异地生育医保联网结算服务

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烟台市在全省范围内率先打通参保地与就医地之间的“双向通道”
Da Zhong Ri Bao· 2025-08-01 02:15
Core Insights - Yantai City has become the first in Shandong Province to establish a "two-way channel" for medical insurance reimbursement between the insured location and the medical treatment location, facilitating direct reimbursement for childbirth expenses for residents from other cities [1][2] - The first inter-city childbirth reimbursement settlement slip in Shandong Province was issued, marking a significant advancement in the province's healthcare system [1] - The initiative aims to address the challenges of inconsistent policies across different regions, ensuring that Yantai's insured individuals can enjoy enhanced benefits without reductions when seeking medical services elsewhere [1][2] Group 1 - Yantai has opened 34 designated medical institutions for childbirth reimbursement, allowing for seamless inter-city medical expense settlements [1] - The city has standardized reimbursement codes for various childbirth methods, ensuring smooth processing of claims [1] - The implementation of a "one-stop" settlement process eliminates the need for additional paperwork and reduces the burden on families [2] Group 2 - Yantai's healthcare department has undergone significant system upgrades to support inter-city reimbursement, enhancing both the insured and treatment provider roles [2][3] - The city has conducted extensive testing with neighboring cities to ensure accurate and efficient reimbursement processes across different insurance types and policies [3] - A comprehensive network of services has been established, with all 34 hospitals fully operational and ready to provide the new reimbursement services [2]