2, to the village committee (community) audit seal;
3, to the township social affairs office (civil affairs office) audit seal;
4, the county civil affairs bureau for approval;
Legal basis: Opinions of National Health Insurance Bureau on Optimizing Convenience Services in the Field of Medical Insurance.
Fifth, deepen the reform of medical insurance service "running at most once". Carry out the "comprehensive teller system" of the medical insurance handling service window, and realize that the service front desk accepts all kinds of insurance and all matters, and the background liaison office. Encourage grassroots medical insurance handling services to station in the comprehensive hall of government services, strengthen business connection with human resources and social security, people's bank of China, taxation and other departments, and facilitate the "one-stop" liaison office of PICC registration and payment. Explore the implementation of basic medical insurance, serious illness insurance, medical assistance and commercial insurance in cities, and run at most once.
The sixth is to promote "Internet plus medical insurance services". To optimize medical services, insured people can choose to use social security cards (including electronic social security cards) and medical insurance electronic certificate to purchase medicines. Relying on the national comprehensive government service platform, we will promote the online handling of medical insurance handling services and realize "handheld handling" and "online handling". Actively promote the "Internet+medical service", improve the agreement management and settlement process according to the service characteristics according to the online and offline fairness principle and the medical insurance payment policy, actively explore information sharing, and realize the integrated service of prescription circulation, online payment settlement and drug distribution. The medical insurance departments in all regions should speed up the improvement of the management of the "Internet+medical services" medical insurance payment agreement in the region. Smooth medical insurance consultation service channels, strengthen the construction of intelligent knowledge base, and provide professional medical insurance hotline service with timely response, effective consultation and high solution rate for the masses. Actively explore the "video office" of medical insurance service.
Seventh, optimize the transfer of medical insurance relationship and settlement of medical treatment in different places. Adapt to the needs of population mobility and employment transformation, improve the policy of transferring and continuing medical insurance relations, actively promote the transfer and continuing work of basic medical insurance relations across coordinated regions, and realize the "inter-provincial communication" of basic medical insurance relations. Through the national integrated government service platform, the basic medical insurance relationship transfer and connection services will be promoted "online" and "nearby", and the processing time will not exceed 20 working days. Accelerate the direct settlement of basic medical insurance for medical treatment in different provinces, realize national unification of medical treatment in different places, and expand the direct settlement scope of medical treatment in different places. Before the end of 2002 1, there will be at least1inter-provincial networked medical institutions in more than 60% counties in all provinces, and all co-ordination areas will basically realize direct settlement of general outpatient expenses across provinces; By the end of 2022, at least 1 designated medical institutions in each county can provide inter-provincial direct settlement services for medical expenses, including outpatient expenses. Strengthen the data sharing between medical insurance and financial and tax departments, establish and improve the national electronic bill library of medical expenses, and realize the docking with medical insurance system and hospitals. Gradually realize the online and offline integrated off-site medical treatment settlement service for hospitalization and outpatient expenses.
Article 8 Medical insurance handling services shall be handled nearby. Vigorously promote the sinking of medical insurance handling services, give full play to the role of townships (streets) as regional centers for serving urban and rural residents, and decentralize the insurance registration and payment, information inquiry and change, medical treatment in different places, and sporadic (manual) reimbursement in the first instance to the township (street) level, and encourage qualified co-ordination areas to be decentralized to the village (community) level. Encourage the identification of outpatient chronic special diseases, newborn insurance and other matters closely related to the medical process to be delegated to designated medical institutions for handling. Expand the self-service function and set up self-service areas in designated medical institutions to facilitate people to inquire and handle basic medical insurance business.