Yantai outpatient chronic disease eligibility confirmation filing for processing
Chronic disease is also known as "chronic non-communicable diseases (noninfectious chronic diseases, NCDS)" or "chronic disease". Here is the way I share the Yantai outpatient chronic disease eligibility confirmation filing for processing, I hope to be able to help you.
Handling
1. With the conditions of the application for review 'agreement designated medical institutions to handle.
2. On-site processing: the business window of the health insurance service hall of the insured place.
Municipal: Yantai Municipal Government Service Center, No. 46 Yinhai Road, Laishan District, Yantai City, on the second floor of the medical insurance service area
Zhifu District: Zhifu District, Huamao Street, No. 30, the first floor of the South Medical Insurance Service Hall
Fushan District: Fushan District, Yantai City, Fushan District, No. 1021, Yongda Street, the second floor of the Medical Insurance Service Hall
Layshan District: Layshan District, Yantai City, Layshan District, No. 170 Yingchun Street, the first floor of the Jinmao Tower Medical Insurance Service Hall
Muping District: Muping District Government Service Center, No. 368, Zhengyang Road, Muping District
Haiyang City: Haiyang City, Jinan Road, No. 91, 11th Floor, Arrival Center
Laiyang City: Laiyang City, Jinshui Road No. 7, the second floor of the Medical Insurance Service Hall
Qixia City: Qixia City, Xiaguang Road, No. 335, Medical Insurance Service Hall
Penglai City: First Floor Health Insurance Service Hall, No. 136, Nanyuan Road, Penglai City
Long Island Experimental Zone: Social Security Service Hall, No. 101, Paradise Avenue, Long Island
Longkou City: First Floor Health Insurance Service Hall, No. 320, Gangcheng Avenue, Longkou City
Zhaoyuan City: Second Floor Health Insurance Service Hall, No. 128-1, Finance Building, Zhaoyuan City
Laizhou City: No. 598, Weimin Street, Laizhou City No. 598, the second floor of the medical insurance service hall
Development Zone: Yantai Economic and Technological Development Zone, No. 28 Zhujiang Road, social security services hall
High-tech Zone: Yantai High-tech Zone, Science and Technology Avenue, No. 69, East Tower of the Venture Building, the 1st floor of the government service hall
process
1. designated medical institutions for the process The fixed-point medical institutions initial examination of the application materials provided by the participants, in line with the policy in accordance with the access category for confirmation of the record, to guide the applicant in accordance with the principle of proximity, convenience, and voluntariness of the selected outpatient chronic disease agreement in accordance with the provisions of the fixed-point medical institutions, and by the applicant's signature to confirm. If the applicant belongs to the type of disease that can be settled immediately, the filing information will take effect immediately, and the applicant will enjoy the outpatient chronic disease treatment according to the regulations. In the case of non-instantaneous settlement, the filing information will be uploaded to the applicant's health insurance agency, and the health insurance agency will carry out the confirmation work in accordance with the access category of the disease, and the confirmation result will be notified to the applicant by the health insurance agency of the place where the applicant is insured.
2. Medical insurance agency for the process: the medical insurance agency to review the application materials provided by the participant, in line with the policy in accordance with the disease access category to confirm the record.
3. One of the following circumstances, the need for medical experts on-site review:
(1) the objectivity and authenticity of the materials provided by the medical records of doubt;
(2) medical records of incomplete materials or inaccurate diagnosis of the disease;
(3) the patient's condition after the systematic rehabilitation treatment and outpatient regulations may be inconsistent with the access criteria for the type of disease;
(3) the patient's condition and outpatient regulations may not exist;
(3) the patient's condition after the systematic rehabilitation treatment of the disease;
(3) the patient's condition after the systematic rehabilitation treatment and outpatient regulations may not exist; <
(4) Other cases that require on-site review by medical experts.
;