Legal basis: Article 4 of the Measures for Direct Settlement of Medical Expenses of Inpatients in Different Places of Henan Basic Medical Insurance (Trial) implements unified management and graded responsibility for medical treatment in different places. The Provincial Social Security Bureau is responsible for formulating the procedures and service standards for medical treatment in different places in the province, organizing and coordinating in a unified way, and implementing medical treatment management services in different places. Coordinating regional medical insurance agencies (hereinafter referred to as agencies) do a good job in the management and service of medical treatment in different places in the overall planning area according to these regulations. Fifth medical expenses paid by the medical insurance fund in different places shall be paid in advance and then settled. In principle, part of the advance payment comes from the medical insurance funds in the overall planning areas. Fortieth medical personnel in different places should settle the expenses that should be borne by the individual according to the "Settlement Form for Hospitalization in Different Places in Henan Province" issued by medical institutions when they are discharged from the hospital; The expenses paid by the medical insurance fund shall be settled by the medical handling institution and the designated medical institution according to the regulations.