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In recent years, China has made great progress in medical insurance informatization and digitalization, especially in the settlement of medical treatment across provinces, electronic vouchers of medical insurance, electronic office systems, etc.
, so that insured persons can quickly complete the approval of medical insurance reimbursement, get reimbursement expenses, and reduce economic pressure
.
, so that insured persons can quickly complete the approval of medical insurance reimbursement, get reimbursement expenses, and reduce economic pressure
.
Not long ago, Uncle Shu, a Beijing medical insurance participant in his seventies, suddenly fell ill while living in Hainan, and his condition was life-threatening, and he was hospitalized in the emergency department of the local medical insurance designated hospital in Hainan, spending more than 980,000 yuan
before and after.
When the elderly were hospitalized in Hainan, they did not open direct settlement for medical treatment in different places, and all the medical expenses of 980,000 yuan were paid by themselves, causing a serious economic burden
.
After returning to Beijing, he came to the Haidian District Medical Insurance Bureau with more than 600 pages of expense details for reimbursement
.
before and after.
When the elderly were hospitalized in Hainan, they did not open direct settlement for medical treatment in different places, and all the medical expenses of 980,000 yuan were paid by themselves, causing a serious economic burden
.
After returning to Beijing, he came to the Haidian District Medical Insurance Bureau with more than 600 pages of expense details for reimbursement
.
Sun Qiangmin, a retired employee in Haidian District, Beijing: There are more than 600 pages of information, and there are dozens of pages of detailed lists of expenses alone
.
As soon as it came, it was entered immediately, one by one into the system, and it was quickly solved, I didn't expect it, anyway, it took about ten days to hit our account
.
.
As soon as it came, it was entered immediately, one by one into the system, and it was quickly solved, I didn't expect it, anyway, it took about ten days to hit our account
.
After the electronic audit is carried out through the intelligent audit system, the system will first conduct electronic comparison, and then the auditors will compare the unsuccessful items and then manually compare
them.
After the review is completed, the follow-up processes such as data result system entry, settlement, and printing are carried out to realize electronic files, intelligent document review, and automatic data entry, thereby shortening the reimbursement cycle and simplifying the work process
.
them.
After the review is completed, the follow-up processes such as data result system entry, settlement, and printing are carried out to realize electronic files, intelligent document review, and automatic data entry, thereby shortening the reimbursement cycle and simplifying the work process
.
At present, the number of different names of the intelligent audit system of the Haidian District Medical Insurance Bureau has reached more than 60,000, and the accuracy rate of electronic review has reached more than 98%, and if the name of the reimbursement item is consistent with Beijing, the accuracy rate can reach 100%.
Let the data run more and the masses run less errands, and the beautiful service experience brought by "smart medical insurance" is "accelerating to fly into the people's homes"
.
Let the data run more and the masses run less errands, and the beautiful service experience brought by "smart medical insurance" is "accelerating to fly into the people's homes"
.
Zhang Huazhen, director of Beijing Haidian District Medical Insurance Center: In addition to local patients, in fact, more patients come to Beijing for medical treatment now, and the problems they encounter are more difficult to solve.
Therefore, now Haidian Medical Insurance basically maintains (maintains) a relatively normal connection with the coordinated areas across the country, and relies on smart medical insurance to promote and improve our medical insurance services
.
Therefore, now Haidian Medical Insurance basically maintains (maintains) a relatively normal connection with the coordinated areas across the country, and relies on smart medical insurance to promote and improve our medical insurance services
.
