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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


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