Claims in the field of health care

To recommend this benefit
Data of the proceedings
Introduction
Ex officio or upon request
Term
6 months
Silence
Estimatorio

A) CLAIMS FOR ASSISTANCE PROVIDED BY THE ENTITIES MÉDICAS

The claims relating to mutual acts from the Private Medical Bodies obligations of health care concert , with few official may warrant the same, there will be printed out the corresponding:

  1. Before the mixed commission Provincial MUGEJU provincial delegation has taken place where the facts.
  2. To the mixed committee national if the facts have taken place in Madrid, in the central MUGEJU. *
    * The resolution of 28/05/2020 de la Gerencia de MUGEJU agreed the call by the National Joint Committee of the functions of the Provincial Commissions in matters related to the COVID-19, available on this link .

Similarly, the Mixed Commission claims may be electronically from headquarters electronic MUGEJU. you can access to the procedure in this link .

In the provincial branches of MUGEJU efforts will be conducted with the Entity from for the settlement of the claim. If these efforts, the file will be discussed by the mixed commission Provincial levels.

If within this Provincial Joint Commission, the positions to be concordant, the claim will be resolved by the Provincial Delegate in the competition for this delegate (section 5.4.5 concert for the current health assistance, Resolution of 13/12/17, official gazette of spain, 20/12/17).

In the case of discrepancies exist within the Mixed Commission's view, the file will be National Joint Commission, which will study the same, resolving claim the manager of MUGEJU .

The functioning of the National Joint Commission will stick to the same standards identified for Provincial joint commissions. In the case of claims which has taken place in Madrid, the National Joint Commission to assume the functions of the mixed commission Provincial levels.

(B) CLAIMS FOR ASSISTANCE PROVIDED BY HEALTH SERVICES OR BY THE INGESA

The mutual Services attached to the public health or INGESA CC.AA may submit claims on the services of patient enabled on your case by such public health services and by the INGESA; claims shall be conducted through the procedure established in each CC.AA. or INGESA.