Be sure to contact Taisho Audit Inc.

You can undergo treatment under the health insurance system for sickness or injury due to the actions of another party. However, in such cases the Health Insurance Society merely pays up front on a temporary basis, the medical care costs that the party responsible for the accident must pay. The Society will bill that party for these costs later.
For this reason, when using health insurance for treatment in such cases, notify Taisho Audit Inc. and submit the Notification of Injury or Sickness due to a Third-party Act and other necessary documents as soon as possible.
To ensure that the valuable insurance premiums entrusted to us are managed fairly and appropriately, PwC Health Insurance Society has entrusted the following organization with a series of support services related to third-party acts, ranging from notification to reimbursement.
For matters concerning notifications and other procedures related to third-party acts, you may be contacted directly by the entrusted organization and asked to provide a response. We kindly ask for your cooperation in such cases.
Entrusted Organization:
Taisho Audit Inc.
Futako Tamagawa Rise Office 7F
2-21-1 Tamagawa, Setagaya-ku, Tokyo 158-0094
TEL: 03-6805-6285
Taisho Audit Inc. is a professional organization specializing in support services for health insurance societies. The information handled in the course of these services is regarded as highly confidential personal information. The company is committed to protecting personal data and strives to manage it accurately and securely at all times.
A formal agreement has been concluded to ensure that any personal information obtained through inquiries about medical treatment details will never be used for purposes other than this entrusted work.
Important Notice:
Please note that Taisho Audit Inc. is unable to provide support in English over the phone. If you are unable to communicate in Japanese by telephone, kindly contact PwC Health Insurance Society at info@pwc-kenpo.jp by email to inform us of your situation.

If you have been in a traffic accident

1. STEP1Remain calm
   In cases of shock, you may lose the ability to make calm judgments. React as calmly as possible.
2. STEP2Check the identity of the party responsible
   Check matters such as the license plate no., driver's license, and vehicle inspection certificate.
3. STEP3Notify the police
   Be sure to notify the police, no matter how small the accident.
4. STEP4Be cautious about reaching a settlement
   If you waive some of your rights to claim compensation for damages by reaching a settlement with the party responsible, you may be unable to receive the corresponding health insurance benefits. To avoid cases such as inability to use health insurance when you need medical care later for residual effects or other complications, consult with Taisho Audit Inc. before reaching any settlement.

Injury due to the actions of another party

While most cases of injury due to the actions of another party involve auto accidents, the following cases also are due to the actions of another party:

• Injury due to defective equipment at a school, supermarket, or other facility
• Injury caused by another's dog or other type of pet
• Injury due to inappropriate force or an act of violence
• Food poisoning at a restaurant or other establishment