If the insured person wants to enjoy the direct settlement service of medical treatment in different places, he must first go through the formalities of medical treatment in different places in the medical insurance agency of the insured place. According to the requirements of the insured place, submit the inter-provincial medical registration form and related materials.
In order to facilitate the filing of insured persons, at present, some districts and counties in Linyi City have opened filing methods such as handling window filing, telephone filing, fax filing and filing in some designated medical institutions. The insured can consult the medical insurance agencies in the districts and counties where they are located, and choose the most convenient and effective filing method.
2, the selected point
Choose designated medical institutions for cross-provincial medical treatment. At present, there are more than10.6 million designated medical institutions for direct settlement of medical treatment in different provinces across the country, basically achieving full coverage of county-level administrative areas. The insured can query the information of designated medical institutions in real time through the social insurance online query system, and call the consultation telephone number of the insured agency and the National New Rural Cooperative Medical System APP.
According to the condition, choose the inter-provincial designated medical institutions opened in the city for medical treatment. Warm reminder: The designated medical institution for medical treatment is not a designated medical institution for direct settlement of medical treatment across provinces and different places, and direct settlement cannot be realized. The insured person needs to return to the insured place for manual reimbursement as required.
3. Hold a card for medical treatment.
At present, the social security card is the only voucher for direct settlement of employees' medical insurance and cross-provincial medical treatment for urban and rural residents. The insured should pay attention to two points. First, before the insured goes out for medical treatment, he can go to the medical insurance department or the social security card management department of the insured place to confirm that the social security card is available normally.
Second, when the insured goes through the admission formalities, they need to take the initiative to show the social security card with unified national standards, and identify the direct settlement personnel who seek medical treatment across provinces, so as to realize direct settlement when they leave the hospital.
Extended data
Participating patients should hold resident health card (or cooperative medical certificate), ID card (or household registration book, guardian ID card), and go through referral procedures in participating places through various forms. Coordinate the regional manager to fill in the relevant contents through the information system. After the handling personnel fill in the contents, the referral information will be reported to the national new rural cooperative medical information platform in time through the provincial new rural cooperative medical information platform.
Non-protocol designated referral medical institutions do not undertake inter-provincial referral function and network reporting. The inter-provincial medical network referral form is valid for 3 months. If the extension is not handled in time beyond the validity period, the overdue fee will not be included in the direct reporting scope of the new rural cooperative medical system.
People's Daily Online-The New Rural Cooperative Medical System standardizes cross-provincial direct reporting.
Explanation of Lanling Municipal People's Government-Lanling County Medical Security Bureau on the policy and process of direct settlement of medical treatment across provinces and different places