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Seek medical treatment in other places. Reimbursement of medical records.
Print 1 copy, remote medical insurance.
Materials to be provided for reimbursement:
Transfer certificate issued by the hospital in this city;
Take the transfer certificate issued by the hospital to the social security office (medical insurance office) of the city and district for approval and filing in other places;
The original invoices for hospitalization in designated hospitals in other places;
The original list of fees for machine typing;
Inpatient medical records. 1 valid photocopy (valid with hospital stamp);
1 copy of ID card.
Out-of-town medical reimbursement procedures:
Bring the patient's ID card, two one-inch color **, and NCMS.
The medical certificate shall be transferred to the county joint management office for referral and filing procedures;
Bring the patient's ID card, NCMS medical certificate and referral filing procedures to the referral hospital for medical treatment, and go through the NCMS hospitalization procedures;
After discharge, the patient should be reimbursed with his/her ID card (or household registration book), NCMS medical certificate, copy of medical records, hospitalization settlement statement (some in the form of invoices), a list of hospitalization expenses, and referral filing procedures.
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Two copies need to be printed.
Materials to be provided for reimbursement of medical insurance in other places:
Transfer certificate issued by the hospital in this city;
Take the transfer certificate issued by the hospital to the social security office (medical insurance office) of the city and district for approval and filing in other places;
The original invoices for hospitalization in designated hospitals in other places;
The original list of fees for machine typing;
1 valid copy of inpatient medical record (valid with hospital stamp);
1 copy of ID card.
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It is recommended to print 3 copies as a backup, just in case, it is recommended that it is best to keep the original receipt yourself.
Non-local medical insurance reimbursement to the local medical management center or designated medical institution medical insurance settlement window.
It should be noted that you must pay the medical expenses in advance, and ask for the original invoice, medication list and medical record book at the medical treatment unit when you are discharged. Then bring your ID card, medical insurance card, original list, medication list, medical record book and other materials to the local medical management center or the medical insurance settlement window of the designated medical institution for reimbursement.
Extended Information:1Materials required for reimbursement of medical insurance in other places.
1) IC card, basic medical insurance medical card (green sticker**) or basic medical handbook for urban residents.
2) Valid receipt documents (invoices).
3) Summary list of inpatient medical expenses, medical insurance referral letter, discharge certificate.
4) Hospitalization materials: the first page of the hospitalization medical record, admission records, surgical records, discharge summaries, and large-scale examinations.
Copies of notices, long-term medical orders, and temporary medical orders (with the seal of the medical institution being treated).
2.Medical insurance reimbursement process for medical treatment in other places.
1) Discharge summary, invoice, and medication schedule issued by the hospital for medical treatment in other places.
2) My ID card, medical insurance card, and certificate of remote medical treatment issued by the unit (with the company's official seal), if not an enterprise is insured, the certificate of remote medical treatment issued by the unit is not required.
3) The transfer certificate issued by the local hospital must be issued by the attending physician, and then signed by the department director of the attending physician, and then the transfer certificate should be processed at the medical insurance office of the hospital.
4) The reimbursement for medical treatment in other places is 10% less than that for local medical treatment, and 20% less if there is no transfer certificate issued by a local hospital
5) Bring the above information to the local medical insurance office to handle it, and you can basically get the money on the same day.
3.Precautions for medical insurance for medical treatment in other places.
1) Different cities have different medical insurance policies, so you should pay attention to them before seeking medical treatment.
2) Those who seek medical treatment in other places need to consult the local medical insurance management department to see if there are any preferential policies.
3) The time for approval of the application in another place generally takes about a month, so the medical personnel in other places should apply in advance, otherwise, the medical expenses of the "disconnection period" will have nowhere to be reimbursed.
There are often some restrictions on the reimbursement amount, reimbursement scope and reimbursement ratio of medical insurance reimbursement, which is often a drop in the bucket for the cost of critical illness.
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Legal analysis: The medical records that medical institutions can copy or reproduce for the applicant include: hospitalization records, temperature sheets, doctor's orders, laboratory tests (test reports), medical imaging examination materials, special examination (**) consent forms, surgical consent forms, surgical and anesthesia records, pathology reports, nursing records, and discharge records in outpatient (emergency) medical records and inpatient medical records.
Legal basis: Article 30 of the Social Insurance Law of the People's Republic of China The following medical expenses are not included in the scope of payment of basic medical insurance** Liang Zhengyun: (1) should be paid from the work-related injury insurance**; (B) should be borne by the first three people; (3) It shall be borne by public health; (4) Seeking medical treatment outside the country.
Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.
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No. The following Greeting Chain Procedure materials are required for off-site outpatient reimbursement:
1. Referral certificate. If you want to use your medical insurance card to reimburse you for medical treatment in other places, you must first issue a referral certificate in a local hospital, which needs to be in a slightly larger local hospital, at least a county-level hospital or above.
2. Hospital stamp. After the referral certificate is issued in a hospital at or above the county level, it needs to be stamped, and this seal is not the seal of any hospital, but must be the seal of the social security window of the hospital that opened the referral certificate.
3. Registration with the Social Security Bureau. After issuing the referral certificate and stamping the hospital, go to the local equipment bureau with the relevant materials for registration, which is mainly for filing with the social security bureau and facilitating the reimbursement of medical insurance in other places in the future.
4. Hospital invoice. The reimbursement for seeing a doctor in a different place is mainly the reimbursement of hospitalization, and after seeing a doctor, let the hospital issue an invoice, and be sure to keep the invoice, which is the basis for reimbursement.
5. Reimbursement by the Social Security Bureau. After returning from the hospital, Zheng was called to the local social security bureau for reimbursement and brought relevant materials, including: Zen grandson invoice, ID card, household registration book, social security card and other materials.
6. Outpatient reimbursement. Generally, the cost of hospitalization is more troublesome to be reimbursed in other places, but if the reimbursement is for outpatient expenses in other places, there is no need to be so troublesome, and you only need to bring back the invoice to the Social Security Bureau for reimbursement.
Full text of the Social Insurance Law of the People's Republic of China
Article 23.
Employees shall participate in the basic medical insurance for employees, and the employer and the employee shall jointly pay the basic medical insurance premiums in accordance with the provisions of the state. Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state.
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Yes, just stamp the official seal of the hospital, and stamp it at the settlement window after typing.
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The following documents are required:
1. According to Article 15 of the Regulations on the Management of Medical Records of Medical Institutions, medical records that medical institutions can copy or reproduce for applicants include: hospitalization records, body temperature lists, doctor's orders, laboratory tests (test reports) in outpatient (emergency) medical records and inpatient medical records, medical imaging examination materials, special examination (**) consent forms, surgical consent forms, surgical and anesthesia records, pathology reports, nursing records, and discharge records.
2. According to Article 13 of the Regulations on the Management of Medical Records of Medical Institutions, medical institutions shall be responsible for the department responsible for the quality control of medical services or full-time (part-time) personnel responsible for accepting applications for copying or reproducing medical records. When accepting an application, the applicant shall be required to provide relevant supporting materials in accordance with the following requirements:
1) If the applicant is the patient, his/her valid identity certificate shall be provided;
2) If the applicant is a patient, the applicant shall provide the valid identity certificate of the patient and the patient, and the legal proof of the relationship between the applicant and the patient;
3) If the applicant is a close relative of the deceased patient, the patient's death certificate and the valid identity certificate of the close relatives shall be provided, and the legal proof that the applicant is a close relative of the deceased patient;
4) If the applicant is a close relative of the deceased patient, the applicant shall provide the patient's death certificate, the valid identity certificate of the deceased patient's close relatives and their **, the statutory proof of the relationship between the deceased patient and his close relatives, and the legal proof of the relationship between the applicant and the close relatives of the deceased patient;
5) If the applicant is an insurance institution, a copy of the insurance contract, a valid identity certificate of the undertaker, and a statutory certificate of consent of the patient or his/her person shall be provided; In the event of the death of the patient, a copy of the insurance contract, the valid identity certificate of the undertaker, and the legal proof of the consent of the close relatives of the deceased patient or his or her ** person shall be provided. Except as otherwise provided by contract or law.
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The following three types of documents need to be copied:
1. Invoice; 2. Admission and discharge instructions;
3. Daily medication details;
4. Inpatient medical records;
5. Hospital-level certificate.
You also need to bring your social security card, the "Certificate of In-service Employees Applying for Medical Treatment in Other Places" and the original hospitalization invoice to the medical insurance center for reimbursement.
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Go to the medical records department of the hospital where you are hospitalized and make a copy of the reimbursement and they will make a copy of the complete reimbursement for you. At the same time, there is also a discharge summary and invoice.
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Summary. The following documents are required:
According to Article 15 of the Regulations on the Management of Medical Records of Medical Institutions, medical records that medical institutions may copy or reproduce for applicants include: hospitalization records, body temperature sheets, doctor's orders, laboratory tests (test reports), medical imaging examination materials, special examination (**) consent forms, surgical consent forms, surgical and anesthesia records, pathology reports, nursing records, and discharge records in outpatient (emergency) medical records and inpatient medical records.
What do you need to copy for hospitalization, reimbursement, and medical record copies?
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The materials that need to be copied are as follows: According to Article 15 of the "Regulations on the Management of Medical Records of Medical Institutions": The medical records that medical institutions can copy or reproduce for the applicant include:
Hospitalization records, temperature sheets, doctor's orders, laboratory tests (test reports), medical imaging examination data, special examination (**) consent forms, surgical consent forms, surgery and anesthesia records, Akeno pathology reports, health care records, and discharge records in outpatient (emergency) medical records and inpatient medical records.
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Summary. Yes, outpatient physicians can reimburse them. Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by the risk of disease.
Through the employer and individual payment, the establishment of medical insurance**, after the insured person is sick and incurs medical expenses, the medical insurance institution will give him a certain amount of economic compensation. The establishment and implementation of the basic medical insurance system gathers the economic strength of the unit and the members of the society, coupled with the first funding, which can enable the sick members of the society to obtain the necessary material help from the society, reduce the burden of medical expenses, and prevent the sick members of the society from "becoming poor due to illness".
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The medical expenses for local treatment are paid in advance by the individual, and when the ** is over, the person or his ** person will go to the medical insurance bureau for reimbursement. Required information: Individual medical insurance card; Approval of the city's second-class or above hospitals** diagnosis and transfer form); Hospitalization invoices, summary lists of expenses, and discharge summaries stamped by the hospital where they were treated; **The original and photocopy of the ID card of the person and the valid bank card of the reimbursement personnel or the passbook deposited in the family.
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I didn't have a hospitalization, only outpatient fees, he didn't give a medical record card, I want to use the medical record card of my hometown hospital for reimbursement?
No. Why not, I have also been treated in the hospital in my hometown.
Yes, outpatient physicians can reimburse them. Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate for the economic losses caused by the risk of illness for returning workers. Through the payment of the employer and the individual, the establishment of medical insurance**, the insured person after the medical expenses of the sick and medical expenses leakage, by the medical insurance institution to give them a certain amount of economic compensation.
The establishment and implementation of the basic medical insurance system gathers the economic strength of the unit and the members of the society, and the subsidy can enable the sick members of the society to obtain the necessary material help from the society, reduce the burden of medical expenses, and prevent the sick members of the society from "becoming poor due to illness".
If mine is helpful to you, I hope to give me a thumbs up at your convenience, and I wish you a happy life!
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The process of handling medical reimbursement in other places:
Before hospitalization or within 3 days after hospitalization, call the hometown NCMS consultation** to register and record the hospitalization and medical treatment;
After being discharged from the hospital, a residence certificate must be issued by the sub-district office or neighborhood committee at the place of residence, and if you are working abroad, you must have a work certificate issued by the work unit;
After discharge, take a copy of the medical record, a summary list, a hospitalization bill, and a discharge certificate, and then take the patient's ID card, cooperative medical certificate, and residence or work certificate back to the place where you participate in the hospital for reimbursement;
If you are going directly from the place where you participate in the hospital for chemotherapy outside the province, you must go through the referral and transfer procedures before you leave, and then you can go to other places for hospitalization**;
The proportion of reimbursement outside the province is the lowest, the general starting line is about 2000, and the reimbursement ratio is 45% of the reasonable cost.
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