Harbin Railway Medical Insurance's Filing Process for Medical Treatment in Different Places

Harbin railway medical insurance off-site filing process;

1, through the unit to the social security agencies in the jurisdiction for the record, no unit through the social security agencies in the insured area for the record, and the medical personnel transferred to other places shall be filed by themselves or their clients to the medical insurance agencies in the jurisdiction; Medical personnel in different places need to go to the county medical insurance center for resettlement approval through the insured unit or street social security office, and apply for a XX medical insurance resettlement declaration and approval form from the local department that receives the Medical Insurance Manual and fill in the relevant contents;

2. The insured person can choose to declare by himself or by others. In this process, they need to read the filing notice carefully, make clear the matters needing attention for filing, fill in the filing information and contact information according to the page prompts, read the personal commitment letter, and sign and confirm according to the prompts.

Medical insurance reimbursement documents are as follows:

1, original ID card or social security card;

2, the original certificate of disease diagnosis issued by the designated medical institutions;

3, outpatient medical records, inspection, test results report and other original medical information;

4. Original receipt of outpatient charges of medical institutions with unified finance and taxation;

5. The detailed list of outpatient expenses printed by the hospital computer or the original payment of prescriptions issued by doctors;

6. Designated pharmacies: unified original invoices and computer-printed sales lists of taxable goods;

7. If it is an agent, you need to provide the original ID card of the agent.

To sum up, the agencies in the insured places should go through the formalities of medical record-keeping in different places for the insured persons in accordance with local regulations, establish a database of medical record-keeping personnel in different places, and realize dynamic management.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

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.