Objective: A total of 6 regions were selected as the pilot regions to collect relevant documents from public sources to analyze and summarize the current credit management indicator system. Since the pilot implementation, the pilot regions have gradual- ly explored a set of credit management methodsfor medical insurance fund. Methods: The results show variations in the adoption of the Operational Handbook for Medicare Fund Regulatory Credit Evaluation Indicators (Manual) indicators across regions. The current pilot districts suffer from inconsistencies in the construction of evaluation indicators, insufficient legal basis for evaluation indicators and insufficient synergies between local systems platforms. Results: The current pilot regions have the problems of inconsistent con- struction of evaluation indicators, differences in evaluation due to differences in hospital volume, insufficient legal basis for credit as- sessment indicators, and insufficient local information system platform construction and integrated collaboration. Conclusion: It is sug- gested to optimize the indicators in the handbook and guide regions to gradually converge in management directions and basic ele- ments, strengthen top-level design and legal basis and build a province-based informatics platform.