Office business of each unit of medical insurance bureau:
1. Insured unit: responsible for employee medical treatment, work injury, maternity insurance, transfer and connection of employee personal accounts, etc.
2. Employee Unit: responsible for the online settlement of all designated pharmacies and hospitals in the county, as well as the verification of drug fees for transferred employees.
3. Work-related injury unit: responsible for the verification of work-related injury insurance benefits.
4. Maternity unit: responsible for the verification of maternity insurance benefits.
5. Resident unit 1: responsible for the online settlement of the hospitals designated by the former Agricultural Association, and write off the medical expenses of the transferred personnel.
6. Resident Unit 2: Responsible for the online settlement of designated hospitals in the county and write off the medical expenses transferred to foreign residents.
7. Special Medical Unit 1: Responsible for the application for treatment of three special diseases (uremia dialysis treatment, tumor outpatient radiotherapy and chemotherapy, liver and kidney transplantation anti-rejection drug treatment) and the verification of drug expenses, and responsible for the verification of drug expenses for trauma personnel.
8. Special Medical Unit II: responsible for outpatient chronic disease application and drug fee write-off, once a year, the write-off time is 65438+ 0-2 months every year.
9. Audit unit: responsible for the audit and inspection of designated hospitals, hospitalization registration, trauma identification, etc.
10, fund unit: responsible for the distribution of drug expenses.
1 1. Finance Unit: responsible for the management of office funds.
12. comprehensive unit: responsible for comprehensive and comprehensive work.
The medical insurance window can handle business:
1. Insured enterprises: medical insurance for urban workers, industrial injury insurance, maternity insurance and urban residents.
2. Referral and transfer business: including urban workers and urban and rural residents, they need to bring a medical card (rural residents need to bring the original household registration book).
3, the original rural cooperative card magnetic card, urban resident card.
4. Submit all external treatment materials.
5, outpatient application for three special diseases.
Medical insurance bureau's main responsibilities:
1. Responsible for accepting the daily affairs such as approval, payment and management of basic medical insurance, industrial injury insurance, maternity insurance and medical expenses pooling fund for retired cadres.
2 to provide corresponding management services for employers, employees and retired cadres who participate in basic medical insurance, industrial injury insurance and maternity insurance.