Medical institutions willing to undertake urban workers' basic medical insurance designated services, should submit a written application to the coordinating area of the labor security administrative department, and provide the following information: (1) on the application for workers' basic medical insurance designated medical institution qualification recognition of 1; (2) "Guigang City, workers' basic medical insurance designated medical institution qualification recognition of application for 2 copies of a type; (3) the License for Medical Institutions" 1 copy of the original, a copy (check the original); (4) 1 list of services, diagnostic and therapeutic subjects and fees; (5) a list of large medical instruments and equipment; (6) medical, office and business land property documents (owned premises should provide property certificates, rental premises should provide the text of the lease agreement) 1 (provide a copy of the original, check the original); (7) The number of professional and technical personnel of various titles and a list of senior titles of health and technical personnel; (8) health administrative departments to provide the medical institutions accreditation of qualified certificates as well as drug supervision and management and price supervision and inspection of qualified certificates each; (9) the previous year's business income and expenditure and outpatient, inpatient clinic service volume (including outpatient clinic visits, the average medical fee per visit, (including the number of outpatient consultations, the average medical fee per consultation, the number of hospitalizations, the average number of days of hospitalization for discharged patients, the average medical fee per day of hospitalization for discharged patients, etc.), and the number of existing hospital beds; (10) a copy of the unit's management system for basic medical insurance and its internal management system; (11) a copy of the authorization letter and the agent's ID card, if the agent handles the case; (12) other information as prescribed by the agency. Information.
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