Open APIs in the Public Data Portal's Health & Medical › Health Insurance category. Detail categories: Insurance Premiums and Benefits, Medical Institutions & Hospital Information, Medical Statistics & Big Data. 29 REST APIs, sorted by most requested. Click a name to go to its application page on the Public Data Portal. Search & filter on the main explorer.
A service to query hospital information managed by the Health Insurance Review and Assessment Service. - Prepared based on reports made by medical care institutions to the Health Insurance Review and Assessment Service pursuant to Article 43 of the National Health Insurance Act (Reporting on Status of Medical Care Institutions) and Article 12 of the Enforcement Rule of the same Act (Reporting on Status of Medical Care Institutions, etc.). - Medical care codes are provided as 1:1 matched encrypted medical care codes.…
A service providing detailed information on medical institutions collected and managed by the Health Insurance Review and Assessment Service. - Facility information, detailed information, medical department information, transportation information, medical equipment information, meal surcharge information, nursing grade information, special treatment information (available treatment field inquiry), specialized hospital designation fields, number of specialists by specialty, and other personnel information can be queried ※ Recuperation symbols are 1:1 matched and encrypted…
This is a service where you can query pharmacy information managed by the Health Insurance Review and Assessment Service. - Prepared based on reports filed by nursing institutions to the Health Insurance Review and Assessment Service pursuant to Article 43 of the National Health Insurance Act (Reporting on the Status of Nursing Institutions) and Article 12 of the Enforcement Rule of the same Act (Reporting on the Status of Nursing Institutions, etc.). - The nursing symbol is an encrypted nursing symbol matched 1:1…
Information on the use of reimbursed drugs claimed to the Health Insurance Review and Assessment Service - A service to query usage by drug efficacy classification group / ATC code / ingredient by region / medical institution type / disease based on treatment year and month, insurer classification, dispensing prescription classification, etc. - Region codes can be found on the HIRA Healthcare Big Data Open System (opendata.hira.or.kr) > Service…
A service to inquire about non-reimbursed medical expense information of medical institutions of hospital level or higher managed by the Health Insurance Review and Assessment Service - Non-reimbursed item code information: non-reimbursed code (name), medium classification code (name), small classification code (name), detailed classification code (name), application start date, application end date - Non-reimbursed item hospital list: encrypted care symbol, hospital name, classification code (name), care institution location, non-reimbursed code (…
The Drug Price Standard Information Inquiry Service is a service that provides health insurance pharmaceutical master information.
A service that provides disease information managed by the Health Insurance Review and Assessment Service based on criteria such as disease codes and medical (Western) vs. Oriental medicine distinctions. - Inquiries available for disease names/codes, disease statistics by gender and age, disease statistics by hospitalization and outpatient status, disease statistics by medical institution type, and disease statistics by medical institution region. ※ The Health Insurance Review and Assessment Service basically uses Statistics Korea's 'Korean Standard Disease and Cause of Death Classification (KCD)' for medical care benefits.…
Provides inquiry capabilities for drug efficacy classification numbers, efficacy names, formulation classification names, generic name codes, generic names, administration routes, content, and units based on drug main ingredient codes (generic name codes) and classification numbers managed by the Health Insurance Review and Assessment Service. - Generic name codes are provided by the price list inquiry operation of the Health Insurance Review and Assessment Service's 'Drug Price Standard Information Inquiry Service' Open API…
A service that inquires the nursing institution name, opening/closing/suspension classification, phone number, address, etc. of hospitals and pharmacies that opened, closed, or suspended business in the standard year and month - Nursing symbols are provided as encrypted nursing symbols matched 1:1, and separate decryption methods or nursing symbols are not provided. - Codes for API utilization such as region codes are provided by the Health and Medical Big Data Open System…
A service that queries review standard information for medical fee lists, pharmacy fee lists, and oriental medicine fee lists based on medical fee codes, medical fee code names, medical fee classification numbers, etc. ※ Master files related to fees can be checked through the path below for reference. · (Path 1) Health Insurance Review and Assessment Service website (https://www.hira.or.k…
This is a service to query various code information used by the Health Insurance Review and Assessment Service. - Information on address codes, medical institution classification codes, medical department codes, equipment codes, special treatment codes, and specialized hospital codes - Codes for utilizing other API services of the Health Insurance Review and Assessment Service can also be found in HIRA Healthcare Big Data Open System > Service Introduction > Terminology Explanation > Code Inquiry…
This service inquires the top 5 disease name lists treated at clinics over the past year based on treatment codes. - Treatment codes are provided as encrypted treatment codes matched 1:1, and separate decryption methods or treatment codes are not provided. · How to check encrypted treatment codes for clinics: Health Insurance Review and Assessment Service 'Hospital Information Service' Open…
A service provided by the Health Insurance Review and Assessment Service to query hospital evaluation results by evaluation item for medical care institutions - Evaluation items: acute stroke, hemodialysis, medical aid psychiatry, coronary artery bypass graft, acute upper respiratory infection antibiotic prescription rate, injection prescription rate, number of drugs, nursing hospitals, hypertension/diabetes, asthma, chronic obstructive pulmonary disease, etc. - Facility codes are 1:1 matched and encrypted…
치료재료코드, 품목명, 제조업체명, 수입업체명을 기준으로 치료재료 급여, 비급여 목록정보를 조회하는 서비스입니다.- 수입업체명, 품목명, 대분류코드, 재료대코드, 중분류코드, 제조업체명, 상한단가, 규격, 급여구분, 단위 등 제공※ 치료재료코드는 아래 경로에서도 확인하실 수 있습니다. · 건강보험심사평가…
신포괄수가의 분류코드(행위, 약제, 치료재료), 신포괄품목 포괄 구분코드, 분류유형코드 등을 기준으로 분류코드, 적용개시일, 적용종료일 등을 조회하는 신포괄급여정보 조회 서비스※ 신포괄수가제 관련 세부사항은 아래 경로를 확인하여 주시기 바랍니다. · 건강보험심사평가원 요양기관업무포털(https://biz…
A service that allows users to query institutions with excellent evaluation result grades and detailed information by evaluation item in hospital evaluations conducted by the Health Insurance Review and Assessment Service for medical institutions. - Provides encrypted nursing symbols, nursing institution names, evaluation item names, excellent institution grades, and excellent institution grade names. - Nursing symbols are provided as encrypted nursing symbols matched 1:1.…
(Special Treatment Hospital Information) This is a service that queries special treatment hospital information managed by the Health Insurance Review and Assessment Service. Refer to the Healthcare Big Data Open System Code Inquiry (https://opendata.hira.or.kr/op/opc/selectColumnCodeList.do) for specialized hospitals and department codes
This service inquires statistical status of medical imaging data treatment and medical device imaging information based on the treatment field. - Provides treatment classification, examination image number, patient gender, patient age, medical device classification, imaging classification site, etc. ※ Health Insurance Review and Assessment Service targets companies that need medical image data for the purpose of developing or researching artificial intelligence medical image reading software.…
Inquiry of medical procedure information managed by the Health Insurance Review and Assessment Service (statistics on medical procedures by age group, inpatient/outpatient, type of medical institution, and location of medical institution)
An Open API service that provides fee codes and unit price information that can be claimed as separately compensated items when billing medical expenses under the comprehensive diagnosis-related group (7 disease groups) payment system. - Inquiry of disease group surgical surcharges/emergency fee amounts, inquiry of copayment rate lists by medium classification of disease group separately compensated treatment materials, inquiry of disease group separately compensated items (actions), disease group separately compensated items (ch…
This API is a service that allows real-time inquiry of information such as the name, exact location address, postal code, and representative contact information of workplace daycare centers installed nationwide with the support of the Corporation and daycare centers operated by the Corporation. (※ Includes API for downloading review decision file as of 2013) Going beyond checking facility locations, private sector…
Provides information on National Health Insurance benefit performance (pregnancy/childbirth medical expense amount, advance payment cases for out-of-pocket maximum system, out-of-pocket compensation amount, etc.) from 2000 and 2007 to 2024 among health and welfare status managed by the Ministry of Health and Welfare. <Precautions when using data> ○ Statistics related to benefit performance are based on medical care expenses claimed by medical care institutions to the Corporation…
보건복지부에서 관리하는 보건복지현황 중 2015년~2024년까지 건강보험 적용인구(년도, 시도구분, 총계, 직장건강보험)근로자_적용인구, 직장건강보험(근로자)_가입자, 직장건강보험(근로자)_피부양자, 직장건강보험_적용인구, 직장건강보험_가입자, 직장건강보험_피부양자, 지역건강보험_세대수, 지역건강보험_가…
Provides information on National Health Insurance medical care benefit performance (benefit type, medical expenses, hospitalization/outpatient days, etc.) from 2015 to 2024 among the health and welfare status managed by the Ministry of Health and Welfare. <Precautions when using data> ○ Statistics related to benefit performance are based on the month the Corporation paid the medical expenses claimed by medical care institutions, and insurance benefit expenses are incurred for the medical treatment of National Health Insurance subscribers.…
Provides information on health insurance premiums and medical care benefit amounts (year, benefit expenses, total insurance premiums, applicable population, etc.) from 2003 to 2024 among the health and welfare status managed by the Ministry of Health and Welfare. <Precautions when using data> ○ Statistics related to benefit performance are based on the month when the National Health Insurance Service paid medical expenses claimed by medical institutions, and health insurance benefit expenses are health insurance…
Provides information on the status of medical aid recipients by age managed by the Ministry of Health and Welfare from 2015 to 2024 (including city/province classification, year, and age-specific status information) among health and welfare statistics managed by the ministry.<Precautions when using statistics>* Medical Aid Recipient (Beneficiary): A person who is qualified to receive medical aid under each subparagraph of Article 3, Paragraph 1 of the Medical Care Assistance Act-…
Provides insurance premium information on the National Health Insurance financial status (total revenue, difference, benefit expenses, total expenditures, etc.) from 2002 to 2024 among the health and welfare status managed by the Ministry of Health and Welfare.<Precautions when using statistical data>* Data preparation basis: Settlement basis* Total expenditure: Insurance benefit expenses (medical care benefit expenses + out-of-pocket compensation + health checkup expenses + pre-natal treatment expenses) + other expenditures (…
Provides information on the status of medical aid beneficiaries by type (year, total, category, Type 1 human cultural assets, Type 1 military enlistees, etc.) managed by the Ministry of Health and Welfare from 2015 to 2024 among health and welfare statuses managed by the Ministry. <Precautions when using statistics> * Medical aid beneficiaries (recipients): Persons who have the qualification to receive medical aid under Article 1 of the Medical Aid Act…