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Can the new rural cooperative medical system be reimbursed without referral?
You can't.

"Harbin new rural cooperative medical management measures" has corresponding provisions:

Thirty-fifth participants to reimburse hospitalization expenses, should provide ID card, residence booklet, certificate (card) to participate in the new rural cooperative medical system, hospitalization medical records, medical expenses list, referral certificate, medical expenses receipt and other reimbursement documents. ?

The medical expenses incurred by the participants in the designated medical institutions that implement immediate reporting shall be reimbursed when they are discharged from the hospital after treatment and receive reimbursement compensation. ?

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Relevant laws and regulations of Harbin new rural cooperative medical care management measures;

Thirty-fifth residents' medical insurance fund bank interest according to the relevant provisions of the national social insurance fund interest. Establish a resident medical insurance adjustment fund system to balance the income and expenditure of the city and district residents' medical insurance fund.

City, district according to the annual fund income budget of 5% provision, the total adjustment reached 20% of the city's annual fund expenditure budget after the suspension of extraction; When the cumulative total is less than 20%, the extraction will be resumed.

Article 38? Establish a normal adjustment mechanism for residents' medical insurance payment and treatment, so as to adapt it to the level of economic and social development and the basic medical insurance needs of residents.

Baidu Encyclopedia-"Harbin New Rural Cooperative Medical Care Management Measures"