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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