What is the reimbursement process of maternity insurance in Dongguan? How to reimburse Dongguan maternity insurance?

Dongguan Maternity Insurance Reimbursement Process

1, application. The insured person applies to the admission office by on-site means, and submits the paper admission materials and the original social security card or ID card as required.

2. accept. From the date of receiving the application materials, the staff immediately make a decision on whether to accept the social security registration of maternity hospitalization. After examination, the insured person meets the application qualification, and the materials are complete, the format is standardized and in line with the form, and the delivery hospitalization social security registration is handled, and the "Dongguan Social Insurance Insured Hospitalization Registration Information Confirmation Form" is filled out; If the insured person does not meet the application qualification, the staff will inform him of the reasons for not applying for social security registration of delivery hospitalization; Because the materials are incomplete or inconsistent with the form, the staff will inform all the contents that need to be corrected at one time.

3. review. After delivery hospitalization registration, the insured should cooperate with the medical staff in the department to verify the identity information, and the insured and their families or unit agents should read the "Dongguan Social Insurance Hospitalization Verification and Self-funded Project Signature Form" in detail and sign it as required. Social security agencies regularly send staff to designated hospitals to review the identity of the insured.

4. decide. The staff handles the on-site settlement for those who meet the settlement qualification, and the materials are complete, and the format is standardized and conforms to the form. The insured shall enter the password of the social security card for password verification. After the password is verified, the on-site settlement reimbursement is completed, and the insured person pays the amount paid by the individual and receives the relevant documents; Do not meet the qualification or standard of settlement, not for on-site settlement, the staff told the reason not for on-site settlement; Because the materials are incomplete, the format is not standardized and does not conform to the form, the on-site settlement will not be handled, and the staff will inform all the contents that need to be corrected at one time.