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Beijing launches electronic health insurance vouchers next year
After the insured person activates the electronic medical insurance voucher, they can scan the code for settlement at designated medical institutions in Beijing; in the future, you can slide your face for medical clearance
The journalist learned from the Beijing Municipal Health Insurance Bureau on December 16 that the bureau issued a notice a few days ago that Beijing will use electronic health insurance vouchers for medical settlement on January 1, 2021. This means that a Starting from the use of the social security card for medical settlement, the insured has incorporated a new method of electronic proof of medical insurance.
From now on, policyholders in Beijing can request and activate their electronic health insurance coupons at any time. The Beijing Municipal Medical Security Bureau reminds that if the insured chooses to use the electronic health insurance voucher for medical settlement, it is recommended to complete the activation of the electronic health insurance voucher before seeking medical treatment.
Beijing will also become the first city in the country to cover all insured persons, all designated medical institutions and all types of expenses with electronic health insurance certificates. It is reported that the application of electronic health insurance vouchers will gradually expand from offline to online, and even medical clearance can be done by “brushing the face.” Beijing News reporter Wu Wei
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Participants can use the electronic health insurance certificate to scan the medical treatment code.
At present, policyholders in Beijing implement medical treatment and card settlement, and must bring a social security card (except in emergencies), otherwise they will not be able to pay medical insurance. The Municipal Health Insurance Bureau stated that in order to improve the efficiency of the liquidation of designated medical institutions and facilitate the use of medical drugs by the general public, the Beijing medical security information system has been updated and rebuilt, and The historical information of the treatment of the insured persons can be read online in real time to guarantee the process of settlement of the medical treatment with a card. Unchanged, effective January 1, 2021, electronic health insurance vouchers will be added for medical settlement. You can use the electronic certificate of health insurance to scan the medical treatment code, and the social security card will no longer be the only certificate of medical clearance.
The competent person in charge of the office noted that the first step in applying electronic health insurance vouchers for medical settlement is to do the offline settlement. After activating the electronic health insurance voucher, the basic health insurance participant can scan the electronic health insurance voucher at the designated medical institution in Beijing to confirm the identity of the insured person and perform the medical settlement.
In the next step, the direct online settlement of the electronic health insurance certificates will take place gradually. Participants use their mobile phones to download and log into the pilot medical institution application, link the electronic certificate of health insurance, and use the mobile phone to settle health insurance costs online without having to queue at the window of payment.
Furthermore, the person in charge also revealed that the Health Insurance Bureau is actively exploring the application of facial recognition technology for medical settlement and continuously improving the efficiency and standard of health insurance services. Some hospitals will take the lead in piloting “face brushing” medical settlements.
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Multi-channel platform can activate electronic health insurance coupons
Electronic health insurance vouchers are uniformly issued by the national health insurance information platform and are electronic means of health insurance identification generated for all insured persons based on the basic health insurance information database.
The electronic certificate adopts real name / real person authentication technology and uses an encryption algorithm to form an electronic identification, which has important characteristics such as security, reliability and unique authentication. Participants will be able to enjoy various health insurance services online through electronic vouchers, including commercial health insurance processing, health insurance account inquiries, health insurance visits, and drug purchase payments.
In order to facilitate the health insurance of the policyholders and ensure the smooth implementation of the electronic health insurance voucher in Beijing, the urban health insurance department has been preparing for almost a year, and even during the epidemic, there is no relaxation not at all, and many health insurance information systems have been made. The upgrade and transformation work, including the cloud of basic health insurance data, will be technically adjusted from “read historical benefits on card” to “historical final benefits”; More than 2,900 designated medical institutions in the city have implemented information systems Update and renewal, and each one has passed technical acceptance on site and commercial acceptance from the Office of Urban Medical Insurance.
Starting on January 1 of next year, designated medical institutions in Beijing can perform real-time settlement of electronic health insurance certificates. The person in charge recalled that the insured can only proceed with the medical settlement after the electronic certificate of medical insurance is activated.
At present, basic health insurance participants can activate electronic health insurance certificates through Beijing-certified multi-channel platforms, including the Beijing Tong app, the national health insurance service platform app, WeChat app, Alipay and the financial institution.
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Manual reimbursement does not require a social security card or electronic health insurance certificate.
Uploading basic health insurance data to the “cloud” not only adds a new form of medical settlement, but also brings great convenience to manual reimbursement of insured persons in the future.
Currently, when requesting manual reimbursement of medical expenses, the insured must deposit their social security card with the management agency. During this period, if the insured goes to the doctor, they can only request manual reimbursement after paying the full amount in advance. The card problem forms an alternate cycle of continuous card deposit and manual refund.
Once the electronic health insurance voucher is settled, the insured does not need to provide a social security card or electronic health insurance voucher for manual reimbursement. 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.
The competent person in charge stressed that the health insurance fund is the “life-saving money” of ordinary people, and that everyone has an obligation to protect it together. Once the electronic certificate of health insurance is enabled for medical settlement, the insured should not lend their social security card or electronic certificate of health insurance to others at will for their protection. Fund security. All designated medical institutions must strictly implement real name medical treatment and other relevant regulations when insured persons seek medical treatment, and promptly stop behaviors that violate medical insurance regulations, such as bogus medical treatment.
At the same time, in the process of diagnosis and treatment, the doctors of the designated medical institutions must carry out treatment for illness, reasonable inspections, rational use of drugs and reasonable treatment to avoid unreasonable medical expenses. Any fraud or insurance fraud will be severely punished by law.
