Application is more convenient to identify more efficient Hebei Provincial Medical Insurance Bureau optimization and upgrading the province's outpatient slow special disease declaration review process

Ji Shi client reported (Liu Zhaoxiang, Hebei) from Hebei) The reporter learned from the Hebei Provincial Medical Security Bureau that the optimization and upgrading process of the outpatient clinic slow special disease review and identification process was completed today (September 29), and some operating functions were added. The upgraded outpatient slow special disease review and identification system, the application of the insured personnel is more convenient to apply for the disease. The specific adjustments are as follows.

1. Easy to declare operations

(1) The application end increases the withdrawal function. The insured persons declare the disease on the application side. If the preliminary examination physician did not accept it, the applicant was submitted and found that the error could be revoked.

(2) Added online supplementary data functions. For the incomplete information, the preliminary review physician proposed supplementary information, the applicants can supplement the information online and submit it. The supplementary materials are automatically preserved with the original uploaded information in the system.

(3) Applicants upload data modules to increase automatic preservation function. In the process of uploading the information, if you are not attracting the program or interrupted upload, the system will automatically save the transmitted information. The applicants can choose to continue uploading at the declaration entrance. The information has been passed on without repeated operation.

(4) Set the ID card to the required item. In order to improve the application efficiency and reduce the probability that the applicant's unable to review due to the missed ID card, the new system will upload the function of the evidence to optimize the functional picture function (that is, the upload of the ID card and the two functions of other proof materials), and upload it to upload The ID card is set to the required item.

(5) Add warm reminder on the application side. After submitting the Slow Special Disease Application Information (or the required supplementary material), the applicant will see a warm reminder: "After you submit the application information (or the request for the supplementary material) online, please check the on -site verification of the medical institution within 30 days ( Except for special personnel), the system that has not been verified on the spot after the deadline is deemed to be automatically abandoned. " When the applicant in the "Hebei Smart Medical Insurance" WeChat Mini Program inquiry and identify the progress, it can follow up with the supplementary information in time in accordance with the above prompts or go to the on -site verification to improve the determination efficiency.

(6) Shorten the time interval of the re -declaration. If the review is not passed due to incompatible information, the original system needs to be re -declared after one month. The new system has been optimized to re -declared the next day.

2. The review is rigorous and efficient

(1) Added a "review and revocation" function in the early (repeated) trial. The preliminary review and review physician identified the "review and revocation" function within 10 minutes. After the physician misunderstood the conclusion of the review, click "Return" in 10 minutes to revoke his opinion. After the revocation, you can re -review.

(2) The automatic return function is implemented for the acceptance information that has not been verified on -site. For those who have not arrived at the scene after 30 days, or those who need to be supplemented but not supplemented, the system automatically set its application information to fail. Medical institutions can inquire about the historical failure information of the unit at any time, and the doctor can also query the failure information of the applicant's ID number, so that medical institutions and doctors explain to the applicants and improve work efficiency.

(3) Refined classification of the declared information. The medical insurance side, the hospital, and the doctor's side report the "to be reviewed" module in the "to be reviewed" into two query modules: "to be reviewed" and "to be reviewed", which is convenient for refined management and work supervision to avoid the risk of leakage review.

3. Scientific standards for management

(1) Strengthen the statistical query function. The functions of the system can be added according to the time period, review of medical institutions, and medical inquiries of statistical slow special diseases.

(2) Give municipal -level agencies inquiring authority. In order to meet the needs of regulatory review and determination, the function of querying the statistics of the municipal agencies can query the function of the evaluation and identification of any county, district or medical institutions in this coordinated area, that is, the municipal -level agencies can follow the county (district), medical institutions, and medical institutions, and Conditions such as diseases and other conditions The number of applicants, the number of people, the list, etc. within a certain period of time, and the information of the outpatient clinic of the insured person in this coordinated area can be accurately inquired according to the ID number.

(3) Added the module of the validity period of the disease. First, next to the "Disease Idential Standard Maintenance" module of the medical insurance agency, a module of the validity period of the disease is added. Essence Participants reported that they would enjoy the treatment within the validity period after successful the disease. The second is to add a system to automatically calculate the function of slow special disease treatment (accurate to day). After the expiration, the system will automatically stop its slow special disease treatment. Third, a long -term reminder of the "Historical Inquiry" module at the Slow Special Disease Declaration interface: "Your ×× disease has been determined to be successful, and it will fail until × year × month × day."

(4) Transfer of the transitional area to the original identification of the type of disease automatically invalid. After the insured personnel handled the inter -unified chores' transfer and continued medical insurance relationship, the previous identification of slow special disease information was automatically invalid (the system retains failure information). Essence

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