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MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="굴림" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="4"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="23" BaseCellColIndex="6"/><Cell CellType="1" BaseCellRowIndex="23" BaseCellColIndex="6"/><Cell CellType="1" BaseCellRowIndex="23" BaseCellColIndex="6"/><Cell CellType="1" BaseCellRowIndex="23" BaseCellColIndex="6"/><Cell CellType="1" BaseCellRowIndex="23" BaseCellColIndex="6"/><Cell CellType="1" BaseCellRowIndex="23" BaseCellColIndex="6"/><Cell CellType="1" BaseCellRowIndex="23" BaseCellColIndex="6"/><Cell CellType="1" BaseCellRowIndex="23" BaseCellColIndex="6"/><Cell CellType="1" BaseCellRowIndex="23" BaseCellColIndex="6"/><Cell CellType="1" BaseCellRowIndex="23" BaseCellColIndex="6"/></Row><Row Size="60"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="2" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="1" Text="@hospnm" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="8" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="굴림" FontSize="11" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="1" FieldIndex="24" StyleIndex="8"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="24" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="24" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="24" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="24" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="24" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="24" BaseCellColIndex="0"/><Cell CellType="1" BaseCellRowIndex="24" BaseCellColIndex="0"/><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="장 귀하" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="9" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" 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CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="1" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="결 정 사 항" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="1" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="굴림" FontSize="10" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="1. 보험급여 적용 2. 조건부 급여적용(선 보험급여 사후관리) 3. 급여제한" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="16" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="20" BottomMargin="0" RightMargin="0" FontName="굴림" FontSize="10" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="25" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="25" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="25" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="25" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="25" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="25" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="25" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="25" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="25" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="25" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="25" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="25" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="25" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="25" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="25" BaseCellColIndex="1"/></Row><Row Size="140"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="1" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="제 한 근 거
- (해당규정에 '○'표" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="1" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="굴림" FontSize="10" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="국민건강보험법 제 48조 제 1항, 제 2항, 제 53조 제 2항" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="16" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="20" BottomMargin="0" RightMargin="0" FontName="굴림" FontSize="10" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="26" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="26" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="26" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="26" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="26" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="26" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="26" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="26" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="26" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="26" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="26" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="26" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="26" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="26" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="26" BaseCellColIndex="1"/></Row><Row Size="120"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="1" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="보험급여(또는 급여
- 제한)개시일 또는 기간" MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="1" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="0" BottomMargin="0" RightMargin="0" FontName="굴림" FontSize="10" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="200 . . . 부터 (200 . . . 까지) " MultiLine="1" WordWrap="1" WordSpace="0" LineSpace="0" Editable="0" AutoFontSize="0" RowSpan="1" ColSpan="16" OutputFormat="" ReplaceEmpty="" SuppressIfDuplication="0" SuppressIfZero="0" SuppressText="" MergeIfSuppress="0" MergeColumn="0" AddEnterWhenMergeColumn="0" SummaryFunction="0" TopMargin="0" LeftMargin="20" BottomMargin="0" RightMargin="0" FontName="굴림" FontSize="10" FontBold="0" FontUnderline="0" FontItalic="0" FontStrike="0" ForeColor="0" FieldID="-1" FieldIndex="-1" StyleIndex="0"><FieldReferences/><SummaryCondition/><HyperLinkInfo LinkType="0" LinkText="" ToolTipType="0" ToolTipText="" LinkFieldID="-1" LinkFieldIndex="-1" ToolTipFieldID="-1" ToolTipFieldIndex="-1"/><ConditionalStyles/><FieldReferences/></Cell><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="1"/><Cell CellType="1" BaseCellRowIndex="27" BaseCellColIndex="1"/></Row><Row Size="330"><Cell CellType="0" BackStyle="0" BackColor="16777215" FillStyle="0" FillColor="0" Alignment="0" VerticalAlignment="1" CanGrow="0" CanShrink="0" DataType="0" Text="주 : 1. 이 조회서는 요양기관이 3부 작성하여 1부는 보관하고, 2부는 보험자에게 제출하면 보험자는 급여
- 제한여부 결정통보서를 작성하여 1부는 보관하고, 1부는 요양기관에 회신하며, 사본 1부를 피부양자
- 에게 통보하여야 합니다.
- 2. 요양기관은 이 조회서를 진료를 개시한 날로부터 7일(공휴일 제외) 이내에 보험자에게 통보하여야 하
- 며, 보험자는 동 조회서가 도착한 날로부터 7일(공휴일 제외) 이내에 회신하여야 합니다.
- 3. 결정사항중 "2"는 보험자가 7일(공휴일 제외) 이내에 급여제한 여부를 확정할 수 없는 경우에 해당 되
- 며, 만일 보험급여 후 급여제한사유 확정시 사후관리로 정산하게 됩니다.
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