Electronic health insurance vouchers can be used for settlement starting in January of next year.

Original title: Electronic health insurance vouchers can be used for settlement starting in January of next year.

On December 16, the Beijing Municipal Medical Security Bureau issued the “Regarding Electronic Health Insurance Coupon Application for Medical SettlementjobsAbout the problemrealize“(Hereinafter referred to as the” Notice “) announced that the city will use electronic health insurance vouchers for medical settlement on January 1, 2021. This also means that starting next year, the physical health insurance card will no longer be the only proof for the insured to see a doctor With the electronic proof of health insurance, you can scan the code for medical treatment and scan the code with your mobile phone to complete the settlement in real time.

According to the “Notice”, basic medicalinsuranceParticipants can pass the channel platform certified by this city (such as Beijing Tong app, the national health insuranceServicePlatform App, WeChat, Alipay andFinancial institutionsApp, etc.) activate the electronic health insurance voucher.After successful activation, you can scan the electronic health insurance voucher at designated medical institutions in this city from January 1 of next year to confirm the identity of the insured person and carry out medical settlement. At the same time, the city will gradually explore the implementation of pilot medical institutions.Facial recognitionTechnology, by scanning the face to confirm the identity of the insured person, carry out the medical settlement and continuously improve the efficiency and level of health insurance services. It should be noted that the insured can only carry out the medical settlement after the electronic certificate of the medical insurance is activated. Therefore, if the insured chooses to use the electronic certificate of health insurance for medical settlement, it is recommended to complete the activation of the electronic certificate of health insurance before seeking medical care.

On this basis, the city will gradually carry out online settlement of electronic health insurance vouchers.In the future, insured persons can use their mobile phones to download and log into the medical institution pilot application, link electronic coupons insurance and then use their mobile phones to take the medical institution application test.The InternetOnline health insurance rate settlement In addition, the city will also implement manualRefundDuring normal medical treatment, real-time settlement When policyholders request manual reimbursement of medical expenses, it is not necessary to provideSocial SecurityElectronic card or health insurance certificate. During the manual reimbursement period, the insured can be the holder of the social security card or present the electronic certificate of health insurance for regular medical treatment in real time.

Currently, policyholders in this city implement card medical treatment and card settlement, except in emergencies, they must carry medical insurance cards, otherwise the medical insurance settlement will not be possible. For some people who are sent to the hospital for emergencies or who tend to forget their social security cards when they are old, they often encounter some inconvenience. These measures will improve the settlement efficiency of designated medical institutions, facilitate the use of medical drugs by the general public, further enhance the convenience of settling health insurance expenses for insured persons, and enhance the sense of acquisition of people. insured.

Promotion and application of electronic health insurance and health insurance couponsInformation systemThe update is a large systematic project. According to the “Notice”, the Municipal Medical Insurance Office will be responsible for the promotion and application of the city’s electronic health insurance vouchers; Each district’s medical security departments will scientifically and rationally formulate work plans to strengthen business orientation and cooperation with designated medical institutions within their jurisdictions.Information communication; Each designated medical institution is responsible for highqualityComplete the updating and transformation of the information system, and pass the technical and commercial acceptance; According to the volume of service, do a good job in configuring the scanning equipment and the settlement window to ensure the orderly development of the electronic health insurance voucher application.

For protectionbackgroundSecurity. The “Notice” also requires designated medical institutions to strictly implement real name medical treatment and other relevant regulations when insured persons seek medical treatment.insuranceSpecifiedbehaviorStop in time. In the process of diagnosis and treatment, the doctors of the designated medical institutions will carry out the treatment due to the disease, a reasonable examination, the rational use of drugs, and reasonable treatment, in order to avoid unreasonable medical expenses. of all districts should further strengthen oversight of designated medical institutions in their jurisdictions.administration, To jointly safeguard the rights and legitimate interests of the insured and guarantee the security of the medical insurance funds.

(Source: Beijing Commercial Daily)

(Responsible editor: DF524)