The information required for medical insurance reimbursement is as follows:
1, the original medical insurance card and its front and back copies;
2. The original invoice for hospitalization is stamped with the seal of the charging business of the medical institution;
3. Detailed summary list of hospitalization;
4, medical institutions stamped diagnosis proof materials;
5, the first page of hospital medical records or admission records;
6. A copy of the discharge summary is stamped with the special seal for medical records management of medical institutions.
Reimbursement process:
1. When registering in hospital: you need to show your medical insurance card and ID card. The hospital will check the personal data and payment of the insured person in the medical insurance information system and handle the admission procedures for them;
2. During hospitalization: Please remind doctors that the use of self-funded drugs, diagnosis and treatment items and medical service facilities must be signed and agreed by patients or their families;
3. Discharge: If the hospitalization meets the discharge standard, the attending doctor will issue a discharge notice, and the insured will go to the discharge office with the discharge notice and medical insurance card for settlement.
To sum up, the materials needed for medical insurance reimbursement include hospital medical records, which need doctors to fill in and issue discharge certificates; You also need a general ledger of medical expenses, including medical expenses, hospitalization expenses, operation expenses, nutrition expenses, visits and other expenses that can be reimbursed by medical insurance regulations. In addition, it also includes the original and copy of the party's ID card.
Legal basis:
Article 10 of People's Republic of China (PRC) Social Insurance Law
An insurance contract is an agreement between the applicant and the insurer on the relationship between insurance rights and obligations. The applicant refers to the person who has entered into an insurance contract with the insurer and has the obligation to pay the insurance premium according to the contract.
An insurer refers to an insurance company that has entered into an insurance contract with the applicant and is liable for compensation or payment of insurance benefits according to the contract.
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.