Job Recruitment Website - Social security inquiry - What materials are needed for social security reimbursement?

What materials are needed for social security reimbursement?

Legal analysis

Generally, patients need to pay their own medical expenses first, and then submit them to the social security center with their ID cards and all the documents issued by the hospital. However, in some places, when the medical expenses are settled, the medical insurance will be reimbursed at the same time, so it is no longer necessary to take the expense details to the Social Security Bureau for reimbursement. Materials required for medical reimbursement: 1, original ID card. 2. Original medical diagnosis certificate. 3, outpatient medical records, inspection, test results report and other original medical information. 4. Original receipt of general outpatient and emergency charges, detailed list of outpatient expenses or original prescription (the prescription is attached to the receipt by date). 5. Submission time: every month 1- 10, the expenses of the current month shall be submitted the next month, and the expenses of the current year shall be submitted before 1 the following year. 6. Handling process: If the accumulated Qifubiaozhun exceeds the Qifubiaozhun in a natural year, the unit manager will input all the documents into the enterprise software and report the generated electronic information and statements to the medical insurance center, which will complete the review, settlement and payment of reimbursement expenses within 30 working days.

legal ground

"People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund 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.