Shanghai Medical Insurance has Accomplished Settling in Real Time in the Outpatient Department of Zhejiang Hospital! --A New Derivative of "One Year Anniversary with Many Thanks for Your Accompanying

In order to implement the major development strategy of the CPC Central Committee and the State Council on accelerating the integrated development of higher quality in the Yangtze River Delta, promote the cooperation and integration of medical insurance in the Yangtze River Delta, better protect the basic medical insurance rights and interests of the people, and provide more efficient and convenient medical settlement services for insured personnel, in accordance with the requirements of the direct settlement and handling procedures for outpatient expenses of non local medical treatment in the Yangtze River Delta of Zhejiang Province issued by the provincial medical insurance, Zhejiang hospital has opened the Shanghai non local medical treatment outpatient settlement system.In the future, two-way direct settlement with Jiangsu and Anhui will be gradually opened.

Ms. Liu is a retired employee of the Hangzhou branch of a state-owned enterprise whose headquarter is in Shanghai. Therefore, although Ms. Liu has been working and living in Hangzhou with Shanghai medical insurance. There are more than 20,000 in-service and retired employees in that corporation.In the past, she had to pay in advance for medical treatment in Hangzhou, and then submit the receipt to the Shanghai medical insurance service station for manual reimbursement. That service station accepted more than 120 batches of reimbursement every day.Naturally the service hall was lined up all year round.It takes time and effort, which has brought a lot of trouble to Ms. Liu. However, in the future, this problem has finally been solved. When Ms. Liu sees a doctor in Zhejiang hospital, she can directly swipe her card for settlement and cash the Shanghai medical insurance treatment immediately.

According to Zhou Juanhua, director of the medical insurance and price management office of Zhejiang hospital, the integrated development of the Yangtze River Delta is a national strategy.As an important part of the integrated development of the Yangtze River Delta, the direct settlement of outpatient expenses in different places in the Yangtze River Delta is the basic work to promote the orderly flow of talents in the Yangtze River Delta and facilitate the people everywhere to enjoy the same and high-quality medical services.Zhejiang hospital actively responded to the requirements of medical insurance and has successfully completed the joint commissioning and testing of information system with the provincial medical insurance center.The official opening of Shanghai non-local outpatient settlement system has taken an important first step for the direct settlement of non-local medical outpatient expenses in the Yangtze River Delta!

After that system's putting into operation, the insured of Shanghai urban employees' basic medical insurance can directly swipe the medical insurance card online settlement in the outpatient department of Zhejiang hospital as long as they go through the filing procedures in the Shanghai Social Security Department. Therefore, there is no need for them to go back and forth for reimbursement.Zhejiang hospital actively cooperates to promote the direct settlement of medical expenses of cross provincial and non local outpatients, which is also another derivative of the "A" reform.It not only realizes the direct settlement in the Yangtze River Delta, promotes the interconnection of social security in these area, but also makes it more convenient for non local medical treatment, so that its residents can share high-quality medical resources and enhance their sense of health obtaining.