| 中文 | 英文 | 
| 面向政府 | 2G | 
| 面向机构 | 2B | 
| 面向消费者 | 2C business | 
| 一款智能软件 | Askbob | 
| 对接 / 联网 | be connected to | 
| 分公司 | branch | 
| 社区健康保险 | CHI | 
| 商保经办 | TPA | 
| 以病组为核心的支付 | Diagnosis related group(DRG-centered payment) | 
| 药品采购和竞标 | drug procurement & tender | 
| 控费 | expense control | 
| 后续回访 / 复查 | Follow-up visit | 
| 健康住宅项目 | Health House project | 
| 高索赔比 | high claims ratio | 
| ICP 备案申请中 | ICP file for record | 
| 完整解决方案 | integrated solutions | 
| 医保缴费 | Intelligent transfer of medical insurance contribution | 
| 智能核保 | intelligent underwriting | 
| 人身保险 | life insurance | 
| 医保定点机构 | medical insurance designated institutions | 
| 医联体 | Medical union platform | 
| 新农合 | New Cooperative Medical Scheme(NCMS) | 
| 文字识别 | OCR+AI | 
| 异地就医结算 | offsite settlement | 
| 财产保险 | P & C(property and casualty) | 
| 平台即服务 | PaaS thick mid-office building | 
| 参保人服务 | participant service | 
| 药品福利管理 | PBM(Pharmacy benefit management) | 
| 个账活化 | personal account activation | 
| 保单 | policy | 
| 精准营销 | precision MKT | 
| 保险费 | premium | 
| 处方点评 | prescription review | 
| 评估 | review | 
| 软件及服务 | SaaS thin application(software-as-a-service) | 
| 医保 C 云 | SHI cloud | 
| 社会保险 | social security | 
| 标准操作程序 | SOP | 
| 基础设施及服务 | special IaaS Cloud(infrastructure-as-a-service) | 
| 核保 | UW | 
| 大病保险 | Critical Illness Insurance | 
| 补充医疗保险 | Supplementary Medical Insurance | 
| 医疗保险赔付率 | Medical Insurance Compensation Ratio | 
| 医保目录 | Medical Insurance Catalogue | 
| 医疗救助 | Medical Assistance | 
| 长期护理保险 | Long-term Care Insurance | 
| 生育保险 | Maternity Insurance | 
| 医保基金 | Medical Insurance Fund | 
| 医保报销比例 | Medical Insurance Reimbursement Ratio | 
| 门诊统筹 | Outpatient Coordination | 
| 住院报销 | Hospitalization Reimbursement | 
| 起付线 | Deductible Line | 
| 封顶线 | Ceiling Line | 
| 自费项目 | Out-of-pocket Items | 
| 医保支付方式改革 | Medical Insurance Payment Reform | 
| 按人头付费 | Capitation Payment | 
| 按服务项目付费 | Fee-for-Service Payment | 
| 按病种付费 | Diagnosis-related Group Payment(DRG Payment) | 
| 按床日付费 | Per Diem Payment | 
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