1, according to the medical insurance management regulations, correctly input and transmit data, ensure the correctness and completeness of data, and ensure that the insured holds the medical insurance card IC card to purchase drugs and the settlement staff upload data in real time every day. The key point is that you must download all the data at the beginning of each year before you start to swipe your card;
2. Use the medical insurance computer system to provide the insured with standardized receipts and drug purchase details, and keep them for more than two years. It is forbidden to install software unrelated to Yaxiu settlement in networking access facilities, prohibit networking facilities from connecting to the Internet, prohibit tampering with settlement data and IP location and other parameters in networking, and prohibit destroying information and network systems through private network attacks;
3. Signs of designated retail pharmacies made by the administrative department of human resources and social security shall be hung in important positions of pharmacies to facilitate patients to debate and order drugs, and they shall not refuse to participate in the insurance without correcting the password, and shall not enter the password instead of the insured. At the same time, the basic medical insurance drugs should be clearly marked and clearly marked, and the drugs of Class A and Class B should be classified. Sales staff should wear service marks, use civilized language, provide quality services for patients, and set up complaint boxes for suggestions by the insured;
4, must be equipped with full-time medical insurance management personnel and system management personnel, engaged in drug quality and quantity management, prescription deployment and other positions of personnel must undergo professional training. Abide by the relevant provisions of the national and municipal drug supervision and administration departments and hold relevant certificates: sales personnel must be familiar with the medical insurance policy, the use, usage, dosage and precautions of the drugs they distribute, correctly publicize the medical insurance policy, and help the insured to solve the difficulties in purchasing drugs;
5 according to the relevant laws, regulations and rules of the state, to provide basic medical insurance prescription service for the insured. There are at least/kloc-0 pharmacists in the area during business hours, and services such as medical insurance card policy consultation, volume storage, password correction and balance inquiry are provided free of charge;
6, to ensure the supply of drugs in the basic medical insurance drug list, a variety of businesses are more than 80% of the basic medical insurance drug list for urban workers, and supply the basic medical insurance drug preparation list, including drug trade names, generic names and dosage forms and other detailed information to the pharmacy for the record, the qualified rate of drugs must meet the relevant national standards, and no counterfeit drugs may occur;
7. Purchase drugs from qualified channels, ensure the system, and strictly manage the collection, storage and retail of drugs to ensure the safety and effectiveness of drugs;
8. Strictly implement the drug policy stipulated by the state, carry out friendly pricing, and accept the supervision and inspection of human resources and social security departments, medical insurance agencies, drug supervision departments, price departments, health departments and other relevant departments, as well as the supervision of insured members.
Medical insurance payment records query method is as follows:
1, social security center query:
The insured person can directly hold his ID card or social security card to the service hall of the social security bureau, or inquire and print the personal account medical insurance payment list on the self-service machine in the service hall;
2. Telephone consultation:
Call the local social security bureau, report personal information and check the medical insurance payment record.
To sum up, the above is the system and content of medical insurance credit card.
Legal basis:
Article 28 of People's Republic of China (PRC) Social Insurance Law
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.