What should I do if the medical insurance in different places is successfully filed and the hospital cannot use it?

After the successful filing of medical insurance in different places, if it can't be used in the hospital, don't panic first. You can follow the following steps.

First of all, understand why it can't be used.

After the medical insurance is successfully filed in different places, but there are problems when it is used in hospitals, we must first understand the specific reasons why it cannot be used. It may be because the medical insurance system of the hospital has not updated the filing information, or the hospital has misunderstood the specific operation process of medical insurance in different places. It is also possible that there is something wrong with the filing information itself, such as filling in errors or missing key information.

Second, communicate with the hospital medical insurance office.

After understanding the reasons, communicate with the hospital medical insurance office as soon as possible. Explain the situation to the staff of the medical insurance office and provide proof of successful filing. The staff of the medical insurance office will help you find out the problem and give corresponding solutions.

Three, contact the medical insurance department for the record.

If communication with the hospital medical insurance office fails to solve the problem, it is recommended to contact the medical insurance department at the place where the record is filed. Reflect the situation to them and seek further help and guidance. The medical insurance department at the filing place will verify your filing information and coordinate to solve the problem of medical treatment in different places.

Fourth, keep relevant evidence.

In the whole process, it is necessary to keep relevant evidence, such as the notice of successful filing and communication records with hospitals and medical insurance departments. These evidences will help you to protect your rights and interests in the follow-up treatment.

To sum up:

When the medical insurance in different places can't be used in the hospital after the successful filing, we should first understand the reasons, communicate with the hospital medical insurance office, and contact the medical insurance department where the filing is located for help. In the whole process, keep relevant evidence in order to safeguard your rights and interests.

Legal basis:

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

Article 29 provides that:

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

Guiding opinions on further improving the settlement of medical expenses for medical treatment in different places in basic medical insurance

Article 4 provides that:

All localities should simplify and unify business procedures such as registration and filing of medical treatment in different places, management of medical treatment places, audit of medical expenses, advance payment management and fund settlement, and promote one-stop service.

Opinions on deepening the reform of medical security system

Article 12 stipulates:

Accelerate the inter-provincial direct settlement of outpatient expenses, expand the scope of direct settlement of medical treatment in different places, include more outpatient treatment expenses related to chronic diseases and special diseases into the inter-provincial direct settlement scope, and give priority to solving the inter-provincial direct settlement of outpatient treatment expenses related to chronic diseases and special diseases with heavy burden on the masses.