医保商保同步结算！助力患者在医院窗口“一站式”理赔

Core Insights - The article discusses the efforts by the National Medical Insurance Administration to streamline the claims process for commercial health insurance by promoting synchronized settlement with medical insurance [1][3] - The implementation of "commercial insurance + medical insurance" one-stop settlement/payment platforms has been established in various cities, enhancing the efficiency of claims processing [3][5] - A nationwide "medical insurance + commercial insurance" clearing and settlement center has been launched to address the challenges faced by patients seeking cross-province medical services [7] Group 1 - The National Medical Insurance Administration has been advocating for synchronized settlement between medical insurance funds and commercial insurance to simplify the claims process for patients [3] - Cities such as Shanghai, Shandong, Hangzhou, and Xiamen have successfully implemented one-stop settlement/payment platforms, allowing automatic recognition of patients' insurance qualifications [3][5] - In Shandong, over 36 million synchronized settlements have been completed, totaling more than 2.1 billion yuan, benefiting 5.6 million insured individuals [5] Group 2 - The current limitation of medical insurance data sharing at the provincial level poses challenges for patients seeking medical services across provinces [7] - The newly launched national clearing and settlement center in Beijing allows patients receiving care in pilot hospitals to achieve one-stop settlement for both medical and commercial insurance [7]