5
20
111102260001134943
北京市平谷区黄松峪乡人民政府
异地安置退休人员异地就医备案
111102260001134943511204104500401
1111022600011349435112041045004
0
40f2ce68-b68e-4016-9875-decf537e9d27
47ff0e26-ca94-4dd5-91d9-96beb91baa2e
3^5
20
平谷区黄松峪乡
110117213000
北京市平谷区黄松峪乡人民政府
平谷区黄松峪乡政务服务中心:法定工作日: 上午: 09:00 - 12:00; 下午: 12:00 - 17:00; (延时服务时间: 工作日上午08:30 - 09:00; 下午17:00 - 17:30; 周六上午08:30 - 12:30（法定节假日除外;延时服务需提前预约）; )
平谷区黄松峪乡政务服务中心:北京市平谷区黄松峪乡东街402号综合窗口
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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