Article 16. Healthcare entities The Law on Compulsory Social Health Insurance

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1. When providing medical care in the compulsory social health insurance system, healthcare entities have the right to:

1) in agreement with the fund, conclude contracts with other healthcare entities to fulfill obligations under the contract for the purchase of services;

2) to apply to the fund for clarification of the terms of the contract for the purchase of services.

2. When providing medical care in the system of compulsory social health insurance, healthcare entities are obliged to ensure:

1) timeliness, reliability and correctness of data entry into information systems and electronic information resources of the compulsory social health insurance system;

2) access to information systems and electronic information resources of the compulsory social health insurance system;

3) providing, at the request of the fund, information and documentation necessary for monitoring the fulfillment of the terms of the contract for the purchase of services;

4) at the request of the fund, access to a medical organization providing medical care to monitor the fulfillment of the terms of the contract for the purchase of services.

4-1) making a refund of funds from healthcare entities to the fund in case of non-fulfillment or improper fulfillment of obligations under the contract for the purchase of services in accordance with the procedure determined by the authorized body.

3. When providing medical care in the compulsory social health insurance system, healthcare entities shall bear the duties provided for by the Code of the Republic of Kazakhstan "On Public Health and the Healthcare System", as well as other duties provided for by the laws of the Republic of Kazakhstan.

3-1) in the absence of publicly available information, upon request of the consumer of medical services, provide information on the availability of permits and sanitary and epidemiological conclusions confirming compliance with the requirements for organizations providing medical services.;

3-2) the fund's access to information on expenditures of healthcare entities within the guaranteed volume of free medical care and (or) medical care in the compulsory social health insurance system in accordance with the procedure determined by the authorized body;

The Law of the Republic of Kazakhstan dated November 16, 2015 No. 405-V SAM.

This Law regulates public relations arising in the system of compulsory social health insurance in order to implement the constitutional right of citizens to health protection.

President

Republic of Kazakhstan

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