From 08: 00 on September 30th, 1.202 1 to 08: 00 on July 7th, 1, all business operations of the city's medical insurance departments were suspended, and the original medical insurance benefits settlement business function of the "Golden Insurance Project" system was stopped.
2. On June 4, 20021/0 18: 00 to10/0/0, 8: 00 on October 7, the medical insurance credit card business of two institutions in this city was suspended.
Two. Suspend business scope
1.202 1 From 0 18 on September 30, 2001, all businesses related to medical insurance benefits in the city will be suspended, including off-site approval, referral approval, outpatient approval, residents' two diseases approval, birth registration approval, special medicine approval, and outpatient single disease approval. Calculation and disbursement of sporadic reimbursement, maternity allowance and nutrition fee in the center.
Suspend the national small procedures for medical treatment in different places to apply for medical treatment in different places; Jiangsu Medical Insurance Cloud and Xuzhou Medical Insurance WeChat official account medical insurance inquiry and business handling; Self-service integrated machine system, medical insurance business and other medical insurance services.
2. From 20021,10,10.4 18: 00, the online settlement of two institutions (pharmacy purchase, outpatient service and hospitalization credit card) will be suspended, including online settlement of medical treatment in different places.
Third, stop handling the business scope
1. The business of the selected medical insurance point handled by the original community stopped.
1After 8:00 65438+ resumes online on October 7th, the insured can handle the outpatient and resident disease selection business online through the official account of Xuzhou Medical Insurance WeChat, or go offline to the local medical insurance handling halls.
2. The passwords originally used to set up social security cards and brush medical insurance were all cancelled. It is recommended to use medical insurance electronic certificate.
Four. Guide to business processing during downtime switching
In accordance with the principle of "ensuring that the medical insurance benefits of the insured are not affected, ensuring that the medical treatment and drug purchase in the two institutions are not affected, and ensuring the safety and stability of the medical insurance fund", during the downtime switch, the two institutions can handle related business by offline acceptance, and then handle it after the new platform is launched. The medical insurance department and the two institutions should patiently explain to the insured and actively guide the insured to handle related business in an orderly manner.
(1) About the purchase of medicines in outpatient clinics and pharmacies.
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(two) on the local hospitalization (including foreign insured medical treatment in Xuzhou) fee settlement business.
Before 1, 202 1, 10, 181October 4, local designated medical institutions need to transfer all inpatients to self-funded registration, and re-apply for medical insurance registration and settlement after the new platform is launched. It is suggested that the insured who meets the discharge standards should go through the discharge settlement procedures in time.
2. From 2021100418: 00 to 202 1 17: 00 08: 00, the insured who meet the discharge criteria can pay the deposit to go through the discharge formalities first, and the medical insurance settlement will not be carried out for the time being. After the new platform is put into use, they will return to the original medical institutions to re-register for medical insurance settlement. Newly hospitalized insured persons should register at their own expense, and then apply for medical insurance registration and settlement after the new platform is launched.