Our city takes the small incision of work-related injuries to seek people's livelihood in a big scene, and takes the headaches that plague enterprises and work-related injuries such as high pressure on work-related injury medical treatment funds, complicated manual reimbursement procedures, and many disputes over treatment payment as the starting point, and actively explores a new model of convenient service for the online settlement of work-related injury medical expenses, and the work-related injury insurance handling service is more standardized and convenient. At present, the city's three agreement ** institutions have achieved online settlement, and a total of 315 medical expenses have been reimbursed for 207 injured employees850,000 yuan, and the reimbursement time limit was shortened from 20 days to instant settlement.
Focusing on the problems of poor connection between clinical medical treatment of work-related injuries and cumbersome reimbursement procedures for work-related injury medical expenses, the Municipal Human Resources and Social Security Bureau will improve the level of work-related injuries in the city into key research topics, and take the online settlement of work-related injury medical expenses as the main carrier and specific starting point for private practical services, and set up a special class to actively promote it. Determine the work commissioner to be responsible for the three first-class institutions, and give full play to the role of the human resources and social security department as a bridge between the higher-level departments, fixed-point first-class institutions, and back-end data engineers by inverting the construction period and tracking services, so as to smooth the "one chain" information channel of work-related injury identification, disability identification and work-related injury treatment, and open up the "fast lane" of online settlement. Actively break down data barriers, promote the interconnection of information between injured employees, employers, hospital institutions and social security agencies through service methods such as rapid data transmission, normal communication, and real-time feedback of results, and accelerate the construction of a service pattern of effective medical connection, multi-party participation, and instant settlement of employee discharge.
In order to effectively resolve new problems such as system docking, data matching, and directory update in the process of promoting online settlement, the Municipal Human Resources and Social Security Bureau fully cooperated with the work-related injury information system engineers, hospital settlement system engineers and remote developers to debug the data interface hundreds of times to ensure that the settlement data is complete and accurate, the settlement process is smooth and efficient, and the employees experience comfort and warmth, and show the provincial capital in the province's work-related injury medical expenses online settlement work.