The Korean insurance regulator has said that if more people cooperate no more paperwork will be necessary to submit insurance claims after a clinic visit.
With the Silson24 app now made completely operational patients at local clinics and pharmacies in Korea will be able to submit private health insurance claims through the mobile app, which is a part of a government-led push to fully digitalise the claims process.
According to the Financial Services Commission (FSC) this is the start of the second phase of Korea’s digitalization of health insurance claims, the first-phase was introduced in October 2024 for general hospitals and public health centres.
The Silson24 system allows medical institutions to automatically transmit required documents — such as itemised medical bills, receipts and prescriptions — directly to insurers. Users can simply select the medical institution they visited and submit the claim through the Silson24 app or website, eliminating the need to collect and submit documents manually.
To improve accessibility for older adults or others less familiar with smartphones, the app also supports third-party claims, including claims made on behalf of a child. Participating clinics and pharmacies can be found through map services such as Naver and Kakao.
Beginning as early as November, Silson24 services will also be available through major platforms like Naver and Toss, allowing users to make medical appointments and file claims in a single, streamlined process — without needing to install a separate app.
According to an anonymous insurance industry source, participation among small clinics remains low because many rely on external electronic medical record providers, some of which have recently demanded high fees to transmit documents.
To encourage more participation, financial authorities are offering incentives. “We will continue efforts to improve convenience for consumers,” an FSC spokesperson said.