Recently, the National Health Insurance Bureau and the Ministry of Finance issued the notice on further improving the direct settlement of cross provincial and non local medical treatment of basic medical insurance (hereinafter referred to as the notice), which is a brand-new action guide formulated after six years. What are the highlights of this notice and what impact will it have on the insured's Cross provincial medical treatment? Relevant responsible persons and experts of the National Health Insurance Bureau interpreted this document. Relying on online service channels, improve cross regional business collaborative processing capacity. In recent years, China's Cross provincial direct settlement policy for medical treatment in different places has been expanded from inpatient to general outpatient, and then to outpatient chronic and special diseases. The convenience of people's medical treatment has been continuously enhanced. However, the original medical insurance settlement policy is not unified, the business process is not standardized, and the business collaboration is not timely, which also hinders the in-depth development of this work and affects the sense of access of the masses. Jin Weigang, vice president of the China Social Security Association and vice president of the National System Research Institute of Zhejiang University, said that at present, the basic medical insurance is mainly based on the city and prefecture level coordination, and there are certain differences in the specific policies and regulations of each coordination area. The construction and development of the medical insurance information system and the medical information system are also not coordinated, which inevitably leads to some contradictions and problems in the settlement of cross provincial and different medical treatments. "Promoting the direct settlement of medical expenses in different provinces and cities is an important reform measure to improve the medical insurance system and address the outstanding concerns of the people." Long Xuewen, head of the medical security business management center of the National Medical Insurance Bureau, said that the National Medical Insurance Bureau, together with the Ministry of finance, has implemented the decisions and arrangements of the Party Central Committee and the State Council and issued the "notice" to deepen the reform of direct settlement of basic medical insurance for cross provincial and off-site medical treatment, and strive to solve the blocking points and difficult problems such as inconvenient filing of off-site medical treatment. Long Xuewen said that the notice focuses on four aspects: first, adhere to policy optimization and integration. At the initial stage of the pilot of the policy of direct settlement of cross provincial medical treatment, most of the policies were promoted by "patching". The notice systematically combed and integrated the previous policies, and on this basis, strengthened the top-level design to solve the problems such as the narrow scope and short time limit of the filing personnel, the inability of long-term residents of cross provinces to enjoy the treatment in both the filing place and the insured place, and the low reimbursement rate of the temporary medical treatment personnel of cross provinces after filing. Second, adhere to unified and standardized management. In view of the fact that some regions do not support the direct settlement of inter provincial and off-site emergency rescue expenses, trauma expenses, out of hospital inspection and treatment during hospitalization, and medical expenses after supplementary filing, a national unified standard is formulated to form a national unified standard framework for business flow, capital flow and information flow. Third, adhere to business collaboration and efficiency. In view of the problems such as low coordination efficiency among regions, large number of people running errands for manual reimbursement in different places, difficult verification of large amount of expenses, and opaque handling information, the business coordination responsibilities of medical insurance departments at all levels were clarified, and the cross regional business coordination processing capacity was improved by relying on the national medical insurance service platform app and other online service channels. Fourth, adhere to accurate and convenient services. To standardize the service matters, management standards and time limit requirements of medical insurance agencies at all levels and cross provincial networking designated medical institutions, and to cover all service institutions. Define the services before, during and after the medical settlement, and cover all business scenarios.