辽宁省商业健康险就医费用一站式结算服务平台
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辽宁省数据局副局长刘洋:数据要素应用让群众跑腿变数据跑路
Zhong Guo Xin Wen Wang· 2025-09-18 17:37
Core Insights - The construction of the data factor comprehensive pilot zone in Liaoning Province has achieved phased results, transforming traditional processes into data-driven operations in areas such as rural governance and health insurance [1][2] Group 1: Data Factor Comprehensive Pilot Zone - Liaoning Province has actively explored innovations and reform breakthroughs since being approved as a data factor comprehensive pilot zone, focusing on releasing data potential through scenario-driven approaches [1] - The province has organized activities to connect digital economy scenarios with digital transformation, cultivating 120 demonstration scenarios to unlock data value in key industries [1] Group 2: Agricultural and Rural Development - In the agricultural sector, Liaoning Province has implemented data applications to empower rural governance and precise regulation, addressing issues related to unclear land ownership and usage [1] - A rural land big data supervision system has been established, compiling 870,000 data entries related to land usage, property registration, and rights confirmation to resolve land disputes [1] Group 3: Health Insurance Sector - A one-stop settlement service platform for commercial health insurance has been developed to reduce verification costs and streamline claims processes, transforming traditional insurance reimbursement into data-driven operations [2] - The platform currently covers nine cities in the province, integrating nearly 50 medical institutions and 20 insurance companies, serving over 500,000 people and processing payments exceeding 1 billion yuan [2] - The platform has significantly reduced claims processing time from over one month to real-time or T+3 days, saving over 100 million yuan in operational costs for insurance institutions [2]
平均理赔周期缩至24小时内
Liao Ning Ri Bao· 2025-08-28 01:27
Core Insights - The Liaoning Province's commercial health insurance one-stop medical expense settlement service platform has been recognized as a typical case for enhancing digital literacy and skills by 2025, showcasing the province's efforts in "Internet + Healthcare" digital construction [1] - The platform has integrated over 50 medical institutions and 20 insurance companies, covering 9 prefecture-level cities, and has provided fast and direct compensation services to nearly one million commercial insurance patients [1] Group 1 - The platform was developed in 2016 as the first provincial-level medical commercial insurance settlement system in China, aiming to address the pain points of medical claims and enhance the digital level of medical services [1] - The average claim processing time has been significantly reduced from 10-15 days to within 24 hours, with some services allowing for real-time settlement at the window [1] - The platform enables a seamless data sharing mechanism between medical and commercial insurance information systems, allowing patients to initiate claims through various online channels and achieve real-time settlement upon discharge [1] Group 2 - The provincial health service center plans to continue advancing the platform's development, aiming for comprehensive access for secondary hospitals and enhancing digital medical services for more citizens [2]
辽宁50余家医疗机构接入商业健康险一站式结算平台
Ren Min Ri Bao· 2025-08-27 22:12
Core Viewpoint - The establishment of a one-stop settlement service platform for commercial health insurance in Liaoning Province significantly enhances the efficiency of medical service and insurance claims, benefiting nearly one million patients [1] Group 1: Platform Development - Over 50 medical institutions and 20 insurance companies have connected to the one-stop settlement service platform, covering all nine prefecture-level cities in Liaoning Province [1] - The platform was initiated in 2016 with the development of a provincial-level "Medical Commercial Insurance Settlement System" [1] Group 2: Service Improvement - The average claim processing time has been reduced from 10-15 days to under 24 hours, with some transactions allowing for real-time settlement at the service window [1] - The platform facilitates a seamless data sharing mechanism between medical and insurance information systems, allowing for simultaneous settlement of medical insurance, critical illness insurance, and commercial insurance upon patient discharge [1] Group 3: Patient Experience - Patients can initiate claims through the "Liao Health Liao Medical" mini-program or online channels of partner hospitals and insurance companies, achieving "settlement upon discharge" and alleviating the financial burden of medical expenses [1]