Director of private sector management in the "Health Riyadh," pharmacist Ahmed al-Issa said that according to the system of private health institutions and the Regulations for the system to engage health professions Consultants doctors are punished in the event of non-acceptance of some medical insurance patients in their clinic and load patient additional coasts and also medical facilities violations, as the fine may reach on the doctor up to about 80 thousand riyals and for the facility up to 100 thousand, explaining that the system prevents doctors working in health institutions of government to work with the private sector.
He demanded any patient undergoing medical insurance system if any facility refused to serve him, to submit a complaint through the citizen's voice on the Ministry of Health online site, and the complaint will be forwarded to the assistance Agency of the affairs of the private health sector in the Ministry of Health and investigating the incident and then implement the regular penalties on consultant physician and violating facilities, emphasizing the application of the regulations and directives on violating facilities without complacency and punishing it according to the system.
For his part, the official spokesman for the Council of Cooperative Health Insurance, Nayef Rural said: The General Secretariat supervises and controls on all parties of the insurance relationship to verify their commitment to the health insurance and the Regulations system, and one of the most important supervisory procedures is field trips for insurance companies to verify their commitment to providing health care as required and, when we found any excesses , the company is suspended until it takes the necessary measures to ensure treatment and abuses revealed . Also the Secretariat had to stop three companies during the year 1435 for its failure to provide health care as required.
He said that the amended Executive Regulations organized request procedures of treatment approval for speed and ease of providing therapeutic services by service providers to the beneficiaries , as the General Secretariat compel insurance companies to put the Secretariat phone behind health insurance cards to provide any comments or complaints, and also ordered the service providers put the Secretariat phone when the reception venue to provide any comments or complaints.
He explained that all requests for approval to conduct laboratory tests and analyzes that are sent by hospitals and health centers to qualified insurance companies are accepted in the absence of response in a maximum period of 60 minutes from sending the fax.
He pointed out that the Council is seeking to carry out its responsibilities entrusted to him to ensure the provision of adequate health services to the insured and to maintain the interests of insurance companies and health care providers through the supervisory duties through control of the comprehensiveness of insurance coverage and rehabilitation of insurance companies for the practice of health, in addition to resolve any between service providers and insurance companies, and the development of standard medical service required for quickly respond to the service providers, as well as the study of the complaints that arise between the parties of the insurance relationship and be subject to the system.