2021年5月医疗救助直报明细表
索 引 号: | yishuixjhz2501108/2021-0000575 | 主 题 词: | 其他 | 公开方式: | 主动公开 |
文 号: | 发布机构: | 沂水县许家湖镇 | 发布日期: | 2021-12-09 | |
浏览次数: | 有 效 性: | 成文日期: | 2021-12-09 | ||
标 题: | 2021年5月医疗救助直报明细表 |
沂水县许家湖卫生院2021年5月医疗救助直报明细表——住院 | |||||||||||||||
符合基本医疗费用=总费用-个人自付-自费 | |||||||||||||||
序号 | 病人姓名 | 入院日期 | 出院日期 | 结算日期 | 医疗总费用 | 符合基本医疗费用 | 个人自付费用 | 自费金额 | 统筹支付 | 大病支付 | 医疗救助 | 医疗特大救助 | 特大再救助 | 医疗机构减免 | 商业补充保险 |
1 | 刘志海 | 2021/4/20 | 2021/5/2 | 2021/5/2 | 2716.5 | 2663.2 | 0 | 53.3 | 2216.88 | 0 | 312.42 | 0 | 0 | 0 | 0 |
2 | 张建芬 | 2021/4/5 | 2021/5/3 | 2021/5/3 | 10065.55 | 10061.4 | 0 | 4.15 | 8875.27 | 0 | 830.29 | 0 | 0 | 0 | 0 |
3 | 张庆彩 | 2021/4/24 | 2021/5/3 | 2021/5/3 | 3023.76 | 2993.76 | 0 | 30 | 2514.39 | 311.59 | 117.45 | 0 | 0 | 0 | 0 |
4 | 牛丙秀 | 2021/4/20 | 2021/5/3 | 2021/5/3 | 5344.8 | 5280.3 | 0 | 64.5 | 4574.27 | 0 | 494.22 | 0 | 0 | 0 | 0 |
5 | 单桂梅 | 2021/4/28 | 2021/5/3 | 2021/5/3 | 1931.06 | 1886.86 | 0 | 44.2 | 1518.17 | 0 | 258.08 | 0 | 0 | 0 | 0 |
6 | 刘立奇 | 2021/4/30 | 2021/5/3 | 2021/5/3 | 1576.78 | 1507.3 | 64.28 | 5.2 | 1176.57 | 0 | 231.51 | 0 | 0 | 0 | 0 |
7 | 谭庆国 | 2021/4/22 | 2021/5/4 | 2021/5/4 | 5686.11 | 5660.31 | 0 | 25.8 | 4914.28 | 0 | 522.22 | 0 | 0 | 0 | 0 |
8 | 窦富芹 | 2021/4/28 | 2021/5/6 | 2021/5/6 | 2270.39 | 2258.69 | 0 | 11.7 | 1852.82 | 0 | 284.11 | 0 | 0 | 0 | 0 |
9 | 黄建福 | 2021/4/15 | 2021/5/9 | 2021/5/9 | 9742.61 | 9733.11 | 0 | 9.5 | 8579.8 | 0 | 807.32 | 0 | 0 | 0 | 0 |
10 | 王进乐 | 2021/4/17 | 2021/5/9 | 2021/5/9 | 10808.81 | 10658.06 | 69.25 | 81.5 | 9414.26 | 395.55 | 593.78 | 0 | 0 | 0 | 0 |
11 | 梨文群 | 2021/4/26 | 2021/5/10 | 2021/5/10 | 7589.72 | 7589.72 | 0 | 0 | 6652.71 | 0 | 655.91 | 0 | 0 | 0 | 0 |
12 | 王家美 | 2021/5/3 | 2021/5/12 | 2021/5/12 | 3621.2 | 3608.2 | 0 | 13 | 3067.38 | 0 | 378.57 | 0 | 0 | 0 | 0 |
13 | 牛树梅 | 2021/5/4 | 2021/5/12 | 2021/5/12 | 4421.12 | 4417.22 | 0 | 3.9 | 3795.5 | 0 | 435.2 | 0 | 0 | 0 | 0 |
14 | 石庆华 | 2021/4/16 | 2021/5/14 | 2021/5/14 | 10731.04 | 10724.14 | 0 | 6.9 | 9471.73 | 66.3 | 830.28 | 0 | 0 | 0 | 0 |
15 | 安茂法 | 2021/4/21 | 2021/5/15 | 2021/5/15 | 9903.45 | 9728.65 | 72.21 | 102.59 | 8575.79 | 749.36 | 282.45 | 0 | 0 | 0 | 0 |
16 | 王宝亮 | 2021/4/20 | 2021/5/15 | 2021/5/15 | 9788.12 | 9743.92 | 36 | 8.2 | 8589.53 | 0 | 808.07 | 0 | 0 | 0 | 0 |
17 | 邹朋英 | 2021/5/10 | 2021/5/15 | 2021/5/15 | 2233.96 | 2178.16 | 0 | 55.8 | 1780.34 | 0 | 278.47 | 0 | 0 | 0 | 0 |
18 | 郭淑甫 | 2021/5/4 | 2021/5/17 | 2021/5/17 | 2624.15 | 2433.54 | 172.41 | 18.2 | 2010.19 | 275.17 | 103.73 | 0 | 0 | 0 | 0 |
19 | 马淑连 | 2021/4/26 | 2021/5/20 | 2021/5/20 | 9657.46 | 9588.76 | 0 | 68.7 | 8449.89 | 0 | 797.21 | 0 | 0 | 0 | 0 |
20 | 宋志山 | 2021/5/13 | 2021/5/21 | 2021/5/21 | 2336.43 | 2324.73 | 0 | 11.7 | 1912.26 | 0 | 288.73 | 0 | 0 | 0 | 0 |
21 | 谭淑荣 | 2021/4/29 | 2021/5/23 | 2021/5/23 | 9456.17 | 9413.27 | 36 | 6.9 | 8291.95 | 0 | 784.92 | 0 | 0 | 0 | 0 |
22 | 谭庶英 | 2021/4/30 | 2021/5/24 | 2021/5/24 | 10787.47 | 10751.68 | 28.89 | 6.9 | 9496.52 | 0 | 878.61 | 0 | 0 | 0 | 0 |
23 | 夏桂荣 | 2021/5/23 | 2021/5/27 | 2021/5/27 | 1747.46 | 1740.96 | 0 | 6.5 | 1386.87 | 0 | 247.86 | 0 | 0 | 0 | 0 |
24 | 田宝美 | 2021/5/5 | 2021/5/29 | 2021/5/29 | 9452.01 | 9440.85 | 7.26 | 3.9 | 8316.77 | 730.65 | 275.4 | 0 | 0 | 0 | 0 |
25 | 谭纪美 | 2021/5/21 | 2021/5/30 | 2021/5/30 | 2456.64 | 2447.54 | 0 | 9.1 | 2022.79 | 0 | 297.33 | 0 | 0 | 0 | 0 |
26 | 代友增 | 2021/5/6 | 2021/5/31 | 2021/5/31 | 9818.82 | 9808.4 | 5.22 | 5.2 | 8647.56 | 754.55 | 284.4 | 0 | 0 | 0 | 0 |
159791.59 | 158642.73 | 491.52 | 657.34 | 138104.49 | 3283.17 | 12078.54 | 0 | 0 | 0 |