Why doesn't social security investigate trauma reimbursement?

Legal analysis: medical expenses incurred by the insured in hospitalization due to trauma, poisoning and other reasons. During hospitalization, it is confirmed by the medical insurance agency where the insured relationship is located, and settled by the designated medical institution, and the individual pays in full. If it is impossible to confirm whether it belongs to the reimbursement scope of basic medical insurance during hospitalization, I will pay in full when I leave the hospital. After discharge, it is investigated and verified by the medical insurance agency where the insured relationship is located, which belongs to the scope of reimbursement of basic medical insurance. The insured shall go through the reimbursement procedures with relevant materials to the medical insurance agency where the insured relationship is located within three months after discharge, and the special circumstances shall not exceed twelve months. If it fails, it will not be handled.

Legal basis: Article 29 of the Social Insurance Law of People's Republic of China (PRC) stipulates that the part of the medical expenses of the insured who should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical trading 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.