National Healthcare Security Administration: Implementing pilot work of intelligent audit for the entire process of healthcare insurance operations.

date
06/11/2025
Notice from the Office of the National Medical Insurance Administration on the Pilot Work of Intelligent Audit throughout the Medical Insurance Processing. The notice points out the integration of intelligent audit system function construction, promotion of artificial intelligence technology application in processing audit work, exploration of developing processing intelligent audit knowledge base, rule base, model base, establishment of a national universal knowledge, rule and model, promotion of unified audit standards and processes nationwide. Summarize and promote replicable, referable experiences, standards and models, synchronously establish an innovative application new model of "local exploration and innovation, national evaluation and promotion", effectively enhance the national medical insurance processing audit capabilities, advance the pre-positioning of fund security checks, achieve the safe, efficient and sustainable operation of medical insurance funds.