China News Service, Beijing, December 16th (Reporter Du Yan) Today, the reporter learned from the Beijing Municipal Medical Insurance Bureau that, under the premise of ensuring that the social security card (hereinafter referred to as the "social security card") medical settlement process remains unchanged, Beijing will On January 1, 2021, medical insurance electronic vouchers will be used for medical settlement.

This means that on the basis of using the social security card for medical settlement, the insured person has added a new method of medical insurance electronic voucher.

By then, Beijing will become the country's first medical insurance electronic voucher for medical settlement covering all insured persons, all designated medical institutions, and all types of expenses.

New application of medical insurance electronic voucher settlement

　　It is understood that currently insured persons in Beijing implement medical treatment and settlement with a card, and they must carry a social security card (except for emergencies), otherwise medical insurance settlement will not be possible.

　　Beijing issued the "Notice on Issues Concerning the Application of Medical Insurance Electronic Vouchers for Medical Settlement", clarifying that Beijing will use medical insurance electronic vouchers for medical settlement on January 1, 2021.

　　The relevant person in charge of the Beijing Municipal Medical Insurance Bureau stated that in order to improve the settlement efficiency of designated medical institutions and make it easier for the general public to obtain medical drugs, the Beijing medical security information system has been upgraded and reconstructed to read the historical treatment information of insured persons online in real time to ensure the On the basis of the same card settlement process, starting from January 1, 2021, medical insurance electronic voucher settlement will be added.

You can use the medical insurance electronic certificate to scan the code for medical treatment, and the social security card will no longer be the only certificate for medical settlement.

　　The person in charge pointed out that the first step in applying medical insurance electronic vouchers for medical settlement is to realize offline settlement.

After activating the medical insurance electronic voucher, the basic medical insurance participant can scan the medical insurance electronic voucher at the designated medical institution in Beijing to confirm the identity of the insured person and conduct medical settlement.

　　The person in charge also revealed that in the next step, direct online settlement of medical insurance electronic certificates will be gradually realized.

At present, the Medical Insurance Bureau is actively exploring the application of face recognition technology for medical settlement, and continuously improving the efficiency and level of medical insurance services.

Some hospitals will take the lead in piloting "face-brushing" medical settlement.

Multi-channel platform can activate medical insurance e-vouchers

　　According to reports, the medical insurance electronic certificate is uniformly issued by the national medical insurance information platform, and is an electronic medium for medical insurance identification identification generated for all insured persons based on the medical insurance basic information database.

The electronic certificate adopts real-name/real-person authentication technology and uses an encryption algorithm to form an electronic identity, which has important characteristics such as safety, reliability, and unique authentication.

Participants will be able to enjoy various online medical insurance services through electronic vouchers, including medical insurance business processing, medical insurance account inquiries, medical insurance visits, and drug purchase payments.

　　In order to facilitate the medical insurance of the insured persons and ensure the smooth implementation of the medical insurance e-vouchers in Beijing, the Beijing district medical insurance department has carried out preparations for nearly a year. More than 2,900 designated medical institutions in the city have upgraded their information systems, and Each one passed the on-site technical acceptance and business acceptance of the Urban Medical Insurance Bureau.

　　"Insured persons can only conduct medical settlement after activating the medical insurance electronic certificate." The person in charge pointed out that from January 1 next year, designated medical institutions in Beijing will be able to realize real-time settlement of medical insurance electronic certificates.

At present, basic medical insurance participants can activate medical insurance electronic certificates through multi-channel platforms including Beijing Tong APP, National Medical Insurance Service Platform APP, WeChat, Alipay, and financial institution APP certified by this city.

Manual reimbursement does not require a social security card or medical insurance electronic certificate

　　Sending the core medical insurance data to the "cloud" not only adds a new way of medical settlement, but also brings great convenience to the manual reimbursement of insured persons.

The person in charge stated that at present, when insured persons apply for manual reimbursement of medical expenses, they must deposit their social security card in the handling agency. During this period, if the insured person sees a doctor, he can only apply for manual reimbursement after full advancement. The problem of reimbursement of credit cards forms a reciprocating cycle of continuous credit card payment and manual reimbursement.

After the medical insurance electronic voucher is settled for medical treatment, the insured person does not need to provide a social security card or medical insurance electronic voucher for manual reimbursement.

During the manual reimbursement period, the insured person can take the social security card or present the medical insurance electronic certificate for normal medical treatment and settlement in real time.

　　The person in charge emphasized that the medical insurance fund is the "life-saving money" of the people, and everyone has the obligation to protect it together.

After enabling medical insurance electronic vouchers for medical settlement, insured persons should not lend their social insurance cards or medical insurance electronic vouchers to others at will. To ensure the safety of funds, designated medical institutions shall strictly implement real-name medical treatment and other relevant regulations when insured persons seek medical treatment , And promptly stop behaviors that violate medical insurance regulations, such as imposing medical treatment.

In the process of diagnosis and treatment, doctors in designated medical institutions shall perform treatment due to disease, reasonable examination, rational use of drugs, and reasonable treatment, so as to prevent unreasonable medical expenses.

Any fraud or insurance fraud will be severely punished by law.

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