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跨省就医直接结算 江西210家医疗机构接入国家异地就医平台

2017-08-18 22:36:19   中国青年网

人民网南昌8月18日电(时雨)江西居民在外省就医可实现直接结算,而外省居民来到江西就医同样可以直接结算了!18日,本网从江西省社会保障“一卡通”工作通气会上获悉,截至目前,江西省共有210家医疗机构接入国家异地就医平台,江西省人社部门介绍,江西跨省异地就医直接结算工作进入全国第一方阵。

据了解,今年4月10日,江西省正式启动跨省异地就医直接结算项目工程建设。5月9日,抚州市在全省率先接入了国家异地就医平台。至6月19日,全省11个设区市及省本级共12个医疗保险统筹地区全部接入了国家异地就医平台。截至8月17日,江西省共有210家医疗机构接入国家异地就医平台;已上传国家异地就医平台异地安置人员备案信息5.3万余人;己拨付给全国31个省(含新疆生产建设兵团)异地就医预付金5550万元。

据江西省人社部门介绍,为了给参保人员异地就医“开道”、“趟路”,6月下旬,江西省人社系统组织成立了12个跨省异地就医直接结算实测小组,小组成员由业务人员、财务人员、技术人员等组成,分赴江苏、海南等当时已正式接入国家平台的29个省,开展跨省异地就医住院医疗费用直接结算实测工作。测试组在29个省63家医院共开展了106人次实测,完成直接结算的95人次,成功率为90%。对11例未成功的结算,实测小组与相关省市及医院通过沟通,查找出了原因,解决了问题,并在后期实现了直接结算。

接下来,江西省将加快参保人员持卡库建设,实现江西省持卡人员与人社部持卡库数据同步,避免持卡鉴权失败影响联网结算。完善异地就医省级平台和全省各地医保业务系统异地就医功能,增强异地就医的可及性和便捷性。同时,还将扩大直接结算规模,增加异地就医直接结算定点医疗机构数量、增加上传备案人员数量、增加社会保障卡发卡用卡数量。

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