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Ningbo Qiaopu Electric Co., Ltd. medical expenses reimbursement process book
2011-05-12 21:20:03
 

Ningbo Qiaopu Electric Co., Ltd. medical expenses reimbursement process book

First, the book aims to promote the process of care management of medical expenses, reimbursement when buildings to better serve Qiaopu provide good insurance benefits.
Second, the processes that apply to the corporate sector employees.
Third, all the outpatient and inpatient staff must be designated in the insurance Qiaopu's three hospitals:
1. Ningbo Municipal People's Hospital.
2. Yuyao Municipal People's Hospital.
3. Simen Town People's Hospital.
Fourth, out-patient limit per person per day once a patient is limited to the amount to l00 million, to be transferred to specialist hospitals or specialist clinics otherwise.
Fifth, the amount of staff more than 50 yuan each patient's medical records and prescriptions to be provided, and the director of medical records to be signed.
Six major items of inspection, such as cT, endoscopy and other insurance companies are required to be reported, be reimbursed after approval.
Seven monthly HR statistics must be signed by the general manager of edges.
VIII HR staff need to establish health insurance individual claims files for reimbursement records, and provide a list of each quarter.
IX free Peifu hospitalization costs 80%, 10 per patient per Peifu free, registration fee is not Peifu.
Ten, out-patient or hospital staff after each time when the medical receipts to buildings, medical records and other medical expenses reimbursed to the person in charge and responsible for the audit are consistent with the name and identity, all procedures are complete.
XI, HR 18, a month before hand on the receipt for the medicine according to the order posted on A4 paper, then fill in the amount of the actual occurrence of the table of medical expenses, medical insurance deducted according to each patient lO element AMOUNT, the insurance company, after the summary to the General Manager for approval.
Second, the human resources of each month on the 2nd hand the number of health insurance this month, this month, the number of work injury insurance, increase or decrease the list of summary statements made.
XIII, until the insurance company medical insurance, industrial injury insurance total amount of insurance after Peifu, Human Resources is responsible for the actual award amounts recorded in the wages on file.
XIV, Qiaopu HR person responsible for reimbursement of medical expenses related to interpretation of staff questions, solving the difficulties of staff reimbursement of medical expenses.
Fifth, the process from the date of its publication the book began.


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