Regulations Governing the Access, Review, Inquiry, and Visit pertaining to National Health Insurance Information Article 2

The scope of the documents and relevant information stipulated in Paragraph 1 of Article 80 of the Act is as follows:1. relevant information pertaining to the classification/status, the insured payroll-related amount, income from salary and wage, payment of insurance premium, and medical utilization of a beneficiary;2. account books, ledgers and receipts, rosters, and forms pertaining to the handling of the National Health Insurance (hereinafter referred to as the “Insurance”)-related affairs maintained by group insurance applicants, premium withholders and contracted medical care institutions;3. information concerning the supplementary insurance premiums withheld by premium withholders in accordance with the law;4. medical records, prescription slips, and treatment records of a beneficiary held by contracted medical care institutions;5. costs related to medical expenses incurred by contracted medical care institutions, self-covered items and detailed billing statements of a beneficiary, records of attendance and duty shifts of all categories of medical personnel, information concerning the deployment of medical equipment and all types of hospital beds as well as statistics on the utilization of insured hospital beds;6. transaction information (including items descriptions, prices, quantities, supporting documents, and contracts) pertaining to the purchase by contracted medical care institutions of drugs reimbursed under the Insurance; and7. any other documents and information related to the Insurance.
中文原文 全民健康保險資料調閱與查詢及訪查辦法第2條
本法第八十條第一項所定文件及有關資料,其範圍如下:
一、保險對象之投保身分、投保金額、薪資所得、保險費繳納及醫療利用情形之相關資料。
二、投保單位、扣費義務人、保險醫事服務機構辦理全民健康保險(以下稱本保險)業務之相關帳冊、簿據、名冊及書表。
三、扣費義務人依法扣取之補充保險費等資料。
四、保險醫事服務機構保有之保險對象病歷、處方箋及診療紀錄。
五、保險醫事服務機構之醫療費用成本、保險對象自費項目與收費明細表、各類醫事人員出勤紀錄與服務輪值資料、醫療儀器與各類病床配置資料及保險病床使用情形統計。
六、保險醫事服務機構購買本保險給付藥物之品項、價格、數量、憑證及契約等交易相關資料。
七、其他與本保險業務相關之文件、資料。

English translation for reference only; the Chinese text prevails. Not legal advice.