Social security handbook reimbursement flow chart

Insurance Bian Xiao helps you answer, and more questions can be answered online.

Cooperative medical care belongs to the category of social security, with strong regionality, and it is really necessary to consult relevant local departments for specific work processes in a certain place. However, apart from some differences in details, the general compensation process can be divided into the following parts:

I. Information required for reimbursement

1. Outpatient reimbursement information: outpatient invoice, cooperative medical certificate calendar (or medical record).

2. Hospitalization reimbursement materials: hospitalization invoice, cooperative medical certificate (or medical record) calendar, detailed list of expenses, discharge summary and other relevant certificates.

3, outpatient special disease reimbursement information: outpatient invoices, special disease cooperative medical certificate calendar.

4. Information for handling special diseases: outpatient treatment proposal for special diseases, calendar of cooperative medical certificate, medical records, relevant laboratory reports and photos.

Second, the reimbursement process:

Insured households submit the required materials for reimbursement to the village (community) cooperative medical liaison, and report to the town cooperative medical liaison after the audit of the village (community) cooperative medical liaison, and the town cooperative medical liaison will send it to the district agricultural office for reimbursement.

Guide to reimbursement of new rural cooperative medical system

Hospitalization reimbursement procedures:

Hospital direct reimbursement:

When you go through the hospitalization formalities due to illness, you can directly participate in reimbursement with the new rural cooperative medical certificate issued by the hospital.