1. Assess whether the insured units or individuals pay the medical insurance premiums in full and on time, including reviewing the payment records, amount and frequency, etc., to ensure that the insured units or individuals have a good payment credit record.
2 to evaluate the reimbursement behavior of the insured units or individuals after using medical services, including verifying medical records, expense reimbursement vouchers, reimbursement amount, etc. , to determine whether there is abnormal reimbursement behavior or illegal operation.