Legal analysis: Yes, after the reimbursement of rural cooperative medical system, the original invoice is kept by the rural cooperative medical system, and then a copy of the invoice is applied for insurance, stamped with the hospital seal, and the hospital issues the reimbursement statement of the rural cooperative medical system.
legal basis: supplementary notice on the report of the new rural cooperative medical system for medical treatment in different places. iii. standardizing the payment process of settlement funds for medical treatment in different places
when the participants are referred to different provinces for medical treatment after standardization, they only need to pay their own expenses when they leave the hospital, and the designated medical institutions will advance the compensation fees for medical treatment in different places in advance. Designated medical institutions regularly submit payment materials to the provincial-level new rural cooperative medical institutions in the place where they seek medical treatment, and apply for advance payment of funds. The provincial-level new rural cooperative medical institutions at the place of medical treatment shall review the application materials for advance funds of designated medical institutions, and regularly allocate the compensation fees for settlement of medical treatment in different places to designated medical institutions according to the approved amount. For some designated medical institutions that occupy more funds, the provincial agencies at the place of medical treatment may prepay part of the funds.
the fund payment part of inter-provincial medical settlement can be paid in advance before settlement, and the amount of prepaid funds can be paid for two months. The inter-provincial prepayment and settlement funds for medical treatment in different places shall be allocated by the provincial financial accounts of the participating places and the provincial financial accounts of the medical treatment places. The provincial-level new rural cooperative medical institutions in the medical treatment place collect and sort out the application materials for advance funds of designated medical institutions within their jurisdiction, and submit them to the provincial-level new rural cooperative medical institutions in the participating places. The participating provincial-level new rural cooperative medical institutions shall submit an application for fund allocation to the financial department at the same level after examination and confirmation. After confirming that all the funds for medical treatment in different provinces have been paid into the provincial financial special account, the provincial financial department of the participating place will transfer the funds for prepayment and liquidation to the provincial financial department of the medical treatment place within 1 working days after reviewing the prepayment and liquidation form and the application plan for payment submitted by the agency. After receiving the prepaid and liquidation funds, the provincial financial department of the place of medical treatment shall, within 5 working days, feed back the collection information to the provincial agency of the place of medical treatment in writing, and the provincial agency of the place of medical treatment shall conduct accounting accordingly, and timely feed back the allocation and collection information to the participating provincial agencies. Disputes and disputes arising from the cost audit shall be properly handled through consultation between the provincial-level new rural cooperative medical service agencies at the place of medical treatment and the participating places according to the agreement.
in areas where the new rural cooperative medical system is managed by the health and family planning department and there is no provincial agency, commercial insurance companies and other financial institutions can be entrusted to carry out medical settlement in different provinces and provinces. Where a qualified commercial insurance institution is entrusted to set up a provincial settlement center, an account dedicated to the settlement of medical expenses in different places may be opened in the provincial settlement center. Interest income generated from special accounts of commercial insurance institutions is transferred to special financial accounts on a regular basis.
in order to speed up the settlement of medical treatment in different places, for the provinces where the new rural cooperative medical system is managed by other departments, financial institutions such as commercial insurance companies can first settle and advance funds to the designated medical institutions in the medical treatment places, and the provincial agencies in the participating places will ask the financial departments at the same level to transfer the advance funds from the financial special accounts to the accounts of financial institutions such as commercial insurance companies after examination.
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