How to treat the reimbursement of medical hospitalization expenses

The reimbursement of medical hospitalization bills needs to be settled through medical insurance first, and then the corresponding materials are provided for reimbursement according to different reimbursement methods and policies.

The reimbursement of medical hospitalization bills mainly includes two processes, one is medical insurance settlement and the other is reimbursement operation. First of all, the reimbursement of medical hospitalization expenses needs to be settled through medical insurance, that is, through social medical insurance, commercial medical insurance and public medical care. In the process of medical insurance settlement, you need to provide valid identity documents and medical insurance cards, as well as related invoices and bills, in order to obtain the amount of medical insurance reimbursement. Secondly, according to different reimbursement methods and policies, the reimbursement of medical hospitalization bills needs to provide corresponding reimbursement materials. Generally speaking, the medical insurance policy implemented by the state is proportional reimbursement, that is, according to the medical insurance expenses and medical expenses paid by patients, reimbursement is made according to a certain proportion. The materials required for reimbursement generally include invoices, detailed charges, copies of medical insurance cards, etc. For commercial medical insurance and public medical care, reimbursement policies and methods will be different.

What problems should be paid attention to in reimbursement of medical hospitalization expenses? Pay attention to the following points when reimbursing medical hospitalization bills: 1. In the process of medical insurance settlement, ensure that the documents and materials provided are legal and true, otherwise the reimbursement amount may be affected. 2. According to different reimbursement methods and policies, provide corresponding reimbursement materials and ensure that the materials are complete and correct. 3. In the process of reimbursement for commercial medical insurance and free medical care, we need to know specific policies and regulations to avoid underreporting or overstatement. 4. Collect and save relevant invoices and bills for future inquiry or dispute settlement.

The reimbursement of medical hospitalization bills requires medical insurance settlement first, and then corresponding materials are provided for reimbursement according to different reimbursement methods and policies. When making reimbursement, you need to pay attention to different policies and regulations, provide legal and true materials, and properly keep relevant bill materials to ensure that you can get the maximum reimbursement amount.

Legal basis:

Article 21 of the Measures for the Administration of Invoices in People's Republic of China (PRC) shall not be used as financial reimbursement vouchers, and any unit or individual has the right to refuse to accept them.

"People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund 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.