四川省医疗保险操持局 对于下发《四川省异地救治立即结算 宣扬大纲》的告诉
2020-05-13
四川省医疗保险操持局 对于下发《四川省异地救治立即结算 宣扬大纲》的告诉
geshi(zhou)yibaoju:
根据《四川省人力资本和社会保证厅 四川省财务厅对于印发<四川省医疗保险异地救治操持暂行方法>的告诉》(川人社发[2014]29号)、《四川省医疗保险操持局对于印发<四川省异地救治操持包办规程>的告诉》(川医险办[2014] 33号)的精力,咱们以问答的情势制定了《四川省异地救治立即结算宣扬大纲》,并下发你们。请各地连系现实,进一步完美本地的宣扬内容,当真做好异地救治立即结算办事的宣扬任务,确保这项惠民行动落到实处,准确指导参保职员操纵好这项便民方法。
sichuanshengyiliaobaoxiancaochiju
2014nian9yue23ri
sichuanshengyidijiuzhilijijiesuanxuanyangdagang
yi、shenmeshiyiliaobaoxianyidijiuzhi?
da: yidijiuzhishiyiliaobaoxiancanbaozhiyuanzaicanbaodizhiwaidediyujiuzhigouyaodexingdong。zaisichuanshengneishizhicanbaozhiyuankuashi(zhou)dejiuzhigouyaodexingdongjincheng。
er、shenmeshiyiliaobaoxianyidijiuzhilijijiesuan?
da: yidicanbaozhiyuanzaishengneikuashi(zhou)jiuzhishi,zhiyaofuchugenjucanbaodizhengcehuadingyouxiaowofuchudeyongdu,youyiliaobaoxianfuchudeyongduyoujiuzhiyiyuanyuyibaobaobanjigoutingzhijiesuan,chengweiyiliaobaoxianyidijiuzhilijijiesuan。
san、shenmeshiyidijiuzhilijijiesuanshengjipingtai?youshenmeganhua?
da: weiwanchengwoshengshengneikuashi(zhou)yidijiuzhilijijiesuan,woshengchenglileyidijiuzhilijilianxijijiaojixinxishoujijishuchengchipingtai,jiancheng“shengjipingtai”。canbaozhiyuanzaiyidiyiyuanjiuzhichanshengdeyiliaoyongdujingyoujinchengshengjipingtaichuanshuzhicanbaodiyibaobaobanjigoujijiaobaoxiaobaochou,zaijiangjijiaochengguojingyoujinchengshengjipingtaichuanshuzhijiuzhidideyiyuan,congerwanchengyidijiuzhilijijiesuan。
si、naxieyiliaobaoxianxianzhongdecanbaozhiyuankechikayidijiesuanyiliaoyongdu?
da: zhiyaoheshiyidijiuzhixiangganhuadingdesichuanshenghuizhenzhigonggenjiyiliaobaoxiancanbaozhiyuan、chengzhenzhumingenjiyiliaobaoxiancanbaozhiyuan,heyourenlizibenheshehuibaozhengjubucaochidexinnonghecanhezhiyuanzaisichuanshengneikuashi(zhou)jiujinkexiangyongchikajiesuandefangbian。
wu、jinchaowoshengnaxieyidiyiliaobanshiyongdukeshuakajiesuan?
da: 10yue1rishangxiandeshengjipingtai,qishouwanchengtuixiuyidiandunhechijiuyidiqishenzhiyuanzhuyuanyiliaoyongdulijijiesuan。yidiliyongxiaowozhanghuzijinzaiyaodiangouyaojitongsumenzhenjiuzhiyongdulijijiesuanxinxitixiyezhengzaidasuanjianshezhong。
liu、shengwaiyidijiuzhikefouwanchenglijijiesuanyiliaoyongdu?
da: jinchao,guoduzhengzaidasuanchenglikuashengyidijiuzhilijijiesuanpingtailaichuzhikuashengyidijiuzhijiesuantimu。zaicizhiqianwoshengcanbaozhiyuandaoqiyushengfenjiuzhijiesuanangeshi(zhou)xianyoudehuadinglvxing。
qi、canbaozhiyuanyidizhuyuanchikajiesuanxujuyoushenmeqianti?
da: canbaozhiyuanxuxianzaicanbaodicaochileyidijiuzhibeiandengxiangganshouxuhoucainengjingyoujinchengshengjipingtaichikajiesuanyidiyiliaoyongdu。
ba、naleizhiyuanxuyaocaochiyidijiuzhiguahaobeian?
da: yishituixiuyidiandunhechijiuyidiqishende;ershiyinjibingyizhixuyaozhuandaocanbaoshi(zhou)zhiwaijiuzhide;sanshicanbaozhiyuanyinchucha、touqin、youlandengguqiefenkaicanbaodihuoqishendishidaizaiyiditufajibingquexudangchangjizhenqiangjiude。
jiu、tuixiuyidiandun、chijiuyidiqishenruohecaochiyidijiuzhiguahaobeianshouxu?
da: canbaozhiyuanchibenshenshehuibaozhengkahexiangganshenfenzhengshidaocanbaodiyiliaobaoxianbaobanjigoucaochiyidijiuzhishouxu,jingkaohezanchengkeguahaobeian。guahaobeianxinxizuoweicanbaodibaobanjigoupandingshibushixiangyongyidijiuzhilijijiesuanbaochoudegenbenxinxi。
shi、kuashizhouzhuanzhenzhuanyuanguahaobeianruohecaochi?
da: yincanbaodiyiliaoqiantiyouxian,xuyaozhuandaoqiyushi(zhou)yizhidecanbaozhiyuan,gaidanggenjucanbaodiyibaobaobancaochijigoudexiangganhuadingcaochizhuanzhenzhuanyuanshouxutingzhiyidijiuzhibeian。caochilezhuanzhenzhuanyuanshouxudecanbaozhiyuanzhinengzaibeianzhuanruyiyuanzhuyuanyizhi。
shiyi、touqin、youlan、chucha、neishangdengzaiyiditujiaolvzhengqiangjiuzhuyuanderuohecaochiguahaobeian?
da: canbaozhiyuanzaishengneiqiyushi(zhou)yinjizhenqiangjiuchuyuanheneishangchuyuande,kezaicaochichuyuanjiesuanqian,yidelvfeng、chuanzhen、yiyuanshoujidengtilixiangcanbaodiyibaobaobanjigouqingqiucaochiyidijiuzhiguahaobeianshouxu,tongshitijiaojiuzhiyiliaojigouchenghao、chuyuanzhenduan、menzhenqiangjiubinglidengcailiao,canbaodiyibaobaobanjigoushenpizanchengbingguahaobeianxinxihou,kelijijiesuanyiliaoyongdu。
shier、caochileyidijiuzhiguahaobeianhouyouxuyaohuicanbaodizhuyuanruoheban?
da: canbaozhiyuancaochileyidijiuzhiguahaobeianhou,zhunshengshangbunenghuicanbaodijiuzhijiesuan。ruyujizhenqiangjiuzhuyuandeancanbaodixiangganhuadingchuzhi;ruhuicanbaodichijiuqishen,kedaocanbaodiyibaobaobanjigoucaochicaicheyidijiuzhiguahaobeian。
shisan、ruohecaicheyidijiuzhiguahaobeianshouxu?
da: caochileyidiqishenguahaobeianyouhuicanbaodichijiuqishendexu
yaodaocanbaodibaobanjigoucaochiyidijiuzhichexiaoguahaobeianshouxu。
shisi、caochileyidijiuzhiguahaobeiandezhiyuan,zaiyidideyiliaoyongdubaoxiaozhengceshishenme?
da: genjuyidijiuzhi“canbaodibaochou”zhunsheng,canbaozhiyuanzaishengneikuashi(zhou)yidijiuzhisuochanshengdeyiliaoyongduancanbaodizhengceyuyibaoxiao。
shiwu、weicaochiyidijiuzhiguahaobeianhuozaiyidifeidingdianyiliaojigouchanshengdejiuzhiyongduruohechuzhi?
da: ancanbaodixiangganhuadingcaochi。
shiliu、naxieyiyuankeyidijiuzhichikajiesuanyiliaoyongdu?
da: yidijiuzhizhiyuannenggoudaojiuzhidiyizhankaiyidijiuzhilijijiesuanyingyedeyiliaojigoujiuzhi。yishoujiuleyidijiuzhichikajiesuandeyiyuandouyoujiaozhebiaoji。shengyibaojuhequanshenggeshi(zhou)yibaojuyejianglijijingyoujinchengwangzhan、xiaoximeitidengtilibanbukechikajiesuanyidiyiliaoyongdudeyiyuan。
shiqi、caochichuyuanshixuyaoshenmeshouxu?
da: canbaozhiyuanyinggongjibenshenshehuibaozhengka、xiangganshenfenzhengshiheyiyuanqingqiudeqiyucailiao。chuyuanshixugenjujiuzhidibaobanjigoudehuadingjiaonabiranshuedeyujiaojin,chuyuanjiesuangenjuyiliaobaoxianzhengcejiesuanxiaowofuchuyongdushiduotuishaobu。
shiba、yidijiuzhiruohelijijiesuanyiliaoyongdu?
da: canbaozhiyuanchuyuanshi,gaidangxixinkaohezhuyuanyongduqingdan,querenzhuyuanyongdu,bingyouyiyuanjiangzhuyuanyongduxinxijingshengjipingtaichuanshuzhicanbaodiyibaobaobanjigoujijiaobaoxiaoyongdu。canbaozhiyuanzhiyaoyusuozhuyiyuanjieqingyingyouxiaowochengdandeyongdubiankechuyuan。
shijiu、buchongbaoxian、gongshiyuanyiliaobutie、dabingbaoxiandengbaoxiaoyongdukezaiyidiyiyuanyibingjiesuanma?
da: woshengyidijiuzhilijijiesuanshishiyidanjiesuan,canbaozhiyuanzaiyidichanshengdeyiliaoyongdu,yougenjiyiliaobaoxian、buchongyiliaobaoxian、gongshiyuanyiliaobutiedenggexianzhongfuchudejubuyicixingyujiuzhiyiyuanjiesuanzhongle。
ershi、caochileyidijiuzhiguahaobeianzaiyidibunengcaochilijijie
suanruoheban?
da: yingshishixiangjiuzhiyiyuanchawenyuanyou,ruyinshoujijianduandengtixiyuanyoulinshimeifajiesuande,keqidaimaobingjiechuhou,zaixingjiesuan;ruyintixibaohudengyuanyouzhishizhangshihoumeifalijijiesuande,canbaozhiyuankexianxingquanedianfuyiliaoyongdu,huicanbaodibaoxiao。
ershiyi、canbaozhiyuanduiyidijiuzhibaoxiaoyouyinanshiruoheban?
da: woshengyidijiuzhilijijiesuanshishi“canbaodibaochou”,yidiyiliaojigoububawoqiyushizhoudeyiliaobaoxianbaoxiaozhengce。shiyicanbaozhiyuanduiyidiyiliaoyongdubaoxiaoyouyinanshi,kezhengxunbenshendidiancanbaodideyiliaobaoxianbaobanjigou。zhengxundelvfengkezaijiuzhiyiyuanchawen。
ershier、shehuibaozhengkazaiyidijiuzhizhongdeganhua?
da: woshengyidijiuzhitongyiliyongshehuibaozhengkalijijiesuanyiliaoyongdu,shiyicanbaozhiyuanyidijiuzhishiyingchishehuibaozhengkatingzhizhuyuanguahaohejiesuanyiliaoyongdu。
ershisan、ruohechawenbenshenyidijiuzhixinxi?
da: canbaozhiyuankechishehuibaozhengkazaiyidijiuzhilijijiesuanlianwangyiyuanchawenbenshenyidijiuzhixiangganxinxi,qiyuxiaowoxinxichawengongxiaozhengzaikaipizhong。
ershisi、shehuibaozhengkadebu(huan)kadengxiangganyingyekefouyidijiujincaochi?
da: jinchao,shehuibaozhengkadebu(huan)kadengxiangganyingyelinshibunengyidijiujincaochi。shengrenlizibenheshehuibaozhengtingzhengjianshewanmeiquanshengshehuibaozhengkakawucaochitixi,daigaitixijianshewanchenghou,kewanchengyidijiujincaochishehuibaozhengkaxiangganyingye。
ershiwu、shehuibaozhengkadiushihouruohebuban?
da: canbaozhiyuanshehuibaozhengkadiushihou,yingshishixiangcanbaodifakajigouqingqiuguashi,bingancanbaodifakajigoudexiangganhuadingcaochibu、huankayingye;zaikaguashizhuangkuangxiabunengcaochiyidijiuzhilijijiesuanyingye。geshi(zhou)shehuibaozhengkayingyezhengxundelvfengkezaijiuzhiyiyuanchawen。
ershiliu、jianwangleshehuibaozhengkadeanmaruoheban?
da: genjuguoduyouguanningjinghuading,quanshengyidijiuzhilijijiesuanpingtaijilianwangjiesuanyiyuanjunbugongjishehuibaozhengkadeanmachawengongxiao,canbaozhiyuanyingdaoqicanbaodifakajigouanhuadingcaochianmazhongzhiyingye。geshi(zhou)shehuibaozhengkayingyezhengxundelvfengkezaijiuzhiyiyuanchawen。
fujian1: sichuanshengyiliaobaoxianyidijiuzhilijijiesuanyingyehezhengcezhengxundelvfeng
fujian2: sichuanshengshehuibaozhengkazhengxundelvfeng