Handmade reimbursement can be reported online

Author:Hebei Radio and Television Sta Time:2022.06.18

The Hebei Provincial Medical Security Bureau adheres to the people -oriented, continuously deepen the "Internet+government service", and vigorously promote the "online handling" and "hand -in -hand office" of medical expenses. Start trial operation online.

Scope of application: In the case of normal participation in the provincial -level insured, due to the normal conditions of the insurance, due to the fact that the fixed -point medical insurance institutions in different places have not implemented the medical insurance direct settlement due to the normal placement, work in different places, and long -term residential residence in different places, the outpatient cash medical care that did not implement the direct settlement of medical insurance The cost mainly includes: ordinary outpatient, outpatient chronic diseases, and special diseases of outpatient clinics.

The applicant himself can log in to the "Hebei Smart Medical Insurance" mini -program through the mobile WeChat for online declaration. If you cannot declare it yourself due to special circumstances, you can declare it on behalf of others. Success, whether the expenses are allocated in place. The person in charge of the participating unit's medical insurance does not need to go to the running window for declaration. It only needs to verify the identity information, medical information and upload image information of the person applied by the unit's network department for verification and confirmation. The audit department of the Medical Insurance Office passed the medical insurance system and reviewed in accordance with the medical insurance policy.

Declars specific operation process: the applicant himself (I can not declare "help others to declare" due to special circumstances, and report on WeChat to search for the "Hebei Smart Medical Insurance" applet and complete the registration. In the "Business Management" column, click "sporadic reimbursement declaration" to enter the sporadic reimbursement declaration page, select the "outpatient expenses reimbursement" module, fill in the application information and upload information provided by each step. , Contrary to), fixed -point medical institutions charges bills, detailed fees, and drug prescriptions. After the personal application is completed, the application information is submitted to the unit side for verification and confirmation.

The person in charge of the insured unit confirmed the unit information, identity information, medical information, and the shooting angle (vertical upper) and clarity of the application of the applicant's unit information, identity information, medical information, and uploading video materials. Medical Insurance Economic Affairs Audit Department.

After completing the declaration of the individual side, the applicant can "Submit the Information" function on the "Introduction to the Business" module or the "sporadic reimbursement declaration" module of the "Hebei Smart Medical Insurance" mini -program. Progress in place.

Precautions during the application process:

First, the applicant provides the medical expenses of the real and effective personal cash pads that occur in the designated medical insurance medical institutions in different places. The data is directly above the vertical, and after the focus is clear; the third is that the medical insurance expenses of direct settlement of medical insurance in the designated medical institution (the bills paid by the medical insurance coordinated fund or the personal account fund) cannot be declared again; the fourth is that the applicant cuts Do not provide false reimbursement materials. Once found, the reimbursement qualification will be canceled, and the circumstances will be seriously responsible for the circumstances. Fifth, after the online declaration is successful, please notify the unit in time and pass the paper information to the unit in time for archiving and preservation.

Participating unit. First, the insured unit must clarify the person responsible, fully understand the health status of the applicants and the information of the medical treatment, and do a good job of publicity and guidance for the insured person in the unit. The verification and confirmation of the applicant's submission of information (identity information, medical information, and photo definition) will be completed within a working day. The reason; the third is that after the reimbursement fee is allocated to the unit, the unit shall be issued to the individual as soon as possible; the fourth is all the materials such as paper bills and expenses reported online.

Online reimbursement is a new reform measure. Please actively cooperate with each insured unit to actively cooperate and vigorously promote them. During the trial operation, there may be incomplete upload information, unclear uploaded information, photos, and incorrect photo shooting angle, which causes OCR to be recognized. You need to re -shoot and upload it. Work, communicate in time when you encounter problems to ensure smooth and orderly trial operation.

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