Claim of Error

Regarding Claims of Errors in Long-Term Care Insurance

In the review by the National Health Insurance Association (hereinafter referred to as "Kohoren"), if there are errors in the claims for already determined Long-Term Care benefits and comprehensive business expenses, it will be necessary to submit a statement of error.

Submission Deadline

By the 20th of every month (must arrive by this date)
(Note) If the 20th falls on a Saturday, Sunday, or holiday, the deadline will be the preceding weekday. Submissions made after the deadline will be treated as submissions for the following month.

Submission Method

Please bring or send the error report to the counter (fax, email, etc. are not acceptable).

Submission Destination

206-8601
2111 Higashi-Naganuma, Inagi City, Tokyo
Long-Term Care Insurance Section, Senior Welfare Division, Welfare Department, Inagi City

Notes

• Claims for errors will only be accepted for those that have completed the review by the National Health Insurance Association. If the claims for the previous month's services or those that have been returned are not finalized, you cannot file for an error, so please check the results before making a claim.
• If there are items that require a re-claim within the error declaration, please re-claim the correct amount to the National Health Insurance Association by the 10th of the month following the declaration month (same month error). If you wish to cancel the entire amount of the claim, there is no need to re-claim. (Note) If you make a same month error, an adjustment will be made for the difference between the canceled amount and the correct amount.
• If there are a large number of error claims, we will adjust the submitted documents and submission methods, so please contact the relevant department in advance.

Download Form

• Inagi City Error Application Form (Nursing Care Benefits) (PDF 70.3KB)
• Inagi City Error Application Form (Comprehensive Project Costs) (PDF 75.3KB)
• Inagi City Error Petition Form (Excel 44.5KB)
• Inagi City Long-Term Care Insurance Error Application Code Table (PDF 121.7KB)