【導(dǎo)讀】社會(huì)保險(xiǎn)信息系統(tǒng)業(yè)務(wù)經(jīng)辦流程。2020-12-04第1頁(yè)共223頁(yè)貴州省社會(huì)保險(xiǎn)全省統(tǒng)一應(yīng)用系統(tǒng)項(xiàng)目組。項(xiàng)目負(fù)責(zé)人簽字：簽字日期：年月日。5)個(gè)人退款、核銷.

　　

【正文】 .....................181 2) 工傷人員待遇續(xù)發(fā) .............................................................................182 3) 工傷人員資格年審 .............................................................................183 4) 工傷定期待遇調(diào)整 .............................................................................184 5) 一至四級(jí)轉(zhuǎn)退休 ................................................................................184 6) 供養(yǎng)親屬待遇停發(fā) .............................................................................185 7) 供養(yǎng)親屬待遇續(xù)發(fā) .............................................................................186 8) 供養(yǎng)親屬資格年審 .............................................................................187 9) 供養(yǎng)親屬待遇調(diào)整 .............................................................................188 定期待遇發(fā)放管理 .............................................................................188 1) 工傷定期待遇核定 .............................................................................189 2) 供養(yǎng)親屬定期待遇核定 ......................................................................190 3) 工傷定期待遇支付 .............................................................................190 4) 柜臺(tái)付款處理 ....................................................................................191 工傷醫(yī)療中心手工報(bào)銷 ......................................................................191 1) 就診審批 ...........................................................................................192 2) 報(bào)銷明細(xì)錄入 ....................................................................................193 3) 報(bào)銷明細(xì)審核 ....................................................................................194 4) 醫(yī)療費(fèi)用結(jié)算 ....................................................................................194 社會(huì)保險(xiǎn)信息系統(tǒng) 業(yè)務(wù)經(jīng)辦流程 20201204 第 8 頁(yè) 共 223 頁(yè) 貴州省社會(huì)保險(xiǎn)全省統(tǒng)一應(yīng)用系統(tǒng)項(xiàng)目組 5) 工傷醫(yī)療待遇支付 .............................................................................195 6) 住院伙食費(fèi)標(biāo)準(zhǔn)錄入 .........................................................................195 7) 工傷住院伙食費(fèi)交通費(fèi)撥付 ...............................................................196 8) 柜臺(tái)付款處理 ....................................................................................196 輔助器具配置管理 .............................................................................197 1) 輔助器具配置機(jī)構(gòu)管理 ......................................................................199 2) 輔助器具限額管理 .............................................................................199 3) 輔助器具項(xiàng)目管理 .............................................................................199 4) 輔助器具初審 ....................................................................................200 5) 輔助器具復(fù)核 ....................................................................................201 6) 輔助器具費(fèi)用結(jié)算 .............................................................................201 7) 輔助器具費(fèi)用支付 .............................................................................202 8) 柜臺(tái)付款處理 ....................................................................................202 工傷醫(yī)療聯(lián)網(wǎng)報(bào)銷 .............................................................................203 1) 工傷醫(yī)療就診審批 .............................................................................204 2) 醫(yī)院清算 ...........................................................................................204 3) 醫(yī)院清算初審 ....................................................................................205 4) 醫(yī)院清算復(fù)審 ....................................................................................205 5) 醫(yī)院保證金扣款 ................................................................................206 6) 醫(yī)院清算撥付 ....................................................................................206 7) 醫(yī)院保證金年終返還 .........................................................................206 8) 柜臺(tái)付款處理 ....................................................................................207 六、 生育待遇 ...................................... 208 參保人員手工報(bào)銷 .............................................................................208 1) 門診費(fèi)用手工報(bào)銷登記 ......................................................................209 2) 住院費(fèi)用手工報(bào)銷登記 ......................................................................209 3) 明細(xì)錄入 ...........................................................................................210 4) 明細(xì)審核 ........................................................................................... 211 5) 手工報(bào)銷結(jié)算 ....................................................................................212 6) 生育手工報(bào)銷查詢及單據(jù)補(bǔ)打 ...........................................................212 7) 柜臺(tái)付款處理 ....................................................................................213 定點(diǎn)醫(yī)療機(jī)構(gòu)費(fèi)用清算 ......................................................................213 1) 醫(yī)院明細(xì)初審 ....................................................................................214 2) 醫(yī)院明細(xì)復(fù)審 ....................................................................................215 3) 審核扣款錄入 ....................................................................................216 4) 審核扣款回退 ....................................................................................217 5) 醫(yī)保費(fèi)用清算初審 .............................................................................218 6) 醫(yī)保費(fèi)用清算回退 .............................................................................219 7) 醫(yī)保費(fèi)用復(fù)審確認(rèn) .............................................................................220 8) 醫(yī)保費(fèi)用復(fù)審確認(rèn)回退 ......................................................................221 9) 醫(yī)保費(fèi)用撥付 ....................................................................................222 10) 醫(yī)保費(fèi)用撥付查詢及單據(jù)補(bǔ)打 ...........................................................223 11) 柜臺(tái)付款處理 ....................................................................................223 社會(huì)保險(xiǎn)信息系統(tǒng) 業(yè)務(wù)經(jīng)辦流程 2020