Author: Shang Feng.
2023 Sprint Recently, the third phase of the Fujian Provincial Medical Insurance Bureau's 2023 typical case, among them, the case of swiping the card to take a personal account from the Shuixian Street Branch of Zhangzhou City, Fujian Dashenlin** Company, involving a medical insurance personal account amount of 40641853 yuan. Judging from the inquiry of "Ai Qi Cha", the store belongs to the listed pharmacy Dashenlin. According to the report: In April 2022, the Xiangcheng Branch of the Zhangzhou Medical Insurance Center found that the pharmacy had violations through daily inspections. In May 2022, a detailed verification was conducted through on-site comparison of the pharmacy's retail system data, medical insurance system settlement data, drug purchase, sales and inventory, and interviewing relevant staff of the pharmacy. After verification, the actual inventory of some drugs in the pharmacy did not match the inventory of the system, and some employees used screenshots of medical insurance electronic vouchers received through illegal channels to settle medical insurance, and mailed some drugs to others, involving a personal account amount of 40641853 yuan.
In accordance with Article 40 of the "Interim Measures for the Management of Designated Medical Security for Retail Pharmacies" (Order No. 3 of the National Medical Security Administration) and Article 27 of the "2021 Zhangzhou Basic Medical Insurance Contracted Retail Pharmacy Service Agreement", the medical insurance agreement of Fuzhou Dashenlin*** Zhangzhou Shuixian Street Branch was terminated and the illegal medical insurance **406418 was recovered53 yuan.
The information obtained by querying "Fuzhou Dashenlin*** in "Aiqicha" is: Fuzhou Dashenlin*** was established on January 25, 2007, and its registered place is located in Room 202, 2nd Floor, Building 6, No. 104, Wuyi Middle Road, Taijiang District, Fuzhou City, Fujian Province, and the legal representative is Deng Hanqiang. The business scope includes licensed items: drug retail;Class III medical device business;Food business;Pharmaceutical Internet Information Service;Internet information service for medical devices;...
The only shareholder of Fuzhou Dashenlin Pharmaceutical Co., Ltd. is Fujian Dashenlin Pharmaceutical Co., Ltd., with a subscribed capital contribution of 13.1 million yuan, and the subscribed capital contribution is December 31, 2019. The major shareholder of Fuzhou Dashenlin is Dashenlin Pharmaceutical Group Co., Ltd., which holds 86 shares86758%, and another shareholder, Fuzhou Jiyunzhi Investment Partnership (Limited Partnership), with a shareholding ratio of 1013242%；Shareholder Jiang Shicai, with a shareholding ratio of 3%. The operating period is: 2021-01-07 to 2051-01-06.
Fujian Dashenlin Pharmaceutical Co., Ltd. *** license project: drug wholesale;Import and export of medicines;Sales of pharmaceutical precursor chemicals;Class III medical device business;Sales of sterilized instruments;Health food sales;Food business;Infant formula milk powder sales;Sale of formula food for special medical purposes;Pharmaceutical Internet Information Service;Internet information service for medical devices;...Internet sales of food;Medical services;Chinese herbal decoction piece decoction service.
It is also understood that it is not uncommon for Dashenlin to have problems with medical insurance.
On April 28 this year, the Huangshi Municipal Medical Insurance Bureau reported 10 cases of illegal use of medical insurance, including the case of illegal use of medical insurance by Dashenlin (Hubei) Pharmaceutical Chain Huangshi Wanda Huafu Store. According to the investigation of the Huangshi Port District Medical Insurance Bureau, the store obtained the qualification of Huangshi City Medical Insurance Designation by using the altered "Drug Business License". The treatment of the store is: interview the main person in charge, terminate the medical insurance service agreement, and refuse to pay (the paid fee will be recovered) 2896826 yuan, deducting the quality deposit and 57,936 from the beginning of the store's use of medical insurance settlement to the end of the case52 yuan liquidated damages, the store's medical insurance designated application will not be accepted within three years.
In May this year, the Guangdong Provincial Medical Insurance Bureau ** the first batch of typical cases of illegal use of medical insurance in 2023, including Shanwei Dashenlin Pharmacy *** Haifeng Shangpu Branch, etc., which were characterized as fraud and insurance fraud cases, and the local medical insurance department made the following treatments: 1Recover the defrauded medical insurance**, and impose a fine of 2 times the amount of the defrauded medical insurance** on the party;2.Transfer the case to the public security organs for investigation and handling;3.Suspend the allocation of medical insurance settlement expenses for the parties.