Legal analysis: Every medical insurance patient will receive a hospitalization medical insurance statement when he leaves the hospital, which records the total hospitalization expenses, out-of-pocket expenses and medical insurance accounting reimbursement expenses. There are two kinds of medical insurance settlement lists, one is the direct settlement of hospitals, and the other is the reimbursement list of social security settlement. This kind of settlement list is often used in commercial insurance medical claims, because some medical insurance claims will have different proportions with and without medical insurance. The list usually lists three items in detail: total expenses, total expenses and out-of-pocket expenses. Commercial insurance reimbursement needs to provide a statement, which is generally the self-funded part of reimbursement.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.