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What materials does medical insurance need to reimburse children?
Want to know what materials are needed for medical insurance reimbursement? 1. Materials required for reimbursement: 1, original social security card; 2, the original machine billing (must have a prescription); 3, inspection fees, treatment fees, material fees, laboratory fees need to be detailed; 4, trauma expenses need to fill in the description of the trauma, build official seal of the unit and emergency medical records (the explanation of the cause of the trauma needs to be filled in with a black pen, and the time, place, cause and diagnosis result of the injury should be filled in in detail at the injury site. The more detailed the better); 5, Beijing medical insurance referral (hospitalization) list (not to be ignored); 6. Emergency diagnosis certificate (emergency); 7. Provide proof that hospitals in different places belong to designated medical institutions and their grades; The unit should show the description of the employee's business trip or family visit, and the time and place should be detailed and stamped with the official seal (emergency treatment in different places); 8, the statement issued by the unit, stamped with the official seal of the unit (arrears); 10, original and copy of temporary card. 2. Materials required for hospitalization manual reimbursement: 1, original social security card; 2. Summary table of hospitalization expenses settlement and detailed list of hospitalization expenses (stamped by the hospital); 3, the original machine bill; 4, discharge diagnosis certificate; 5. Emergency diagnosis certificate (emergency); 6. Certificate of full settlement of medical insurance expenses in Beijing issued by the hospital (Beijing for medical treatment); 7, Beijing medical insurance referral (hospitalization) list (not to be ignored); 8, more than ten thousand yuan of hospitalization expenses need to copy the medical records; 9. The unit shall show the employee the proof of business trip or visiting relatives, and the time and place shall be specified and stamped with the official seal; Provide proof that the off-site hospital belongs to the designated medical institution and grade (off-site emergency); 1 1, the unit issues a description of the situation and affixes the official seal of the unit (arrears); 12. Original and photocopy of temporary card (new employees, employees who lost their cards);
Legal objectivity:
"People's Republic of China (PRC) Social Insurance Law" Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations. Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, standards of medical service facilities and medical expenses for emergency rescue, and shall be paid from the basic medical insurance fund in accordance with state regulations. "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.
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