Healthcare facilities would need to transmit digitally signed treatment records within 3 hours of a patient’s visit ending.
Healthcare facilities in Vietnam face administrative penalties for late submissions of health insurance data under a draft circular proposed by the Ministry of Health.
The regulation, which was open for public consultation until 7 October 2026, aims to regulate digital transformation, electronic transactions, and data sharing across the health insurance sector.
If passed, the circular will take effect on January 1, 2027, replacing Circular No. 48/2017/TT-BYT.
Under the proposed rules, healthcare facilities must submit electronically signed data regarding insurance-covered medical examination and treatment costs to the Health Insurance Assessment Portal within three hours of a patient’s visit ending, unless granted an objective exemption.
Facilities have 15 days following a visit to reconcile, verify, and submit final, unalterable data to request payment assessment.
The Health Insurance Assessment Portal must then issue assessment results within 15 days of receiving the payment request, specifying approved amounts alongside detailed legal justifications for any rejected claims.
To enforce compliance, the portal will issue automated monthly reminders and warnings for subjective delays.
Continued non-compliance after two written notices from the social security office will result in administrative penalties or referral to competent authorities for sanctions under healthcare administration laws.