{"id":1566,"date":"2017-03-03T10:00:20","date_gmt":"2017-03-03T13:00:20","guid":{"rendered":"https:\/\/segurosinteligentes.com.br\/oldrh\/_old\/?p=1566"},"modified":"2017-03-02T18:22:56","modified_gmt":"2017-03-02T21:22:56","slug":"ans-uniformiza-processo-de-reembolso","status":"publish","type":"post","link":"https:\/\/segurosinteligentes.com.br\/oldrh\/ans-uniformiza-processo-de-reembolso\/","title":{"rendered":"ANS uniformiza processo de reembolso"},"content":{"rendered":"

[et_pb_section admin_label=”section” transparent_background=”on” background_color=”#ffffff” allow_player_pause=”off” inner_shadow=”off” parallax=”off” parallax_method=”off” padding_mobile=”on” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” make_equal=”off” use_custom_gutter=”off” custom_padding=”0px||50px|”][et_pb_row admin_label=”row” make_fullwidth=”off” use_custom_width=”on” width_unit=”off” use_custom_gutter=”off” padding_mobile=”on” allow_player_pause=”off” parallax=”off” parallax_method=”off” make_equal=”off” parallax_1=”off” parallax_method_1=”off” parallax_2=”off” parallax_method_2=”off” column_padding_mobile=”on” custom_padding=”50px|35px|50px|35px” background_color=”#ffffff”][et_pb_column type=”2_3″][et_pb_text admin_label=”tag e data” background_layout=”light” text_orientation=”left” text_font=”|on|||” text_font_size=”16″ text_text_color=”#9ec31e” text_line_height=”1.5em” use_border_color=”off” border_color=”#ffffff” border_style=”solid” custom_margin=”||0px|”]<\/p>\n

VAI E VOLTA | 03.MAR\u00c7O.2017<\/p>\n

[\/et_pb_text][et_pb_text admin_label=”t\u00edtulo” background_layout=”light” text_orientation=”left” text_font=”|on|||” text_font_size=”32″ text_text_color=”#495358″ text_line_height=”1em” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

ANS uniformiza processo de reembolso<\/p>\n

[\/et_pb_text][et_pb_text admin_label=”conte\u00fado” background_layout=”light” text_orientation=”left” text_font=”Open Sans||||” text_font_size=”16″ text_text_color=”#748690″ text_line_height=”1.5em” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

Os contratos firmados com as operadoras de sa\u00fade t\u00eam como objetivo principal a assist\u00eancia \u00e0 sa\u00fade, que ocorre mediante pagamento direto ao prestador ou por meio de reembolso, que embora comumente utilizado, n\u00e3o possui uma regulamenta\u00e7\u00e3o espec\u00edfica.<\/p>\n

Para uniformizar a atua\u00e7\u00e3o nos processos administrativos e evitar infra\u00e7\u00f5es relacionados \u00e0 pr\u00e1tica do reembolso, na \u00faltima semana, a Ag\u00eancia Nacional de Sa\u00fade Suplementar (ANS), pela Diretoria de Fiscaliza\u00e7\u00e3o (DIFIS), publicou o Entendimento DIFIS n\u00ba8.<\/p>\n

O documento discorre sobre as demandas relacionadas ao reembolso, se estas s\u00e3o de origem assistencial ou n\u00e3o, se sua tipifica\u00e7\u00e3o est\u00e1 relacionada ao artigo 77 ou 78 da Resolu\u00e7\u00e3o Normativa (RN) n\u00ba 24\/06, entre outras situa\u00e7\u00f5es de conflito recorrentes observadas pelo \u00f3rg\u00e3o regulador. Em 25 de janeiro de 2016, a DIFIS, por meio da Instru\u00e7\u00e3o Normativa (IN) n\u00ba 12, instituiu os \u201cEntendimentos\u201d como o instrumento oficial para a padroniza\u00e7\u00e3o dos processos em vigor nas atividades de fiscaliza\u00e7\u00e3o.<\/p>\n

Clique aqui<\/a> e acesse o Entendimento DIFIS n\u00ba8 completo.<\/p>\n

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PORTAL RH IT\u2019SSEG \u00e9 uma publica\u00e7\u00e3o da It\u2019sSeg Seguros Inteligentes. N\u00e3o \u00e9 permitida a reprodu\u00e7\u00e3o do conte\u00fado, mesmo que parcial, para uso comercial de qualquer natureza.<\/p>\n

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PORTAL RH IT\u2019SSEG \u00e9 uma publica\u00e7\u00e3o da It\u2019sSeg Seguros Inteligentes. N\u00e3o \u00e9 permitida a reprodu\u00e7\u00e3o do conte\u00fado, mesmo que parcial, para uso comercial de qualquer natureza.<\/p>\n

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Instrumento visa aprimorar a fiscaliza\u00e7\u00e3o da pr\u00e1tica, que n\u00e3o possu\u00eda regulamenta\u00e7\u00e3o espec\u00edfica.<\/p>\n","protected":false},"author":1,"featured_media":1567,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_links_to":"","_links_to_target":""},"categories":[13],"tags":[136],"_links":{"self":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/1566"}],"collection":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/comments?post=1566"}],"version-history":[{"count":3,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/1566\/revisions"}],"predecessor-version":[{"id":10540,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/posts\/1566\/revisions\/10540"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media\/1567"}],"wp:attachment":[{"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/media?parent=1566"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/categories?post=1566"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/segurosinteligentes.com.br\/oldrh\/wp-json\/wp\/v2\/tags?post=1566"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}