Legal analysis: first of all, there must be a discharge summary, invoice and drug list issued by a different hospital. My ID card, medical insurance card, certificate of medical treatment in different places issued by the company (official seal of the company is required). If the company is not insured, there is no need for a medical certificate issued by the company. The transfer certificate issued by the local hospital needs to be issued by the attending physician, signed by the director of the department where the attending physician works, and then go to the hospital medical insurance office to handle the transfer certificate. It should be noted that the reimbursement for medical treatment in different places is less than that for local medical treatment 10%, and it is 20% less if there is no transfer certificate issued by local hospital.

Legal basis: Guiding Opinions on Further Improving the Settlement of Medical Expenses for Medical Treatment in Different Places of Basic Medical Insurance.

Third, standardize the process of medical treatment in different places.

(5) standardize the transfer-out process. The insured shall register with the agency of the insured place before seeking medical treatment across provinces. In accordance with the local regulations, the handling agency of the insured place handles the procedures for filing medical records in different places for the insured, and establishes a database of medical records in different places to realize dynamic management. The insurance agencies will report the information of medical personnel in different places to Ministry of Human Resources and Social Security social insurance agencies (hereinafter referred to as ministerial agencies) to form a national database of medical personnel in different places for medical institutions and designated medical institutions to obtain the information of medical personnel in different places.

(6) Standardize the settlement process. When the insured person is discharged from hospital in different places, the agency in different places will transmit the hospitalization expenses and other information to the agency in different places in real time through the national settlement system for medical treatment in different places, and the agency in different places will calculate the amount that the insured person and various medical insurance funds should pay according to local regulations, and send the calculation results back to the designated medical institutions in different places through the national settlement system for direct settlement between the designated medical institutions and the insured person.

(7) Strengthen comprehensive coordination across provinces. Ministerial agencies are responsible for coordinating and urging all provinces (autonomous regions and municipalities) to timely allocate funds in accordance with the Procedures for Direct Settlement of Hospitalization Expenses in Different Provinces of Basic Medical Insurance (for Trial Implementation) (see Annex, hereinafter referred to as the Procedures). For provinces that delay the disbursement of funds without reason, the Ministry may suspend the direct settlement service for medical treatment in different places. Provincial agencies are responsible for coordinating and urging the co-ordination areas to pay the inter-provincial medical advance payment and liquidation funds in a timely manner.

Fourth, strengthen the management service of medical treatment in different places.

(8) Unified medical management. Agencies in different places for medical treatment should bring medical personnel in different places into the local unified management, and provide the same services and management as local insured personnel in the determination of designated medical institutions, medical information recording, medical behavior monitoring, medical expenses auditing and auditing, and make it clear in the agreement management with designated medical institutions. Explore the implementation of medical expenses settlement methods in different places consistent with the reform of payment methods in medical places.

(9) Standardize the treatment policy. In principle, the scope of payment and relevant regulations (basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards) shall be implemented for inter-provincial medical treatment. Qifubiaozhun, payment ratio and maximum payment limit of the basic medical insurance pooling fund shall be implemented in principle.

(ten) clear transmission information content. When the insured person makes direct settlement, the medical agency will transmit the major expense information to the medical agency in a unified format through the national settlement system for medical treatment in different places, and the detailed information of medical expenses will be delayed.

(1 1) High starting point, fully compatible. Provide services for the participants of the new rural cooperative medical system managed by other departments as needed. In the areas where the new rural cooperative medical system is managed by other departments as a whole, its participants need to go to Beijing, Shanghai, Guangdong and other provinces that have integrated the basic medical insurance management system for urban and rural residents. All co-ordination areas should reserve the interface of social security information system, determine the information system docking and corresponding business processes, and provide cross-provincial direct settlement services for medical treatment in different places for insured persons with real needs through the system docking of insured places.