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What is the responsibility of medical insurance audit?
Belonging to public institutions, its main responsibilities are as follows:

(a) responsible for the preparation, management, payment and audit of the medical insurance fund in this Municipality.

(two) responsible for the personal account management and fund settlement and payment of medical insurance in this Municipality.

(three) responsible for the audit, settlement and medical management of social insurance medical expenses in the overall planning area.

(four) responsible for the management of public medical care in this Municipality and the audit, settlement and management of basic (subsidized) medical expenses for civil servants.

(five) responsible for the organization and implementation of the new medical reform plan, as well as the settlement of medical expenses and medical management services for the insured persons in the non-integrated areas of this Municipality.

(six) responsible for signing medical service agreements with social insurance designated medical and pharmaceutical institutions, and conducting relevant policy propaganda and business training; Assist the administrative department of labor and social security to guide, supervise, inspect, regularly evaluate and assess the implementation of policies and regulations and medical service agreements of designated medical and drug institutions, and implement resident supervision and management of designated medical institutions; Responsible for the audit of medical expenses of designated medical and pharmaceutical institutions.

(seven) responsible for the supervision and inspection of the specific outpatient items handled by the secondary agencies, as well as the second follow-up, referral, medical treatment in different places and other business matters.

(eight) responsible for the preparation of standards, procedures and publicity materials for the management of social insurance medical services, providing inquiry and consulting services for related businesses and accepting related complaints.

(nine) to be responsible for the requirements and testing of social insurance medical business information system, and to be responsible for the construction of standard library and data management and maintenance.

(ten) to organize and participate in the investigation and statistical analysis of social insurance medical services and related policies.

(eleven) responsible for the overall planning, command and management of secondary medical insurance agencies.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.