1. Online filing: Log in to official website of Social Security Bureau and submit an application, then you can apply for medical treatment in different places for filing. Wechat and telephone filing have also been opened in some areas.
2. Offline filing: with ID card, social security card and registration form for medical treatment in different places, download it from the website of the Social Security Bureau and file it with the local Social Security Bureau.
(1) When patients are transferred from other places, they should contact the attending physician in advance, and the attending physician should fill out the Approval Form for Transfer of Basic Medical Insurance from Other Places in a City, with expert consultation opinions attached, which will be reviewed by the medical insurance department of the hospital and signed by the hospital leaders. In addition, other relevant materials should be prepared: ID card, social security card, hospital inspection results and hospital diagnosis certificate. After the materials are prepared, take the above materials to the corresponding window of the local social security bureau for review and filing, so as to facilitate reimbursement after medical treatment in different places. When the filing procedures of the Social Security Bureau are completed, they can be referred to other hospitals. After seeing a doctor in a different hospital, bring the inpatient medical record, expense list and invoice to the corresponding window of the local social security bureau for expense reimbursement. In addition, if the condition is very critical, you can first open the referral certificate of the hospital, first transfer to the hospital, and then go through the examination and approval procedures at the local social security bureau within the specified time.
(2) Referral in different places should not only be filed, but also a "referral certificate" issued by the doctor. But the referral certificate can't be opened casually. If it can be treated locally, the hospital may refuse to prescribe it just for better medical conditions. Whether there is a referral certificate will affect the reimbursement amount. In some areas, patients without referral certificates will not be accepted.
You need to choose a designated hospital institution for filing, and you can only be reimbursed after seeing a doctor in a designated hospital. However, some cities do not need to choose designated hospitals for medical treatment in different places, but only need hospitals to support online settlement.
(3) After successful filing, you can directly go to a designated hospital with a medical insurance card, and you can directly use medical insurance for settlement when you leave the hospital, and you don't need to submit an expense account afterwards.
legal ground
Regulations on the administration of medical institutions
Thirtieth medical institutions should immediately rescue critically ill patients. Patients who cannot be diagnosed and treated due to equipment or technical conditions should be referred in time.
Article 31 A medical institution shall not issue a disease diagnosis certificate, a health certificate or a death certificate without a doctor personally examining the patient; A medical institution may not issue a medical certificate of birth or a stillbirth report without a doctor or midwife personally delivering the baby.
Thirty-second medical personnel should explain the illness and medical measures to patients in medical activities. If surgery, special examination and special treatment are needed, the medical staff shall explain the medical risks and alternative medical schemes to the patients in a timely manner, and obtain their clear consent; If it is impossible or inappropriate to explain it to the patient, it shall explain it to the patient's close relatives and obtain their clear consent. If the opinions of patients or their close relatives cannot be obtained due to emergency situations such as rescuing dying patients, corresponding medical measures can be implemented immediately with the approval of the person in charge of the medical institution or the authorized person in charge.
Article 33 Medical accidents in medical institutions shall be handled in accordance with relevant state regulations.
Article 34 Medical institutions shall handle the special diagnosis, treatment and disposal of patients with infectious diseases, mental diseases and occupational diseases in accordance with the provisions of relevant state laws and regulations.