5
20
111101080000584056
北京市海淀区人民政府清河街道办事处
异地安置退休人员备案
1111010800005840565112041045004
0
5c157b97-d2ff-47fd-9b5a-4d372bccc754
47ff0e26-ca94-4dd5-91d9-96beb91baa2e
3^5
20
海淀区清河街道
110108017000
北京市海淀区人民政府清河街道办事处
海淀区清河街道政务服务中心:工作日：上午9:00-12:00，下午13:30-17:00（预约延时服务时间：工作日早8:30-9:00，中午12:00-13:30，下午17:00-17:30；每周六8:30-12:30（法定节假日除外））
海淀区清河街道政务服务中心:北京市海淀区安宁庄东路8号综合受理窗口
1.本市参保人员有跨省异地就医需求时均可申请办理跨省异地就医备案，办理备案时，需提交《北京市跨省异地就医登记备案表》，如实登记本人信息，并签署《基本医疗保险跨省异地就医备案个人承诺书》，承诺保证本人符合办理条件，所述（填）信息真实、准确、完整、有效，愿意接受信息共享查询核验，由此产生的一切经济损失和法律责任均由本人承担即可备案。（来源《北京市医疗保障局关于进一步做好基本医疗保险跨省异地就医直接结算工作的通知》（京医保发〔2022〕41号）。
2.材料齐全，填写完整，按要求签字。
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[]
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