"Before, when applying for maternity allowance, I had to prepare several types of materials. Now, after filling in the information on WeChat, the review was approved soon!" Recently, Ms. Wang, who just gave birth to her second child, quickly completed the application for maternity allowance through the optimized services of the Dalian Medical Insurance Department. Mr. Zhang, a flexible-employed person, also had a similar experience: "After completing the insurance enrollment on my phone, the mini-program automatically pushed the payment channels. Such considerate services have relieved my worry about forgetting to pay the insurance premium."
To thoroughly implement the provincial and municipal decision-making arrangements for optimizing the business environment, the Dalian Medical Insurance Department adheres to the orientation of meeting the needs of the masses. In response to the high-frequency demands of citizens on the 12345 hotline, through data sharing, process re-engineering, and system upgrading, it has launched eight targeted measures to solve the bottlenecks and difficulties in insurance enrollment, medical treatment, and reimbursement, making medical insurance services more convenient, intelligent, and considerate.
Reduce the application materials for "maternity allowance". For insured persons whose data verification is passed, there is no need to submit materials such as the "birth medical certificate". Meanwhile, the "maternity allowance application" function has been optimized. The system clearly prompts the required fields, guiding insured persons to fill in accurately, significantly improving the application accuracy and processing efficiency.
Cancel the application materials for "newborn insurance enrollment". The medical insurance department has deepened data-sharing cooperation with the public security department. For newborns who have registered their household in Dalian, parents do not need to submit additional materials such as household registration and birth medical certificate when handling medical insurance enrollment for them.
Actively publicize the information on off-site medical treatment registration. Optimize the off-site medical treatment registration function on the WeChat official account of the Dalian Medical Insurance Bureau and the National Medical Insurance Service Platform App, and actively publicize key information such as the start and end time, channels, and locations of the registration, so that insured persons can keep track of the registration status at any time.
Improve the information on "recognition of outpatient chronic and special diseases". Optimize the display content on the WeChat official account of the Dalian Medical Insurance Bureau. Add two key items of information, namely "treatment start date" and "treatment end date", to the information of the diseases that have passed the review, so that patients can clearly understand their own treatment cycles.
Integrate the individual medical insurance rights and interests records. Optimize and integrate the "Individual Medical Insurance Information Inquiry" function on the WeChat official account of the Dalian Medical Insurance Bureau. Insured persons can inquire and print their personal basic information, unit basic information, and medical insurance payment records with one click. At the same time, a new "Print Inpatient Records" function is added, which supports the generation of vouchers with electronic seals to meet various needs such as reimbursement and medical history retention.
Optimize the "Price Comparison Tool" for medical insurance drugs. Optimize the functions of "Inquiry of Outpatient Coordination Drug Prices" and "Understand Traditional Chinese Medicine Clearly", which allow real-time inquiry of information such as the selling prices, manufacturers, and reimbursement ratios of drugs, facilitating price comparison among multiple sources. The system adds a "Friendly Reminder" to remind the public that a practicing pharmacist must be on duty when purchasing prescription drugs, and publicize the on-duty situation of practicing pharmacists in nearby pharmacies to guide rational drug purchase.
Optimize the usage function of the "Mutual Assistance Account". The medical insurance department has removed the restriction that it cannot be bound again on the same day, and optimized the process of the authorizer's commitment signature. After reading the commitment letter, one can directly sign and confirm online, further improving the convenience of using the mutual assistance account.
Simplify the individual insurance participation and payment process. Break through the information barrier between the medical insurance system and the tax system, and open the insurance participation verification interface to the "Dalian Natural Person Social Insurance Payment" mini-program, realizing the "immediate application and immediate handling" of insurance participation registration for residents and flexible employees. After successful insurance participation, a prompt message will automatically pop up on the WeChat official account, accompanied by the QR code of the payment mini-program, guiding the insured person to jump to complete the payment with one click, achieving "one-stop completion of insurance participation and payment".
At present, the data barrier has been broken through, and medical insurance services have become more intelligent. Dalian citizens are experiencing the convenient service of "letting data run more and people run less". The medical insurance department will adhere to the starting point and foothold of the public's needs, continuously iterate and upgrade the service model, improve the convenience, intelligence, and accessibility of services, contribute to the optimization of the business environment with higher-quality and more efficient medical insurance services, and effectively enhance the public's sense of gain, happiness, and security.
