|
US$439.00 · In stock
Delivery: <= 4 days. True-PDF full-copy in English will be manually translated and delivered via email.
GB/T 34411-2017: Specification for audit of basic medical insurance benefits
Status: Valid
| Standard ID | Contents [version] | USD | STEP2 | [PDF] delivered in | Standard Title (Description) | Status | PDF |
| GB/T 34411-2017 | English | 439 |
Add to Cart
|
4 days [Need to translate]
|
Specification for audit of basic medical insurance benefits
| Valid |
GB/T 34411-2017
|
PDF similar to GB/T 34411-2017
Basic data | Standard ID | GB/T 34411-2017 (GB/T34411-2017) | | Description (Translated English) | Specification for audit of basic medical insurance benefits | | Sector / Industry | National Standard (Recommended) | | Classification of Chinese Standard | A11 | | Classification of International Standard | 03.060 | | Word Count Estimation | 22,232 | | Date of Issue | 2017-10-14 | | Date of Implementation | 2018-05-01 | | Issuing agency(ies) | General Administration of Quality Supervision, Inspection and Quarantine of the People's Republic of China, Standardization Administration of the People's Republic of China | GB/T 34411-2017: Specification for audit of basic medical insurance benefits---This is a DRAFT version for illustration, not a final translation. Full copy of true-PDF in English version (including equations, symbols, images, flow-chart, tables, and figures etc.) will be manually/carefully translated upon your order.
Specification for audit of basic medical insurance benefits
ICS 03.060
A11
National Standards of People's Republic of China
Basic medical insurance benefits audit business specifications
2017-10-14 Published
2018-05-01 implementation
General Administration of Quality Supervision, Inspection and Quarantine of People's Republic of China
China National Standardization Administration released
Directory
Preface Ⅰ
Introduction Ⅱ
1 Scope 1
2 Normative references 1
3 Terms and definitions 1
4 basic principles 1
5 audit organization 2
6 audit content, type and method 2
7 audit procedures 3
8 audit results using 5
Appendix A (informative) basic medical insurance benefits audit major projects and content 6
Appendix B (informative) basic medical insurance benefits audit workflow 8
Appendix C (informative) instrument style 9
References 18
Foreword
This standard was drafted in accordance with the rules given in GB/T 1.1-2009.
This standard is proposed by the Ministry of Human Resources and Social Security of the People's Republic of China.
This standard by the National Social Security Standardization Technical Committee (SAC/TC474) centralized.
This standard was drafted by the Ministry of Human Resources and Social Security Social Insurance Career Management Center, Shanghai Medical Insurance Inspection and Inspection Office, the day
Tianjin Medical Insurance Supervision and Inspection Institute, Jiangsu Provincial Health Insurance Fund Management Center, Henan Province Social Health Insurance Center, Ningxia Hui Autonomous Region
Social Insurance Administration, Hainan Haikou City Social Insurance Bureau, Guangyuan City, Sichuan Province Medical Insurance Authority, Shanghai Quality and Standards
Standardization Institute.
The main drafters of this standard.Xu Yanjun, Ji Guangxian, Liu Qing, Zhang Ming, Geng Tao, Zhao 螓 蛉, Miao Fang, Li Jiaxing, Yang Xiaodong, Zhou Jianchun,
Zhou Guangyun, Zhang Guizhen, Li Hongying, Wu Lan, Bao Huijun, Zhou Lingjuan, Deng Yuhua, Cui Fa Jin, Shou Zhitao.
Introduction
The basic medical insurance treatment is to ensure that the audit of the implementation of the medical insurance policies accurately safeguard the legitimate rights and interests of insured to protect the medical insurance base
Gold is an important means of safety and effective use. With the gradual perfection of the legal system of social insurance in our country, according to the requirements of building a service-oriented government,
Establish and improve the basic social insurance insurance agencies at all levels of the audit of the medical standards for the operation of the business to ensure that social insurance agencies correct, there
It is of great practical significance to carry out his duties and to improve the scientific management level of social insurance agencies.
Basic medical insurance benefits audit business specifications
1 Scope
This standard specifies the basic principles of the basic medical insurance benefits audit business, audit organization, audit content, types and methods, audit procedures
Order, use of audit results and other requirements.
This standard applies to social insurance agencies or a separate set up by the social insurance audit oversight bodies to carry out the basic medical insurance benefits
Nuclear business.
2 Normative references
The following documents for the application of this document is essential. For dated references, only the dated version applies to this article
Pieces. For undated references, the latest edition (including all amendments) applies to this document.
Social insurance terms - Part 1. General
Social insurance terms - Part 4. Medical insurance
Social Insurance Business Records Management Practices GB/T 31599-2015
3 Terms and definitions
GB/T 31596.1-2015, GB/T 31596.4-2015 defined and the following terms and definitions apply to this document.
3.1
Basic medical insurance benefits basicmedicalinsurancebenefits
The insured person receives the financial compensation for the physical objects and services in accordance with the provisions of the basic medical insurance.
3.2
Audit object auditobject
Fixed-point medical institutions that provide services to insured persons, designated retail pharmacies, insured persons who enjoy basic medical insurance benefits, and other related
Off units or individuals.
Note. Other relevant units or individuals refer to non-designated medical institutions involved in providing medical services for the insured persons in the audit of the basic medical insurance benefits. Non-fixed-point
Retail pharmacies and medical testing agencies, as well as individuals suspected of fraudulent use of medical insurance cards and drug trafficking.
4 basic principles
4.1 Compliance with the law
According to the relevant laws, regulations, rules and other normative documents, follow the work rules.
4.2 objective and fair
On the basis of fact, treating auditors fairly and justly and performing their duties properly.
4.3 clean and efficient
Abide by the audit discipline, optimize workflow, improve work quality and efficiency.
Tips & Frequently Asked Questions:Question 1: How long will the true-PDF of GB/T 34411-2017_English be delivered?Answer: Upon your order, we will start to translate GB/T 34411-2017_English as soon as possible, and keep you informed of the progress. The lead time is typically 2 ~ 4 working days. The lengthier the document the longer the lead time. Question 2: Can I share the purchased PDF of GB/T 34411-2017_English with my colleagues?Answer: Yes. The purchased PDF of GB/T 34411-2017_English will be deemed to be sold to your employer/organization who actually pays for it, including your colleagues and your employer's intranet. Question 3: Does the price include tax/VAT?Answer: Yes. Our tax invoice, downloaded/delivered in 9 seconds, includes all tax/VAT and complies with 100+ countries' tax regulations (tax exempted in 100+ countries) -- See Avoidance of Double Taxation Agreements (DTAs): List of DTAs signed between Singapore and 100+ countriesQuestion 4: Do you accept my currency other than USD?Answer: Yes. If you need your currency to be printed on the invoice, please write an email to [email protected]. In 2 working-hours, we will create a special link for you to pay in any currencies. Otherwise, follow the normal steps: Add to Cart -- Checkout -- Select your currency to pay.
|