平安好医生:“医保+商保”互联互通 开启“无感快赔”新模式

新华财经
Jul 05, 2025

  新华财经上海7月5日电(记者王淑娟)近日,首个全国性“医保+商保”清分结算中心成功上线,实现了基本医保数据和商业保险数据的互联互通,使购买相应商业保险的患者在医疗机构就能够“一站式”完成医保和商保的同步结算。记者获悉,平安集团旗下平安好医生参与该试点工作,打造了“平安医健付”,推出通过“医保+商保”清分结算中心实现无感快赔的产品,为我国医疗保障体系的优化升级注入了全新活力。

  平安好医生相关负责人表示,“医保+商保”清分结算中心打造的平台,成功打通了医保与商保之间的数据壁垒,实现了两者在数据交互、费用结算等关键环节的无缝对接。通过精准清分和高效结算,让每一笔医保和商保资金都能精准地发挥作用。

  过去,医保和商保报销流程繁琐,患者和家属要在医院、保险公司间来回跑。而如今,平安医健付实现了客户在就医过程中的一码直付、无感快赔。患者就医时,系统会自动完成商保理赔的清分结算,真正做到让保险理赔“零感知”。

  平安好医生相关负责人表示,“无感快赔”新模式不仅能够让老百姓获得赔付更方便,就医体验更好,也很大程度地降低商业保险的核保、核赔成本负担。

(文章来源:新华财经)

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