What is the reimbursement process of neonatal medical insurance in different places?

Legal analysis:. The insured shall register with the agency of the insured place before seeking medical treatment across provinces. The handling agency of the insured place shall handle the filing procedures for medical treatment in different places for the insured person according to local regulations. When the insured person is discharged from hospital in different places, the agency in different places will transmit the hospitalization expenses and other information to the agency in different places in real time through the national settlement system for different places, and the agency in the insured place will calculate the amount that the insured person and various medical insurance funds should pay according to local regulations, and return the calculation results to the designated medical institutions in the medical place through the national designated medical institutions and the settlement system for the insured person.

Legal basis: Notice of the Ministry of Finance of Ministry of Human Resources and Social Security on Doing a Good Job in Direct Settlement of Medical Expenses for Medical Treatment in Different Provinces of Basic Medical Insurance III. Standardize the process of medical treatment in different places.

(5) standardize the transfer-out process. The insured shall register with the agency of the insured place before seeking medical treatment across provinces. In accordance with the local regulations, the handling agency of the insured place handles the procedures for filing medical records in different places for the insured, and establishes a database of medical records in different places to realize dynamic management. The insurance agencies will report the information of medical personnel in different places to Ministry of Human Resources and Social Security social insurance agencies (hereinafter referred to as ministerial agencies) to form a national database of medical personnel in different places for medical institutions and designated medical institutions to obtain the information of medical personnel in different places.

(6) Standardize the settlement process. When the insured person is discharged from hospital in different places, the agency in different places will transmit the hospitalization expenses and other information to the agency in different places in real time through the national settlement system for medical treatment in different places, and the agency in different places will calculate the amount that the insured person and various medical insurance funds should pay according to local regulations, and send the calculation results back to the designated medical institutions in different places through the national settlement system for direct settlement between the designated medical institutions and the insured person.

(7) Strengthen comprehensive coordination across provinces. Ministerial agencies are responsible for coordinating and urging all provinces (autonomous regions and municipalities) to timely allocate funds in accordance with the Procedures for Direct Settlement of Hospitalization Expenses in Different Provinces of Basic Medical Insurance (for Trial Implementation) (see Annex, hereinafter referred to as the Procedures). For provinces that delay the disbursement of funds without reason, the Ministry may suspend the direct settlement service for medical treatment in different places. Provincial agencies are responsible for coordinating and urging the co-ordination areas to pay the inter-provincial medical advance payment and liquidation funds in a timely manner.