If it is an accidental injury, the medical insurance will reimburse it, and the medical insurance department will conduct a simple investigation. If problems are found after a simple investigation, a detailed investigation will be carried out. During the investigation, the local village committee and the staff of the medical insurance department of the township people's government will be combined to conduct home visits and visits.

How long will medical insurance bureau investigate the accident?

A week. But every place may be different. It's normal to be longer, but shorter.

Is it necessary to investigate the reimbursement of trauma in rural cooperatives?

Judging from the situation of trauma reimbursement in different regions, the reason for the general reimbursement comparison is that it is necessary to conduct on-the-spot investigation on the patients with unknown injuries to find out whether they are within the scope of reimbursement, which is related to the county population, the amount of reimbursement for trauma patients and the efficiency of the new rural cooperative medical system. Generally, it takes one month to reimburse, and a few may take half a year.

How many days does the trauma investigation of the medical insurance bureau take?

The results usually come out within a week.

But every place may be different. It's normal to be longer and shorter.

Discussion on how to make trauma compensation in the new rural cooperative medical system;

Accidental injuries caused by personal unintentional reasons and force majeure such as housework and natural disasters in daily life belong to the compensation scope of the new rural cooperative medical system and shall be reimbursed according to relevant regulations. Reimbursement of trauma in the new rural cooperative medical system: trauma patients discharged from designated hospitals will be reimbursed by designated hospitals immediately after going through the discharge procedures. Afterwards, the designated hospitals shall submit the written confirmation of the cause of injury and responsibility, copies of medical records and other prescribed materials to the county joint management office. For trauma patients who have not provided proof materials, the designated hospitals will not reimburse them immediately, and inform them to go back to the county, township and town joint management office to go through the formalities of audit and reimbursement. Traumatic patients who can't be reimbursed immediately in designated hospitals should submit the required materials such as the cause of injury and proof of responsibility, admission records, and copies of hospital medical records to the county or township joint management office. The county and township joint management office carefully examines and rechecks the relevant information of the trauma participants, analyzes the admission records, copies of hospital medical records and explanations of the reasons for the injuries, and confirms that the injuries caused by them belong to the compensation scope of the new rural cooperative medical system. After the audit, fill in the Confirmation of Trauma Causes and Responsibilities with official seal, manually enter the reimbursement system for reimbursement, and keep relevant reimbursement certification materials for future reference.

Will the company find all the medical history when the medical insurance is reimbursed?

It depends on where it is. Under normal circumstances, they don't know if it is difficult to check in the countryside, but if it is a serious illness, they usually have antibodies in their bodies and can be found out.

If they have been in the city for medical treatment, it will be convenient for them to investigate.

What does the medical insurance office investigate after applying for work-related injuries?

Investigate and verify according to the evidence provided by the applicant.

Article 10 of the Measures for Determining Work-related Injury stipulates that the social insurance administrative department shall, jointly with two or more staff members, conduct investigation and verification, and produce official documents.

Eleventh social security and insurance administrative department staff can carry out the following investigation and verification in the identification of work-related injuries:

1, according to the needs of work, enter the relevant units and the scene of the accident;

2. Consult the materials related to the identification of work-related injuries according to law, ask relevant personnel and make investigation records;

3. Recording, audio recording, video recording and copying the information related to the identification of work-related injuries.

Will the medical insurance trauma investigation be punished if it is not true?

Yes, if the trauma caused by a third party can be reimbursed for medical insurance by lying about its own reasons at the time of admission, it will be considered as malicious fraud of medical insurance funds, and there are corresponding punishment measures, which can seriously constitute a criminal offence.