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四川省醫療保險管理局 關于下發《四川省異地就醫即時結算 宣傳提綱》的通知

發布時間: 2019-05-13 作者: 系統

四川省醫療保險管理局 關于下發《四川省異地就醫即時結算 宣傳提綱》的通知

geshi(zhou)yibaoju:

根據《四川省人力資源和社會保障廳 四川省財政廳關于印發<四川省醫療保險異地就醫管理暫行辦法>的通知》(川人社發[2014]29號)、《四川省醫療保險管理局關于印發<四川省異地就醫管理經辦規程>的通知》(川醫險辦[2014] 33號)的精神,我們以問答的形式擬定了《四川省異地就醫即時結算宣傳提綱》,并下發你們。請各地結合實際,進一步完善本地的宣傳內容,認真做好異地就醫即時結算服務的宣傳工作,確保這項惠民舉措落到實處,正確引導參保人員利用好這項便民措施。

sichuanshengyiliaobaoxianguanliju    

2014nian9yue23ri      

sichuanshengyidijiuyijishijiesuanxuanchuantigang

yi、shenmeshiyiliaobaoxianyidijiuyi?

da: yidijiuyishiyiliaobaoxiancanbaorenyuanzaicanbaodiyiwaidediqujiuyigouyaodexingwei。zaisichuanshengneishizhicanbaorenyuankuashi(zhou)dejiuyigouyaodexingweiguocheng。

er、shenmeshiyiliaobaoxianyidijiuyijishijiesuan?

da: yidicanbaorenyuanzaishengneikuashi(zhou)jiuyishi,zhixuzhifuanzhaocanbaodizhengceguidingyougerenzhifudefeiyong,youyiliaobaoxianzhifudefeiyongyoujiuyiyiyuanyuyibaojingbanjigoujinxingjiesuan,chengweiyiliaobaoxianyidijiuyijishijiesuan。

san、shenmeshiyidijiuyijishijiesuanshengjipingtai?youshenmezuoyong?

da: weishixianwoshengshengneikuashi(zhou)yidijiuyijishijiesuan,woshengjianlileyidijiuyijishijiesuanjisuanjixinxiwangluojishuzhichengpingtai,jiancheng“shengjipingtai”。canbaorenyuanzaiyidiyiyuanjiuyifashengdeyiliaofeiyongtongguoshengjipingtaichuanshuzhicanbaodiyibaojingbanjigoujisuanbaoxiaodaiyu,zaijiangjisuanjieguotongguoshengjipingtaichuanshuzhijiuyidideyiyuan,congershixianyidijiuyijishijiesuan。

  si、naxieyiliaobaoxianxianzhongdecanbaorenyuankechikayidijiesuanyiliaofeiyong?

da: zhiyaofuheyidijiuyixiangguanguidingdesichuanshengchengzhenzhigongjibenyiliaobaoxiancanbaorenyuan、chengzhenjuminjibenyiliaobaoxiancanbaorenyuan,yijiyourenliziyuanheshehuibaozhangbumenguanlidexinnonghecanherenyuanzaisichuanshengneikuashi(zhou)jiujinkexiangshouchikajiesuandebianli。

wu、muqianwoshengnaxieyidiyiliaofuwufeiyongkeshuakajiesuan?

da: 10yue1rishangxiandeshengjipingtai,shouxianshixiantuixiuyidianzhihechangqiyidijuzhurenyuanzhuyuanyiliaofeiyongjishijiesuan。yidishiyonggerenzhanghuzijinzaiyaodiangouyaojiputongmenzhenjiuyifeiyongjishijiesuanxinxixitongyezhengzaiguihuajianshezhong。

liu、shengwaiyidijiuyinengfoushixianjishijiesuanyiliaofeiyong?

da: muqian,guojiazhengzaiguihuajianlikuashengyidijiuyijishijiesuanpingtailaijiejuekuashengyidijiuyijiesuanwenti。zaicizhiqianwoshengcanbaorenyuandaoqitashengfenjiuyijiesuanangeshi(zhou)xianyoudeguidingzhixing。

  qi、canbaorenyuanyidizhuyuanchikajiesuanxujubeishenmetiaojian?

da: canbaorenyuanxuxianzaicanbaodibanlileyidijiuyibeiandengxiangguanshouxuhoucainengtongguoshengjipingtaichikajiesuanyidiyiliaofeiyong。

ba、naleirenyuanxuyaobanliyidijiuyidengjibeian?

da: yishituixiuyidianzhihechangqiyidijuzhude;ershiyinjibingzhiliaoxuyaozhuandaocanbaoshi(zhou)yiwaijiuyide;sanshicanbaorenyuanyinchucha、tanqin、lvyoudenglinshilikaicanbaodihuojuzhudiqijianzaiyiditufajibingquexujiudijizhenqiangjiude。

jiu、tuixiuyidianzhi、changqiyidijuzhuzenyangbanliyidijiuyidengjibeianshouxu?

da: canbaorenyuanchibenrenshehuibaozhangkahexiangguanshenfenzhengmingdaocanbaodiyiliaobaoxianjingbanjigoubanliyidijiuyishouxu,jingshenhetongyikedengjibeian。dengjibeianxinxizuoweicanbaodijingbanjigoupanduanshifouxiangshouyidijiuyijishijiesuandaiyudejichuxinxi。

shi、kuashizhouzhuanzhenzhuanyuandengjibeianruhebanli?

da: yincanbaodiyiliaotiaojianyouxian,xuyaozhuandaoqitashi(zhou)zhiliaodecanbaorenyuan,yingdanganzhaocanbaodiyibaojingbanguanlijigoudexiangguanguidingbanlizhuanzhenzhuanyuanshouxujinxingyidijiuyibeian。banlilezhuanzhenzhuanyuanshouxudecanbaorenyuanzhinengzaibeianzhuanruyiyuanzhuyuanzhiliao。

shiyi、tanqin、lvyou、chucha、waishangdengzaiyiditufajizhengqiangjiuzhuyuandezenyangbanlidengjibeian?

da: canbaorenyuanzaishengneiqitashi(zhou)yinjizhenqiangjiuruyuanhewaishangruyuande,kezaibanlichuyuanjiesuanqian,yidianhua、chuanzhen、yiyuanwangluodengfangshixiangcanbaodiyibaojingbanjigoushenqingbanliyidijiuyidengjibeianshouxu,tongshitijiaojiuyiyiliaojigoumingcheng、ruyuanzhenduan、menzhenqiangjiubinglidengziliao,canbaodiyibaojingbanjigoushenpitongyibingdengjibeianxinxihou,kejishijiesuanyiliaofeiyong。

shier、banlileyidijiuyidengjibeianhouyouxuyaohuicanbaodizhuyuanzenmeban?

da: canbaorenyuanbanlileyidijiuyidengjibeianhou,yuanzeshangbunenghuicanbaodijiuyijiesuan。ruyujizhenqiangjiuzhuyuandeancanbaodixiangguanguidingchuli;ruhuicanbaodichangqijuzhu,kedaocanbaodiyibaojingbanjigoubanlichexiaoyidijiuyidengjibeian。

shisan、zenyangchexiaoyidijiuyidengjibeianshouxu?

da: banlileyidijuzhudengjibeianyouhuicanbaodichangqijuzhudexu

yaodaocanbaodijingbanjigoubanliyidijiuyichexiaodengjibeianshouxu。

  shisi、banlileyidijiuyidengjibeianderenyuan,zaiyidideyiliaofeiyongbaoxiaozhengceshishenme?

da: yijuyidijiuyi“canbaodidaiyu”yuanze,canbaorenyuanzaishengneikuashi(zhou)yidijiuyisuofashengdeyiliaofeiyongancanbaodizhengceyuyibaoxiao。

shiwu、weibanliyidijiuyidengjibeianhuozaiyidifeidingdianyiliaojigoufashengdejiuyifeiyongruhechuli?

da: ancanbaodixiangguanguidingbanli。

shiliu、naxieyiyuankeyidijiuyichikajiesuanyiliaofeiyong?

da: yidijiuyirenyuankeyidaojiuyidiyikaizhanyidijiuyijishijiesuanyewudeyiliaojigoujiuyi。yikaitongleyidijiuyichikajiesuandeyiyuandouyoumingxianbiaozhi。shengyibaojuhequanshenggeshi(zhou)yibaojuyejiangjishitongguowangzhan、xinwenmeitidengfangshigongbukechikajiesuanyidiyiliaofeiyongdeyiyuan。

  shiqi、banliruyuanshixuyaoshenmeshouxu?

da: canbaorenyuanyingtigongbenrenshehuibaozhangka、xiangguanshenfenzhengmingyijiyiyuanyaoqiudeqitaziliao。ruyuanshixuanzhaojiuyidijingbanjigoudeguidingjiaonayidingshuedeyujiaojin,chuyuanjiesuananzhaoyiliaobaoxianzhengcejiesuangerenzhifufeiyongshiduotuishaobu。

shiba、yidijiuyizenyangjishijiesuanyiliaofeiyong?

da: canbaorenyuanchuyuanshi,yingdangzixishenhezhuyuanfeiyongqingdan,querenzhuyuanfeiyong,bingyouyiyuanjiangzhuyuanfeiyongxinxijingshengjipingtaichuanshuzhicanbaodiyibaojingbanjigoujisuanbaoxiaofeiyong。canbaorenyuanzhixuyusuozhuyiyuanjieqingyingyougerenfudandefeiyongjikechuyuan。

shijiu、buchongbaoxian、gongwuyuanyiliaobuzhu、dabingbaoxiandengbaoxiaofeiyongkezaiyidiyiyuanyibingjiesuanma?

  da: woshengyidijiuyijishijiesuanshixingyidanjiesuan,canbaorenyuanzaiyidifashengdeyiliaofeiyong,youjibenyiliaobaoxian、buchongyiliaobaoxian、gongwuyuanyiliaobuzhudenggexianzhongzhifudebufenyicixingyujiuyiyiyuanjiesuanwanbi。

ershi、banlileyidijiuyidengjibeianzaiyidibunengbanlijishijie

suanzenmeban?

da: yingjishixiangjiuzhenyiyuanchaxunyuanyin,ruyinwangluozhongduandengxitongyuanyinzanshiwufajiesuande,kedengdaiguzhangpaichuhou,zaixingjiesuan;ruyinxitongweihudengyuanyindaozhichangshijianwufajishijiesuande,canbaorenyuankexianxingquanedianfuyiliaofeiyong,huicanbaodibaoxiao。

  ershiyi、canbaorenyuanduiyidijiuyibaoxiaoyouyiwenshizenmeban?

  da: woshengyidijiuyijishijiesuanshixing“canbaodidaiyu”,yidiyiliaojigoubuzhangwoqitashizhoudeyiliaobaoxianbaoxiaozhengce。yincicanbaorenyuanduiyidiyiliaofeiyongbaoxiaoyouyiwenshi,kezixunzijisuozaicanbaodideyiliaobaoxianjingbanjigou。zixundianhuakezaijiuyiyiyuanchaxun。

  ershier、shehuibaozhangkazaiyidijiuyizhongdezuoyong?

da: woshengyidijiuyitongyishiyongshehuibaozhangkajishijiesuanyiliaofeiyong,yincicanbaorenyuanyidijiuyishiyingchishehuibaozhangkajinxingzhuyuandengjihejiesuanyiliaofeiyong。

ershisan、zenyangchaxunbenrenyidijiuyixinxi?

da: canbaorenyuankechishehuibaozhangkazaiyidijiuyijishijiesuanlianwangyiyuanchaxunbenrenyidijiuyixiangguanxinxi,qitagerenxinxichaxungongnengzhengzaikaifazhong。

ershisi、shehuibaozhangkadebu(huan)kadengxiangguanyewunengfouyidijiujinbanli?

da: muqian,shehuibaozhangkadebu(huan)kadengxiangguanyewuzanshibunengyidijiujinbanli。shengrenliziyuanheshehuibaozhangtingzhengjianshewanshanquanshengshehuibaozhangkakawuguanlixitong,daigaixitongjianshewanchenghou,keshixianyidijiujinbanlishehuibaozhangkaxiangguanyewu。

ershiwu、shehuibaozhangkayishihouzenyangbuban?

da: canbaorenyuanshehuibaozhangkayishihou,yingjishixiangcanbaodifakajigoushenqingguashi,bingancanbaodifakajigoudexiangguanguidingbanlibu、huankayewu;zaikaguashizhuangtaixiabunengbanliyidijiuyijishijiesuanyewu。geshi(zhou)shehuibaozhangkayewuzixundianhuakezaijiuyiyiyuanchaxun。

ershiliu、wangjileshehuibaozhangkademimazenmeban?

da: anzhaoguojiayouguananquanguiding,quanshengyidijiuyijishijiesuanpingtaijilianwangjiesuanyiyuanjunbutigongshehuibaozhangkademimachaxungongneng,canbaorenyuanyingdaoqicanbaodifakajigouanguidingbanlimimazhongzhiyewu。geshi(zhou)shehuibaozhangkayewuzixundianhuakezaijiuyiyiyuanchaxun。

fujian1: sichuanshengyiliaobaoxianyidijiuyijishijiesuanyewuhezhengcezixundianhua


fujian2: sichuanshengshehuibaozhangkazixundianhua


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