我国医疗保险实行的是属地管理,医疗保险稽核对象主要是定点医疗机构和参保人员在参保地的就医行为。医疗保险经办机构因地域限制而很少开展异地稽核工作,异地就医甚至成为医疗保险经办机构的稽核盲区。借助中介机构开展异地医疗代理稽核,可以有效加强异地医疗稽核。 The implementation of medical insurance in our country is geo-management. The main object of medical insurance audit is medical treatment of insured places by designated medical institutions and insured persons. Medical insurance agencies due to geographical constraints and seldom carry out off-site audit, medical treatment and even remote medical insurance agencies have become blind spots. Intermediary agencies to carry out remote medical audit, can effectively enhance the remote medical audit.