For almost three weeks the providers of medical services working with the computer platform from health insurance (PIAS) have huge efforts to report the services. Although I understand the situation, and the patience of patients, often put on the roads, is at an end.
Using Pias has become a real photo adventure: Archive
The computer platform from health insurance (PIAS) has puts nerves for many years. “The system does not work” is the phrase that patients also hear most often, those who have periodically forced to reach the specialists being prepared to return even several times in a day for a recipe or postpone for the coming days. . The things are much complicated when for settlement medical services patients move to another locality and have to leave the specialist’s office with a diagnosis, a medical letter for the family doctor, but also with the first prescription, all the more when It’s about initiating a new treatment. Since the end of January Pias has even greater problems than usual, medical service providers receiving permission to work off-line. But the fear of doctors is that they can slip mistakes, generated by the impossibility of making certain additional checks, mistakes that could cost them financially.
“A colleague said we no longer have to use the cards. They (Cnas-n. Red.) They did not give any official communication in this sense, so until new orders you can not do this ”, says a family doctor who explains, on the other hand, how he managed to validate the services provided. “We do this at the weekend, we enter the evening, sometimes we succeed, sometimes not …”, explains the doctor.
So does his colleagues, both with the recipes and the consultations. “At the moment it is more difficult to solve. I am not allowed to stop the card, but it is a decision of CNAS which suspends the obligation during the period when the Piata does not work. I came on Sunday and validated them, but I did not validate the recipes. The problem is at the consultations, where was that term of 72 hours ”says another doctor.
They are all waiting, as they have heard from various sources, a new order of President CNAS to reassure them and eliminate the fear that they are at fault if they do not validate the services within the deadlines. They also feel powerless when the patients who have previously passed to the specialist doctor come to the office and he could not issue their prescription. “It’s a problem, because the initiation does the specialist doctor, we cannot give the first prescription. And we are sorry we put them on the road. They return to the specialist ”says the family doctor, explaining that this happened, for example, with certain new antithrombotic drugs. There are also problems with the enrollment of new patients in a national program, or when checking the quality of insured of certain patients whom doctors do not know for sure to be insured.
“Most doctors did as they could, in principle at night. Something must be done with the servers from Bucharest. When it goes so hard it tightens and the world at the door. You are not sure that the person is insured or not assured, for example, in children who have turned 18 not all schools transmit that they are in the education system and then they appear as uninsured. And it’s more complicated. Then you want to pass a patient who is in the national program, you cannot put it if the system does not work. Including with the import of electronic recipes, you have problems with this ”mentions their family doctor experience.
Stretched nerves are also at the pharmacy. Waiting for patients who have to raise compensated drugs, but those who want to buy certain drugs are also waiting for them and are forced to wait for the person in front of him.
On the CNAS website the last reference to Pias is two days ago, from February 17, 2025, when it was announced that “Between 18:00 – 20:00, the Informatics Platform of Health Insurance (PIAS) will be unavailable, in order to carry out maintenance works. During this time, medical services, medicines and medical devices will be granted in an offline regime ”.
On February 12, an order was published on the exchange of reference to the reporting of the services provided on January 31, 2025, when the system did not work. To Article 2 of the order it is mentioned that “For the validation of medical services, medicines and medical devices, as well as of the specific medical services, medicines and sanitary materials granted/issued within the national curative health programs, provided in art. 1 para. (2) and (3), given the dysfunctions in the functioning of Pias, CNAS deactivates for 31.01.2025 Validation rule The medical service has not been reported online in 3 working days ”. Article 3 of the same order gives the medical service providers the hope that the same will be done for the services provided after January 31, 2025. “In order to validate the activity carried out by the suppliers within the Social Health Insurance System, starting with February 1, 2025 and until the date of restoration of Pias, a distinct order of the CNAS president will be issued, pursuant to the provisions of art. 209-212 of Annex 2 to GD no. 521/2023, with the subsequent modifications and completions and of art. 25-28 of GD no. 423/2022 with the subsequent modifications and completions ” is mentioned in the order.
