Chinanews.com, February 1st. According to the website of the National Medical Insurance Administration, the Office of the National Medical Insurance Administration recently issued the "Notice on the Direct Settlement Service of General Outpatient Expenses in the Five Provinces of China Unicom Beijing-Tianjin-Hebei, Yangtze River Delta, and Southwest China" (hereinafter referred to as " Notice").
The "Notice" mentioned that, taking into account the actual measurement of the cross-regional business in the early stage, it was decided to connect the Beijing-Tianjin-Hebei, the Yangtze River Delta, and the five southwestern provinces in 12 pilot inter-provincial direct settlement services for ordinary outpatient expenses.
The data picture shows people in the hospital using the network terminal to query medical information.
Photo by China News Agency reporter Zhang Tianfu
The "Notice" mentioned that China Unicom's service scope covers 11 provinces (autonomous regions, municipalities) including Beijing, Tianjin, Hebei, Shanghai, Jiangsu, Zhejiang, Anhui, Chongqing, Sichuan, Yunnan, Tibet, etc., as well as Guizhou province-level and All the Buyi and Miao Autonomous Prefectures in Southwest Guizhou have been connected to the national off-site medical settlement system and connected to direct settlement services for ordinary outpatient expenses across the province.
At the same time, 10,200 cross-provincial direct settlement designated medical institutions and 11,800 designated pharmacies have been opened. The specific information can be queried through the national medical insurance service platform APP.
The "Notice" requires all localities to make preparations for China Unicom, and promptly rectify them in accordance with the requirements of the "Notice of the Office of the National Medical Security Administration on Rectification of Problems Found in the Cross-provincial Direct Settlement of Outpatient Expenses".
While ensuring the smooth flow of the settlement system, continue to organize the pilot inter-provincial cross-measurement work, give priority to ensuring the cross-provincial direct settlement business measurement between the concentrated medical treatment and the area with a large outflow of insured persons, and ensure that the medical insurance electronic certificate and social The guarantee card can smoothly handle cross-provincial direct settlement business; carry out relevant training for designated medical institutions for direct settlement of ordinary outpatient expenses across provinces to ensure that the counter settlement personnel are familiar with and can operate related businesses; smooth the contact channels between designated medical institutions and handling agencies, Ensure that issues such as settlement failures are resolved immediately.
The "Notice" clarified that it is necessary to conduct operational monitoring during the trial operation.
The trial operation will start on February 1, 2021.
Relevant provincial-level medical security departments shall organize the areas under their jurisdiction to do a good job in operation monitoring and system security.
Focus on tracking the designated medical institutions with relatively concentrated settlement of ordinary outpatient expenses, do a good job in policy publicity and interpretation of the insured people, formulate work plans, and respond to and deal with system failures and settlement details in a timely manner.