1. Rural cooperative medical insurance reimbursement process:
A, the new rural cooperative medical insurance patients must present their own medical card, their own valid ID card (no ID card with the hukou), after confirming the identity of the township-level general outpatient fixed-point medical institutions within the area can be directly reimbursed by credit card in the region and outside the area of hospitalization in the municipal fixed-point medical institutions, the direct reimbursement of credit card at the time of discharge checkout.
B. The insured patients who are hospitalized in public medical institutions outside of the city at the second level and above should be reimbursed by the insured or their family members with the original invoices of the medical expenses (photocopies are invalid), the summarized itemized list of the medical expenses for hospitalization, the summary of the hospitalization summary and the medical records of the outpatient clinic, the patients' ID card, the medical card, the household registration book, and the ID card of the person who manages the case, to the window of the New Agricultural Cooperative of the District Administrative Service Center, within three months of the discharge of the patients. The medical expenses.
C. Outpatient reimbursement for special diseases can be made with the medical records issued by the designated medical institutions at or above the second level and the relevant examination, laboratory reports and other relevant information and certificates of medical institutions, as well as the "Approval Form for Outpatient Treatment of Special Diseases of New Rural Cooperative Medical Care in Huangyan District", which can be used to submit an application to the New Rural Cooperative Medical Center, and after examination and approval of the District New Rural Cooperative Medical Care Office, the medical expenses of outpatient treatment (excluding the medical expenses of supportive therapies, auxiliary treatments or treatments for other diseases) will be paid to the New Rural Cooperative Medical Center. After examination and approval by the district New Farmers' Cooperative Office, the outpatient medical expenses (not including those for supportive therapy, adjuvant therapy or treatment of other diseases) can be included in the scope of reimbursement of the New Farmers' Cooperative Fund, and reimbursed on a yearly basis in accordance with the standard of reimbursement for inpatient treatment.
D. Patients hospitalized due to accidental injuries are required to submit a certificate of confirmation of the cause of the accidental injury signed and sealed by the village (neighborhood) where the household is located, as well as the hospital's case records after being discharged from the hospital. Those who cannot provide valid certificates and records will not be accepted. The reimbursement cycle is accepted by the District Administrative Service Center on the first floor of the New Farmers' Cooperative window within 30 working days after the New Farmers' Cooperative Industrial Management Center inspectors to investigate, audit, and reimbursement of the truth; responsibility for the third party responsible for the reimbursement will not be reimbursed; hospitalized patients also bear part of the responsibility, with the agreement or proof of the relevant New Farmers' Cooperative Window, the first floor of the District Administrative Service Center for reimbursement of the portion of the medical costs they bear.
2. Urban residents of the basic medical insurance reimbursement procedures:
A. insured patients discharged from the hospital, need to be before the first day of each month will be ① a copy of the first page of the medical record (need to be stamped by the medical insurance section of the hospital), ② discharged from the hospital summary, ③ hospitalization fee receipts, ④ hospitalization medical expenses (one-day list), ⑤ a copy of the cash bill of health insurance, ⑥ hospital discharge, ⑦ ID card copy to the community, the registration of the relevant. The community will then be able to register the case.
B. Before the 5th day of each month, each community will submit the relevant materials and forms to the district medical insurance office.
C. From the 5th to the 10th of each month, the district medical insurance office examines the relevant bills and accounts for the reimbursement amount. On the 12th-15th of each month, it will be submitted to the Municipal Medical Insurance Center for approval.
D. In the first half of the following month, the reimbursement fee is paid. The insured patients need to take their ID cards to the district medical insurance office to get