What is Tianjin social security payment audit form?

(1) Application materials for outpatient (emergency) diagnosis

(1) social security report receipt for verification (networked hospitals need to be stamped with full advance stamp or network failure stamp);

(2) List of outpatient expenses (the list of drug expenses must have the approval number);

(3) The corresponding receipt of medicine fee under the prescription;

(4) Purchasing drugs at designated retail pharmacies in the city: Prescription drugs must have special invoices and lists (stamped with the special seal for medical insurance) and corresponding prescriptions purchased by designated medical institutions (stamped with the outsourcing seal of the hospital). Non-prescription drugs need to provide special invoices and lists (stamped with the special seal for medical insurance), and there is no need to buy prescriptions;

(5) Each unit shall fill in the following forms in the following order, which must be uniformly declared by the handling personnel of the unit.

(1) "Tianjin outpatient (emergency) large medical expenses subsidy application payment form" (Tianjin social security medical department No.8 form)

(2) Handover Form of Medical Expense Declaration Materials

(3) "Tianjin outpatient (emergency) large medical expenses diagnosis subsidy application payment audit table" (Tianjin Social Security Medical No.9 table)

(4) "Tianjin urban workers' medical expenses personal declaration and payment form"

(5) the medical expenses declaration certificate specification commitment "

(2) Application materials for hospitalization

(1) receipt of social security report for verification (medical insurance stamp of the hospital is required)

(2) summary details; (Need to affix the medical insurance seal of the hospital)

(3) Discharge summary (special seal for hospital medical record room is required)

(4) Diagnosis certificate (medical insurance seal and diagnosis certificate seal are required)

(5) All units shall fill in the following forms in the following order, which must be uniformly declared by the unit handling personnel.

(1) Receipt of full payment of hospitalization expenses by the insured (insured unit) "

② Application and Payment Form of Tianjin Basic Medical Insurance (Tianjin Social Security Medical Sub-center 10)

(3) "Tianjin basic medical insurance premium application payment audit table" (Tianjin social security medical center number 1 1 table)

(4) "Tianjin urban workers' medical expenses personal declaration and payment form"

(5) the medical expenses declaration certificate specification commitment "

⑥ Relevant proof

(3) Application materials for outpatient special diseases

(1) social security report receipt for verification (networked hospitals need to be stamped with full advance stamp or network failure stamp);

(2) List of outpatient expenses (the list of drug expenses must have the approval number);

(3) The receipt corresponding to the prescription below;

(4) Each unit shall sort out and fill in the following forms in the following order, which must be uniformly declared by the handling personnel of the unit.

① Tianjin Basic Medical Insurance Fee Application Payment Form (Tianjin Social Security Medical Sub-center 10)

(2) Handover Form of Medical Expense Declaration Materials

(3) "Tianjin basic medical insurance premium application payment audit table" (Tianjin social security medical center number 1 1 table)

(4) "Tianjin urban workers' medical expenses personal declaration and payment form"

(5) the medical expenses declaration certificate specification commitment "

⑥ Relevant proof

Verb (abbreviation for verb) Sticking of bills

(1) Take each outpatient receipt as the unit, and the corresponding valid bills are a group;

(2) The outpatient receipt is on the top, and the expense list is on the bottom. The vertical alignment shall be subject to the left alignment and pasted into groups;

(3) A copy of the report or the bottom copy of the prescription should be folded neatly according to the length and width of the outpatient receipt;

(4) In the "Tianjin Urban Workers' Medical Expenses Individual Declaration Payment Sheet" (hereinafter referred to as the payment sheet), each group of bills is pasted on the dotted line of the bill from right to left (interval 0.5- 1cm) in chronological order.

(5) All registration fee receipts and outpatient receipts are numbered in the order of 1, 2,3 ... n n, and marked in the lower right corner of the receipt;

(6) The expense list can be folded within the payment table;

(7) After verification, fill in the content of the payment form, with one line for each bill and the examination fee for other items.

Matters needing attention about intransitive verbs

65438+

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.