Build an efficient and convenient medical insurance service platform in Huining County, Baiyin City
Author:Silver Daily Time:2022.09.16
In recent years, Baiyin City Huining County Medical Security Service Center has adhered to the work concept of "medical insurance small window, serving the great people's livelihood", thoroughly implemented the reform requirements of the "decentralization service" reform, combined with the actual needs of medical insurance service windows, based on the needs of the masses, and actively explored. Refine the style, continuously improve service methods, improve service capabilities, innovate and convenient measures, and strongly create an efficient and convenient medical insurance service platform.
Since the establishment of the County Medical Security Service Center, in order to provide the masses with temperature and humanized service environment, the medical insurance service area has re -planned to guide the consulting area, self -service area, rest waiting area, accepting service area and other functions. In order to meet the needs of mass business to handle the needs of the masses, the window is uniformly set to 9 teller windows to meet the needs of the masses. It is equipped with a service quality evaluation device, which is conducive to the masses' work and urging staff to better serve.
The "comprehensive teller system" was fully implemented, and 9 windows took turns to work by 20 backbones. Strictly implement the list of government service services for national medical security, and include all medical insurance services such as the registration of insurance registration, payment of payment, transfer continuation, sporadic reimbursement, and medical insurance records in different places. "Fast in the background", settle down for a limited time; comprehensively sort out the service matters of the operation, implement the process of re -implementation, and move the clinic slow special disease application to a designated medical institution. Patients with chronic diseases can directly be in public medical institutions with identifying qualifications. Determine to avoid the back and forth between the medical institutions and the medical insurance windows; from the perspective of the masses to sort out the business process, put the transfer of the referral transfer approval to the public designated medical institutions above the second level, the insured persons are at the designated medical institution at the fixed -point medical institution During the consultation, the relevant opinions can be issued by the designated public medical institutions above the local level or above, and the patient can go to the different local hospital for referring to treatment for the reciprocation of the reformers in a different place. After approval by the office, the referral patients can be handled at one time in the hospital. In the first half of this year, the window accepted 5,782 cases, settled 5,782, and the settlement rate reached 100%. 36,821 online acceptance business, 36,821 pieces, a 100%settlement rate. (Niu Lina)
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