3
20
TE1234567890312343
北京市西城区医疗保障局
基本医疗保险医疗费用申报
TE1234567890312343311204105000203
TE12345678903123433112041050002
0
27385cee-ab70-4ebe-ba47-535ee33ac417
45deda91-d2ef-4f80-9a8a-35704a5d0030
3
20
西城区医保局
110102000000
北京市西城区医疗保障局
西城区政务服务中心:法定工作日: 上午: 09:00 - 12:00; 下午: 13:30 - 17:00; (延时服务时间: 工作日上午08:30 - 09:00; 中午12:00 - 13:30; 下午17:00 - 17:30; 周六上午08:30 - 12:30; )
西城区政务服务中心:北京市西城区西直门内大街275号综合窗口
1.参保人员在本市门诊就医和住院时应持社会保障卡或医保电子凭证。（来源《关于实施社会保障卡医疗费用实时结算有关问题的通知》京人社办发[2009]13号第一条，《关于持医保电子凭证就医结算流程有关问题的通知》京医保中心发[2020]90号）
2. 参保人员持社保卡结算医疗费用时，定点医疗机构应为参保人员出具结算单据，垫付应由医保基金、个人账户、退休人员统一补充医疗保险及残疾军人医疗补助等支付的医疗费用，其余费用由参保人员现金交纳；医疗保险专用网络（以下简称医保专用网络）发生故障时，垫付应由医保基金、退休人员统一补充医疗保险及残疾军人医疗补助等支付的医疗费用，其余费用由参保人员现金交纳。（来源《关于北京市社会保障卡实施过程中就医结算有关问题的通知》京人社办发[2009]37号第一条第一款第3项） 3.定点医疗机构应设专人负责数据上传及入库复核工作，要在完成结算后48小时内，通过网络或报盘方式将结算数据上传到医疗保险信息系统。 （来源《关于北京市社会保障卡实施过程中就医结算有关问题的通知》京人社办发[2009]37号第一条第一款第4项） 4..结算数据填写完整，真实有效。
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