptions since about 6 years ago, first in the social security organization. this project is one of our national projects and
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was launched five years ago in the health insurance organization. and we begin. finally, at the beginning of january 100, the deadline for receiving paper copies is. the first day of full implementation of electronic prescriptions means that there should not be any non-electronic prescriptions and insurances do not have the right to pay according to the budget law of 1401 and 1402 . it would be possible for people to easily receive their expenses from the insurance by removing the paperwork, but they came back a couple of times because of a small thing, they said we don't approve, you should go look for another paperwork . one time the ball was in the field of the ministry of health, another time social security and last but not least the central insurance. when the required documents are spent here, we have to refer several times, this is very annoying
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. it is in the copy section and gradually in other sections as well operation, but according to the officials, some problems still remain, that's why we received about 1,790,000 prescriptions from the system of thanks to the ministry of health, about 4,200 copies did not have a national code at all, and the number of cases whose basic insurance was not clear at all there were about 58,000 problems, of course, part of it is related to private hospitals as the most important party to the supplementary insurance contract. the information of the private sector, which is mostly not a party to the contract , is not sent to the ministry of health. according to the budget law, cases of abandonment of the issue of removing paper copies to the court calculations are carried out. razi ranjbar, sed and
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sima news reporter. well, we are at the service of dr. ostad hashemi, the honorable general director of central beam of iran. mr. doctor, in this report, he talked about the electronic version , and especially what should happen in the supplementary insurance , according to the budget law of 1402 , this process should be practically completed within 7 months after the notification of the law. it is not yet under the electronic version, what is the reason why the full law is not implemented? well, i will complete the last part of your speech in this way, not that there is no supplementary insurance, but it is not complete . it is not possible to say a very high percentage. now , i will present to you now, of course, the explanations given by the honorable deputy official of central insurance in the same clip that was broadcast
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, the explanations given are almost the same . clause 3, article 74 of the sixth 5-year law on the development of the electronic version of this discussion has brought the law and stated all the cases there . in the clause there, it says that in order to maintain justice in health, the expansion of the system of accommodation and reduction of the payment share of the insured of all providers the services include medical and paramedical centers governmental, public and private are required to enter into contracts with basic health insurances, all licensing bodies under the ministry of health and medical education are required to issue and renew licenses related to professions and medical centers subject to entering into contracts with basic health insurances.
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well, here is a task that is clear that every place that is active in the discussion of treatment in the country must go to the system specified in this law in the ministry of health and submit the information to the ministry of health , even if the ministry of health wants to do this later. extend the menu so that they are connected this is the specification of the same law which is now the subject of question . the next point is that in 2080, mr. bagheri , the secretary of the information technology implementation council , wrote a guideline about the implementation of this law. there are various cases here, some of which i will review to see where the problem is now. he says that the entitlement assessment should be
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done regarding the supplementary insurance. what does this mean? that is, the companies that are party to the contract, the number of the insured must be specified at the same time as the patient is admitted. a point look at what i am going to say here now. the most important point that we have now in hub derman or in this discussion of electronic prescriptions is that it is a bit of work. there is a problem. according to the same paragraph that i read to you , if we could present this slide, i would tell you that the procedure is as follows: the medical centers that we have in the country, or pharmacies or hospitals. medical equipment centers, clinics and offices are the centers that usually provide the same word of medicine that is mentioned in the law, the way they are presented in this guideline, in such a way that all these centers
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you have seen the private or private treatment in the law . it also said that private or public should disclose all their information according to the same permission that i mentioned. they should disclose it in the system created by the ministry of health. so whether we are a basic insurer or a supplementary insurer, we must disclose our information. where can we get it from the system that the ministry of health had to create and has created according to the law, so i have to go to the central insurance department or the insurances as the trustee of supplementary insurances to get my information from the data system that was created in the ministry of health. find out where he gets his information according to according to the law, medical centers must put all the information here, then i will go and get the information. i will be placed in the next stage. after this
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complete information comes , what should happen here? first, the basic insurers should pay their share of those costs, then the information should come to the central insurance hub, what did we do in the central insurance, you know we have more than 1300 hospitals, more than 7000 clinics and 50000 others . we have more than 14 medical centers in the country 1000 pharmacies, more than 75 thousand doctors in your presence, we have chlorine, and we have more than 15 software companies that work in the health field , and about four government-based insurers. i
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have about 30 companies that are working in the field of complementary therapy . well, this was an impossible thing. we came to biem central and created a hub of therapy. as far as our company is concerned, we have facilitated some work and education here what is the problem now? the problem is that, according to all the evidence and numerous letters that have come and gone, and i will repeat the statistics to you now, we are fully established with the data system of the ministry of health, which means that we receive both the information and the information later. since we monitor the information that was not available to us or was not according to the petition , we return it twice, so the complete information is available . from
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medical centers, especially private medical centers, their information they do not provide the system of the ministry of health. what do we have to do when they don't provide it? when our insurance provider comes to visit us , we say, go get your physical file from that hospital so that i can calculate what to do here. either in the pharmacy , the pharmacy that is not connected online yet, we have to do the same thing in the same way, or the paracycling in this way. in some places, almost... more than 90% , this has been solved now. in some places, like hospitals, we were much less able to reach the goal set in the law. we are in insurance. we have done all the work that was our duty and now we are ready to take any information that comes in there
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and submit it to the insurance plan and there is no need to take the paper. or how many hospitals can prevent the implementation of the national project because they do not comply with what the law requires, for which the government has finally made this decision. it should definitely not be like this, but the health regulations in the country are not central insurance, according to those centers. when is the treatment available in the ministry of health? you have also seen the law, it states that they are required to transfer all their information to the system of the ministry of health and even set a task for the ministry of health. it says that if you want to renew the license twice, it is important that that information is connected. i am in this. hi
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, i can't go and make an entry and say what we are doing now . we came to study people's work . we sat down with our basic insurers. together we implemented a method. and in the hospitals that the contract party they are mostly in the discussion of medicine because people are very involved, that is, because they visit pharmacies more often, we are making very good progress by sharing information and reading information, now we are almost complete with heat insurance, health insurance, almost complete with social security insurance. the information is directly from, but finally , you also have tools to force them to connect to this system, for example, let 's assume that we no longer provide insurance services to these pharmacies, so if i am a patient , will this pharmacy be connected to the insurance system at all? is not
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even if i take it physically, i won't be able to get my money , i won't buy from him, or in any case , we want people to be educated . as far as i know, the national code was applied there. our problem is with a private hospital. you go somewhere, for example, you want to perform an operation. you go to that private hospital . your doctor tells you that i will do it in such and such a hospital. it doesn't work. i don't have a contract with that hospital with that insurance, and i can't provide services on my own. it's not like now, for example, you go to get a ct scan. if it's not prescribed by a specialist doctor, i 'll accept it at all. my insurance is free, we have to calculate, that means it doesn't provide this service , i have to go to a specialist. yes, i want to tell you, you are right
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, but anyway , what are we doing? we tell people , sir, don't get into your car twice from this pharmacy so, go and look for that pharmacy that is like this, then maybe two or three pharmacies on the other side will want to go to those medical centers. you said how many or how many? by the way, it means that we , supplementary insurers , are usually placed in the place where people go to, which is a private hospital, such as a public hospital, where the costs are lower, and there are fewer people at all. because there is more discussion there now, they say , sir, the supplementary insurance company is providing paper services, this is what i said.
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now, now, the state of health here , what is his duty, he should deal with those who are unable to do so, he has to deal with another law, finally, in the law , see the directive, see the paragraph to the same directive that i mentioned, it says that according to paragraph five of article two and zila's note in the second interview of the meeting the 19th executive council of the information produced in the process of writing and electronic electronic prescriptions of patients with supplementary insurance by the ministry of health and medical education or the basic insurers must be sent online to the supplementary insurance of the contract party with the patients and the basic insurers that's mean those who are subordinate to your regulation are no longer basic insurers, that is, social security insurance , health insurance, armed forces insurance, their basic insurers, we are supplementary insurers, we are supplementary
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, that is, companies, that is, you, we can't oblige them, we can't oblige them, we don't oblige them at all, social security , health insurance which has been found under the supervision of the ministry of social security, and its task is clear, under the supervision of the ministry of welfare, we are with them, they, they, by the way , there is another point that we have, that is, the contribution of the basic insurance company must be paid first, that is, when you go to the basic insurance company, an amount of your share he pays in the pharmacy you visit, and the rest is given to the complementary or supplementary insurer, which is us, that is, now, for example, it is stated in the budget law that it should be completed within 7 months after notification, this chain now practically does not have a claim from the central insurance. that is to say, we should ask the ministry of health that this is what we claim, that he and mr. bagheri asal, who are from the secretariat of the information technology implementation council , claim that we
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have established our system now, and that data exchange is taking place if now there are shortcomings that we have to go let's do a paper because of the data error, the data exchange is taking place, now the data exchange is almost done, of course. things are going very well. the latest version between us and the basic insurance provider and the ministry of health. the last thing that the ministry of health did was this validation. we had a few points in the same entitlement that i mentioned , which made things difficult. now see, for example. in the matter of drug prescription, we have received about 2 million and 500 cases in this hospital from 208 to 109. now
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we are at your service. the discussion about the prescription of the medicine means that where he wrote the visit, we could get the information and data for 250 now, but the information and data that is in the prescription, that is, he went to the pharmacy and gave me 99 cases that i was able to should i give my insurance to a supplementary insurer ? why is it that the eligibility criteria that we had in the law that i mentioned have not yet been completed ? what does the eligibility criteria say ? for example, one of them was about the supplementary insurance tag. what is your insurance? you say insurance, for example, my social security either my health insurance or muslim forces, you say first
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, he goes to that system. well, you have a supplemental insurance, and some people in the community finally have that part, they usually don't ask you about it . it doesn't work for us. has it been with any of our companies ? alhamdulillah, it has been resolved now, but there are about 67 codes that should have been done. most of them have been done now. the last statistic i mentioned is that the ministry of health is seriously worried about this time. to announce is it hard to see whether there is an end to paperwork in this area? i will now correct this word paperwork. really, we are definitely not looking for paperwork, not us, not the ministry of health, not basic insurers. really, all the efforts of everyone around
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these detailed tables that we may we may have several basic meetings with the ministry of health every week. the only goal is that the people's work is really learned and this thing that we now call paperwork will really be saved . it means that it must be given in you ministry of health data. let the basic insurers pay their share of it and eventually the data will reach the supplementary insurance as you can see . at the end of our activity, for example, a day will come when we can say that this work will be done. we are in
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supplementary insurance. again, i would like to say that we either claim that we have done our work completely or wherever there is a defect, we have this. i also sat down with the basic insurers. we had some insurers now they have a council that i visited a lot and asked to sit together. now , central insurance is also a member of that council. we are moving our activities forward on a monthly basis. now i am saying that all of us who are milking at the table are doing this activity, but i am not in a position to be able to say when this will happen. financial damages in accidents and the issue of price drop that if a person...
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if he accidentally causes a damage, for example, 5 tomans , 10 tomans , you have to pay for the damage, then if the other side complains, 30 to 40 tomans, then you will reject the highest price, then he says, "sir, for example, i have this much insurance money per year, but i am out of pocket, so i have to pay for that insurance ." only khazarte's money, up to a pardon, now we will pay it as far as i choose, how much he should compensate, we will see the report and we will talk about the accident, which i think is very much affected by the society. its damages are more than the cost of repairing and rebuilding a rear bumper i don't know, one and 800 will fall, the price of a random car is now 3 years old, four years old, it will fall into this problem . we have a price.

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