Explanation of the contents of medical fee bill

Source: Internet
Author: User

Type of insurance: The basic medical insurance for workers, basic medical insurance for urban residents, new rural cooperative medical insurance, and other medical insurance.

Medicare co-ordinated payment: that is, the medical insurance co-ordinated fund. Refers to the basic medical insurance for employees, basic medical insurance for urban residents, new rural cooperative medical insurance, etc. in accordance with the relevant provisions in the medical Insurance Co-ordination fund within the scope of payment, and above the standard, the maximum payment limit under the medical Insurance Co-ordination fund to pay the fees.

Personal Account Payment: That is, health insurance personal Account Fund payment. Refers to the expenses incurred by the health insurance personal Account Fund.

Personal self-payment: The cost of medicine, medical treatment and health care facilities in the course of the medical insurance policy, and the amount that the individual is required to bear in accordance with the policy.

Personal expenses: The medical insurance policy in the course of the patient's treatment is outside the scope of medicine, diagnosis and treatment, and medical service facilities.

Payment type: Medicare or at your own expense.

Personal account balance: The immediate balance of the medical insurance personal account after this settlement.

Standard accrual: A natural annual settlement period, when the outpatient co-ordination fund is paid, individuals will first bear the cumulative amount of a certain amount of fees.

Co-ordinate cumulative payment: A natural annual settlement period, the total amount of funds paid by the co-ordinating fund.

The relationship between the items in the medical outpatient fee bill:

Total = Medicare co-payment + personal account Payment + personal pay + personal expenses

The relationship between the items in the medical hospitalization fee bill:

Total = Medicare co-payment + personal account Payment + personal pay + personal expenses

Explanation of the contents of medical fee bill

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