1. Patients transferred to Zhengda First Affiliated Hospital for various reasons need a paper referral form issued by the local county-level and above hospitals. (Note: The issuance date of the referral slip is earlier than the hospitalization date)
2. The patient was not hospitalized in the local county hospital, but was hospitalized directly in the Affiliated Hospital of Zheng Dayi. It is generally difficult to issue a paper referral form, but an electronic referral form can be handled. The reimbursement ratio is subject to the medical treatment catalogue and the policy of the insured place.
3. There are two ways to handle electronic referral: one is to call the local rural cooperative to handle electronic referral (the referral telephone number of the new rural cooperative medical system in each county in the province is shown in the figure); Second, through the official WeChat accounts such as "Yu Baotong" and "Henan Medical Insurance" on the mobile phone, handle the electronic referral information according to the prompts. After electronic referral, bring the patient's ID card, medical insurance card and hospitalization certificate to the window of the medical insurance office in the inpatient department of Building 7 1 (other departments are hospitalized in the ward building 1) for medical insurance registration.
4. On the day of discharge, prepare a copy of ID card and referral form for the attending doctor to sign. The doctor will go through the discharge-related procedures such as discharge certificate and diagnosis certificate, and stamp it at the nurse station. Then go to the settlement office of the inpatient hall of Building 7 (the lobby of the ward building where other departments are hospitalized 1) to go through the discharge formalities, hospitalization bill, ID card and medical insurance card, and the reimbursement amount will be directly returned to the original account.
Here, combined with the new changes in the inter-provincial medical treatment policy in 2022, this paper introduces the medical insurance reimbursement process for medical treatment in different places outside the province. The specific procedures are as follows:
1. Zhengda First Affiliated Hospital needs medical insurance for medical treatment across provinces. Medical insurance filing methods are divided into the following three types: First, the insured or agent goes to the service hall of the Insurance Regulatory Bureau or the agency for filing, and the local hospital needs to issue a cross-provincial referral and referral medical record form; Second, the insured person or agent handles the medical records in different places according to the prompts through the official WeChat accounts such as "Henan Medical Security Service Platform" official website or "Shi Yu Office" and "National Medical Records in Different Places" on the mobile phone; The third is to call the Insurance Regulatory Bureau (insurance area code+12333) to inquire about the telephone number of medical treatment in different places for telephone filing.
2. Choose the insured place according to your actual situation, and choose the designated medical institution as the First Affiliated Hospital of Zhengzhou University. Online filing, select seed selection and filing type, submit filing notice, fill in filing materials, and then wait for 2-3 working days to successfully file.
3. Take the hospitalization certificate, ID card, medical insurance card or electronic medical insurance card to the window of the medical insurance office in the inpatient department of Building 7 1 (other departments are hospitalized in the ward building 1) for medical insurance registration.
4. On the day of discharge, the doctor will open the discharge certificate, diagnosis certificate and other discharge-related procedures, and the nurse station will stamp it. Then, take the relevant discharge procedures, hospitalization bills, ID cards and medical insurance cards to the settlement office in the inpatient hall of Building 7 (the lobby of the ward building where other departments are hospitalized 1) for direct reimbursement and settlement.
The medical insurance policies of specific provinces, cities and counties are not completely consistent. The specific situation needs to consult the local medical insurance bureau and be handled in accordance with the policy requirements of the local medical insurance bureau.