There are usually the following steps to confirm whether reimbursement can be made. In order to be reimbursed smoothly, it is necessary to seek medical treatment in a medical institution stipulated by outpatient medical insurance. The treatment items are within the scope of outpatient medical insurance reimbursement, and the treatment expenses should exceed the deductible line of outpatient medical insurance reimbursement. If the relevant certification materials meet the requirements of outpatient medical insurance reimbursement, the attending doctor should be asked to issue medical records, diagnosis certificates and other materials, which should cover the time of medical treatment, description of illness, medical expenses and so on. The hospitalization time is calculated from the date of hospitalization to the date of discharge. Deliberately delayed discharge, hospital stay beyond the provisions of the hospital is not included in the scope of reimbursement. After the signature and seal of the medical institution and other related materials are issued, it is necessary to find the person in charge of the medical institution above the deputy chief physician for signature confirmation. After the signature of the person in charge, he will go to the medical department of the medical institution to stamp the materials to prove the authenticity and authority of the materials. After the institutional audit materials are fully prepared, the insured individual or relevant personnel of the unit can go through the reimbursement procedures at the medical insurance agency, and after being approved, they can receive the corresponding proportion of reimbursement.
Legal objectivity:
Article 28 of the Social Insurance Law conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund in accordance with state regulations.