1. What does the medical insurance agency mean?

1. The medical insurance agency is the department responsible for various businesses related to basic medical insurance. Its main responsibilities are: to be responsible for raising and managing the basic medical insurance fund; Responsible for signing basic medical insurance service contracts with designated medical institutions and retail pharmacies, and supervising their performance; Responsible for the settlement and payment of basic medical insurance premiums; Responsible for the preparation of the basic medical insurance fund budget and final accounts; Other duties assigned by the administrative department.

2. Legal basis: Article 25 of the Social Insurance Law of the People's Republic of China

The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. Those who enjoy the minimum living guarantee, the disabled who have lost the ability to work, the elderly and minors who are over 6 years old in low-income families, etc., are subsidized by the government.

Second, what are the main responsibilities of the hospital medical insurance office?

The main responsibilities of the hospital medical insurance office are:

1. Implement the basic medical insurance, free medical care policies and related regulations, and implement all the work assigned by the superior medical insurance center;

2. Be responsible for the general control and single disease management of the Health Bureau;

3. To be responsible for the implementation of the civil service medical insurance system reform;

4. Establish and improve the management rules and regulations of medical insurance and general control in our hospital;

5. Be responsible for publicizing and training the medical insurance policy for the employees of the whole hospital;

6. Formulate the assessment indicators of medical insurance, general control and single disease work, and be responsible for the assessment;

7, responsible for the audit of medical insurance related items in hospital medical records;

8. Answer questions about medical insurance policies in the process of patients seeking medical treatment;

9. Report the newly developed medical projects in the hospital to the medical insurance department;

1, responsible for the coordination of medical insurance related work in our department;

11. Responsible for medical insurance diagnosis and treatment, maintenance of service facilities catalog database and supervision of drug catalog database;

12. Be responsible for publicizing medical insurance policies and regulations for medical insurance patients;

13. Be responsible for contact and communication with municipal and district medical insurance centers, and cooperate with medical insurance centers at all levels to check medical insurance in our hospital;

14. Management of free medical care for employees in our hospital and medical insurance for contract employees.