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Management System of Outpatient Specific Projects

Outpatient specific projects: radiotherapy and chemotherapy for malignant tumors; dialysis of uremia; anti-rejection therapy after liver, kidney, heart, lung or bone marrow transplantation; chronic hepatic C can enjoy outpatient specific benefit with diagnosis certificate filled by the hospital with diagnosis qualification of outpatient specific project, as well as approval of health bureau.

Business application procedures of outpatient specific project

1.Attending physician / medical insurance charge doctor fills in certificate of outpatient specific project for the insured of Guangzhou social medical insurance (short of certificate of outpatient specific) 

2.Associate chief physician or department director (or assigned expert) sign the name. 

3.Medical department or medical insurance office approves and seals.

4.Medical insurance fixed-point office record the insured’s outpatient specific certificate into medical insurance information system. 

5.After information is input and confirmed, medical insurance system will automatically register valid period of project and the starting date of valid is confirmation date. 

6.Personnel of medical insurance fixed-point office print two copies of outpatient specific project certificate with registration result through medical insurance information system. One should be submitted to the insured and one should be submitted to medical institution for file. 

Benefits for outpatient specific projects

a. cannot enjoy the common outpatient benefits and outpatient specific benefits in our hospital during hospitalization, but can enjoy outpatient specific project of other medical institutions

b. means of payment: bookkeeping, settle accounts once every one month. 

c. the insured chooses one medical institution among the assigned fixed-point hospitals as fixed-point medical institution which the insured applies outpatient specific benefits and develops treatment. In principle, it cannot be changed within valid period.

d.  The basic medical fee will be paid according to the payment proportion of the insured’s hospitalization medical fee.