Medical commercial insurance can realize claims within 24 hours.

65438+1On October 24th, the reporter learned from the Liaoning Provincial Health and Family Planning Commission that the unified resident health card "Medical Commercial Insurance Claims Channel System" was officially launched and started the pilot work. When patients settle accounts with commercial insurance companies, the payment period of 10- 15 days is shortened to 24 hours.

The relevant person in charge of the Liaoning Provincial Health Planning Commission introduced that "online payment" is a major breakthrough in the reform of medical payment methods. To put it simply, when patients settle accounts with commercial insurance companies in hospitals, the commercial insurance companies will directly transfer the reimbursement part of patients' medical expenses to residents' health cards, or the commercial insurance companies will negotiate with the hospitals to make advance payments, and patients only need to pay their own medical expenses. The commercial insurance settlement system builds a bridge between hospitals and insurance companies, which solves the problems of complex traditional claims data and long payment approval period, and realizes the synchronous payment of commercial insurance and national medical insurance.

At present, all patients with Liaoning resident health card can apply online through Liaoning 12320 Healthlink WeChat official account or Liaoning 12320 Healthlink APP after seeing a doctor in the First Affiliated Hospital of China Medical University and the Second Affiliated Hospital of Dalian Medical University, and directly handle the fast business of commercial insurance claims. If the insured does not have a resident health card, it can be handled in each third-class first-class hospital to realize the medical commercial insurance payment function of the resident health card.

In the future, after the completion of the settlement channel system of medical commercial insurance claims in the province, it will be an open platform for all commercial insurance companies that meet the national requirements. All medical institutions can dock with commercial insurance companies on this system, avoiding the repeated work of docking with many commercial insurance companies and improving the operational efficiency of the hospital.

(The above answers were published on 20 17-0 1-26. Please refer to the current actual purchase policy. )

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