労働基準行政システム
機械処理手引（労災補償業務）
介護（補償）給付業務編

令和６年３月厚生労働省労働基準局労災保険業務課

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基本的事項 ............................................................................... 1

１

介護給付業務のシステム化の目的 .................................................................................................. 2２

介護給付業務にかかるシステムの概要 ........................................................................................... 2

３

介護給付業務にかかるシステムの特徴 ........................................................................................... 2①

年金・一時金業務の情報の引用・突合........................................................................................ 2②

短期給付業務との類似 ................................................................................................................. 2③

リアルタイム処理の拡充 ............................................................................................................. 2４

基本的用語....................................................................................................................................... 3(1)

給付キー ................................................................................................................................... 3(2)

データ受付番号 ........................................................................................................................ 5(3)キャンセル ............................................................................................................................... 6(4)リアル処理及びバッチ処理 ...................................................................................................... 6(5)

その他の用語 ............................................................................................................................ 7５

介護システムで取り扱う情報 ......................................................................................................... 8(1)

介護台帳で管理する情報 ......................................................................................................... 8(2)

年金・一時金業務より引用・突合する情報 ............................................................................ 9６

介護給付業務による介護区分の自動判定等.................................................................................. 10(1)

介護区分の自動判定 ............................................................................................................... 10(2)支払金額の自動算定 ............................................................................................................... 12７

入力帳票一覧 ................................................................................................................................. 13(1)

新帳票..................................................................................................................................... 13８

出力帳票一覧 ................................................................................................................................. 14９運用管理 ........................................................................................................................................ 15II(1)

帳票入力時間 .......................................................................................................................... 15(2)

帳票入力制限期間 .................................................................................................................. 15(3)端末操作カードの使用 ........................................................................................................... 15(4)

ブザーの短鳴動 ...................................................................................................................... 15(5)端末装置障害時の代行入力 .................................................................................................... 15(6)

直接印刷・自動配信の帳票の再印字 ..................................................................................... 15(7)状態区分 ................................................................................................................................. 16

留意事項 ................................................................................ 17

１初月に関する取り扱い .................................................................................................................. 18(1)「介護事由発生年月」 ........................................................................................................... 18(2)「介護事由発生年月」及びその翌月以後の支払金額の自動算定 ......................................... 19(3)「介護事由発生年月」の翌月以後が初月である場合の処理 ................................................. 20(4)初月を訂正する場合の処理 .................................................................................................... 21(5)初月に関するメッセージの出力について .............................................................................. 22２

介護料受給者に係る取り扱い ....................................................................................................... 22(1)

介護料区分の入力 .................................................................................................................. 22(2)システムによる既得権の自動管理 ......................................................................................... 23
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決議書、追・回決議書の出力内容 ......................................................................................... 24

III 事務処理 ................................................................................ 25

１

請求書 ............................................................................................................................................ 26(1)

機械処理の流れ ...................................................................................................................... 26(2)

関連する事務処理 .................................................................................................................. 26(3)

帳票様式 ................................................................................................................................. 27(4)

必要な記入項目 ...................................................................................................................... 29(5)記入要領 ................................................................................................................................. 31(6)

機械処理における主な留意点 ................................................................................................ 33(7)形式チェック .......................................................................................................................... 35(8)

年金証書番号を複数持つ者に係る請求書の入力結果について ............................................. 37(9)

出力帳票・リスト等 ............................................................................................................... 39

２

決議書 ............................................................................................................................................ 41(1)

機械処理の流れ ...................................................................................................................... 41(2)

関連する事務処理 .................................................................................................................. 41(3)

帳票様式 ................................................................................................................................. 42(4)

印書例..................................................................................................................................... 43(5)出力項目 ................................................................................................................................. 44(6)

必要な記入項目 ...................................................................................................................... 50(7)記入要領 ................................................................................................................................. 51(8)

機械処理における主な留意点 ................................................................................................ 52(9)形式チェック .......................................................................................................................... 56(10)

出力帳票・リスト等 ............................................................................................................... 58３

通知書（支給・不支給決定関連） ................................................................................................ 59(1)

帳票様式 ................................................................................................................................. 59(2)

印書例..................................................................................................................................... 60(3)出力項目 ................................................................................................................................. 61(4)

機械処理における主な留意点 ................................................................................................ 62(5)

支払処理 ................................................................................................................................. 62４

修正票 ............................................................................................................................................ 64(1)

帳票様式 ................................................................................................................................. 64(2)

請求情報（個別）修正 ........................................................................................................... 65(3)

基本情報（全体）修正 ........................................................................................................... 79(4)

出力帳票・リスト等 ............................................................................................................... 89

５

追・回決議書 ................................................................................................................................. 92(1)

機械処理の流れ ...................................................................................................................... 92(2)

関連する事務処理 .................................................................................................................. 92(3)

帳票様式 ................................................................................................................................. 93(4)

印書例..................................................................................................................................... 94(5)

出力項目 ................................................................................................................................. 96- II -

(6)必要な記入項目 .................................................................................................................... 103(7)

記入要領 ............................................................................................................................... 103(8)

機械処理における主な留意点 .............................................................................................. 104(9)

形式チェック ........................................................................................................................ 106(10)

出力帳票・リスト等 ............................................................................................................. 107

６

通知書（変更決定関連） ............................................................................................................. 108(1)

帳票様式 ............................................................................................................................... 108(2)

印書例................................................................................................................................... 109(3)

出力項目 ............................................................................................................................... 110(4)

機械処理における主な留意点 ............................................................................................... 111７

再処理要求................................................................................................................................... 112(1)

再処理要求画面 .................................................................................................................... 112(2)

再処理要求完了画面 ............................................................................................................. 114

８

業務処理日報 ............................................................................................................................... 116(1)

様式 ...................................................................................................................................... 116(2)

出力内容等 ........................................................................................................................... 117

９介護給付保留状況リスト ............................................................................................................. 119(1)

様式 ...................................................................................................................................... 119(2)

出力内容等 ........................................................................................................................... 119

１０ 介護給付保留解除処理状況リスト .............................................................................................. 121(1)

様式 ...................................................................................................................................... 121(2)

出力内容等 ........................................................................................................................... 121

１１ 介護（補償）給付給付保留入力一覧表 ....................................................................................... 123(1)

様式 ...................................................................................................................................... 123(2)

出力内容等 ........................................................................................................................... 123

１２ 未処理事案リスト（介護） ......................................................................................................... 125(1)

様式 ...................................................................................................................................... 125(2)

出力内容等 ........................................................................................................................... 125

１３ 介護（補償）給付受付状況件数リスト(署宛) ............................................................................. 127(1)

様式 ...................................................................................................................................... 127(2)

出力内容等 ........................................................................................................................... 127

１４ 介護（補償）給付介護・年金データ不一致リスト（署宛） ...................................................... 129

IV

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様式 ...................................................................................................................................... 129(2)

出力内容等 ........................................................................................................................... 129

情報検索 ............................................................................... 131

１

基本的事項................................................................................................................................... 132(1)

検索の概要 ........................................................................................................................... 132(2)

検索の方法 ........................................................................................................................... 132(3)

キャンセル表示 .................................................................................................................... 132(4)

運用時間帯 ........................................................................................................................... 133- III -

(5)入出力画面一覧 .................................................................................................................... 133(6)

検索体系図 ........................................................................................................................... 134２

介護概要検索 ............................................................................................................................... 135(1)

介護概要検索画面 ................................................................................................................ 135(2)

介護基本・概要情報画面 ..................................................................................................... 138

３

介護詳細検索 ............................................................................................................................... 148(1)

介護詳細検索画面 ................................................................................................................ 148(2)

介護（請求・追回）詳細情報画面 ....................................................................................... 151

V

メッセージ一覧 ......................................................................... 160

VI

付録 ................................................................................... 182

１

障害・傷病等級表 ........................................................................................................................ 183(1)

障害等級表 ........................................................................................................................... 183(2)

傷病等級表 ........................................................................................................................... 184

２

傷病性質コード表 ........................................................................................................................ 185

３

傷病部位コード表 ........................................................................................................................ 201

４

局署コード表 ............................................................................................................................... 203

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本省通知様式印書イメージ ......................................................................................................... 206- IV -