Pu 'an Medical Insurance Bureau: The Medical Management Section regulates, supervises and inspects the medical service management of designated hospitals, outpatient clinics and designated retail pharmacies. Responsible for the inspection and verification of patients' designated diseases and syndromes by Pu 'an County Medical Insurance Bureau. Responsible for work-related injuries and pregnant women's rounds in Pu 'an County Medical Insurance Bureau. Responsible for the training of medical staff of Pu 'an County Medical Insurance Bureau. Supervise designated medical institutions and retail pharmacies to publicize the relevant policies and regulations of basic medical insurance to the insured.
The Fund Department accepts reports of irregularities in medical treatment, work-related injury, maternity insurance, medical examination and payment of retired cadres, and investigates violations of medical insurance policies and illegal fund-taking. Responsible for the insurance and payment of demobilized military cadres in Pu 'an County Medical Insurance Bureau. Responsible for the Pu 'an County Medical Insurance Bureau to review the implementation of the designated pharmacy agreement, conduct unannounced visits regularly and irregularly, and review the situation that does not meet the agreement and violates policies and regulations. Provide consultation and advisory services for insured units and employees.
The fund settlement section is responsible for compiling the budget and final accounts of medical insurance, industrial injury insurance and maternity insurance funds of Pu 'an County Medical Insurance Bureau, and regularly analyzing the income and expenditure of the funds. Responsible for checking the personal account amount of medical insurance in Pu 'an County Medical Insurance Bureau, and handling the procedures of personal account transfer and personal account storage inheritance for the insured. Responsible for business guidance from Pu 'an County to counties (cities) medical insurance bureau. Actively cooperate with the financial and auditing departments to carry out related work and accept the audit supervision of the auditing department.
Medical insurance refers to social medical insurance. It is a social insurance system that guarantees the basic medical needs of workers when they are sick according to the laws and regulations of the state and society.
20 16 65438+ 10/2 the State Council issued "opinions on promoting the integration of basic medical insurance system for urban and rural residents", demanding the integration of medical insurance for urban residents with the new rural cooperative medical system, and gradually establishing a unified medical insurance system for urban and rural residents.
On February 20th, 2065438+0616, Ministry of Human Resources and Social Security held a video conference on the direct settlement of medical treatment in different places through the national basic medical insurance network, and signed the first batch of letters of responsibility for the direct settlement of medical treatment in different places through the national basic medical insurance network with 22 provinces including Beijing, which marked that the direct settlement of medical treatment in different places across provinces officially entered the implementation stage.