1, the review time is generally less than 5 days, and it takes 30 days for complicated ones. If it is not an insurance liability, you will receive a notice of refusal from the insurance company within 3 days and explain the reasons.

2. After reaching a settlement agreement with the beneficiary, pay the money within 10 days.

Second, what information is needed for medical insurance reimbursement?

1, original ID card or social security card;

2, the original certificate of disease diagnosis issued by the designated medical institutions;

3, outpatient medical records, inspection, test results report and other original medical information;

4. Original receipt of outpatient charges of medical institutions with unified finance and taxation;

5. The detailed list of outpatient expenses printed by the hospital computer or the original payment of prescriptions issued by doctors;

6. Designated pharmacies: unified original invoices and computer-printed sales lists of taxable goods; 7. If it is an agent, you need to provide the original ID card of the agent.

Third, the medical insurance reimbursement process

Bring all the above information to the relevant departments of the local social security center. Upon examination, if the information is complete and meets the requirements, it can be handled immediately.

When applying for reimbursement of outpatient medical expenses, the applicant should first deduct the amount allocated to the personal account of medical insurance in this social security year, and then verify the amount to be reimbursed.

Fourth, how to query the progress of medical insurance reimbursement?

First, go directly to the inpatient window of the hospital. When you register for hospitalization, he will tell you whether you can reimburse it normally, but it's too late.

Second, the query of social security window or social security self-service teller machine will also know the current medical insurance payment status.

Third, you can also learn about it through the local social security website.

Fourthly, you can also inquire through our telephone number 12333.

However, the third and fourth methods both need to search for passwords on the Internet and need to be reset by the labor department.

The basic medical insurance means a social security system that provides medical services or economic compensation by the state or society when people are sick or injured.

legal ground

Social insurance law

Twenty-ninth insured medical expenses should be paid by the basic medical insurance fund, by the social insurance agencies, medical institutions and pharmaceutical business units directly settled.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.