{"id":6018,"date":"2021-11-04T17:17:45","date_gmt":"2022-06-24T10:17:45","guid":{"rendered":"https:\/\/ceco.vn\/kham-chua-benh-khong-dung-tuyen-se-duoc-thanh-toan-chi-phi-ra-sao\/"},"modified":"2021-11-04T17:17:45","modified_gmt":"2022-06-24T10:17:45","slug":"kham-chua-benh-khong-dung-tuyen-se-duoc-thanh-toan-chi-phi-ra-sao","status":"publish","type":"post","link":"https:\/\/ceco.com.vn\/en\/kham-chua-benh-khong-dung-tuyen-se-duoc-thanh-toan-chi-phi-ra-sao\/","title":{"rendered":"Kh\u00e1m ch\u1eefa b\u1ec7nh kh\u00f4ng \u0111\u00fang tuy\u1ebfn s\u1ebd \u0111\u01b0\u1ee3c thanh to\u00e1n chi ph\u00ed ra sao?"},"content":{"rendered":"
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Trong \u0111\u00f3, c\u00f3 n\u1ed9i dung t\u1eeb ng\u00e0y 1-1-2021, ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf t\u1ef1 \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh kh\u00f4ng \u0111\u00fang tuy\u1ebfn t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n tuy\u1ebfn t\u1ec9nh trong ph\u1ea1m vi c\u1ea3 n\u01b0\u1edbc, \u0111\u01b0\u1ee3c qu\u1ef9 b\u1ea3o hi\u1ec3m y t\u1ebf chi tr\u1ea3 c\u00e1c chi ph\u00ed \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa theo ph\u1ea1m vi quy\u1ec1n l\u1ee3i v\u00e0 m\u1ee9c h\u01b0\u1edfng b\u1ea3o hi\u1ec3m y t\u1ebf nh\u01b0 \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u00fang tuy\u1ebfn. C\u1ee5 th\u1ec3:<\/p>\n

1. Thanh to\u00e1n chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p t\u1ef1 \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh kh\u00f4ng \u0111\u00fang tuy\u1ebfn t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n tuy\u1ebfn huy\u1ec7n, tuy\u1ebfn t\u1ec9nh v\u00e0 b\u1ec7nh vi\u1ec7n tuy\u1ebfn Trung \u01b0\u01a1ng, sau \u0111\u00f3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh v\u00e0o \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa:<\/p>\n

a) Qu\u1ef9 B\u1ea3o hi\u1ec3m y t\u1ebf thanh to\u00e1n theo m\u1ee9c h\u01b0\u1edfng quy \u0111\u1ecbnh t\u1ea1i kho\u1ea3n 3 ho\u1eb7c kho\u1ea3n 6, \u00d0i\u1ec1u 22, Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf \u0111\u1ed1i v\u1edbi c\u00e1c chi ph\u00ed m\u00e0 ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf \u0111\u01b0\u1ee3c b\u1ec7nh vi\u1ec7n ch\u1ec9 \u0111\u1ecbnh nh\u1eadp vi\u1ec7n \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa, bao g\u1ed3m c\u1ea3 c\u00e1c d\u1ecbch v\u1ee5 kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh (ti\u1ec1n kh\u00e1m b\u1ec7nh, x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng, th\u0103m d\u00f2 ch\u1ee9c n\u0103ng, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh\u2026) \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ho\u1eb7c th\u1ef1c hi\u1ec7n t\u1ea1i khoa kh\u00e1m b\u1ec7nh, khoa c\u1ea5p c\u1ee9u.<\/p>\n

b) Qu\u1ef9 B\u1ea3o hi\u1ec3m y t\u1ebf kh\u00f4ng thanh to\u00e1n c\u00e1c chi ph\u00ed c\u1ee7a \u0111\u1ee3t kh\u00e1m ch\u1eefa b\u1ec7nh ngo\u1ea1i tr\u00fa \u0111\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf \u0111\u00e3 k\u1ebft th\u00fac kh\u00e1m ch\u1eefa b\u1ec7nh ngo\u1ea1i tr\u00fa, sau \u0111\u00f3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh v\u00e0o \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa ho\u1eb7c \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa ban ng\u00e0y v\u1edbi c\u00f9ng m\u1ed9t ch\u1ea9n \u0111o\u00e1n.<\/p>\n

2. Thanh to\u00e1n chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh trong tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf t\u1ef1 \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh kh\u00f4ng \u0111\u00fang tuy\u1ebfn v\u00e0 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa ban ng\u00e0y:<\/p>\n

a) Qu\u1ef9 B\u1ea3o hi\u1ec3m y t\u1ebf thanh to\u00e1n chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh n\u1ed9i tr\u00fa ban ng\u00e0y \u0111\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf t\u1ef1 \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh kh\u00f4ng \u0111\u00fang tuy\u1ebfn t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n tuy\u1ebfn Trung \u01b0\u01a1ng ho\u1eb7c b\u1ec7nh vi\u1ec7n tuy\u1ebfn t\u1ec9nh v\u00e0 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa ban ng\u00e0y theo quy \u0111\u1ecbnh t\u1ea1i Th\u00f4ng t\u01b0 s\u1ed1 01\/2017\/TT-BYT ng\u00e0y 6-3-2017 v\u00e0 Th\u00f4ng t\u01b0 s\u1ed1 01\/2019\/TT-BYT ng\u00e0y 1-3-2019 c\u1ee7a B\u1ed9 Y t\u1ebf v\u1ec1 vi\u1ec7c th\u1ef1c hi\u1ec7n \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa ban ng\u00e0y t\u1ea1i c\u00e1c c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh y h\u1ecdc c\u1ed5 truy\u1ec1n, theo quy \u0111\u1ecbnh t\u1ea1i \u0111i\u1ec3m a (\u0111\u1ed1i v\u1edbi b\u1ec7nh vi\u1ec7n tuy\u1ebfn Trung \u01b0\u01a1ng) ho\u1eb7c \u0111i\u1ec3m b, kho\u1ea3n 3 v\u00e0 kho\u1ea3n 6, \u00d0i\u1ec1u 22, Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf (\u0111\u1ed1i v\u1edbi b\u1ec7nh vi\u1ec7n tuy\u1ebfn t\u1ec9nh).<\/p>\n

b) Tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf \u0111\u01b0\u1ee3c b\u1ec7nh vi\u1ec7n ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa ban ng\u00e0y th\u00ec \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh nh\u01b0 \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa v\u00e0 th\u1ef1c hi\u1ec7n thanh to\u00e1n chi ph\u00ed \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa ban ng\u00e0y nh\u01b0 \u0111\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa h\u01b0\u1edbng d\u1eabn t\u1ea1i c\u00f4ng v\u0103n n\u00e0y.<\/p>\n

3. M\u1ee9c h\u01b0\u1edfng v\u00e0 m\u00e3 h\u00f3a d\u1eef li\u1ec7u, ghi ch\u00e9p chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh trong tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi tham gia BHYT t\u1ef1 \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh kh\u00f4ng \u0111\u00fang tuy\u1ebfn theo quy \u0111\u1ecbnh t\u1ea1i \u0111i\u1ec3m c, kho\u1ea3n 3, kho\u1ea3n 4 v\u00e0 kho\u1ea3n 6, \u00d0i\u1ec1u 22, Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf:<\/p>\n

a) \u00d0\u1ed1i v\u1edbi ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf t\u1ef1 \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n tuy\u1ebfn huy\u1ec7n quy \u0111\u1ecbnh t\u1ea1i \u0111i\u1ec3m c, kho\u1ea3n 3, \u00d0i\u1ec1u 22, Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf v\u00e0 t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n tuy\u1ebfn t\u1ec9nh theo quy \u0111\u1ecbnh t\u1ea1i kho\u1ea3n 6, \u00d0i\u1ec1u 22, Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf trong ph\u1ea1m vi c\u1ea3 n\u01b0\u1edbc:<\/p>\n

– Tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf t\u1ef1 \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n tuy\u1ebfn huy\u1ec7n quy \u0111\u1ecbnh t\u1ea1i \u0111i\u1ec3m c, kho\u1ea3n 3, \u00d0i\u1ec1u 22, Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf trong ph\u1ea1m vi c\u1ea3 n\u01b0\u1edbc: \u0111\u01b0\u1ee3c qu\u1ef9 b\u1ea3o hi\u1ec3m y t\u1ebf chi tr\u1ea3 c\u00e1c chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh n\u1ed9i tr\u00fa v\u00e0 ngo\u1ea1i tr\u00fa theo m\u1ee9c h\u01b0\u1edfng nh\u01b0 \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u00fang tuy\u1ebfn.<\/p>\n

– Tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf\u00a0 t\u1ef1 \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n tuy\u1ebfn t\u1ec9nh theo quy \u0111\u1ecbnh t\u1ea1i kho\u1ea3n 6, \u00d0i\u1ec1u 22, Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf trong ph\u1ea1m vi c\u1ea3 n\u01b0\u1edbc: \u0111\u01b0\u1ee3c qu\u1ef9 b\u1ea3o hi\u1ec3m y t\u1ebf chi tr\u1ea3 chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh n\u1ed9i tr\u00fa theo m\u1ee9c h\u01b0\u1edfng nh\u01b0 \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u00fang tuy\u1ebfn.<\/p>\n

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\"Kh\u00e1m<\/div>\n<\/div>\n

– Ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf t\u1ef1 \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh kh\u00f4ng \u0111\u00fang tuy\u1ebfn quy \u0111\u1ecbnh t\u1ea1i \u0111i\u1ec3m a c\u1ee7a m\u1ee5c n\u00e0y s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c h\u01b0\u1edfng ch\u1ebf \u0111\u1ed9 kh\u00f4ng c\u00f9ng chi tr\u1ea3 chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh nh\u01b0 quy \u0111\u1ecbnh t\u1ea1i \u0111i\u1ec3m c, kho\u1ea3n 1, \u00d0i\u1ec1u 22, Lu\u1eadt B\u1ea3o hi\u1ec3m y t\u1ebf; ph\u1ea7n chi ph\u00ed c\u00f9ng chi tr\u1ea3 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh trong tr\u01b0\u1eddng h\u1ee3p t\u1ef1 \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh kh\u00f4ng \u0111\u00fang tuy\u1ebfn kh\u00f4ng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 \u0111i\u1ec1u ki\u1ec7n \u0111\u1ec3 c\u01a1 quan BHXH c\u1ea5p gi\u1ea5y ch\u1ee9ng nh\u1eadn kh\u00f4ng c\u00f9ng chi tr\u1ea3 trong n\u0103m\u2026<\/p>\n

4. \u00d0\u1ec3 b\u1ea3o \u0111\u1ea3m s\u1eed d\u1ee5ng qu\u1ef9 kh\u00e1m ch\u1eefa b\u1ec7nh b\u1ea3o hi\u1ec3m y t\u1ebf h\u1ee3p l\u00fd, hi\u1ec7u qu\u1ea3, n\u00e2ng cao tr\u00e1ch nhi\u1ec7m c\u1ee7a c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh v\u00e0 c\u1ee7a ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf; \u0111\u1ed3ng th\u1eddi, b\u1ea3o \u0111\u1ea3m quy\u1ec1n l\u1ee3i c\u1ee7a ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf, B\u1ed9 Y t\u1ebf \u0111\u1ec1 ngh\u1ecb th\u1ee7 tr\u01b0\u1edfng c\u00e1c \u0111\u01a1n v\u1ecb ch\u1ee7 tr\u00ec, ph\u1ed1i h\u1ee3p v\u1edbi BHXH t\u1ec9nh, th\u00e0nh ph\u1ed1 v\u00e0 c\u00e1c c\u01a1 quan, \u0111\u01a1n v\u1ecb c\u00f3 li\u00ean quan: th\u01b0\u1eddng xuy\u00ean t\u1ed5 ch\u1ee9c qu\u00e1n tri\u1ec7t \u0111\u1ebfn c\u00e1n b\u1ed9, vi\u00ean ch\u1ee9c, ng\u01b0\u1eddi lao \u0111\u1ed9ng thu\u1ed9c quy\u1ec1n qu\u1ea3n l\u00fd th\u1ef1c hi\u1ec7n nghi\u00eam c\u00e1c quy \u0111\u1ecbnh c\u1ee7a ph\u00e1p lu\u1eadt v\u1ec1 kh\u00e1m ch\u1eefa b\u1ec7nh v\u00e0 BHYT, Ch\u1ec9 th\u1ecb s\u1ed1 10\/CT-BYT ng\u00e0y 9-9-2019, Ch\u1ec9 th\u1ecb s\u1ed1 25\/CT-BYT ng\u00e0y 21-12-2020. Th\u1ef1c hi\u1ec7n \u0111\u00fang quy \u0111\u1ecbnh t\u1ea1i \u00d0i\u1ec1u 2, Quy\u1ebft \u0111\u1ecbnh s\u1ed1 6556\/Q\u00d0-BYT: “Trong m\u1ed9t \u0111\u1ee3t kh\u00e1m b\u1ec7nh ho\u1eb7c m\u1ed9t \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb \u0111\u1ed1i v\u1edbi m\u1ed7i m\u1ed9t ng\u01b0\u1eddi b\u1ec7nh, c\u01a1 s\u1edf KCB c\u00f3 tr\u00e1ch nhi\u1ec7m l\u1eadp 1 b\u1ea3ng k\u00ea chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u1ec3 l\u01b0u c\u00f9ng v\u1edbi h\u1ed3 s\u01a1 kh\u00e1m ch\u1eefa b\u1ec7nh c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u00f3 v\u00e0 1 b\u1ea3ng k\u00ea \u0111\u1ec3 cung c\u1ea5p cho ng\u01b0\u1eddi b\u1ec7nh”. \u00d0\u1ed3ng th\u1eddi, \u0111\u1ecbnh k\u1ef3 ho\u1eb7c \u0111\u1ed9t xu\u1ea5t, B\u1ed9 Y t\u1ebf s\u1ebd ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c c\u01a1 quan, \u0111\u01a1n v\u1ecb c\u00f3 li\u00ean quan t\u1ed5 ch\u1ee9c ki\u1ec3m tra vi\u1ec7c t\u1ed5 ch\u1ee9c th\u1ef1c hi\u1ec7n ch\u00ednh s\u00e1ch, ph\u00e1p lu\u1eadt v\u1ec1 b\u1ea3o hi\u1ec3m y t\u1ebf. Th\u1ee7 tr\u01b0\u1edfng c\u00e1c c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh ch\u1ecbu tr\u00e1ch nhi\u1ec7m tr\u01b0\u1edbc ph\u00e1p lu\u1eadt v\u00e0 tr\u01b0\u1edbc B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf n\u1ebfu \u0111\u1ec3 \u0111\u01a1n v\u1ecb m\u00ecnh th\u1ef1c hi\u1ec7n kh\u00f4ng \u0111\u00fang c\u00e1c quy \u0111\u1ecbnh…<\/p>\n

Ngu\u1ed3n tin: Ng\u01b0\u1eddi lao \u0111\u1ed9ng\u00a0<\/strong><\/em><\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

Trong \u0111\u00f3, c\u00f3 n\u1ed9i dung t\u1eeb ng\u00e0y 1-1-2021, ng\u01b0\u1eddi tham gia b\u1ea3o hi\u1ec3m y t\u1ebf t\u1ef1 \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh kh\u00f4ng \u0111\u00fang tuy\u1ebfn t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n tuy\u1ebfn t\u1ec9nh trong ph\u1ea1m vi c\u1ea3 n\u01b0\u1edbc, \u0111\u01b0\u1ee3c qu\u1ef9 b\u1ea3o hi\u1ec3m y t\u1ebf chi tr\u1ea3 c\u00e1c chi ph\u00ed \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa theo ph\u1ea1m vi quy\u1ec1n l\u1ee3i v\u00e0 […]<\/p>","protected":false},"author":1,"featured_media":4590,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,1],"tags":[],"class_list":["post-6018","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tong-hop","category-tin-tuc"],"acf":[],"_links":{"self":[{"href":"https:\/\/ceco.com.vn\/en\/wp-json\/wp\/v2\/posts\/6018"}],"collection":[{"href":"https:\/\/ceco.com.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ceco.com.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ceco.com.vn\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ceco.com.vn\/en\/wp-json\/wp\/v2\/comments?post=6018"}],"version-history":[{"count":0,"href":"https:\/\/ceco.com.vn\/en\/wp-json\/wp\/v2\/posts\/6018\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ceco.com.vn\/en\/wp-json\/wp\/v2\/media\/4590"}],"wp:attachment":[{"href":"https:\/\/ceco.com.vn\/en\/wp-json\/wp\/v2\/media?parent=6018"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ceco.com.vn\/en\/wp-json\/wp\/v2\/categories?post=6018"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ceco.com.vn\/en\/wp-json\/wp\/v2\/tags?post=6018"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}