Office: 5297977
Unit payment and relationship transfer: 5260608
Medical insurance, medical assistance and maternity insurance for residents: 5 193862.
Reimbursement of medical insurance network for employees: 5 193602
Residents' medical insurance network reimbursement: 5223226
Personal account of medical insurance, business of chronic diseases and two diseases: 52667 1 1.
Off-site medical clinic contract: 526052 1
"Dual Channel" Drug Handling: 5262052
* Extended content
In order to provide more efficient and high-quality medical insurance services, according to the unified deployment of the state and Shandong Provincial Medical Insurance Bureau, it is scheduled to switch to the national medical insurance standardized information platform from1202112217: 00 on October 20th. During the switching period, the related medical insurance online service in Shouguang City was suspended. The specific matters are announced as follows:
I. service suspension time
Stop service time:
1from October 22nd 1 17: 00.
Resume service time:
65438+from 8: 00 on February 2.
Two, suspend medical insurance business services
Registration and transfer of employee insurance
1. During the system switching downtime, businesses such as unit and employee base declaration, insurance registration, information change, employee increase or decrease, medical insurance payment, inquiry and personal account transfer are suspended; Suspension of medical insurance registration, information change, payment, inquiry and other services for urban and rural residents, and gradual recovery after the system switch is completed.
2. Transfer and connection of basic medical insurance for employees. When the employee's basic medical insurance relationship is transferred, the basic medical insurance participation certificate and the basic medical insurance transfer type change information form are collected and compiled normally, and the business is handled centrally after the system switch is completed. When the employee's basic medical insurance relationship is transferred out, it will be suspended during the system switching downtime and gradually restored after the system switching is completed.
Settlement of outpatient and inpatient medical expenses in designated medical institutions of medical insurance
1. Outpatient chronic disease drug expense settlement. When the system is closed, if the insured person needs to buy medicine in the designated medical institution for chronic diseases in outpatient department, he can prescribe a one-month dose to the designated medical institution in advance according to the condition before switching, so as to ensure uninterrupted medication every day. If the system is switched off, the insured patient can pay the medical expenses in full first. After the system is switched, I return to the original medical institution with my medical insurance card or ID card and payment documents to re-record the relevant expenses and implement online settlement. If the medical institution can't realize the refund and settlement, the insured patient can provide invoices, expense details, copies of chronic disease prescriptions, bank cards and other materials, and submit them to the insurance agency for manual reimbursement.
2. Settlement of hospitalization medical expenses. Those who leave the hospital during the system switching downtime can be admitted to the hospital after paying the deposit, and the designated medical institutions should register the patient information and explain it to the insured patients at the same time. After the system switch is completed and the normal networking is restored, the medical institution informs me to go to the original medical hospital with the medical insurance card or ID card and payment documents to make up the expenses, and implement online reimbursement settlement, and refund more and make up less. For special circumstances, if it is really impossible to make up and settle, the individual will pay the medical expenses in full, and provide invoices, expense details, medical record home pages, bank cards and other materials after the system switch is completed, and then submit them to the insured place for manual reimbursement.
3. General outpatient co-ordinate the cost settlement. During the system switching downtime, if the insured person needs to co-ordinate the designated medical institutions for medical treatment and drug purchase in the general outpatient department, the individual will pay the medical expenses in full, and after the system replies, he will go to the designated medical institutions for supplementary settlement with the medical insurance card or ID card and the medical treatment and drug purchase expense document.
Seek medical treatment in different places
1. When the system is switched off, it needs to be handled in different places, which can be handled in two ways: first, those who have not been discharged from the hospital after the system is online can go through the filing procedures and settle directly in the networked hospital where they seek medical treatment; Second, if it has been filed but failed to be directly settled online, or if it has not been filed in time during the downtime, the medical expenses incurred will be paid in full by the insured, and the medical insurance agency in the insured place will make manual reimbursement according to the regulations.
2. Sporadic reimbursement. When the medical insurance agency returning to the insured place conducts manual reimbursement according to the regulations, it shall provide relevant materials such as formal bills of charges, expense details, discharge records or diagnosis certificates.
Identification of chronic disease treatment in outpatient department
During the system switching downtime, the application materials for chronic diseases in outpatient department will be accepted normally, and the identification results will be confirmed after the system switching is completed.
Settlement of long-term care insurance benefits for employees
During the system switching and shutdown, the application for long-term care and treatment is not restricted by the system and can be submitted normally. If it is necessary to go through the formalities of building or removing beds, it will be suspended. After the system is online and restored, the designated nursing institution will fill in the settlement information according to the actual bed building/bed withdrawal time and settle the account.
Do business online and be responsible.
During the system switching downtime, the query and processing of network operation and business management will be suspended, and will be gradually restored after the system switching is completed.
Personal account transfer and credit card consumption business
During the system switching downtime, consumer services such as personal account transfer business, social security card swiping, and medical insurance electronic certificate payment will be suspended. After the system switch is completed, it will gradually recover.
Three. any other business
During the system switching period, the insured and the insured unit are requested to arrange the bidding time of medical insurance business reasonably, and make arrangements for drug purchase and medical treatment according to the guidelines of designated medical institutions. If in doubt, please consult the medical insurance agency.
Please forgive the inconvenience caused by this process.