📄 ybjsbb(2006-08-31)a.htm
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<td>3961.09</td>
<td>0</td>
<td>0</td>
<td>3961.09</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>13</td>
<td>普通</td>
<td>门特</td>
<td>05110001A06081842121</td>
<td>张立军</td>
<td>10248085200S</td>
<td>
<p align="left">普/退职</p>
</td>
<td>2006-08-18</td>
<td>680.23</td>
<td>680.23</td>
<td>0</td>
<td>0</td>
<td>680.23</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>14</td>
<td>普通</td>
<td>门特</td>
<td>05110001A06081842122</td>
<td>张立军</td>
<td>10248085200S</td>
<td>
<p align="left">普/退职</p>
</td>
<td>2006-08-18</td>
<td>620.21</td>
<td>620.21</td>
<td>0</td>
<td>0</td>
<td>620.21</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>15</td>
<td>普通</td>
<td>门特</td>
<td>0511000106080203640B</td>
<td>沈田</td>
<td>10293001200S</td>
<td>
<p align="left">普/在职</p>
</td>
<td>2006-08-02</td>
<td>11103.73</td>
<td>0</td>
<td>11103.73</td>
<td>0</td>
<td>11103.73</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>16</td>
<td>普通</td>
<td>门特</td>
<td>0511000106080303650B</td>
<td>牛桂珍</td>
<td>10240801600S</td>
<td>
<p align="left">普/在职</p>
</td>
<td>2006-08-03</td>
<td>331.08</td>
<td>331.08</td>
<td>0</td>
<td>0</td>
<td>331.08</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>17</td>
<td>普通</td>
<td>门特</td>
<td>0511000106080703685B</td>
<td>孙桂珍</td>
<td>10056756800S</td>
<td>
<p align="left">普/在职</p>
</td>
<td>2006-08-07</td>
<td>211.41</td>
<td>211.41</td>
<td>0</td>
<td>0</td>
<td>211.41</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>18</td>
<td>普通</td>
<td>门特</td>
<td>0511000106081103727B</td>
<td>牛桂珍</td>
<td>10240801600S</td>
<td>
<p align="left">普/在职</p>
</td>
<td>2006-08-11</td>
<td>223.45</td>
<td>223.45</td>
<td>0</td>
<td>0</td>
<td>223.45</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>19</td>
<td>普通</td>
<td>门特</td>
<td>0511000106081403746B</td>
<td>孙桂珍</td>
<td>10056756800S</td>
<td>
<p align="left">普/在职</p>
</td>
<td>2006-08-14</td>
<td>198</td>
<td>198</td>
<td>0</td>
<td>0</td>
<td>198</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>20</td>
<td>普通</td>
<td>门特</td>
<td>05110001A06081842200</td>
<td>姜秀梅</td>
<td>10417194500S</td>
<td>
<p align="left">普/在职</p>
</td>
<td>2006-08-18</td>
<td>3772.67</td>
<td>3772.67</td>
<td>0</td>
<td>0</td>
<td>3772.67</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>21</td>
<td>普通</td>
<td>住院</td>
<td>0511000106061602973B</td>
<td>申克亮</td>
<td>10248345100S</td>
<td>
<p align="left">普/在职</p>
</td>
<td>2006-06-16</td>
<td>7516.77</td>
<td>5386.62</td>
<td>2130.15</td>
<td>0</td>
<td>7516.77</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>22</td>
<td>普通</td>
<td>住院</td>
<td>05110001A06081641827</td>
<td>王蕾</td>
<td>10355472800S</td>
<td>
<p align="left">普/在职</p>
</td>
<td>2006-08-16</td>
<td>844.93</td>
<td>844.93</td>
<td>0</td>
<td>0</td>
<td>844.93</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td colspan="8">
<p align="right">门特小计(12笔)：</p>
</td>
<td>27132.75</td>
<td>14785.88</td>
<td>12346.87</td>
<td>0</td>
<td>27132.75</td>
<td>0</td>
<td>0</td>
</tr>
<tr>
<td colspan="8">
<p align="right">住院小计(10笔)：</p>
</td>
<td>98459.94</td>
<td>93629.32</td>
<td>4830.62</td>
<td>0</td>
<td>98459.94</td>
<td>0</td>
<td>0</td>
</tr>
<tr>
<td colspan="8">
<p align="left">小计：22笔</p>
</td>
<td>125592.69</td>
<td>108415.20</td>
<td>17177.49</td>
<td>0</td>
<td>125592.69</td>
<td>0</td>
<td>0</td>
</tr><tr bgcolor='#dddddd'><td colspan="15">
<p align="left">参保人报销地区：海淀区</p>
</td></tr><tr>
<th rowspan="2" width='30'>序号</th>
<th rowspan="2" width='40'>交易<br>类别</th>
<th rowspan="2" width='40'>医疗<br>类别</th>
<th rowspan="2" width='150'>交易流水号</th>
<th rowspan="2" width='65'>姓名</th>
<th rowspan="2" width='90'>卡号/<br>手册号</th>
<th rowspan="2" width='60'>
<pre>医疗保
险参保
人员类
别</pre>
</th>
<th rowspan="2" width='90'>交易日期</th>
<th rowspan="2" width='75'>申报费用<br>总金额</th>
<th colspan="4" width='300'>支付医疗费用</th>
<th rowspan="2" width='50'>个人帐<br>户支付<br>金额</th>
<th rowspan="2" width='55'>拒付<br>金额<br>小计</th>
</tr>
<tr>
<th width='75'>(离休/<br>生育)<br>统筹支付</th>
<th width='75'>住院大额<br>支付</th>
<th width='75'>公务员<br>医疗<br>补助支付</th>
<th width='75'>支付金额<br>小计</th>
</tr><tr>
<td>1</td>
<td>普通</td>
<td>门特</td>
<td>0511000106080803699B</td>
<td>米燕斌</td>
<td>10156795600S</td>
<td>
<p align="left">普/退休</p>
</td>
<td>2006-08-08</td>
<td>411.82</td>
<td>411.82</td>
<td>0</td>
<td>0</td>
<td>411.82</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>2</td>
<td>普通</td>
<td>门特</td>
<td>0511000106080803704B</td>
<td>马慧媛</td>
<td>10471111600S</td>
<td>
<p align="left">普/退休</p>
</td>
<td>2006-08-08</td>
<td>557.65</td>
<td>557.65</td>
<td>0</td>
<td>0</td>
<td>557.65</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>3</td>
<td>普通</td>
<td>门特</td>
<td>0511000106081403745B</td>
<td>马慧媛</td>
<td>10471111600S</td>
<td>
<p align="left">普/退休</p>
</td>
<td>2006-08-14</td>
<td>458.49</td>
<td>458.49</td>
<td>0</td>
<td>0</td>
<td>458.49</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>4</td>
<td>普通</td>
<td>住院</td>
<td>0511000106072803433B</td>
<td>冯俊玲</td>
<td>10516930000S</td>
<td>
<p align="left">普/退休</p>
</td>
<td>2006-07-28</td>
<td>5631.43</td>
<td>5631.43</td>
<td>0</td>
<td>0</td>
<td>5631.43</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>5</td>
<td>普通</td>
<td>住院</td>
<td>0511000106080103443B</td>
<td>李秀珍</td>
<td>10055392300S</td>
<td>
<p align="left">普/退休</p>
</td>
<td>2006-08-01</td>
<td>8726.61</td>
<td>8726.61</td>
<td>0</td>
<td>0</td>
<td>8726.61</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>6</td>
<td>普通</td>
<td>住院</td>
<td>0511000106080103495B</td>
<td>李金成</td>
<td>10504701300S</td>
<td>
<p align="left">普/退休</p>
</td>
<td>2006-08-01</td>
<td>6240.45</td>
<td>6240.45</td>
<td>0</td>
<td>0</td>
<td>6240.45</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>7</td>
<td>普通</td>
<td>住院</td>
<td>0511000106080103515B</td>
<td>樊祟香</td>
<td>10218688000S</td>
<td>
<p align="left">普/退休</p>
</td>
<td>2006-08-01</td>
<td>5641.92</td>
<td>5641.92</td>
<td>0</td>
<td>0</td>
<td>5641.92</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>8</td>
<td>普通</td>
<td>住院</td>
<td>0511000106081003389B</td>
<td>谢其肪</td>
<td>10186929000S</td>
<td>
<p align="left">普/退休</p>
</td>
<td>2006-08-10</td>
<td>23920.2</td>
<td>23920.2</td>
<td>0</td>
<td>0</td>
<td>23920.2</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>9</td>
<td>普通</td>
<td>住院</td>
<td>0511000106080703630B</td>
<td>何继忠</td>
<td>10352808100S</td>
<td>
<p align="left">普/在职</p>
</td>
<td>2006-08-07</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>10</td>
<td>普通</td>
<td>住院</td>
<td>0511000106080803456B</td>
<td>张淑珍</td>
<td>10108621200S</td>
<td>
<p align="left">普/在职</p>
</td>
<td>2006-08-08</td>
<td>10164.61</td>
<td>10164.61</td>
<td>0</td>
<td>0</td>
<td>10164.61</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td>11</td>
<td>普通</td>
<td>住院</td>
<td>0511000106081003612B</td>
<td>秦龙义</td>
<td>10273763900S</td>
<td>
<p align="left">普/在职</p>
</td>
<td>2006-08-10</td>
<td>4581.29</td>
<td>4581.29</td>
<td>0</td>
<td>0</td>
<td>4581.29</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td colspan="8">
<p align="right">门特小计(3笔)：</p>
</td>
<td>1427.96</td>
<td>1427.96</td>
<td>0</td>
<td>0</td>
<td>1427.96</td>
<td>0</td>
<td>0</td>
</tr>
<tr>
<td colspan="8">
<p align="right">住院小计(8笔)：</p>
</td>
<td>64906.51</td>
<td>64906.51</td>
<td>0</td>
<td>0</td>
<td>64906.51</td>
<td>0</td>
<td>0</td>
</tr>
<tr>
<td colspan="8">
<p align="left">小计：11笔</p>
</td>
<td>66334.47</td>
<td>66334.47</td>
<td>0</td>
<td>0</td>
<td>66334.47</td>
<td>0</td>
<td>0</td>
</tr><tr bgcolor='#dddddd'><td colspan="15">
<p align="left">参保人报销地区：平谷区</p>
</td></tr><tr>
<th rowspan="2" width='30'>序号</th>
<th rowspan="2" width='40'>交易<br>类别</th>
<th rowspan="2" width='40'>医疗<br>类别</th>
<th rowspan="2" width='150'>交易流水号</th>
<th rowspan="2" width='65'>姓名</th>
<th rowspan="2" width='90'>卡号/<br>手册号</th>
<th rowspan="2" width='60'>
<pre>医疗保
险参保
人员类
别</pre>
</th>
<th rowspan="2" width='90'>交易日期</th>
<th rowspan="2" width='75'>申报费用<br>总金额</th>
<th colspan="4" width='300'>支付医疗费用</th>
<th rowspan="2" width='50'>个人帐<br>户支付<br>金额</th>
<th rowspan="2" width='55'>拒付<br>金额<br>小计</th>
</tr>
<tr>
<th width='75'>(离休/<br>生育)<br>统筹支付</th>
<th width='75'>住院大额<br>支付</th>
<th width='75'>公务员<br>医疗<br>补助支付</th>
<th width='75'>支付金额<br>小计</th>
</tr><tr>
<td>1</td>
<td>普通</td>
<td>住院</td>
<td>05110001A06080440225</td>
<td>王朝相</td>
<td>10616251200S</td>
<td>
<p align="left">普/外地农民工</p>
</td>
<td>2006-08-04</td>
<td>3987.55</td>
<td>3987.55</td>
<td>0</td>
<td>0</td>
<td>3987.55</td>
<td>0</td>
<td>0</td>
</tr><tr></tr>
<tr>
<td colspan="8">
<p align="right">门特小计(0笔)：</p>
</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
</tr>
<tr>
<td colspan="8">
<p align="right">住院小计(1笔)：</p>
</td>
<td>3987.55</td>
<td>3987.55</td>
<td>0</td>
<td>0</td>
<td>3987.55</td>
<td>0</td>
<td>0</td>
</tr>
<tr>
<td colspan="8">
<p align="left">小计：1笔</p>
</td>
<td>3987.55</td>
<td>3987.55</td>
<td>0</td>
<td>0</td>
<td>3987.55</td>
<td>0</td>
<td>0</td>
</tr>
<tr bgcolor =#efefef>
<td colspan="8">
<p align="right">门特总计(46笔)：</p>
</td>
<td>129738.32</td>
<td>73642.63</td>
<td>56095.69</td>
<td>0</td>
<td>129738.32</td>
<td>0</td>
<td>0</td>
</tr>
<tr bgcolor =#efefef>
<td colspan="8">
<p align="right">住院总计(61笔)：</p>
</td>
<td>1826794.39</td>
<td>1742010.48</td>
<td>84783.91</td>
<td>0</td>
<td>1826794.39</td>
<td>0</td>
<td>0</td>
</tr>
<tr bgcolor =#efefaa>
<td colspan="8">
<p align="left">总计：107笔</p>
</td>
<td>1956532.71</td>
<td>1815653.11</td>
<td>140879.60</td>
<td>0</td>
<td>1956532.71</td>
<td>0</td>
<td>0</td>
</tr>
</table>
<table border="0" align="center" width="940">
<tr>
<td height="16">结算日期：2006-08-31</td>
</tr>
<tr>
<td height="16"><div align = "left">
交易类别：“普通”是指医院上传的交易；“追回”是医保中心对已支付交易进行追回操作产生的交易；“补支”是医保中心进行补支操作产生的交易。<br>
医疗保险参保人员类别：“普”是指普通参保人；“离”是指离休干部参保人；“生育”是指生育保险参保人；“公疗”是指公费医疗保险参保人。
</div></td>
</tr>
</table>
</body>
</html>
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