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tv   [untitled]    August 21, 2024 1:30am-2:00am IRST

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a product that is more important than whether it has insurance coverage or not is delivered to the patient , it must be registered, included, exchanged, this is a general principle, which means that it may not even need a directive, but at the moment, after the so-called talk that friends basic insurer, supplementary insurer , we have had a correspondence with the basic insurance organizations that all items must be claimed from the pharmacy. do it in the form of the web service that is there, and i don't think i said that even if this is not a letter, why can i write to you now? i mean, mr. zamani, what do you think? mr. hossein, of course, we are not zainaf in this matter , i said, now even if it is based on the name of a regulatory organization, something should be sent from our side to the pharmacies, we do not have a problem, we will notify you. and from this
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, well, those friends do not process their rules in that engine, but the fact is that this is important for the patient, and we , as the ministry of health , are responsible for the health of the people in all our cities, even the items that are delivered in the form of otc. patients are given and expected it is supposed to be registered and exchanged and included in the patient's file, that's why i said that this is a general rule.
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i apologize to you that after the meetings we had in the court, our friends told us to the ministry of health that mr. dr. mazhari was present that this work should be done, mr. doctor, now i will help them . what should you do with all the items ? well, this guarantee should be implemented by the ministry of health for pharmacies, not food, etc. medicines should
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be notified to pharmacies. the circular was also notified. i know because i received the letter at the center , why your pharmacy, well, this guarantee of implementation should be given to the ministry of health, for example, why this circular that i
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presented to you, without any interference, items labeled as supplementary insurance we have sent the central insurance organization, well friends , markzian says this is the number, you, i will give you the numbers, in 13 months, what we received from the ministry of health is 71,000 from health insurance and
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2,424,000 from social security insurance. it can be almost 20% in the month of april, for example, which was the best month for sending information the information from the collection of what is produced in the country has been sent to the center, and this number has unfortunately decreased to 47,000 in august, which is almost smoke, that is, from 20% to 2% . the ministry of health , before the ministry of health, mr. doctor, who refers to the so-called time process of that case, the number that i mentioned is the total. and it is related to the whole course , and the number that the doctor mentioned is the cases that have insurance labels and supplementary insurance. i have explained the whole procedure. in the social security organization, 61 of the data of their messages were wrong, now they are friends, the problem is in
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your insurance, you are correct, see if you don't follow those coding standards, we are going to have a common repository, the entire copy of both insurances, and i should say all three insurances. well, naturally , the standard should be a single standard given by the ministry of health, now the question is here, that is , just as this throat that has come has decreased , if we follow our way, we will reach social security . of course, there is an error in the data now let's go to social security, mr. god, head of the information technology center of the social security organization , mr. god, good day. salam alaikum . greetings and have a good time. dear all viewers , mr. dr. raha, did it reach you
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? why are you missing? my condolences. as a viewer, when i was about to present this program to you , i did not understand what happened. these are different from each other, which, unfortunately , cannot be mentioned in detail. the topics are not technical topics. i would like to tell you about the process issues of our organization and the health insurance, in fact, the operation of basic insurance is with us, and the ministry of health and the food and drug organization are the regulators.
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the medicine that is prescribed is not delivered to the patient because the respected doctor comes to a portal and prescribes the medicine. what does the pharmacy deliver according to the different brands it has? paying attention to the request that the patient has, according to what the items inside the pharmacy deliver the medicine to the patient, which is actually the job. this service does not exist until today, this is the biggest problem that in all these few minutes that have passed in the program and friends have said that more than half of the time that has passed, it has not been mentioned at all , that is, the most important service that should be present here now . ok, the irs service, i have to
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get the irs code from the food and drug organization at the moment when i want to deliver the prescription drug , because this is a very code that according to different brands are changing every day, and i have to tell you that if i don't have this code, i can't send my medicine. where you say that the central insurance organization has not reached, i have a voice, because we have a split, if you allow it, they are clans, sir. dear knowledge, my friend, my servant , mr. sarkar, mrs. ali askgari, i can
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tell you this, my body's testimony is that there is no correspondence between all generic codes and irc codes, and now there is no service that i can inquire at the same time, if the respected doctor he has prescribed the generic drug, what is being delivered to the patient? it is a big fundamental problem that has not been mentioned in the program so far. mr. doctor, these forms say that it should be an online service . there is no online service today that
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has a complete overview of generic drugs and irc. ali askari, can you ask them this question at all? mrs. aliskari , can you do online irc converters? service to the name there is the maxa center itself, which currently
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receives the information in the form of notification and a letter from us, but it does not have any information on it, this must be serviced, sir, look, now we are talking technically, this must be serviced, let me explain the service from the service provided by maxsa and as you said that we had with their colleagues last week, we are going to prepare this service again with our own origin. this is going on. look, this is a complicated issue. your viewer should come to a conclusion now , so where is the problem, why can't it be done? look, we have 100 prescribed drugs to the ministry. we send health care, but we only have the possibility to send 30% of chemical drugs, the reason is that we do not have an irc code. this is the first part , see the second part. when a patient visits a pharmacy
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, not all drugs are chemical drugs that are covered by supplementary insurance. here, for example , i am telling you that here we have complementary drugs , cosmetic drugs, we have combined drugs. well, these are the drugs that to date , there is no coding for it, and it includes additional insurances, and there is no planning for it. second point. we have things called accessories adjunctive means the sets that are used along with medicines . for example, a respected patient goes to a center and says that i should have an injection . in addition to this , can i tell you about this serum set that includes the insurance status of my service? is it private? there is no process in these cases, there are no technical issues at all. right now, we
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can coordinate the communication, just like we have 100 drugs, now we have prescription drugs. we are sending, but what is delivered is not what is prescribed, that is, the main point is that because we do not have any direct service from the food and drug organization, we can inquire about these at the same time, and our next point we don't have any tools to pressure me and the health insurance to put pressure on the pharmacies that you must register all the cases in the system , because the pharmacies put in the system what the basic insurance panel gave them, that is, they have an account with me. they do the panel that the central insurance should provide them, that is, the panel of the department private, private insurances, sometimes the processes have applications and filters that do not exist in basic insurance businesses, for example , what is the reason for the prescription? well, when it says, "what
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is the reason for the prescription, what should the central insurance do?" what to do you see, sir , he is getting to good places with discussion. i wish you would allow us to explain the whole process from the beginning . let's see what the central insurance will do. yes , the central insurance is responsible for creating the private insurance rules engine. what does the private insurance rules engine mean? that is, how i am now the engine of the rules in order to use the medicine for the basic insurance of the central insurance, i also need a motor. it should have rules that 28, in fact, the private sector insurance defines the standards according to the protocol and rules set by the central insurance and receives all the items according to them from our version, unfortunately this does not exist until today. what is happening in the country , the ministry of health is now very smart
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, our dear friend, now mr. aqtardan is my dear servant, they are also present there, very smart . coming from this path, telling you to come and have direct contact with central insurance central insurance is also very smart now, now i use this word, give up saying yourself , come and communicate directly with 28 companies , see what happens, so what is the status of central insurance here, that engine should answer, mr. kim, please, please, hello. i would like to ask you, mr. god
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, to ask your questions to the central insurance in one line, which you should do . my question to the central insurance is that you have your own processes and business models. . that these business models in basic insurances do not have a place for arabs at all, why not? because of you, why should basic insurances be run by a panel? ask questions, answer them, please, mr. kian, see, with your presence, we are talking about the roll engine or the same thing , he says persian reforms, all reforms. english people say
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that we prepared the rules engine in the center, but i explained the requirements, whether this supplementary insurance company of mine has coverage or not? well , that's all i'm saying now, i'm saying, look at the whole process, we didn't withdraw ourselves, the central bim has created a treatment hub , and it's receiving the information, even this. we prepared the survey at the beginning of march last year and gave it to the information technology organization . he also announced that we put the service that you prepared on the js platform . the same mr. god said that we also announced to the basic insurance company at the beginning of august this year that this service is ready to come. please rewrite the service and send the information to where it is. send it directly to the ministry of health for decentralization , but with the standards that have been set
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, you must have it, which is not enforceable. we cannot meet the requirements that you have, such as our technical right. we deleted it, we said sir, it is a technical deletion, i don't need to have it, there is no problem, we will calculate it ourselves with a mechanism and give it to individual insurance companies. because the supplementary insurance companies cover the technical right of pharmacies , if the basic insurances do not cover it, that means they do not pay the technical right to the patient, if the supplementary insurances also pay this amount , well, friends, it is not in their business, in the mechanism. they are not commercial, but the supplementary insurances are paying this, so i need to know when i don't know from the pharmacy of the medical center how much is the right. how can the technician receive this prescription from the patient? i will pay it. many of you, ms. ali askari , saddam, you have me. ms. ali askari, sorry, i was in qatar, ms. ali askari. yes, as one of the officials
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of your health insurance, you have no problem with the central insurance, so you have no problem. you have no problem. your insurance said that you have the same or not with the central insurance. i would like to inform you that we had the access that i said on the jsp platform exactly on the 16th of june, and this was one of the cases that we are now in the process of re-establishing communication with central insurance, but especially the generic codes that we have a problem with. social is the same problem as ours, because it is exactly the same and now
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there are other organizations. one is the issue of items, one is the issue of not sending or delay in sending information, the other is the issue of siam code being invalid, and the fifth is the issue of not including the amount of
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preferential width and other government supporters. central insurance and insurance companies should have these. one of them is to send an invalid irc code . if these 6 items are included in this new process, which is supposed to be basic insurance directly
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for one month, i think we can start the process. in a month , we will make the same program again this is that all this code has been fixed, it should be the same now, if the food and drug organization from insurance, hello , this operation should be done by the food and drug organization , and provide it to the insurance organizations , the technical matters, and the service that is based online. give
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me medicine until the food organization is done. mr. zamani, it only means yes or no . it will be solved. the things that come back to you will definitely be solved. part of it has been solved. watch a series of talks , mr. doctor god. if mr. zamani, then what are these problems, this program? why did we spend the year 1998 with the irc machines to generic and erxo? we said that it is not in the form of a service, we accept it, and i said that there are changes until the end and it is not online, the changes are not online, but it is communicated, a very wrong word. solve it, not the kidney and generics, in addition to the first chemical drugs, i said. in addition to
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chemical drugs, we also have prescription coding for natural and traditional products and powdered milk, drug supplements, and the screw version of some of the contents that you emphasized again, and even the items of mr. zamani fasat. there is not enough time, god willing, we will have the same program again in another month. the social security of the health insurance of the ministry of health and the central insurance will answer what has been done .
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