上海市城镇职工医疗险报销(国外英文资料).docVIP

上海市城镇职工医疗险报销(国外英文资料) Measures for the settlement of basic medical insurance for urban residents in Shanghai Shanghai Medical Insurance [2007] No. 233 All concerned units: These measures are formulated in accordance with the Tentative Measures for the basic medical insurance for urban residents in Shanghai (hereinafter referred to as the tentative measures) for strengthening the management of the medical insurance funds for urban residents in this municipality. I. medical insurance expenses settlement management The citys Medical Insurance Bureau (hereinafter referred to as the city medical insurance bureau) shall uniformly manage the expenses for the settlement of basic medical insurance for urban residents. A county medical insurance center (hereinafter referred to as the district health center) is responsible for the preliminary examination of the basic medical insurance for urban residents expense settlement; medical insurance affairs management center (hereinafter referred to as the medical center), responsible for the basic medical insurance for urban residents of the cost of the audit, settlement and payment etc.. Two insured occurred in the designated medical institutions in the city, in line with the basic medical insurance for urban residents (hereinafter referred to as the medical insurance) the provisions of the medical expenses by the designated medical institutions to the District Health Center for settlement. Three participants in the medical institutions of other provinces and cities in the city for medical treatment or referral procedures did not apply for or not carrying medical emergency occurred vouchers and other reasons, in accordance with provisions of the resident health insurance by the insured medical expenses, holding the relevant information to the District Health Center for settlement. Two, designated medical institutions settlement First, outpatient and emergency medical expenses settlement What happened in the outpatient medical institu