These violations can be reported.
According to reports, all violations of laws and regulations involving designated medical institutions and their staff, designated retail pharmacies and their staff, insured persons and staff of medical security institutions can be reported to the medical security department.
Fictitious medical services, forged medical documents and bills, and defrauded medical insurance funds; Providing false invoices for the insured; Medical expenses that should be borne by individuals are recorded in the scope of payment of medical security funds; Handling medical insurance benefits for those who do not belong to medical insurance coverage; Providing credit card settlement services for non-designated medical institutions; Violating the requirements of real-name management of medical insurance identity documents, falsely providing medical treatment or hospitalization services and defrauding medical insurance funds; Cheating medical insurance fund expenditures by exchanging drugs, consumables, articles, diagnosis and treatment projects, and other illegal acts involving designated medical institutions and their staff.
Stealing medical insurance identification, taking cash for the insured or buying non-medical items such as nutrition and health products, cosmetics and daily necessities; Changing medicines, consumables and articles for the insured to defraud the medical insurance fund; Providing credit card settlement services for non-designated medical institutions; Making false invoices for the insured, providing false invoices and other illegal acts involving designated retail pharmacies and their staff.
The insured forged false medical service bills to defraud the medical security fund; Lending my medical insurance identity certificate to another person for medical treatment or using another person's medical insurance identity certificate to seek medical treatment under an assumed name; Illegal use of medical insurance identity documents, taking medicine consumables, etc. The staff of the medical insurance agency shall handle the medical insurance treatment procedures for those who do not belong to medical insurance coverage; Fraud such as illegal payment of medical insurance premiums.
The acceptance decision shall be made within 5 working days.
According to the regulations, the medical insurance department must make an acceptance decision within 5 working days after receiving the clues, and organize personnel to check and solve them within the prescribed time limit.
"For there is no specific and clear report object and illegal behavior; Does not belong to the scope of supervision and responsibility of the medical security department; The report has been accepted and is still in the process of investigation and handling, and the informant repeatedly reports the same matter; The report has been dealt with according to law, and the informant is not satisfied with the result, and repeats the report with the same facts or reasons without new clues; For other clues that should not be accepted according to law, we will also make a decision not to accept them within 5 working days. " The relevant person in charge of the Municipal Medical Insurance Bureau said that those who are not under the supervision of the medical insurance department will be informed of the ways to continue reporting.
Within 30 working days, and within 3 months at the latest.
"We have worked out a timetable for each tip," the person in charge said. The municipal, district (county) medical security department should complete the formalities within 30 working days from the date of deciding to accept it. If the situation is complicated, it can be extended to 2 months with the approval of the main person in charge of the unit. Particularly important, the collective research of the unit can be appropriately extended, but in principle, it does not exceed 3 months.
Report clues involving discipline inspection and supervision, public security, health, market supervision and other departments, can be handled jointly with relevant departments, can also be handed over to relevant departments for handling, and track the progress of handling, to understand the situation.
For clues reported by real names, medical security departments at all levels shall, within 5 working days after the clues are settled, feedback the processing results to the informants, listen to the opinions of the informants on the processing results, and make records.
Reporting channel
Bazhong medical security bureau
Reporting telephone numbers: 0827-5266053, 0827-5268662.
E-mail: 363868245@ Bazhou Medical Security Bureau
Reporting telephone number: 0827-5223049
E-mail: 446948260@ Enyang District Medical Security Bureau
Reporting telephone number: 0827-3369496
E-mail: 847095073@ Nanjiang County Medical Security Bureau
Reporting telephone number: 0827-8232273
E-mail: 1620308 1@ Tongjiang County Medical Security Bureau
Reporting telephone number: 0827-7220987
E-mail: 82606950@ Pingchang County Medical Security Bureau
Reporting telephone number: 0827-6238773
E-mail: 243003023@ Zhangba Recommended
He Ping attended the Sixth Plenary Session of the Municipal Safety Committee in 2020. The "nightlife" in the tunnel is also sweating in the cold winter. Starting from the 20th, seven snapping devices will be activated in Banan section of Chengba Expressway.