The 2021 reimbursement policy of Xuzhou’s New Rural Cooperative Medical Care System is that patients only need to pay out-of-pocket expenses, and the New Rural Cooperative Medical Care System compensation fees will be advanced by cross-provincial designated medical institutions.
The reimbursement scope of medical insurance refers to the management of medicines, diagnosis and treatment in basic medical insurance in order to ensure the basic medical needs of insured persons. Basic medical insurance stipulates the reimbursement scope of drug catalogs, diagnosis and treatment items and medical service facilities. (commonly known as the "three major directories").
The reimbursement procedure includes:
1. The requirements for filling in the reimbursement expenses include:
1. In principle, the expense manager should complete the reimbursement within 5 days after the expense is incurred. Go to the Finance Department to handle the reimbursement procedures within 10 working days. Special circumstances can be handled separately;
2. Cut the original document to the corners, face up (in the same direction as the reimbursement document) and paste it on the reverse side of the reimbursement form On the left;
3. Use a blue or black pen or signature pen to truthfully fill in the various contents of the reimbursement form, such as: reimbursement time, reimbursement person, expense summary, number of documents, etc.;
4. For procurement operating expenses, you must go to the warehouse with a valid "Purchase Requisition" (or Procurement Plan) and invoice to go through the procedures for item inspection and storage, and attach the warehouse receipt and direct withdrawal receipt to the back of the reimbursement document. ;
5. For non-purchasing administrative, office or other expenses, directly fill in the reimbursement documents;
6. Outbound training fees should be reimbursed according to the "Training Agreement".
2. The review of reimbursement documents includes:
1. After the person handling the expense reimbursement document signs, it must be signed and confirmed by the head of each department;
2. Finance Department The manager should strictly and carefully review all reimbursement expenses within one working day after receiving the reimbursement documents. If the reimbursement standards are met, the reviewer will sign the name and review date in the financial review column, and then the reimbursor will submit it to the general manager. Approval.
3. If the audited reimbursement document does not meet the expense standards or if there are other questions and the reimbursor cannot provide a report approved by the general manager, the reviewer should return the reimbursement document.
Article 29 of the "Social Insurance Law of the People's Republic of China" The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be borne by the social insurance agency, medical institutions, pharmaceuticals Business units settle directly. The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.