FSC Drives Silsun24 Expansion...Examines Potential Collusion Among EMR Companies with Fair Trade Commission

Reviewing Collective Unfair Practices of Non-Participating Companies with the Fair Trade Commission
Nationwide Campaign Targeting 40 Million Policyholders in Collaboration with Naver and Toss
Government to Monitor Implementation Progress on a Monthly Basis

The financial authorities have decided to work closely with the Korea Fair Trade Commission to thoroughly examine whether there are any unfair practices in light of some electronic medical record (EMR) companies' collective refusal to participate in the spread of "Silsun24," the digitalized claim service for indemnity insurance. In addition, together with Naver and Toss, they will launch a nationwide campaign encouraging policyholders to directly request service integration from hospitals.

Kwon Daeyoung, Vice Chairman of the Financial Services Commission, is conducting a joint briefing between the Ministry of Science and ICT and the Financial Services Commission for hacking response at the Government Seoul Office in Jongno-gu, Seoul on the 19th. At the briefing, representatives from Lotte Card and KT were present to answer questions from the press. September 19, 2025 Photo by Jo Yongjun

The Financial Services Commission announced on May 11 that it held a "Review Meeting on the Digitalization of Indemnity Insurance Claims," chaired by Vice Chairman Kwon Daeyoung. The meeting was attended by relevant ministries such as the Ministry of Health and Welfare and the Korea Fair Trade Commission, related organizations including the Financial Supervisory Service, industry representatives from the Korea Life Insurance Association and the Korea General Insurance Association, and consumer groups.

Vice Chairman Kwon emphasized, "Digitalizing indemnity insurance claims is a system that delivers the greatest benefits to approximately 40 million people who use medical services and hold insurance policies," adding, "It is a public service infrastructure that allows policyholders to claim insurance benefits without visiting a branch, dealing with complicated paperwork, or having to take and submit photos."

However, the low participation rate of medical institutions such as hospitals, clinics, and pharmacies in Silsun24 remains a challenge that needs to be addressed. According to the Financial Services Commission, as of May 6, a total of 30,614 medical institutions are connected to Silsun24, representing about 29% of all medical institutions. While the integration rate among hospitals is 56.3%, it is only 26.8% for clinics and pharmacies. The Commission expects that from June onward, the integration rate could rise to as high as 52%.

Silsun24 is a service that allows policyholders to claim indemnity insurance benefits by electronically transmitting receipts, detailed statements, and prescriptions to insurers without having to obtain paper documents from hospitals. Consumers can use the digitalized claim service via the Naver or Toss platforms without installing a separate app. To date, approximately 3.77 million people have subscribed to the Silsun24 service, with about 2.41 million claims completed.

The financial authorities view the reluctance of some EMR companies to participate—citing a lack of economic incentives—as the biggest obstacle to the expansion of Silsun24. For a medical institution to participate in Silsun24, the EMR program it uses must be integrated with the system. If an EMR company does not support the integration, it is virtually impossible for a hospital to participate on its own.

Accordingly, the authorities plan to strengthen communication with non-participating EMR companies to actively persuade them to join. At the same time, they will closely examine, together with the Korea Fair Trade Commission, whether collective refusal to participate by some companies constitutes an unfair practice.

Vice Chairman Kwon stated, "It is undesirable for some EMR companies and others to refuse to participate in a public policy designed to enhance the rights and interests of the public simply because they seek greater economic benefit." He strongly expressed the government's determination to "normalize abnormal situations."

The consumer groups present at the meeting evaluated the digitalization of indemnity claims as a meaningful policy to strengthen consumers' rights to claim insurance benefits. However, they pointed out that if voluntary participation reaches its limits, effective sanctions such as imposing fines on non-participating EMR companies or investigating collusion should be considered.

Going forward, the government plans to increase incentives for medical institutions to participate in the digitalized claims process and to guide consumers to directly request Silsun24 integration from their hospitals. As part of this initiative, the government will launch a nationwide campaign with Naver and Toss, encouraging 40 million policyholders to request integration from medical institutions, and will strengthen publicity about how to use Silsun24 and which hospitals offer the service.

The government will also collaborate with the Ministry of Health and Welfare to send official notices to non-participating medical institutions and regional public hospitals, informing them that participation in the digitalized claims system is a legal obligation and encouraging them to join. To increase the Silsun24 integration rate among medical institutions, the government will review monthly progress and continuously improve the system to address any inconveniences experienced by the public during its use.

This content was produced with the assistance of AI translation services.