The Lanzhou City Medical Insurance outpatient expense reimbursement operation is as follows: 1. Register a personal account on the Lanzhou City Medical Insurance website, log in and enter the personal center, and select "Outpatient Cost Reimbursement" under the "Outpatient Medical Care" column; 2. After selecting "Outpatient Cost Reimbursement"
, enter the expense reimbursement application page, fill in the relevant information, including the date of treatment, hospital, department, expense details, etc., and upload relevant reimbursement materials, such as outpatient invoices, expense lists, medical records, etc.; 3. After confirmation, submit the reimbursement application.
After the online application is submitted, the system will automatically conduct a preliminary review.
After passing the preliminary review, you will enter the designated medical institution for review; 4. After the designated medical institution passes the review, the medical insurance department will reimburse according to the prescribed reimbursement ratio, and the reimbursement amount will be transferred to the personal medical insurance account; 5. After reimbursement, you can log in to Lanzhou City
Check the reimbursement progress and reimbursement amount on the medical insurance website.
The information required for medical insurance outpatient expense reimbursement generally includes the following: 1. Outpatient invoice: includes the details of all medical expenses, including the time of treatment, the name of the hospital, the department, the name of the doctor, examination items, examination fees, treatment items,
Treatment costs and other contents; 2. Outpatient medical records: including the first page of medical records, diagnosis certificates, doctor's prescriptions, etc., which should be signed and stamped by the doctor, the content is true and correct, and comply with medical insurance regulations; 3. Medical insurance card: including medical insurance card number, date of medical treatment, medical treatment date, etc.
Basic information of the patient, etc.; 4. Outpatient fee list: including the name, specification, quantity, unit price, amount, etc. of various examinations, treatments, drugs, etc., which should be consistent with the fee details on the outpatient invoice; 5. Other relevant supporting materials: such as transfer to another hospital
Certificate, outpatient diagnosis certificate before hospitalization, outpatient surgery certificate, etc.
To sum up, different medical insurance policies have different regulations, and the specific operating procedures are subject to the local medical insurance policy.
At the same time, when reimbursing, you need to pay attention to preparing relevant reimbursement materials and reimburse according to the prescribed reimbursement ratio.
If you encounter reimbursement issues, you can consult and appeal to the local medical insurance department.
Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China" meets the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses, and shall be deducted from the basic medical insurance fund in accordance with national regulations.
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Author | Han Zizhu
Edit | Fu Ying
Source | unicornfinance
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