GB/T 48018-2026Specification for basic medical insurance registration services (English PDF)
基本医疗保险登记服务规范
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Issued by
SAMR; SAC
Level / Type
National · Recommended
Issue date
July 30, 2026
Implementation date
September 1, 2026
Scope
GB/T 48018-2026 is the English-translated version of 基本医疗保险登记服务规范.
GB/T 48018-2026 is the Chinese standard "Specification for basic medical insurance registration services". Its scope clause reads: This document stipulates the basic requirements for basic medical insurance registration services, including service content and methods, business file management, and risk control.
The system includes service supervision, evaluation, and improvement, and establishes service processes. This document applies to basic medical insurance registration conducted by medical security (social insurance) agencies and other authorized service providers. Work. Its clauses include terms and definitions.
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Document preview — GB/T 48018-2026
National Standard of the People's Republic of China
- ICS
- 03.060
- Classification
- A 11
Issued by: State Administration for Market Regulation; Standardization Administration of the PRC
Contents
- 1.Scope1
- 2 Normative references1
- 3.Terms and Definitions1
- 4.Basic Requirements2
- 5.Service content, methods, and procedures2
- 6.Business File Management12
- 7.Risk control during operation13
- 8.Service monitoring, evaluation and improvement13
- Appendix A (Informative) Business Forms14
- References21
1 Scope
This document stipulates the basic requirements for basic medical insurance registration services, including service content and methods, business file management, and risk control.
The system includes service supervision, evaluation, and improvement, and establishes service processes.
This document applies to basic medical insurance registration conducted by medical security (social insurance) agencies and other authorized service providers.
Work.
2 Normative references
The contents of the following documents, through normative references within the text, constitute essential provisions of this document. Dated citations are listed below.
For references to documents, only the version corresponding to that date applies to this document; for undated references, the latest version (including all amendments) applies.
This document.
GB/T 19038 Guidelines for Customer Satisfaction Measurement Models and Methods
GB/T 31596.1 Social Insurance Terminology Part 1.General
GB/T 31596.4 Social Insurance Terminology Part 4.Medical Insurance
GB/T 31596.6 Social Insurance Terminology Part 6.Maternity Insurance
GB/T 31599 Standard for Social Insurance Business Records Management
3 Terms and Definitions
The terms and definitions defined in GB/T 31596.1, GB/T 31596.4, and GB/T 31596.6, as well as the following terms and definitions, apply to this document.
3.1 Basic medical insurance registration
The insurance information submitted by employers (individuals) as required or obtained through data sharing with other administrative authorities, and processed by the local medical security department...
The agency reviews and approves the establishment and modification of basic medical insurance relationships.
Note. Enrollment registration includes new enrollment, suspension of enrollment, and cancellation of registration. Insurance types include basic medical insurance for employees and basic medical insurance for urban and rural residents.
Medical insurance, maternity insurance, major illness insurance for urban and rural residents, and subsidies for major medical expenses for employees, etc.
[Source. GB/T 31596.1-2015, 3.7, with modifications]
3.2 Registration through information sharing in basic medical insurance
When employers or individuals register with other administrative authorities, the medical insurance agency simultaneously processes the basic registration through data sharing.
The act of registering for medical insurance.
3.3
The basic medical insurance relationship is transferred and continued.
The transmission of personal medical insurance information records, the transfer of funds in employee medical insurance personal accounts, and the handling of the connection of medical insurance benefits.
[Source. GB/T 31596.1-2015, 3.8.4, with modifications] […]
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This preview omits tables, figures, formulas and parts of the technical clauses. The complete document — 20 pages — is available in the English PDF.
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