Can Zhongshan Kangyi Special Needs Clinic be reimbursed?

Yes, the outpatient basic medical insurance fund will not pay the medical expenses incurred in the following circumstances:

(a) the cost of using drugs outside the scope specified in the Catalogue of Medicines for Urban and Rural Residents' Basic Medical Insurance in Zhongshan City;

(two) the expenses incurred by the diagnosis and treatment projects outside the scope of reimbursement of outpatient basic medical insurance;

(3) Whether the expenses incurred in the audit are illegal;

(four) the cost of settlement without using the social security card;

(five) the expenses incurred by failing to seek medical treatment in the designated medical institution I selected;

(six) Zhongshan social medical insurance provisions of the overall fund will not pay the cost.

Extended data:

Reimbursement procedure

1. Requirements for filling in reimbursement expenses

A) In principle, the personnel in charge of expenses should go through the reimbursement procedures in the Finance Department within 5 working days after the expenses occur, and special circumstances can be handled separately.

B) Cut the original documents into neat corners and paste them on the left side of the reverse side of the reimbursement form with the front side facing upward (consistent with the direction of the reimbursement form).

C) Fill in all the contents of the reimbursement form truthfully with a blue or black pen and signature pen, such as reimbursement time, reimbursement person, expense summary and document number.

D) Purchase operating expenses shall be checked and put into storage in the warehouse with valid purchase requisition (or purchase list) and invoice, and the receipt and direct requisition shall be attached to the reimbursement documents.

E) For non-procurement administrative, office or other expenses, directly fill in the reimbursement documents.

F) The expenses for going out for training shall be reimbursed according to the training agreement.

2. Review reimbursement documents

A) After the expense reimbursement form is signed by the person in charge, it will be signed by the department head for confirmation.

B) The manager of the Finance Department shall, within one working day after receiving the reimbursement documents, conduct a strict and serious review of all reimbursement expenses. Those who meet the reimbursement standards shall be submitted to the general manager for approval after the auditor signs the financial audit column and indicates the date.

C) When the audited reimbursement documents do not meet the expense standards or have other problems, and the reimburser cannot provide the report approved by the general manager, the reviewer shall return the reimbursement documents.

3. Payment of expenses

A) The reimburser shall sign the expense report in the cashier's office of the finance department according to the expense report with complete examination and approval procedures.

B) Reimbursement expenses with a unit price below 2000 yuan shall be paid by the cashier in cash.

C) Reimbursement expenses with a unit price of more than 2,000 yuan shall be paid by cashier by cheque in principle, and under special circumstances, it may be paid in cash with the approval of the finance department manager.

D) If you borrow money from the reserve fund before the expenses occur, the cashier will write down the reserve fund.

4. Save expense reimbursement documents

A) The cashier shall make payment vouchers in sequence for expense reimbursement forms, and send them to the Finance Department for accounting summary and bookkeeping.

B) All expense reimbursement documents are encrypted by the Finance Department and kept for a long time.