AG真人国际厅官网

省医疗保险基金管理中心关于印发《江苏省医疗保险异地就医
AG真人国际厅官网省内联网结算经办AG真人国际厅官网规程》的通知

发布日期: 2018-04-03 14:37 浏览次数:

AG真人国际厅官网suyiguan〔2016〕7hao


AG真人国际厅官网geshequshiyiliaobaoxianjingbanjigou,kunshanshi、taixingshi、shuyangxianyiliaobaoxianjingbanjigou:

weijinyibuwanshanshengneiyidijiuyijiesuangongzuo,guifanyidijiuyijiesuanchengxu,tigaojibenyiliaobaoxianyidijiuyirenyuanyidijiuyijiesuanxiaolv,xianjiang《jiangsushengyiliaobaoxianyidijiuyishengneilianwangjiesuanjingbanagzhenrenguojitingguanwangguicheng》yinfajinimen,qinggedijieheshiji,renzhenguanchezhixing。


jiangsushengyiliaobaoxianjijinguanlizhongxin    

2016nian10yue25ri         



江苏省医疗保险异地就医省内联网结算经办AG真人国际厅官网规程

genju《guanyujinyibuzuohaojibenyiliaobaoxianyidijiuyiyiliaofeiyongjiesuangongzuodezhidaoyijian》(renshebufa〔2014〕93hao)jingshen,weijinyibuwanshanagzhenrenguojitingguanwangshengyidijiuyilianwangjiesuangongzuo,tigaoguanliagzhenrenguojitingguanwangshuiping,duishengneiyidijiuyilianwangjiesuanjingbanagzhenrenguojitingguanwangliuchengzuoruxiaguifan。

yi、fanweiduixiang

AG真人国际厅官网chengzhenzhigongjibenyiliaobaoxian、chengzhen(xiang)juminjibenyiliaobaoxiancanbaorenyuanzhong,youxialieqingxingzhiyidejunkeshenqingbanliyidijiuyilianwangjiesuan。

(yi)yidianzhituixiurenyuan;

AG真人国际厅官网(er)yidizhangqijuzhuhuozhangzhuyidigongzuo、xuexilianxushijianzai6geyueyishangrenyuan;

AG真人国际厅官网(san)yinbingjingcanbaodidingdianyiliaojigouzhenduanxuzhuanyidiyiliaojigouzhenzhiderenyuan。

shangshu(yi)he(er)qingxingzhe,jiancheng“zhangqizhuwairenyuan”。

er、dengjibeian

AG真人国际厅官网yidijiuyilianwangjiesuandedengjibeianshouxubanliyoucanbaodiyiliaobaoxianjingbanjigou(yixiajiancheng“jingbanjigou”)fuze。

(yi)fuhezhangqizhuwaitiaojiandecanbaorenyuan,yingchibenrendeshengtongyibiaozhundeshehuibaozhangka(yixiajiancheng“shehuibaozhangka”),bingtianxie《jibenyiliaobaoxianyidijiuyidengjibiao》(jianfujian1),zhicanbaodijingbanjigoubanlishouxu;

(er)yinbingqingxuzhuanwaijiuyidecanbaorenyuan,chibenrendeshehuibaozhangkaheyoudangdidingdianyiliaojigouchujuzhuanzhenyijiande《jibenyiliaobaoxianzhuanwaijiuyibeianbiao》(jianfujian2),zhicanbaodijingbanjigoubanlishouxu;

(san)canbaodijingbanjigoushenhehou,jiangquerendeyidijiuyirenyuanxiangguanxinxijishishangchuanzhishengyidijiuyilianwangjiesuanpingtai(yixiajiancheng“shengpingtai”)。

san、xinxibiangeng

(yi)yidijiuyirenyuandedaiyuxiangshouzhuangtairufashengzanting、huifu、zhongzhidengbiangeng,canbaodijingbanjigouyingjishishangchuanzhishengpingtai。

AG真人国际厅官网(er)zhangqizhuwairenyuanrufashengyidijuzhudidengxinxibiangeng,huozhuanwaijiuyirenyuanzaiyidizhiliaoqijianxuzaicizhuanyuanzhiliaode,junxujiangxiangguanxinxitijiaozhicanbaodijingbanjigoubanlibiangengshouxu。

AG真人国际厅官网(san)jiuyidijingbanjigouyingmeiricongshengpingtaixiazaiyidijiuyibeianrenyuan、lianwangdingdianyiliaojigoudengxinxi,quebaocanbaorenyuanjishijiuyi。canbaorenyuanwuxudaojiuyidijingbanjigoubanlirenyuanxinxijiazai。

si、jiuyijiagzhenrenguojitingguanwangguifan

(yi)zhangqizhuwairenyuanbanliyidijiuyidengjishouxuhou,kezaibeianjuzhudiyidilianwangdingdianyiliaojigoufanweineizixingjiuzhen。

(er)zhuanwaijiuyirenyuanzaicanbaodibanliyidijiuyishouxushi,yingqueding1jiayidilianwangdingdianyiliaojigoujiuzhen。xuzaicizhuanyuande,yingancanbaodiguidingbanlixiangguanshouxu。

(san)yidijiuyirenyuanyingchishehuibaozhangkadaodingdianyiliaojigoujiuyi,zunxunjiuyidiyiliaojigouyiliaoguichengheagzhenrenguojitingguanwangguifan。

AG真人国际厅官网(si)jiuyididingdianyiliaojigouyingweiyidijiuyirenyuantigongyouzhideyiliaoagzhenrenguojitingguanwang,tongshiyaoduiyidijiuyirenyuanjinxingshenfenshibie,fangfanmaomingjiuyidengqizhaxingweifasheng。

wu、feiyongjiesuanyuzhifu

(yi)yidijiuyirenyuanjiuyishiancanbaodizhengcezhijiejiesuan,dingdianyiliaojigoutigongxiangyingdejiesuanqingdan。yinggaiyougerenfudandebufen,yougerenanguidingjieqing;yinggaiyougerenzhanghujitongchoujijinzhifudebufen,youjiuyidijingbanjigouyudingdianyiliaojigoudaiweijiesuan。

AG真人国际厅官网(er)shengpingtaimeirishengchengqianrijiesuanshuju,youshijijingbanjigoumeirijiangshengpingtaishujuyubendixitongyewushujujinxingbiduihouwanchengriduizhangquerencaozuo。ruheduifaxianshujuwenti,zeketongguoshengpingtaiduiwentishujujinxingjiucuochuli。

(san)youjiuyidijingbanjigoudaiweijiesuandeyidijiuyifeiyong,jingguoshengpingtaimeiyuejinxingqingsuan,anshijichaejiefu。shengpingtaiyumeiyue2riqianshengchengshangyuejingbanjigoujianqingsuanmingxijihuizongtongjishuju;gedijingbanjigouyu5riqian,genjushengpingtaitigongdemingxijihuizongshuju,wanchengyidijiuyifashengyiliaofeiyongdeheduigongzuo,querenqingsuanxinxi;10riqianshengpingtaishengchenggeshichaejiesuanshuju;15riqiangechachudejingbanjigoujiangyingzhifuyidijiuyichaefeiyonghuizhishengyiliaobaoxianjijinguanlizhongxin(yixiajiancheng“shengyibaozhongxin”),jingshengyibaozhongxinheduihou,yu20riqianfenhuizhigeyingchajindejingbanjigou。shijijingbanjigoufuzeduixiaquneigejingbanjigouyidijiuyifeiyongjinxingqingsuan。

liu、jihejiandu

(yi)gejingbanjigouyingjiangyidijiuyiguanliagzhenrenguojitingguanwangdeyaoqiunarudingdianyiliaojigou“xieyi”neirong,bingzuoweidingdianyiliaojigouniandukaohe、xinyongdengjipingdingdezhongyaoyiju。

AG真人国际厅官网(er)jiuyidijingbanjigoufaxianyidijiuyirenyuanyouyanzhongweiguixingweide,yingzhongzhizhijiejiesuan,tongshishangbaoshengyibaozhongxinxiediaocanbaodijingbanjigou,youcanbaodijingbanjigougenjuxiangguanguidingjinxingchuli。

AG真人国际厅官网(san)jiuyidijingbanjigouyingjianliyidijiuyixingweidetousuqudao,jishishoulitousubingjiangjieguogaozhitousuren。duichashidezhongdaweifaweiguixingweianxiangguanguidingzhixing,bingzhujishangbaoshengyibaozhongxin。

qi、qita

(yi)shehuibaozhangkadeguashi、bukashiyianshengshehuibaozhangkaguanliyouguanguidingbanli。zanweitongyizhifashehuibaozhangkadediqu,yingxianweiyidijiuyirenyuanbanlishehuibaozhangka,tongshizuohaoxiangguanjieshihexianjiegongzuo。

AG真人国际厅官网(er)zhangqizhuwairenyuanfashengdefeidingdianyiliaojigoudejizhenfeiyong,yinghuicanbaodianguidingbaoxiaochuli。

AG真人国际厅官网ba、benguichengzi2017nian1yue1riqishixing。geshikecanzhaobenguichengzhidingxiangyingdeshishixize。

jiu、benguichengyoushengyibaozhongxinfuzejieshi。


fujian: 1、jibenyiliaobaoxianyidijiuyidengjibiao

         2、jibenyiliaobaoxianzhuanwaijiuyibeianbiao

         附件

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