Use the "Store Primary Er" thinking, efficiently do the service service

Author:China Medical Insurance Time:2022.08.29

The medical insurance bureau of Laohekou City, Xiangyang City, Hubei Province promotes the construction of the style, consolidates the service of the management, and does a good job of medical insurance with the "shop primary two" thinking. Essence

Add service points, zero balance of business processing

The first is that the medical insurance background review is added to the centers, and it is even more direct to solve the problem for the people. The information was previously accepted by the medical insurance window and passed to the medical management section twice a week for enrollment and review. The speed was slow and the procedures were tedious. In April this year, the medical insurance background review was moved forward, and eight staff members were sent to the citizenship service center. In accordance with the principle of "people go with people," to open up the barriers to business barriers to different departments, build a "assembly line that accepts, enters, review, and settle down "The model has implemented special specializations of medical expenses for foreign medical expenses to reduce time reduction and get quickly. Second, the "List of the National Medical Security Economic and Office of Government Services" as the blueprint, the medical insurance office implements "online+offline", that is, the combination of online and window office, through the government service network, WeChat, mailbox and other channels to achieve Basic medical insurance personnel have a convenient service for "not seeing" for medical insurance for medical treatment, basic medical insurance participation and changes in different places; the application materials submitted by the network are immediately accepted, and the entry, review, and commitment will be settled on time within the working days of commitment. The end rate is 100%. Third, in order to solve the problem of "running back and forth" of the crowds in different places, medical insurance services have opened up the "last mile", and the medical insurance government matters are implemented nearby and cross -domain "no differential acceptance" services in different places. Matters of maternity insurance treatment approved payment and other issues online and offline have handled more than 200 pieces. At the same time, the window also provides business channels such as offering guidelines, publicity folding, WeChat scanning and other services for the people participating masses, and set up green channels such as disabled people and elderly people.

Zoom in the promotion point, zero distance between the service service

In order to continuously improve the ability and level of medical security services, extend the "three medical linkage" volunteer services, set up a "red medical insurance station service" in designated medical insurance pharmacies with excellent location, reasonable layout and trust in the masses in the city to create a "one -stop service" for medical insurance matters. "". Through designated pharmacies to provide high -frequency matters for the people participating people, carry out publicity and consultation of medical insurance policies, publicize and guide various processing channels such as the medical insurance business network and mobile APP; Urban and rural residents 'medical insurance participation in insurance payment; replacing the outpatient clinics of urban and rural residents' overall planning changes; procedure for medical treatment for medical treatment on aggregates; inquiry for personal payment, etc., so that residents can directly apply for medical insurance at their doorsteps. Said the old -fashioned and fast -growing medical insurance services. As of now, 12 "Red Medical Insurance Station Service" has been established in urban areas and township pharmacies in our city. In the 2022 annual insurance insurance payment work of urban and rural residents, 12 medical insurance red stations helped more than 2,000 people to handle the insurance payment.

Promote the online -running point and easily apply for zero -run legs

While providing on -site services at the medical insurance department, the participating people can log in to the national medical insurance service platform, Hubei government affairs network, and the Ehui office app for online processing. After the medical insurance information platform was officially on the provincial line in January 2022, relying on the Hubei Provincial Medical Security Information Platform, he vigorously promoted the "full online business" of medical insurance verification business. Window staff accepted the online business daily, and inform the insured unit in a timely manner to inform the insured units to inform the insured units and insured masses to provide strong service guarantees for the insured units and insured people. The city has opened 841 insured units in the city. 100%, realized "zero running legs" from the unit's declaration, medical insurance approval, and account allocation. In order to facilitate malignant tumor chemotherapy patients and mental patients to regulate chemotherapy in medical institutions in different places to reduce the number of running times, the medical insurance window created the QQ group in May last year. To handle the out -of -municipal referral, avoid the trouble of going to the designated medical institution first, and then to the medical insurance window of the citizen service center to handle online procedures. As of now, more than 350 patients who meet the requirements of policy requirements have entered the group, and the medical insurance window has provided more than 2,500 running -leg services.

Laohekou Municipal Medical Insurance Bureau adheres to the general tone of work in stability, adheres to the people's health as the center, continuously optimizes government services, and strives to improve the standardization, standardization, and facilitation level of government services. The work style of grabbing and practical "has made every effort to promote the high -quality development of medical security.

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