How to reimburse medical insurance for urban and rural residents in Chongren

After the insured patients are discharged from the hospital, they need to submit the receipt of hospitalization expenses, a copy of the first page of medical records (stamped with the seal of the medical insurance department of the hospital), a discharge summary, a discharge certificate, a detailed list of hospitalization expenses (one-day list), a copy of the medical insurance cash payment form and a copy of the ID card to the community every month. And before the 5th day of each month, the communities will report the relevant materials and lists to the district medical insurance office; From 5th to 10 every month, the district medical insurance office will review the relevant bills and calculate the reimbursement amount; After that, every month from 12 to 15, the district medical insurance office will report to the municipal medical insurance center for approval; In the first ten days of the following month, the district medical insurance office pays the reimbursement expenses. Insured patients take their ID cards to the district medical insurance office to receive them.

Second, the reimbursement process of medical insurance for urban residents

1. Materials required for medical insurance reimbursement of urban residents

(1) Reporting settlement data

Check the hospitalization invoice and stamp it; Medical insurance card; Detailed list of hospitalization expenses and seal it; A copy of the volunteer letter for applying for the use of drugs and special diagnosis and treatment items outside the catalogue and stamped with the official seal; Discharge record and seal; Fill in the "medical insurance referral form for urban workers"

(2) Settlement

If the insured person is hospitalized in a different place and the procedures are complete, he can directly go to the social security center for settlement and reimbursement with the receipt and his ID card after 5 working days. It should be noted that reimbursement will be suspended from 28th to the end of each month and resumed from 1 the following month.