How to report medical insurance invoices
Reporters learned from the Municipal Bureau of Medical Protection, in order to standardize the medical insurance fund supervision of reported claims processing, recently, the Municipal Bureau of Medical Protection has developed a "medical insurance fund supervision of reported claims processing methods", the source of reported claims, acceptance and transfer, handling and disciplinary aspects of the provisions of the regulations. According to reports, all related to the supervision of medical insurance fund, can provide effective information for follow-up investigations of reported information, materials, etc., can be reported. Medical security departments at all levels should be open to report telephone, network, letter and other reporting channels, the establishment of a sound reporting information system. These violations can be reported According to the introduction, all involved in the designated medical institutions and their staff, designated retail pharmacies and their staff, the insured and the medical insurance agency staff violations, can be reported to the medical security departments. The medical insurance fund can be fraudulently obtained by fictitious medical services, forging medical documents and bills; providing false invoices for the insured; crediting medical expenses that should be borne by the individual to the medical insurance fund; providing medical insurance treatment for those who are not covered by the medical insurance; providing credit card settlement services for non-designated medical institutions; violating the management requirements of the real-name system of the medical insurance identification credentials and providing services for the fraudulent medical treatment or hospitalization; and providing services for the fraudulent medical treatment or hospitalization of the insured. The medical insurance fund is fraudulently used to provide services for fraudulent medical treatment or hospitalization, and the medical insurance fund is fraudulently used to pay for drugs, consumables, goods, and diagnostic and treatment items, and other illegal acts involving the designated medical institutions and their staff. Theft of medical insurance identification credentials for the participants to obtain cash or purchase nutritional supplements, cosmetics, household goods and other non-medical items; for the participants to swap drugs, consumables, items, such as fraudulent medical insurance fund expenditure; for non-designated medical institutions to provide credit card settlement services; for the participants to fraudulent invoicing, providing false invoices, such as the designated retail pharmacy and its staff of illegal and unlawful behaviors. The company's business is not a business. The participants forged false medical service bills, fraudulent medical insurance fund; the medical insurance identification credentials lent to others for medical treatment or medical insurance identification credentials under the name of others for medical treatment; the illegal use of medical insurance identification credentials to obtain medicines and consumables, as well as the medical insurance agency staff for the medical insurance does not belong to the scope of the person for medical insurance treatment procedures; violation of the provisions of the payment of medical insurance costs, and other fraudulent acts. Payment of medical insurance costs and other fraudulent insurance behavior. 5 working days to make a decision on acceptance According to the provisions of the approach, the health insurance sector in the receipt of reports of clues, within five working days to make a decision on acceptance, and the organization of personnel verification, within the specified time limit to complete. "For no specific and clear object of the report and violations of law; does not belong to the scope of supervision of the health care sector; report has been accepted and is still in the process of investigation and handling, the informer on the same matter repeated reports; reports have been dealt with in accordance with the law, the whistleblower is dissatisfied with the results of the treatment, in the absence of new clues in the case of the same facts or reasons for repeating the report Other cases should not be accepted according to law, we will also make the decision of inadmissibility within five working days." Municipal Medical Protection Bureau said that the relevant person in charge, does not belong to the scope of responsibility for the supervision of the medical protection department, will inform the informant to continue to report the way. 30 working days to the end of the latest three months "We have a timetable for each report." The person in charge said, the city, district (county) medical security departments should be accepted from the date of the decision within 30 working days to complete. Complexity of the situation, approved by the unit principal officer, can be extended to 2 months to complete. Particularly significant, by the collective study of the unit, can be appropriately extended, but in principle no more than 3 months. The report involves discipline inspection and supervision, public security, health, market supervision and other departmental responsibilities, can be jointly with the relevant departments **** with the processing, can also be transferred to the relevant departments for processing, and tracking the progress of the processing, to understand the completion of the situation. For the real name of the tip, all levels of medical security departments should be in the tip after the completion of five working days, to the informant feedback on the results, to listen to the informant on the results of the comments, and records. Reporting channels Bazhong City Medical Security Bureau Reporting phone: 0827-5266053, 0827-5268662 E-mail: 363868245 @ Bazhou District Medical Security Bureau Reporting phone: 0827-5223049 E-mail: 446948260 @ Enyang District Medical Security Bureau Reporting phone: 0827-5223049 E-mail: 446948260 @ Enyang District Medical Security Bureau Reporting phone: 0827-5223049 Reporting phone: 0827-5223049 E-mail: 446948260 @ Enyang District Medical Security Bureau < /p> Report Tel:0827-3369496 Email:847095073@Nanjiang County Medical Protection Bureau Report Tel:0827-8232273 Email:16203081@Tongjiang County Medical Protection Bureau Report Tel:0827-7220987 Email. 82606950@Pingchang County Medical Protection Bureau Report Tel:0827-6238773 Email:243003023@Palm Recommendations He Ping attended the 6th plenary meeting of the Municipal Safety Committee in 2020, the "night life" inside the tunnel in the cold winter also sweating into the Ba Expressway. Banan section from 20 onwards will start 7 capture equipment