3
20
11110227MB1920183E
北京市怀柔区医疗保障局
基本医疗保险医疗费用申报
11110227MB1920183E311204105000203
11110227MB1920183E3112041050002
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怀柔区医保局
110116000000
北京市怀柔区医疗保障局
怀柔区政务服务中心医保分中心：法定工作日: 上午: 08:30 - 12:00; 下午: 13:00 - 17:00; (延时服务时间: 工作日中午12:00 - 13:00; 周六上午08:30 - 12:30；延时服务需预约; )；
怀柔区政务服务中心：法定工作日: 上午: 08:30 - 12:00; 下午: 12:00 - 17:30; (延时服务时间: 工作日下午17:00 - 17:30; 周六上午08:30 - 12:30; )；
怀柔区政务服务中心医保分中心：北京市怀柔区开放路86号二层综窗；
怀柔区政务服务中心：北京市怀柔区雁栖大街53号一层综合窗口；
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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