Traditional Culture Encyclopedia - Traditional culture - How to handle hospitalization reimbursement for infusion
How to handle hospitalization reimbursement for infusion
(1), outpatient (a) using the medical insurance card to the outpatient clinic, real-time settlement, without reimbursement. (ii)If you do not have a medical insurance card to visit an outpatient clinic, please use the "Beijing Medical Insurance Manual" (medical blue book).1. Scope of reimbursement:General outpatient and emergency expenses incurred by the insured person in the designated hospitals or specialized hospitals of the medical insurance of his/her own choosing, traditional Chinese medicine hospitals and hospitals of category A.2. Outpatient starting line:The total amount of general outpatient and emergency expenses incurred in a natural year exceeds 1,800 RMB.3. Reimbursement ratio: The part over 1,800 RMB will be paid to hospitals, and the part above 1800 RMB to hospitals and category A hospitals will be paid to the insured person in real-time. 70% for the hospital and 90% for the community for the portion above 1800 RMB, and the ceiling line: 20,000 RMB. 4. Required materials: original ID card; original medical diagnostic certificate; original medical information such as outpatient medical record, report card of examination and test results; original receipts of general outpatient and emergency charges, original list of outpatient charges or original prescriptions (the prescriptions will be pasted on the back of the receipts according to the date). 5. Submission time: Monthly 1-10, the current month's expenses submitted the following month, the current year's expenses need to be submitted before January of the following year. 6, the process: a natural year cumulative more than the starting standard, the unit operator will be all the documents entered into the enterprise version of the software, the generated electronic information and statements declared to the health insurance center, the health insurance center in 30 working days to complete the audit, settlement, payment of reimbursements.
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