How long does it take to review the application for medical record in different places?

Under normal circumstances, it takes about seven working days to review medical records in different places. Can be processed online and offline:

(1) online processing. If the processing requirements are met and the system successfully uploads the filing information, the system will complete the transaction immediately (batch by batch). If the system is not successfully completed, it will be assigned to the local handling department for manual review, which will be completed within one working day.

(2) window and telephone (fax) processing, one working day after acceptance. For the business of manual audit, in order to ensure the treatment of the insured, the effective time for online processing is based on the time when the insured confirms the submission, and the time for window and telephone (fax) processing is based on the time when the staff accepts it.

Specific process

When the insured goes through the inter-provincial and off-site medical treatment filing procedures, they will go directly to the city where they seek medical treatment, and make direct credit card settlement in Fujian Province without filing. Applicants can apply online through the online national remote medical record WeChat applet, national medical insurance service platform APP, Fujian online service hall, Fujian medical insurance WeChat applet, Minwutong APP and Longyan medical insurance WeChat official account's "inter-provincial medical registration" module. You can also choose to report directly to the window of Longyan Municipal Affairs Service Center offline.

(1) Online declaration. Take the national remote medical record WeChat applet as an example, the specific steps are as follows: WeChat searches the national remote medical record applet, enters the remote medical record application interface, fills in the identity information, and carries out face authentication (hint: you can click to enter the remote medical record processing guide first. Understand the operation steps and common problems of medical records in different places) —— Application for medical records in different places —— Insured place: Longyan City, Fujian Province —— Medical place: the province, city or municipality directly under the central government where the hospital to be treated is located —— Select the record type —— Start recording —— Check "I have read the notice of quick recording carefully" ——— Fill in the application record start date (which can be advanced to the day of admission), contact person's mobile phone number and contact address (fill in)

(2) offline declaration. The insured can hold the social security card, residence booklet or residence permit to the medical insurance handling service window to complete the declaration according to the service guide. The medical insurance service window includes the urban medical insurance window of Longyan Municipal Affairs Service Center, the in-hospital medical insurance service station and the town street convenience service center that has carried out medical insurance services.

(3) The examination takes effect. Inter-provincial medical record medical insurance agencies will review within 2 working days, and the record will take effect if it is successful. Insured people can query in the "Record" module of WeChat applet in different places across the country and the national medical insurance service platform APP. Or check the filing progress and results in the online service hall of Fujian Province, the small program of Fujian Medical Insurance WeChat, the civil administration APP, and the "Work Progress" module of Longyan Medical Insurance WeChat official account.

legal ground

People's Republic of China (PRC) social insurance law

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.

People's Republic of China (PRC) Basic Medical Care and Health Promotion Law

Article 30 The state promotes the implementation of graded diagnosis and treatment system in basic medical services, guides non-emergency patients to give priority to medical treatment in primary health institutions, implements the responsibility system of first diagnosis and referral review, and gradually establishes a mechanism of first diagnosis, two-way referral, fast and slow division of labor and linkage up and down at the primary level, which is linked with the basic medical insurance system. The local people's governments at or above the county level shall, according to the medical and health needs of their respective administrative areas, integrate the medical and health resources organized by the local government, and establish cooperative medical service cooperation mechanisms such as medical consortia according to local conditions. Encourage medical and health institutions organized by social forces to participate in the medical service cooperation mechanism.

Article 35 Primary medical and health institutions mainly provide prevention, health care, health education and disease management, establish health records for residents, diagnose and treat common diseases and frequently-occurring diseases, provide rehabilitation care for some diseases, receive patients referred by hospitals, and refer patients beyond their own service capacity to hospitals and other basic medical and health services.

Hospitals mainly provide medical and health services such as diagnosis and treatment of diseases, especially critical and difficult diseases, emergency medical treatment and health education, and carry out medical education, medical and health personnel training, medical scientific research and business guidance for primary medical and health institutions.

Professional public health institutions mainly provide public health services such as prevention and treatment of infectious diseases, chronic non-communicable diseases, occupational diseases and endemic diseases, health education, maternal and child health care, mental health, pre-hospital first aid, blood collection and supply, food safety risk monitoring and assessment, and birth defects prevention and control.