Detailed steps of social security reimbursement process

Original ID card of materials and procedures required for social security reimbursement; Original medical diagnosis certificate; Original medical data such as outpatient medical records, examination and test results reports; Original receipt of general outpatient and emergency charges, detailed list of outpatient expenses or original prescription (the prescription is attached to the receipt by date). Submission time: every month 1- 10, the current month's fee will be submitted the next month, and the current year's fee will be submitted before 1 the following year. Handling process: If the accumulated threshold is exceeded in a natural year, the unit manager will input all the documents into the enterprise software and report the generated electronic information and statements to the medical insurance center, which will complete the review, settlement and payment of reimbursement expenses within 30 working days. Social security reimbursement materials maternity reimbursement 1. Materials required for maternity allowance: 1, original and photocopy of marriage certificate; One original and one copy of the Maternity Service Certificate; One original and one copy of the baby's birth certificate; One original and one copy of the medical diagnosis certificate; "Maternity Allowance Applicant Information Registration Form" in duplicate (filled in with black pen). Note: The above copies must be on A4 paper. 2. Submission time: every month 1- 10 days (2 months after the baby is born). 3. Handling process: the unit manager will submit the above materials to the social security center, and pay the maternity allowance within 30 working days after accepting the approval. In line with the conditions for enjoying the late childbirth (over 23 years old) incentive allowance, both husband and wife choose the object to enjoy the late childbirth allowance in the Information Registration Form of Persons Applying for Maternity Allowance in Beijing, which is signed and confirmed by both husband and wife, and sealed by both parties. If both husband and wife have participated in maternity insurance, the woman's unit shall fill in the Information Registration Form for Persons Applying for Maternity Allowance in Beijing; If the woman has not participated in maternity insurance, and the man has participated in maternity insurance, and the man enjoys maternity allowance, the unit where the man works shall fill in the Information Registration Form for Persons Applying for Maternity Allowance in Beijing (in duplicate) and make a declaration. Maternity insurance reimbursement conditions II. Materials required for maternity medical expenses (prenatal examination): 1. One original and one copy of the Maternity Service Certificate; A copy of the baby's birth certificate; Copy of medical diagnosis certificate; All original receipts and prescriptions (Chinese and western medicine fees) are sorted out smoothly according to the date (medical expenses can be reimbursed to 4 yuan); Application Form for Manual Reimbursement of Maternity Insurance Medical Expenses (filled in with black signature pen). 2. Submission time: every month 1- 10 days (2 months after the baby is born). 3. Handling process: the manager of the insured unit submits the above materials to the social security center, and pays the maternity medical (prenatal examination) fee within 30 working days after accepting the examination and approval. III. Materials required for medical expenses (hospitalization) of family planning operation: 1, the original and photocopy of the Maternity Service Certificate; A copy of the baby's birth certificate; Copy of medical diagnosis certificate; All receipts, prescriptions (Chinese and western medicine fees), details of hospitalization expenses and original hospitalization settlement list are sorted in chronological order (medical expenses can be reimbursed to 4 yuan); Application Form for Manual Reimbursement of Maternity Insurance Medical Expenses (filled in with black signature pen). 2. Submission time: every month 1- 10 days (2 months after the baby is born). 3. Handling process: the unit manager submits the above materials to the social security center on June 5438+0-20 every month, and pays the medical expenses for family planning surgery within 30 working days after accepting the approval. Materials required for reimbursement of medical expenses for work-related injuries Materials required for reimbursement of work-related injuries: 1, application form for identification of work-related injuries in quadruplicate, and copying is invalid; One original and one copy of the diagnosis certificate and the diagnosis certificate of outpatient (inpatient) cases or occupational diseases; One original and one copy of the text of the labor contract; Copy of the injured person's ID card; 2. Submission time: 1- 10 every month. 3. Handling process: application: the unit manager submits the above materials to the social security center; Acceptance: the work-related injury identification department will review the application within 15 days after receiving it. Those who meet the conditions should be admitted. If the application materials are incomplete, inform the unit manager to fill in the materials within 30 days;

Legal objectivity:

Article 54 of the Social Insurance Law of People's Republic of China (PRC) * * * If the employer has paid maternity insurance premiums, its employees shall enjoy maternity insurance benefits; Unemployed spouses of employees enjoy maternity medical expenses in accordance with state regulations. The required funds are paid from the maternity insurance fund. Maternity insurance benefits include maternity medical expenses and maternity allowance.