What about the referral procedures in different places?

What should I do about the referral procedures in different places as follows:

1, the applicant or client applies to the hospital that undertakes the referral business;

2, attending and above doctors fill in the remote referral approval form;

3, the hospital organized expert consultation, and put forward opinions;

4, the hospital medical insurance office audit registration; In charge of the dean's examination and signature;

5. The applicant or client shall go to the social security agency for examination and approval with the Approval Form for Remote Referral.

What materials do you need for referral?

1, the patient needs to be referred to the attending doctor first, and the attending doctor reports to the department director. After the director of the department confirms that the patient really needs to be transferred to a higher-level medical institution for treatment, he will issue a transfer certificate, which will be stamped by the medical department of the hospital;

2. According to the staff of the Medical Insurance Department of the Municipal Social Insurance Administration, according to the medical insurance policy, if the insured person needs to be transferred to a foreign hospital for treatment, he must go through the relevant formalities with the social security institution with the "Transfer Certificate" issued by the medical institution.

To sum up, generally speaking, the hospital will agree to handle the off-site referral, because the patient's condition requires the attending doctor to issue a diagnosis certificate; It is also necessary to attach expert consultation opinions, which will be reviewed by the hospital medical insurance department and signed by the hospital leaders. In addition, other relevant materials should be prepared: ID card, social security card, hospital inspection results and hospital diagnosis certificate. After the materials are prepared, take the above materials to the corresponding window of the local social security bureau for review and filing, so as to facilitate reimbursement after medical treatment in different places. When the filing procedures of the Social Security Bureau are completed, they can be referred to other hospitals. After seeing a doctor in a different hospital, bring the inpatient medical record, expense list and invoice to the corresponding window of the local social security bureau for expense reimbursement.

Legal basis:

Article 29 of People's Republic of China (PRC) Social Insurance Law

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.

Article 31

According to the needs of management services, social insurance agencies can sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior.

Medical institutions shall provide reasonable and necessary medical services for the insured.

What materials are needed for reimbursement of medical treatment in different places?

1, discharge summary;

2, a copy of hospital medical records;

3. Hospitalization list;

4. Original vouchers of medical expenses;

5. The original and photocopy of the social security card;

6. Original and photocopy of ID card.