What if there is no medical record reimbursement?

If there is no medical record to be reimbursed, you can go to the hospital to reissue it and ask the hospital to help stamp it. However, some cities in China have cancelled the medical record books, and only need to hold a medical insurance card to use them. You need to bring your ID card, medical insurance card, original invoice, medication list, discharge summary and other materials to apply for reimbursement.

In this case, you must remember to keep the original hospital invoice and related inspection report. If there is no outpatient medical record at the time of reimbursement, you must explain to the insurance company why there is no medical record, and the insurance company will handle it as appropriate. Of course, the regulations of each insurance company are different, so you should consult the insurance company for details.

The outpatient commercial medical insurance in the market can pay the remaining medical expenses that have been reimbursed by general medical insurance, public medical insurance and other commercial supplementary medical insurance, and the usual compensation ratio is 100%. If there is no social security, the compensation ratio is generally 80%.

What should I do if I lose my medical record?

If the employee's medical record book is lost, he/she needs to submit a new medical record book to the municipal or district medical insurance agency with his/her ID card (or citizen card) and recent 1 inch bareheaded photo. After the medical records are used up, I hold my ID card (or citizen card) and old medical records to the municipal or district medical insurance agency for new medical records.

At present, some cities in China have cancelled medical insurance medical records, and only need to hold a medical insurance card to use them. I need to bring my ID card, medical insurance card, original invoice, medication list, discharge summary and other materials to the local medical insurance checkout window for reimbursement. The specific process is as follows:

1. Consult the hospital: contact the hospital finance department or reimbursement insurance department to find out whether there is an alternative.

2. Contact the reimbursement insurance customer service: contact the reimbursement insurance customer service and ask if there are any other documents to be reimbursed besides the outpatient medical records.

3. Provide other materials: generally provide other reimbursement materials, such as medical expenses list, medical cards, doctor's orders, etc. , and attach these materials to the reimbursement to prove the patient's medical treatment.

4. Try general medical reimbursement: If there is no outpatient medical record for reimbursement insurance, you can try general medical reimbursement, that is, the reimbursement service provided by insurance companies for general medical expenses.

What procedures do you need to reissue outpatient medical records?

If the employee's medical record book is lost, he/she needs to submit a new medical record book to the municipal or district medical insurance agency with his/her ID card (or citizen card) and recent 1 inch bareheaded photo. After the medical records are used up, I hold my ID card (or citizen card) and old medical records to the municipal or district medical insurance agency for new medical records. At present, some cities have cancelled medical insurance medical records, and they only need to hold medical insurance cards to use them. I need to bring my ID card, medical insurance card, original invoice, medication list, discharge summary and other materials to the local medical insurance checkout window for reimbursement. Process of opening a hospital diagnosis certificate:

1. Various medical diagnosis certificates refer to certificates issued by doctors with medical licenses, such as disease diagnosis certificates, sick leave certificates, death certificates, family planning certificates, etc.

2, the hospital has a regulation, all kinds of medical diagnosis certificate should be recorded in the medical record, no sick leave, no cross-disciplinary sick leave, no artificial sick leave, no fake sick leave or disease diagnosis certificate.

3. The certificates provided by the hospital mainly include: if the disabled person needs hospitalization, transfer and nursing, the hospital should provide certificates, including the nursing period, hospitalization time, medical expenses and other expenses that the hospital can prove during hospitalization, and the disabled hospital should also provide the final rehabilitation certificate.

legal ground

Regulations on the handling of medical accidents

Article 8

It is stipulated that "medical institutions should write and properly keep medical records in accordance with the requirements stipulated by the health administrative department of the State Council";

Article 9

It is strictly forbidden to alter, forge, conceal, destroy or rob medical records. As can be seen from the above legal provisions, medical records are kept by hospitals according to law. If the medical record (evidence) is lost, the hospital cannot prove its innocence, which will directly lead to the unclear causal relationship between medical behavior and damage consequences or the inability to determine whether there is a fault. At this point, the hospital should bear the legal consequences that are not conducive to itself.

"People's Republic of China (PRC) Social Insurance Law" Article 23 * * * employees shall participate in the basic medical insurance for employees, and employers and employees shall pay the basic medical insurance premiums in accordance with state regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.