First, understand the filing conditions and requirements
First of all, the insured needs to know the basic conditions and requirements of medical insurance for medical records in Gansu Province. Usually, filing needs to meet certain conditions, such as the necessity of medical treatment in different places and the time limit for filing. The insured can consult the local medical insurance department or consult relevant policy documents to understand the specific filing conditions and requirements.
Second, prepare the required materials for the record
After the applicant understands the filing conditions, he needs to prepare the corresponding filing materials. Generally speaking, the materials required for filing include personal identification, medical insurance card, and relevant documents of the place of medical treatment (such as hospital diagnosis certificate and referral certificate). ) and filing application form. The insured shall ensure the authenticity and integrity of the materials, so as to handle the filing formalities smoothly.
Third, submit the filing application.
After the insured person prepares the filing materials, he needs to submit the materials to the local medical insurance department or the designated handling window. When submitting the application, the insured person needs to fill in the filing application form and attach relevant certification materials. The medical insurance department will review the submitted materials to confirm the authenticity and accuracy of the filing information.
Fourth, wait for the audit results.
After submitting the filing application, the insured person needs to wait for the audit result of the medical insurance department. The audit time varies from region to region, and the insured can understand the audit progress by consulting the medical insurance department official website or consulting the staff. Once approved, the insured person can enjoy medical insurance benefits when seeking medical treatment in different places.
Verb (abbreviation of verb) medical treatment and settlement after filing
After successful filing, the insured shall go through the medical procedures in accordance with the provisions of the medical place when seeking medical treatment in another place. Insured persons should keep relevant medical bills and reimbursement materials during medical treatment. After the medical treatment, the insured can settle and reimburse the expenses according to the regulations of the local medical insurance department.
To sum up:
The filing process of Gansu medical insurance for medical treatment in different places includes understanding the conditions and requirements for filing, preparing the materials needed for filing, submitting the filing application, waiting for the audit results, seeking medical treatment after filing and settlement. Insured personnel should know and follow the relevant procedures in advance to ensure that they can enjoy medical insurance benefits smoothly when seeking medical treatment in different places.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 29 provides that:
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business 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.