1. Designated medical institutions refer to medical institutions that have been audited by the administrative department of labor and social security in the overall planning area, signed an agreement with the medical insurance agency, and have been determined by the social insurance agency to provide medical services for the insured persons of basic medical insurance for urban workers and bear corresponding responsibilities. Including public medical institutions and private medical institutions with certain qualifications.
2. Legal basis: Article 4 of People's Republic of China (PRC) Social Insurance Law.
Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require social insurance agencies to provide social insurance consultation and other related services. Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.
Two, apply for the basic medical insurance designated medical institutions need to have what conditions?
1, in line with the planning of regional medical institutions;
2, in line with the evaluation standards of medical institutions;
3. Abide by the laws, regulations and standards of the state and this Municipality on medical service management, and have a sound medical service management system.
(1) Formulate and implement the medical quality management standards of the Health Bureau for the diagnosis of common diseases;
(two) there are drugs, medical devices, medical materials, medical statistics, medical record management, financial management system;
(3) accurately provide relevant information such as outpatient and emergency services, hospitalization and single disease expenses.
4, strict implementation of the national and municipal price departments to develop medical services and drug prices, charges, and by the price department inspection;
5, strictly implement the relevant policies and regulations of the basic medical insurance system, establish an internal management system that is compatible with the basic medical insurance management, equipped with full-time (part-time) management personnel and special equipment.