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释义	律师分析：城镇职工和城乡居民参保人员可分别由参保单位，村（居）委会、社区、高校或乡镇卫生院统一向参保地医保部门申报门诊特殊疾病评审鉴定（灵活就业和无管理机构的关闭破产企业人员可直接向参保地医保部门申报）。【法律依据】：《中华人民共和国社会保险法》第二十九条参保人员医疗费用中应当由基本医疗保险基金支付的部分，由社会保险经办机构与医疗机构、药品经营单位直接结算。社会保险行政部门和卫生行政部门应当建立异地就医医疗费用结算制度，方便参保人员享受基本医疗保险待遇。
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