Pharmacies applying for health insurance coordination need to fill out the relevant application form and submit audit materials. The specific process is as follows: 1. Preparation of application materials: the pharmacy should prepare the relevant information, including the basic information of the pharmacy, practitioner information, operating conditions, equipment and facilities, etc. 2. Fill out the application form: the pharmacy needs to fill out the application form in accordance with the provisions of the "medical institutions, services, project settlement management approach", etc. 3. Submission of audit materials: the pharmacy needs to fill out the application form and the relevant audit materials submitted to the local medical insurance administrative department. The audit materials include the application form and relevant supporting materials, such as the pharmacy business license, employee social security certificates, etc. 4. Qualification for medical insurance settlement after passing the audit: the administrative department of the medical insurance audits the application materials, and the pharmacy that meets the conditions will qualify for the settlement of the medical insurance and can be settled in the platform of the medical insurance coordination. It should be noted that the pharmacy in the application of health insurance settlement qualification need to comply with the relevant provisions, such as must be issued by the State Drug Administration of the drug business license, and drug sales must be in line with the relevant policies and standards.
What conditions do pharmacies need to meet to apply for health insurance? Pharmacy application for health insurance needs to meet the following conditions: First, the pharmacy must be issued by the State Drug Administration of the drug license; Second, the pharmacy sales of drugs must be approved by the State Drug Administration, and in line with the relevant policies and standards; Third, the pharmacy must have a good reputation and quality of business records; Fourth, the pharmacy staff must participate in the social insurance, and so on. In addition, it is also necessary to fill out the relevant application form and submit audit materials, including basic information on the pharmacy, practitioner information, business conditions, equipment and facilities, etc., to be audited and approved before obtaining the qualification of medical insurance settlement.
Pharmacies applying for health insurance coordination need to fill out the relevant application form and submit audit materials. After the audit, the pharmacy will be eligible for medical insurance settlement, and can be settled in the medical insurance platform. Pharmacy applicants need to comply with the relevant regulations, including obtaining a drug license, the drugs sold must comply with the relevant policies and standards and other conditions.
Legal basis:
The Social Insurance Law of the People's Republic of China
Article 2 The state establishes a social insurance system for basic old-age pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance, and guarantees the right of citizens to receive material assistance from the state and society in accordance with the law in the event of old age, sickness, industrial injury, unemployment and childbirth.
Article 3 The social insurance system adheres to the policy of broad coverage, basic protection, multi-level and sustainability, and the level of social insurance shall be commensurate with the level of economic and social development.