On-line processing flow of medical record in different places in Shanxi Province

online processing flow of medical records in different places in Shanxi Province

1. Computer terminal (PC terminal)

Login to the national government service network-identity authentication-city selection-search personnel for records-"Select specific processing items

2. Mobile terminal

Open WeChat to find the national medical records in different places" applet-click "Quick record".

the medical insurance card cannot be used in different places. Note that you must go through the formalities for medical treatment in different places. Medical treatment in different places shall be paid in advance by individuals, and those who meet the reimbursement requirements shall be reimbursed locally according to the regulations by the medical records, discharge summary, medical insurance medical records of employees, detailed list of expenses and settlement documents of medical expenses.

1. How to go through the procedures for medical treatment in different places

1. Medical personnel in different places must go through the registration, approval and filing procedures for medical treatment in different places with the "social security card" to the medical insurance agency in the insured area;

2. After approval and filing, medical personnel in different places will implement designated medical treatment based on the principle of convenience nearby. Generally, one or three designated medical institutions in their residence can be selected as designated medical institutions for medical treatment in different places, with a fixed period of one year.

if you need to go to a different place for medical treatment due to business trip, returning home to visit relatives (short-term settlement in different places), traveling and other special circumstances, you should go through the application and approval procedures for medical treatment in different places in the insured co-ordination area within three days after emergency treatment, and you can call temporarily for special circumstances.

when the residence of medical personnel in different places changes or their condition changes and it is necessary to change the designated hospital, they must go to the insured place to go through the filing formalities again.

3. Medical personnel in different places should go to the designated medical institutions for medical treatment with the "social security card" issued by the insured co-ordination area, and the medical expenses incurred will be directly settled by online credit card according to the medical insurance policy of the insured co-ordination area (including outpatient and inpatient co-ordination). If the real-time online settlement cannot be made due to various reasons such as network impassability or arrears blockade, the medical personnel in different places will pay in full and bring relevant reimbursement vouchers to the medical insurance agency in the insured place for reimbursement.

4. The expenses that should be paid by the medical insurance fund for medical treatment in different places shall be settled by the medical insurance agency in the place where the medical treatment is taken, and the medical insurance co-ordination area and the medical insurance agency in the place where the medical treatment is taken regularly settle the expenses for each other.

Legal basis

Article 32 of the Social Insurance Law of the People's Republic of China

If an individual is employed across the overall planning area, his basic medical insurance relationship will be transferred with him, and the payment period will be calculated cumulatively. Therefore, if you want to use the medical insurance card in different places, you need to transfer it before you can use it, that is, the use is still limited. Moreover, the medical insurance card cannot be used overseas.

Article 3

The following medical expenses are not included in the payment scope of the basic medical insurance fund: (4) Medical treatment abroad.