Since 2018, five provinces in the Yangtze River Delta, Beijing-Tianjin-Hebei, and Southwest China have successively launched pilot projects for cross-provincial direct settlement of general outpatient fees in the region.

By the end of 2020, all coordinated areas in Beijing, Tianjin, Hebei, Shanghai, Jiangsu, Zhejiang, Anhui, Chongqing, and Yunnan, as well as some coordinated areas in Sichuan, Guizhou, and Tibet, have opened direct cross-provincial settlement of outpatient fees at designated medical institutions and designated retail stores.

The number of pharmacies both exceeded 10,000, and the cumulative number of direct settlement transactions exceeded 3 million.

In January 2021, 15 provinces and autonomous regions including Shanxi, Inner Mongolia, Liaoning, Jilin, Heilongjiang, Fujian, Jiangxi, Shandong, Hubei, Guangxi, Hainan, Shaanxi, Ningxia, Qinghai, and Xinjiang were added as pilot provinces for direct cross-provincial settlement of general outpatient expenses.

, the first batch of 89 coordinated areas and 663 designated medical institutions were opened.

Starting from February 1, the above-mentioned 27 provinces will rely on the national off-site medical settlement system to launch a trial run of direct cross-provincial settlement of general outpatient fees.

Those who have registered for the direct settlement of inpatient medical expenses for cross-provincial medical treatment under basic medical insurance can simultaneously open the direct settlement service for general outpatient expenses without the need for additional registration.

Other people who need general outpatient medical treatment in other places must register for medical treatment in other places in accordance with the management requirements of out-of-town medical treatment in the insured place. When seeking medical treatment at the pilot designated medical institutions in the above-mentioned pilot areas, they can make direct settlements in accordance with regulations.

Outpatient expenses directly settled by those who seek medical treatment in different places across provinces shall, in principle, comply with the payment scope and relevant regulations stipulated in the place of medical treatment.

Reimbursement policies such as basic medical insurance fund minimum payment standards, payment ratios, maximum payment limits, etc. shall comply with the regulations of the insured place.

The National Medical Insurance Service Platform APP developed and launched by the National Medical Insurance Administration provides the function of registration for medical treatment in other places. Insured persons in 170 coordinated areas in 22 provinces can rely on the national unified online registration channel to register, and at the same time, they can check online the general outpatient pilot program.

Coordinate regional and designated medical institutions.

In order to protect the rights and interests of insured persons, expenses that were not successfully settled directly during the trial run will remain in the original reimbursement channels.

The National Medical Insurance Administration will continue to optimize management, standardize processes, improve services, promote high-quality development of medical security, and continuously enhance the people's sense of gain, happiness and security.