First, the system suspends service time.
(1) From 0: 00 on September 22nd, 20021year to 0: 00 on August 8th, 20021year, the business of insurance change and medical insurance expense verification will be suspended.
(2) From 00: 00 on September 27th to September 30th, 200218th, all medical insurance business will be suspended. The recovery date of Yanbian social medical insurance online declaration system, Yanbian "Smart Medical Insurance" mobile APP and Yanbian medical insurance public service WeChat official account "Pocket Service Hall" will be notified separately.
In case of system switching delay, it will be announced through the official WeChat account of Yanbian Medical Insurance, so please pay attention in time.
Second, the business processing during the system suspension service.
(a) to handle the medical settlement business for the national insured.
1. All designated medical institutions in Yanbian Prefecture that have not been discharged from hospital should go through the discharge settlement before 0: 00 on September 27th, and re-enter the hospital after 8: 00 on 10/day. Re-admission is not counted. If you need to be hospitalized from 0: 00 to 1 October18: 00 on September 27th, you can go to the hospital in cash by the designated medical institution first, and then the designated medical institution will handle the cash transfer to medical insurance after the system service is restored. Insured persons who go to other provinces and regions for medical treatment do not need to be discharged midway, but they cannot be discharged during this period. From 00: 00 on September 27th to 30: 00 on September 30th 18: 00, those who need outpatient treatment and medicine purchase (including general outpatient service, fertility outpatient service, civil servant outpatient service, outpatient special medicine, pharmacy, etc. ) In Yanbian Prefecture, you can pay in cash at the designated medical institutions first, and then re-apply for medical insurance charges after the system service is restored.
2. Insured persons who need to be hospitalized in designated medical institutions outside the province or areas that have realized system networking switching (including Siping, Liaoyuan, Baicheng, Changbai Mountain Management Committee and Meihekou) do not need to be discharged. If discharge settlement is needed during this period, the system can be switched to online at 8: 00 on June 10+0 to make up the settlement, or after the insured person has paid the medical expenses in full, he will return to the medical insurance agency in the insured place for manual reimbursement, without reducing the reimbursement ratio.
(2) Insured persons in other regions handle medical settlement business during Yanbian online.
1. Those who are not discharged from the designated medical institutions in our province in the areas where the national medical insurance information platform is not online (including provincial, Changchun, Jilin, Tonghua, Baishan and Songyuan) should go through the discharge settlement before 0: 00 on September 27th, and be re-admitted after 8: 00 on June/kloc-0, and the re-admission is not counted as the payment line. From 0: 00 on September 27th to 8: 00 on 1 October1Sunday, the insured who needs to be hospitalized can be admitted to the hospital in cash by the designated medical institution first, and after the system service is restored, the designated medical institution will handle the cash-to-medical insurance operation. During the suspension of the medical insurance system service, if it is really necessary to handle the discharge settlement business, it can be paid in full in cash first, and then returned to the medical insurance agency in the insured place to apply for sporadic reimbursement, without reducing the proportion of reimbursement.
2. During the suspension of service, if the insured persons from other provinces need to seek medical treatment and purchase medicines in our state, the relevant designated medical institutions shall be responsible for informing the insured persons from other provinces that "due to the switching of online national information platform, direct settlement service cannot be provided temporarily, and the specific treatment settlement method shall be consulted with the medical insurance department of the insured place".
(three) the insured medical treatment in different places, outpatient chronic diseases and other filing business. Used for medical treatment in different places, outpatient chronic diseases and special diseases. If it needs to be processed from 0:00+0 to 10/8: 00 on September 27th, 20265438, the application materials can be submitted online or on-site and manually reviewed, and will be re-recorded in the information system after the system is switched online.
We apologize for the inconvenience caused by system switching.
Yanbian medical insurance consultation telephone: 0433- 12393
Yanji medical insurance telephone: 0433-2368137,0433-2368139.
Tumen medical insurance consultation telephone number: 0433-3668557, 0433-36685 19.
Dunhua Medical Insurance Consultation Tel: 0433-6255656
Hunchun Medical Insurance Tel: 0433-7503024, 0433-8 176073.
Longjing medical insurance consultation telephone: 0433-5037362
Helong city medical insurance consultation telephone: 0433-4224495
Wangqing county medical insurance consultation telephone: 0433-8855 133.
Antu county medical insurance consultation telephone number: 0433-5896319,0433-5866021.
It is hereby announced.
Yanbian autonomous prefecture medical security bureau
2021September 18