1. Institutional application: After the results of the annual comprehensive assessment of designated medical institutions are published, according to the principle of "administrative subordination plus territorial management", designated medical institutions that meet the prepayment conditions can apply for prepayment funds from their medical insurance agencies.

2. Confirmation of funds: After receiving the application for prepayment of funds from designated medical institutions, the medical insurance agency will review and determine the payment amount.

3. Remittance of funds: After the medical insurance agency confirms the remittance amount, it will be handed over to the Municipal Medical Insurance Bureau.

4. Confirmation of collection: After receiving the above funds, the Municipal Medical Insurance Bureau will confirm and allocate the above funds to designated medical institutions.