5 outpatients in Dalian's 5 clinics can be reimbursed directly for medical treatment for different places

Morning News (Peninsula Morning News, 39 -degree video reporter Su Lin) In order to further meet the demand for medical treatment for the insured, reducing the pressure of the insured person's running legs, with the review and approval of the National Medical Insurance Bureau and the Provincial Medical Insurance Bureau The direct settlement function of the medical treatment is officially launched, and the treatment cost of 5 clinics such as uremia dialysis, malignant tumor outpatient chemotherapy, organ transplantation, hypertension, diabetes, etc. Cash cash will be reimbursed after returning to the place of insurance.

As a place of insurance and medical treatment, Dalian opened 5 outpatients in two directions to directly settle in the medical treatment. The scope of personnel includes: 1. Insured persons in our city and urban and rural residents have completed the corresponding outpatient medical treatment qualifications. You need to go to a different place for medical treatment and complete the record in accordance with the medical treatment management of our city. 2. If the employees of a different place and the insured in urban and rural residents come to our city, they will complete the qualifications for the corresponding outpatient clinic for the corresponding outpatient clinic at their participation place, and shall apply for the filing of different places in accordance with the provisions of the participation place. In the city's outpatient diseases, there is no need to file a separate settlement in different places. If the insured person needs to seek medical treatment in different places, the outpatient clinic is automatically settled directly when the medical treatment procedures are required to take the medical treatment formalities.

According to the Municipal Medical Insurance Center, the specific steps of this direct settlement are: (1) When the insured persons in our city are settled in different places, please consult the direct settlement and opening up of slow special diseases in different places. Social security cards (or medical insurance electronic vouchers) are settled directly, and no need to pay for cash pads. (2) Insured persons who come to our city for medical treatment will have 5 outpatient diseases such as hypertension, diabetes, malignant tumor outpatient chemotherapy, uremia dialysis, organ transplantation, etc. If the place of insured has opened a direct settlement function of the outpatient clinic, it can be settled directly in the city's qualified designated medical institutions (see attachments for details). Promoting the direct settlement of basic medical insurance cosmetic medical expenses is an important reform measure to improve the medical insurance system and solve the prominent concern of the masses. The reporter learned that the five slow diseases of the doors are common diseases and are the key areas of medical insurance. The direct settlement function of slow specialties in this clinic effectively solved the problems such as inadequate information transmission in the past and cumbersome system settlement, and further enhanced Dalian's medical service guarantee and accurate supervision capabilities. Special reminder: The direct settlement function of slow specialties in outpatient diseases is launched in the city's designated medical institutions with corresponding outpatient slow special disease qualifications, excluding fixed -point retail pharmacies.

Attachment: "Dalian Outpatient Clinic Slow Special Disease Expenses Different Places Direct Settlement of Designated Medical Institutions and Disease List" ↓↓↓

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