How does the hospital reimburse after the operation?

After the operation, the reimbursement process is as follows:

1. Collect relevant information: discharge summary, medical records, medical insurance cards, etc.

2. Go to the financial department of the hospital or the medical insurance window to submit relevant information.

3, the hospital financial or medical insurance window audit data, confirm the reimbursement amount.

4. The patient receives the reimbursement amount or directly charges the expenses to the bank card.

Standard for filing the balance of medical insurance card:

1. Types of basic medical insurance for insured persons: Different types of basic medical insurance may have different filing standards, such as employee medical insurance, resident medical insurance and new rural cooperative medical insurance.

2. Insured person's medical insurance payment: the filing standard of medical insurance card balance may be affected by the insured person's medical insurance payment, such as arrears, suspension of insurance, etc., which may affect the filing standard of the balance;

3. Local medical insurance policies and reimbursement standards: Medical insurance policies and reimbursement standards in different regions may have an impact on the filing standards of medical insurance card balances;

4. Other relevant factors: Other relevant factors can also be considered, such as the identity, age and scope of medical insurance reimbursement of the insured.

To sum up, the inquiry method of medical insurance card balance may be different in different regions and medical insurance management institutions. Please refer to the relevant regulations of the local social security bureau or medical insurance management institution for the specific inquiry process.

Legal basis:

Article 4 of People's Republic of China (PRC) Social Insurance Law

Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.

Article 74

The social insurance agency shall obtain the data needed for social insurance work through business handling, statistics and investigation, and the relevant units and individuals shall provide it in a timely and truthful manner.

The social insurance agency shall establish a file for the employer in a timely manner, completely and accurately record the social insurance data such as personnel's participation in social insurance and payment, and properly keep the original vouchers for registration and declaration and accounting vouchers for payment and settlement.

The social insurance agency shall timely, completely and accurately record the individual's personal rights and interests such as social insurance payment, employer's payment and social insurance benefits, and regularly send the personal rights and interests records to me free of charge.

Employers and individuals can inquire and check the records of payment and social insurance benefits from social insurance agencies free of charge, and ask social insurance agencies to provide social insurance consultation and other related services.