预授权申请表 Pre-authorization -中国平安健康保险股份有限公司
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1.中国银联信息处理中心系统CUPS ChinaUnionPay System简称“银联处理中心”。
中国银联信息处理中心系统负责银行卡跨行交易信息的转接以及清算数据的收集、清分和下发等。
2.银联公共服务平台中国银联提供的面向入网机构的基于Internet的服务平台,该平台能够提供与转接业务相关的差错、报表服务等功能。
3.受理方Acquirer指受理交易的一方(即交易终端所在的一方)。
受理方负责联机交易信息的产生和转接以及结算数据的收集、整理和提交等。
4.发卡方Issuer指持卡人账户所在的一方(即批准授权的一方)。
通常将发卡方及其联网的行内中心或区域中心统称为发卡方。
5.转入方Transfer-In指转账交易中资金转入的一方。
6.转出方Transfer-Out指转账交易中资金转出的一方。
7.预授权Pre-Authorization指特约商户通过POS终端,就持卡人预计支付金额向发卡机构索取付款承诺的过程。
8.银行卡Bank Card商业银行等金融机构及邮政储汇机构向社会发行的,具有消费信用、转账结算、存取现金等全部或部分功能的信用支付工具。
9.请求类交易Request Transaction从交易的请求方(如:受理方)发送至接收方(如:发卡方),且等待该交易的响应。
接收方接收到交易请求后应直接给予交易批准或拒绝的应答。
如果交易的接收方不是该交易的最终接收机构,则接收方负责将交易向下一机构转发。
10.响应码/应答码Response Code是接收方接收到的请求或通知后,返回给发送方表示处理结果的代码。
11.冲正Reversal一种特殊的交易。
由报文的发送方发起,用于通知接收方先前一笔授权类或金融类交易没有按预定流程完成,应该取消其处理结果。
12.存储转发Store and Forward发送方将报文存放在存储转发队列中,在一定次数内每隔一段时间重复发送。
13.清分Clearing对交易数据依据机构和交易类型进行分类汇总,并计算结算金额的过程。
交通部IC卡技术规范篇一:《城市公共交通IC卡业务及技术应用规范》(征求意见稿)编制说明附件:《城市公共交通IC卡业务及技术应用规范》(征求意见稿)编制说明一、任务来源为贯彻《国务院关于城市优先发展公共交通的指导意见》(国发?2012?64号)精神,落实交通运输部368号文件《交通运输部关于贯彻落实<国务院关于城市优先发展公共交通的指导意见>的实施意见》要求,推进城市公共交通“一卡通”的普及和互联互通,满足社会公众对公共交通的新期待、新要求,提升城市公共交通智能化水平,交通运输部决定组织开展城市公共交通“一卡通”互联互通建设和运营工作,为确保“一卡通”行业长期、稳定、健康发展,特制定《城市公共交通IC卡业务及技术应用规范》(以下简称“本规范”)。
本规范的制订工作于2012年11月正式启动,交通运输部道路运输司牵头组织。
二、目的及意义本规范的制订在于满足城市公共交通IC卡在公共汽电车、轨道交通、出租等公共交通领域的支付需求,并具备向其它小额支付领域的扩展能力,形成统一的指导性规范,保障联网通用。
本规范的制订为完善城市公共交通IC卡支付体系建设,推广普及城市公共交通“一卡通”,加快建设城市公共交通“一卡通”互联互通平台,推进城市公共交通“一卡通”跨市域、跨省域互联互通工作奠定了坚实基础,符合当前优先发展公共交通、转变城市交通发展方式、提升人民群众生活品质、提高政府基本公共服务水平的整体要求,是构建资源节约型、环境友好型社会的战略选择。
三、主要内容本规范包括以下8个部分。
第1部分《总则》:从系统组成、系统功能、性能指标、业务流程、检测标准五个方面总体阐述了城市公共交通IC卡系统要求。
第2部分《公共交通IC卡技术要求》:定义了卡片技术要求及卡片应用技术要求,明确了公共电汽车、出租车、轨道交通、停车场、城际客运、城际铁路、轮渡等应用场景,支持包括圈存、标准扣费、分时分段扣费、脱机预授权、单次扣款优惠等交易。
医院拔智齿医保报销流程英文回答:The process for medical insurance reimbursement for wisdom tooth extraction at a hospital typically involves several steps. Here is a breakdown of the process:1. Consultation: The first step is to schedule a consultation with a dentist or oral surgeon to assess the need for wisdom tooth extraction. During the consultation, the dentist will examine the teeth and determine if extraction is necessary. They will also discuss the cost of the procedure and whether it is covered by medical insurance.2. Pre-authorization: If the dentist determines that wisdom tooth extraction is medically necessary, they will submit a pre-authorization request to the insurance company. This request includes the dentist's recommendation and supporting documentation, such as X-rays and medicalrecords. The insurance company will review the request and determine if the procedure is covered under the policy.3. Approval and scheduling: Once the insurance company approves the pre-authorization request, the dentist'soffice will schedule the wisdom tooth extraction procedure. They will provide you with the date, time, and any pre-operative instructions.4. Procedure and payment: On the day of the procedure, you will undergo the wisdom tooth extraction. After the procedure, the dentist's office will provide you with an itemized bill that includes the cost of the extraction. You will need to pay this bill upfront.5. Claim submission: After paying the bill, you will need to submit a claim to your medical insurance companyfor reimbursement. This typically involves completing a claim form and attaching the itemized bill and any other required documentation, such as the pre-authorization approval letter.6. Reimbursement: Once the insurance company receives the claim, they will review it and process the reimbursement. The reimbursement amount will depend on the specific terms of your insurance policy, such as the coverage percentage and any deductibles or co-pays.7. Follow-up: If there are any issues or discrepancies with the reimbursement, you may need to follow up with the insurance company to resolve them. This could involve providing additional documentation or speaking with a customer service representative.Overall, the process for medical insurance reimbursement for wisdom tooth extraction involves consultation, pre-authorization, scheduling, payment, claim submission, reimbursement, and potential follow-up. It's important to check with your insurance company beforehand to understand the coverage and reimbursement process specific to your policy.中文回答:医院拔智齿医保报销的流程通常包括以下几个步骤。
术语和定义1 业务名词1.受理方Acquirer指受理交易的一方(即交易终端所在的一方)。
受理方负责联机交易信息的产生和转接以及结算数据的收集、整理和提交等。
2.收单行Acquiring Bank收单行主要负责特约商户的开拓与管理、授权请求、帐单结算等活动。
其为商户提供POS终端,并收取商户每一笔订单的回佣。
目前大多发卡行同时也兼任着收单行的角色。
95epay目前最大的收单行是中行,似乎国内所有外卡支付公司的收单行都是中行,中行提供高级非3D通道,成功率高!3.受理方服务机构Acquiring Service Org除收单机构以外,提供收单侧服务的机构(如提供商户结算服务的商户开户行,提供渠道接入服务的渠道接入机构,提供机具租赁的机具产权机构,提供机具维护服务的机具维护机构等)。
4.发卡方Issuer指持卡人账户所在的一方(即批准授权的一方)。
通常将发卡方及其联网的行内中心或区域中心统称为发卡方。
5.发卡行Issuing Bank就是给持卡人发信用卡的银行。
发卡行通过收取发卡行年费、透支付利息以及商户回佣分成(其中包括外贸信用卡收款通道的手续费分成)等,发卡行有自己的风控系统,对于有疑问和风险的订单,一般是会交易失败的。
6.发卡方服务机构Issuing Service Org除发卡机构以外,提供发卡侧服务的机构(如提供发卡接入服务的发卡接入机构,提供支付工具服务的联名卡合作发卡机构等)。
7.持卡人Cardholder8.个人标识码PIN Personal Identification Number个人标识码是在联机交易中识别持卡人身份合法性的数据信息,在计算机和网络系统中任何环节都不允许PIN以明文的方式出现。
9.特约商户Merchant10.商户开户行Merchant Bank为商户提供入账服务的机构。
11.代理行Correspondent bank / Agent Banks指与其他国家建立往来账户,代理对方的一些业务,为对方提供服务的银行。
河北职工医保报销流程The process of medical insurance reimbursement for employees in Hebei province can be a complex and bureaucratic one. In order to receive reimbursement for medical expenses, employees must first ensure that they are enrolled in the local employee medical insurance program. This program is typically administered by the local government or a designated healthcare provider.在河北省,职工医保报销流程可能比较复杂和繁琐。
要想获得医疗费用报销,员工首先必须确保自己已经参加了当地的职工医疗保险计划。
这个计划通常由当地政府或指定的医疗保险机构管理。
Once enrolled, employees must keep careful track of all medical expenses and receipts. This includes invoices, receipts, consultation reports, prescriptions, and any other relevant medical documentation. These documents are necessary to provide proof of the medical services received and the costs incurred.一旦参加了医保计划,员工必须仔细记录所有的医疗费用和收据。
这包括发票、收据、诊断报告、处方以及其他相关的医疗文件。
补牙医保报销流程详细步骤英文回答:The process of claiming dental insurance reimbursement for filling a tooth can vary depending on the specific insurance provider and policy. However, I can provide a general outline of the steps involved.1. Check your insurance coverage: Before getting the tooth filled, it is important to review your dental insurance policy to understand the coverage and reimbursement details. This information can usually be found in your insurance policy documents or by contacting your insurance provider directly.2. Choose an in-network dentist: To maximize your insurance benefits, it is advisable to visit a dentist who is in-network with your insurance provider. This means that the dentist has agreed to accept the negotiated fees and reimbursement rates set by the insurance company. Visitingan out-of-network dentist may result in higher out-of-pocket costs.3. Schedule the dental appointment: Once you have chosen a dentist, schedule an appointment for the tooth filling. It is a good idea to inform the dental officeabout your insurance coverage and inquire about any necessary pre-authorization requirements.4. Receive the dental treatment: During the appointment, the dentist will perform the tooth filling procedure. The type of filling material used and the complexity of the procedure can affect the cost and reimbursement.5. Obtain an itemized bill: After the treatment is completed, request an itemized bill from the dental office. This bill should include details such as the date of service, the specific tooth filled, the type of filling material used, and the cost of the procedure.6. Submit the claim: Submit a claim for reimbursementto your dental insurance provider. This can usually be doneonline, through a mobile app, or by mailing a paper claim form. Include the itemized bill and any other required documentation, such as proof of payment.7. Wait for processing: The insurance provider will review the claim and determine the reimbursement amount based on your policy coverage. This process can takeseveral weeks, so it is important to be patient.8. Receive reimbursement: Once the claim is processed, you will receive a reimbursement check or direct depositfor the approved amount. If there are any discrepancies or denials, the insurance provider will provide an explanation.中文回答:补牙医保报销的具体流程可能因具体的保险提供商和政策而有所不同。
公费医疗出省报销流程As a patient, seeking reimbursement for out-of-province medical expenses can be a daunting and frustrating process. 作为病人,寻求省外医疗费用报销可能是一个令人望而却步和沮丧的过程。
The first step is to ensure that you have all the necessary documentation before leaving the province for medical treatment. 这第一步是确保在离开所在省份接受医疗治疗之前,您已准备好所有必要的文件。
This can include referral letters from your primary care physician, medical records, and any pre-authorization forms required by your provincial health insurance plan. 这可能包括您的家庭医生的转诊信、医疗记录以及您所在省份医保计划所需的任何预授权表格。
Once you have received the required medical treatment out-of-province, it's crucial to keep all receipts and invoices related to your medical expenses. 一旦您在省外接受了必要的医疗治疗,保留与医疗费用相关的所有收据和发票至关重要。
After returning to your home province, you can begin the process of submitting a claim for reimbursement. 回到您的所在省份后,您可以开始提交报销申请的流程。
化疗药医保申请流程英文回答:The process of applying for medical insurance coverage for chemotherapy drugs can vary depending on the specific insurance provider and the country's healthcare system. However, I can provide a general overview of the steps involved in the process.1. Consultation with the oncologist: The first step is to consult with an oncologist who will determine the need for chemotherapy treatment. The oncologist will prescribe the specific chemotherapy drugs and provide the necessary documentation for the insurance claim.2. Insurance coverage verification: Before proceeding with the treatment, it is important to verify the coverage provided by the insurance plan. This can be done by contacting the insurance provider directly or through the assistance of a healthcare administrator. The coverageverification process may involve submitting theprescription and other relevant documents for review.3. Pre-authorization request: In some cases, the insurance provider may require pre-authorization for chemotherapy drugs. This involves submitting a request for approval before the treatment can begin. The request typically includes detailed information about the patient's medical condition, the prescribed drugs, and the treatment plan. The insurance provider will review the request and determine whether to approve or deny the coverage.4. Documentation submission: Once the insurance coverage is confirmed or pre-authorization is obtained, the next step is to submit the necessary documentation to the insurance provider. This may include the prescription, medical reports, treatment plan, and any other required forms. It is important to ensure that all the required documents are complete and accurate to avoid delays or rejections.5. Claim submission: After completing the chemotherapytreatment, the final step is to submit the claim for reimbursement. This involves submitting the necessary documents, such as the invoice from the healthcare provider, proof of payment, and any other required forms. The insurance provider will review the claim and process the reimbursement accordingly.It is important to note that the specific requirements and procedures may vary depending on the insurance provider and the country's healthcare system. It is advisable to consult with the insurance provider or a healthcare administrator for detailed information and guidance on the specific process.中文回答:化疗药物医保申请流程可以根据具体的保险提供商和国家的医疗保健系统而有所不同。
乳腺结节手术报销流程英文回答:The reimbursement process for breast nodule surgery involves several steps. Here is a general outline of the process:1. Consultation with a doctor: The first step is to schedule an appointment with a healthcare professional, such as a breast surgeon or a gynecologist. They will examine the breast nodule and determine if surgery is necessary.2. Pre-authorization: Before the surgery, you will need to contact your health insurance provider and obtain pre-authorization for the procedure. This involves submitting relevant medical documents and diagnostic reports, such as mammograms or ultrasounds, to prove the medical necessity of the surgery.3. Surgery scheduling: Once the pre-authorization is obtained, you can schedule the surgery with the surgeon. They will provide you with the necessary instructions and preparations for the procedure.4. Surgery and hospitalization: On the scheduled day, you will undergo the breast nodule surgery. The length of hospitalization may vary depending on the specific surgical procedure and your recovery progress.5. Billing and documentation: After the surgery, the hospital or healthcare facility will provide you with an itemized bill that includes the cost of the surgery, anesthesia, medications, and hospital stay. Make sure to keep all the relevant documents and receipts for future reference.6. Claim submission: To initiate the reimbursement process, you need to submit a claim to your healthinsurance provider. This can usually be done online or by filling out a claim form. Attach all the required documents, including the itemized bill, surgical reports, and anyother supporting documents.7. Review and processing: The insurance company will review your claim and supporting documents to ensure that they meet the policy criteria for reimbursement. This may take some time, so it's important to be patient.8. Reimbursement decision: Once the review process is complete, the insurance company will make a reimbursement decision. If approved, you will receive a reimbursement for the eligible expenses incurred during the surgery and hospitalization.9. Reimbursement payment: The reimbursement amount will be paid directly to you or the healthcare facility, depending on the insurance policy and arrangements. It's important to keep track of the payment and ensure that it matches the approved reimbursement amount.中文回答:乳腺结节手术的报销流程包括以下几个步骤:1. 医生咨询,首先需要预约一位医生,如乳腺外科医生或妇科医生。
化疗医保申请报销流程英文回答:The process for applying for chemotherapy reimbursement through medical insurance can vary depending on thespecific insurance provider and country. However, I can provide a general outline of the steps involved.1. Consultation with the oncologist: The first step is to consult with an oncologist who will determine the need for chemotherapy treatment. The oncologist will provide details about the treatment plan, including the drugs to be used and the duration of the treatment.2. Insurance coverage check: Before proceeding with chemotherapy, it is important to check the insurance coverage for chemotherapy treatment. This can be done by contacting the insurance provider directly or consulting with the hospital's billing department. It is crucial to understand what expenses will be covered by insurance andwhat will need to be paid out of pocket.3. Pre-authorization: In many cases, priorauthorization is required from the insurance company before starting chemotherapy. This involves submitting necessary medical documents, such as the treatment plan and the oncologist's recommendation, to the insurance company for review. The insurance company will assess the medical necessity of the treatment and determine whether it meets their coverage criteria.4. Treatment initiation: Once the pre-authorization is obtained, chemotherapy treatment can begin. The treatment sessions are usually scheduled at regular intervals, and the patient will need to adhere to the prescribed treatment plan.5. Documentation and billing: Throughout the treatment process, it is important to keep all relevant medical documentation, such as invoices, receipts, and medical reports. These documents will be required for the reimbursement claim. The hospital's billing department canassist in providing the necessary documents.6. Reimbursement claim submission: After completing the chemotherapy treatment, the reimbursement claim can be submitted to the insurance company. This typically involves filling out a claim form and attaching all the required supporting documents. The claim form can be obtained from the insurance company or downloaded from their website.7. Claim review and processing: The insurance company will review the reimbursement claim and assess itseligibility for reimbursement. This process can take some time, and it is important to follow up with the insurance company regularly to ensure a timely review.8. Reimbursement payment: If the reimbursement claim is approved, the insurance company will issue a payment for the eligible expenses. The payment can be directly deposited into the patient's bank account or sent as a check.中文回答:化疗医保申请报销的流程可以因具体的保险提供商和国家而有所不同。
异地补牙齿医保报销流程英文回答:The process of claiming dental insurance reimbursement for dental treatment in a different location can vary depending on the specific insurance provider and policy. However, I can provide a general outline of the steps involved.1. Confirm coverage: Before seeking dental treatment,it is important to review your insurance policy to determine if it covers dental treatment in a different location. Some insurance policies may have restrictions or limitations on coverage outside of the designated area.2. Choose a network provider: If your insurance policy requires you to visit a network provider, you will need to find a dentist in the area where you are seeking treatment. Network providers have agreed-upon rates with the insurance company, which can help reduce your out-of-pocket expenses.3. Obtain pre-authorization: Depending on your insurance policy, you may need to obtain pre-authorization for the dental treatment before proceeding. This involves submitting a treatment plan to the insurance company for review and approval. Failure to obtain pre-authorization may result in denial of reimbursement.4. Pay for the treatment: In most cases, you will need to pay for the dental treatment upfront and obtain an itemized receipt from the dentist. The receipt should include the details of the treatment, such as the procedures performed and the associated costs.5. Submit a claim: After receiving the dental treatment and obtaining the necessary documentation, you can submit a claim to your insurance company for reimbursement. The claim should include the itemized receipt, along with any other required forms or documentation specified by your insurance provider.6. Follow up on the claim: It is important to keeptrack of your claim and follow up with the insurance company if necessary. This may involve providing additional information or answering any questions they may have. It is advisable to keep copies of all correspondence and documentation related to the claim.7. Reimbursement: Once the claim is processed and approved, you should receive reimbursement from your insurance company. The amount reimbursed will depend on your policy coverage and any applicable deductibles or co-pays.中文回答:异地补牙齿医保报销的流程可能因具体的保险提供商和政策而有所不同。
烟台异地就医医保报销流程Visiting a doctor in a different city can be a stressful experience, especially when it comes to dealing with medical insurance reimbursement. When seeking medical treatment in Yantai as a non-local resident, understanding the process for health insurance reimbursement is crucial. The first step is to ensure that you have adequate health insurance coverage that includes out-of-town medical services.在异地求医可能是一种有压力的经历,尤其是在处理医疗保险报销问题时。
作为一名非本地居民在烟台寻求医疗服务,理解健康保险报销流程至关重要。
首要步骤是确保你有足够的医疗保险覆盖范围,包括异地医疗服务。
Before visiting a healthcare provider in Yantai, it is advisable to contact your insurance company to inquire about their specific procedures for out-of-town medical reimbursements. Some insurance companies may require pre-authorization before receiving medical services, so it is crucial to clarify these requirements in advance to avoid any issues with reimbursement later on. Additionally, it is essential to keep all medical records, receipts, andinvoices related to your treatment in order to provide necessary documentation for the reimbursement process.在烟台就医之前,建议与你的保险公司联系,了解他们针对异地医疗报销的具体流程。
肝癌手术医保报备流程英文回答:The process of reporting liver cancer surgery to medical insurance involves several steps. Firstly, I need to consult with my doctor to determine if surgery is the best treatment option for my condition. The doctor will evaluate my medical history, conduct necessary tests, and assess the stage of the cancer before recommending surgery.Once the decision for surgery is made, the next step is to obtain pre-authorization from the medical insurance provider. This involves submitting all relevant medical documents, including the doctor's recommendation, test results, and any other supporting documents. It is important to ensure that all the necessary information is included to avoid any delays in the approval process.After the pre-authorization is obtained, the surgery can be scheduled. It is important to follow theinstructions given by the insurance provider regarding the choice of hospital and surgeon. Some insurance plans may have specific requirements regarding the network of hospitals and doctors that they cover. It is crucial to choose a hospital and surgeon that are within the network to ensure maximum coverage.On the day of the surgery, it is important to bring all the necessary documents, including the pre-authorization letter, insurance card, and identification documents. These documents will be required for verification purposes and to ensure that the surgery is covered by the insurance.After the surgery, the hospital will provide a detailed medical report and invoice. It is important to keep a copy of these documents for future reference. The medical report will be required for the insurance claim process.Once the surgery is completed and the necessary documents are obtained, the final step is to submit a claim to the medical insurance provider. This can be done either online or through a physical claim form. It is important toprovide all the required information accurately and in a timely manner to avoid any delays in the reimbursement process.中文回答:肝癌手术医保报备流程包括几个步骤。
粉瘤切割门诊报销流程英文回答:To begin with, I would like to explain the reimbursement process for outpatient surgery of removing a lipoma, also known as a fatty tumor. Lipoma is a benign growth of fat cells that usually develops just beneath the skin. It is a common condition and often does not require treatment unless it causes discomfort or affects one's appearance.The first step in the reimbursement process is to visit a qualified healthcare provider, such as a dermatologist or a surgeon, who will evaluate the lipoma and determine if surgical removal is necessary. The doctor will then provide a detailed diagnosis and treatment plan, including the estimated cost of the procedure.Next, I would contact my health insurance provider to inquire about the coverage for lipoma removal surgery. Itis important to check the terms and conditions of the insurance policy to understand what procedures are covered and what documents are required for reimbursement. In some cases, pre-authorization may be necessary before proceeding with the surgery.Once the surgery is scheduled and completed, I would ensure that all the necessary documents are collected. This may include the doctor's referral, medical reports, invoices, and receipts. These documents are crucial for the reimbursement process and should be kept in a safe place.After the surgery, I would submit a claim to my health insurance provider. This can usually be done online or by filling out a reimbursement form. It is important to provide accurate and complete information to avoid any delays in processing the claim. The insurance company will review the claim and determine the amount that will be reimbursed based on the policy coverage.It is worth noting that the reimbursement process may take some time, depending on the insurance company'spolicies and procedures. It is important to be patient and follow up with the insurance provider if there are any delays or issues with the reimbursement.In conclusion, the reimbursement process for outpatient surgery of removing a lipoma involves visiting a healthcare provider, checking insurance coverage, collecting necessary documents, and submitting a claim to the insurance provider. It is important to understand the insurance policy andfollow the necessary steps to ensure a smooth reimbursement process.中文回答:首先,我想解释一下粉瘤切割门诊的报销流程。