Inconsistency between the total medical insurance payment and the account balance means that the balance displayed in the account is inconsistent with the actual total payment after paying the medical insurance fee. There may be many reasons for this situation, such as hospitals not reimbursing according to regulations, and reimbursing in time. Faced with this situation, it is recommended to contact the local medical insurance bureau or social security agency for verification. The specific operation mode may be different according to the management regulations of different regions, but it is generally necessary to provide medical insurance cards, ID cards and other related materials in order to verify the account situation and find out the abnormal reasons. At the same time, it can also be verified by querying the payment history. If it is confirmed that the account balance is insufficient because the hospital did not reimburse in time, you can ask the hospital to reimburse in time and make a refund.
How to avoid the inconsistency between the total medical insurance payment and the account balance? In order to avoid the inconsistency between the total medical insurance payment and the account balance, it is suggested to pay the medical insurance expenses on time and properly keep the payment vouchers and related bills. At the same time, we should carefully check the medical insurance card information and reimbursement amount during the medical treatment to ensure that the reimbursement operation of the hospital is correct.
It is common that the total amount of medical insurance payment is inconsistent with the account balance, which may be caused by the hospital's failure to reimburse according to regulations or the delay in reimbursement. If this happens, it is recommended to contact the local medical insurance bureau or social security agency for verification in time. At the same time, in order to avoid this situation, we need to pay the medical insurance fee on time and pay attention to checking the medical insurance card information.
Legal basis:
"People's Republic of China (PRC) Social Insurance Law" Article 25 The social insurance fund management institution shall establish and improve the social insurance fund balance monitoring and risk early warning system, strengthen the financial supervision and management of social insurance funds, and ensure the rational operation of social insurance funds.