Medical institutions to open the application for settlement of medical insurance in a different place

(I) Required Information

The Application Form for Access to the Provincial/National Platform for Instantaneous Settlement of Differential Medical Care by Pointed Medical Institutions.

(2) Process

a. Application for designated medical institutions

1. The Ministry of Foreign Affairs requires that the designated medical institutions need to rectify the hospital information system, in line with the interface 5.0 specifications (focusing on the rectification of foreign-related business);

2. The drug list and 869 code corresponds to;

3. Hospitals social security card swipe machine compatible with second-generation cards and third-generation cards;

4. Improvement of the basic Information (license to practice, three social credit code, contact person, contact number and other indicators are required).

b. District (city) County Medical Insurance Bureau audit

1. Receive the paper information provided by the designated medical institutions, in the system to verify that the paper information and system information is consistent;

2. Require the designated medical institutions to open the window of the settlement of foreign settlement, display promotional materials, play promotional videos, posters;

3. Received paper information related to the province to be stored separately;

4. ... received information involving inter-provincial submitted to the Municipal Health Insurance Affairs Center, 3rd Floor, Area 1.

c. The foreign medical window

1. The foreign department for the opening of the foreign medical review;

2. For the hospitalization of inter-provincial, review the information, check the information and the system for consistency. After verification of consistency, stamped;

3. Click agree to upload data to the provincial platform;

4. In the provincial platform to open the provincial business;

5. To the Provincial Health Insurance Bureau to submit cross-provincial information;

6. For the establishment of the pharmaceutical organizations in the province of the Intelligent Monitoring System account number and password (account number of the municipal fixed-point medical institutions code, the initial password uniform 111111).

d. On-site inspection after the opening

1. Within a week with a provincial and extra-provincial card on-site formal environmental testing;

2. Check whether the code is correct, randomly selected 20 kinds of medicines on sale, materials, diagnostic and therapeutic items. Check the right code and whether it is uploaded to the information system through the two platforms;

3. Check whether the hospital machine is compatible with the second-generation and third-generation cards;

4. Check whether there is a window for settlement of foreign settlements, displaying promotional materials, playing promotional videos, posters.

The information is complete, timely acceptance, strict and careful review.

(d) Processing time

not more than 22 working days.