Job Recruitment Website - Social security inquiry - What are the procedures for transferring to a hospital for filing?
What are the procedures for transferring to a hospital for filing?
Transfer filing procedures:
1. The attending physician transferred to the hospital fills in the Application Form for Urban Referral and Referral of the Insured Person of Basic Medical Insurance for Urban Employees or the Application Form for Urban Referral and Referral of the Insured Person of Social Medical Insurance, which shall be signed by the deputy chief physician or the director of the department, and the medical department of the hospital shall contact and transfer to the designated medical institution and affix the official seal;
2, by the referral settlement office by the "application form for referral in the city", in the medical insurance information system for the insured patients for discharge settlement, in the medical insurance information system for referral in the city to apply for registration, and transferred to the designated medical institutions, and in the medical insurance information system to determine the other party;
3, by the municipal medical insurance secondary agencies 1 working days in the medical insurance information system for the record. Designated medical institutions through the medical insurance information system to print the results of the same city transfer application form in duplicate, a patient in the designated medical institutions for hospitalization registration, a retained for the record.
The procedures required for referral and filing are as follows:
1, bring the medical insurance card, medical insurance, ID card, referral slip and admission ticket to the medical insurance center for filing; When the insured really needs to be treated in a hospital with a high medical level, the attending doctor will fill in the corresponding diagnosis certificate and the corresponding approval form for off-site referral upon the application of the insured or his family;
2. After getting the examination and approval form for off-site referral, you need to go to the social security window of the hospital with the examination and approval form, which will take effect after being signed by the hospital leaders;
3. Bring the insured person's ID card, social security card, the corresponding diagnosis certificate of the hospital, and the examination and approval form for off-site referral to the social security bureau of the insured place or relevant departments for the record.
I hope the above content can help you. If in doubt, please consult a professional lawyer.
Legal basis:
Article 54 of the Regulations on Handling Medical Accidents
The health administrative department in violation of the provisions of this Ordinance, one of the following circumstances, given a warning by the health administrative department at a higher level and ordered to make corrections within a time limit; If the circumstances are serious, the responsible person in charge and other directly responsible personnel shall be given administrative sanctions according to law:
(1) Failing to organize an investigation in time after receiving a report from a medical institution on major medical negligence;
(two) after receiving the application for handling medical malpractice disputes, it has not been reviewed or transferred to the health administrative department of the people's government at the next higher level within the specified time;
(3) Failing to transfer the major medical negligence or medical malpractice dispute that should be technically appraised by the medical association for appraisal;
(four) failing to report the local medical accidents and the administrative handling of medical institutions and medical personnel step by step according to the regulations;
(5) Failing to conduct technical appraisal and examination of medical accidents in accordance with the provisions of these Regulations.
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.
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