Zhengda First Affiliated Hospital off-site medical attention - (East Hospital District) referral and reimbursement process

In 2022, patients with New Agricultural Cooperative (including urban residents) medical insurance from other places need to apply for referral for reimbursement, in order to facilitate the smooth reimbursement of medical insurance, as little as possible to "run errands", not "advances". We take Zhengdong hospital cardiology hospitalization as an example, the first introduction to the province's foreign medical insurance reimbursement process, the specific steps are as follows:

1. patients for various reasons to ZhengDa hospitalization, the need for the local county hospitals and above issued a paper referral. (Note: The date of the referral order is earlier than the date of hospitalization)

2. Patients who are not hospitalized in the local county hospitals, directly to the First Affiliated Hospital of Zhengzhou University for hospitalization, it is generally difficult to issue paper referrals, electronic referrals can be processed, reimbursement rates based on the directory of the place of medical care, the policy of the place of participation in the implementation of the policy.

3. Electronic referral for the following two ways: one is to call the local Agricultural Cooperative Office, for electronic referrals (the province's county NAC referral phone as shown); the second is through the cell phone terminal "Yubao Tong", "Henan Medical Insurance" and other WeChat public number, according to the prompt operation for electronic referral information. prompt operation for electronic referral information. Electronic referral for the patient's ID card, health insurance card, hospitalization certificate to the 7th floor of the inpatient department of the 1st floor lobby (other departments hospitalized in the ward building of the 1st floor lobby) health insurance office window for health insurance registration.

4. On the day of discharge, prepare a copy of ID card, referral to the attending doctor for signature, the doctor will give the discharge card, diagnostic certificate and other discharge-related procedures to the nurses' station stamped, and then with the discharge-related procedures, hospitalization payment, ID card, health insurance card to the 7th floor of the inpatient hospitalization department of the 1st floor lobby (other departments hospitalized in the ward building, the 1st floor lobby) Settlement Office for the discharge of reimbursement directly to the account of the original. The amount reimbursed will be returned directly to the original account.

The following combined with the new changes in 2022 cross-provincial medical policy, and then introduce the out-of-province medical insurance reimbursement process, the specific steps are as follows:

1. cross-provincial to Zheng Daxi Hospital need to apply for medical insurance for the record, the medical insurance for the record is divided into the following three kinds of ways: First, the participant or agent to the Participation Bureau of the service hall or the agent for the record, the need for the local hospital to establish a cross-provincial referral to transfer to a hospital for the record form; second, the participants or agents to the Participation Bureau service hall or agent to record, need local hospitals to open the cross-provincial transfer to transfer to hospital The second is the participant or the agent through the "Henan Provincial Medical Security Public **** Service Platform" official website or cell phone "Yu Affairs Office", "national cross-district medical record" and other WeChat public number, follow the prompts. WeChat public number, according to the prompt operation for foreign medical record; third is to call the insurance bureau phone (insurance area number +12333) query foreign medical phone phone for telephone record.

2. According to their own actual situation to choose to participate in the insurance place, the selected point of care for the First Affiliated Hospital of Zhengzhou University. Online filing choose to participate in the selection of species, the type of filing, submit the filing notice, fill out the filing materials, and then wait for 2-3 working days will be filed successfully.

3. With the hospitalization card, ID card, health insurance card or electronic health insurance card to the 7th building inpatient department 1 floor lobby (other departments hospitalized in the ward building 1 floor lobby) health insurance office window for health insurance registration.

4. On the day of discharge, the doctor will issue a certificate of discharge, a certificate of diagnosis and other discharge-related procedures, and the nurse's station will stamp the certificate, and then the doctor will take the discharge-related procedures, the hospitalization payment slip, the ID card, and the health insurance card to the billing office in the lobby on the 1st floor of the inpatient department of the 7th floor (the 1st floor of the lobby of the 1st floor of the ward building where the other departments are hospitalized) to make the reimbursement settlement directly.

Specific provincial, municipal and county health insurance policies are not entirely consistent, the specifics need to consult the local health insurance bureau, according to the local policy requirements of the Bureau of Insurance for processing.