First, understand the basic conditions and requirements of medical insurance designated application.
Clinics first need to know the basic conditions and requirements of designated medical insurance applications, including business qualifications, medical quality management, doctor qualifications and other requirements. Only when these conditions are met can the clinic be eligible to apply for medical insurance.
Second, prepare the relevant materials required for the application
According to the requirements of the medical insurance department, the clinic needs to prepare a series of relevant materials needed for the application. These materials usually include the qualification certificate of the clinic, doctor's practice certificate, medical equipment list, etc. Clinics should ensure the authenticity and completeness of these materials in order to successfully pass the audit.
3. Fill in the application form and submit the application.
Clinics need to fill in relevant information according to the application form provided by the medical insurance department, including basic information of the clinic, doctors' situation and medical equipment. After filling in the application, submit the application form and related materials to the medical insurance department.
Fourth, wait for the audit results and actively cooperate with the follow-up work.
After submitting the application, the clinic needs to wait for the audit result of the medical insurance department. During the audit, the medical insurance department may conduct on-site inspection of the clinic or request supplementary relevant materials. Clinics should actively cooperate with the medical insurance department to ensure the smooth progress of the audit.
Five, obtain medical insurance designated qualification and enjoy relevant policies.
If approved, the clinic will obtain the qualification of designated medical insurance and begin to enjoy relevant policies such as medical insurance settlement. This will help the clinic to expand its business scope, improve its service quality and attract more patients.
To sum up:
Clinics applying for designated medical insurance need to meet certain basic conditions and requirements, and prepare relevant materials, fill in application forms and submit applications in accordance with the provisions of the medical insurance department. In the process of audit, the outpatient department should actively cooperate with the medical insurance department to ensure the smooth progress of the audit. After obtaining the qualification of designated medical insurance, the clinic will be able to enjoy relevant policies such as medical insurance settlement, which will help improve the business level and service quality.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 23 provides that:
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
People's Republic of China (PRC) social insurance law
Article 3 1 stipulates that:
According to the needs of management services, social insurance agencies can sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior.
Medical institutions shall provide reasonable and necessary medical services for the insured.