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    Home > Medical News > Latest Medical News > Guidelines for direct settlement of general outpatient expenses across provinces are here

    Guidelines for direct settlement of general outpatient expenses across provinces are here

    • Last Update: 2021-03-24
    • Source: Internet
    • Author: User
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    Medical Network, February 26.
    Since February 1, 27 common outpatient expenses including the new pilot projects have been directly settled across provinces in the pilot provinces to achieve interconnection and interoperability and start trial operation.
     
    How to check whether the insured area is open? Which designated medical institutions can settle directly? Whether direct settlement of outpatient expenses across provinces requires remote medical records.
    .
    .
    The National Medical Insurance Bureau responds to the public on hot issues related to direct settlement across provinces.
     
    How to check whether the insured area is open?
     
    Participants can inquire through 3 ways.
     
    ——The official account of the National Medical Insurance Bureau.
    Click on "My Medical Insurance"-"Public Inquiry"-"Opening the Coordination Area for Direct Settlement of General Outpatient Expenses across Provinces" in the navigation bar under the official account, and select the province that needs to be queried to search for the coordinating area that has been opened.
     
    ——The website of the National Medical Insurance Service Platform.
    Click the "Inter-provincial Outpatient Expenses Direct Settlement Pilot Inquiry" in the lower left corner of the webpage to enter the section, and then click the "Inquiry of Pilot Area Status" in the lower left corner to inquire.
     
      ——The National Medical Insurance Service Platform App.
    Click "Business Handling"-"Remote Medical Treatment"-"Outpatient Inquiry"-"Inquiry for Outpatient Opening Areas in Pilot Areas" to inquire.
     
      Which designated medical institutions can settle directly?
     
      Participants can inquire through 3 ways.
     
      ——The official account of the National Medical Insurance Bureau.
    Click "My Medical Insurance"-"Public Inquiry"-"Designated Medical Institutions for Direct Settlement of General Outpatient Expenses across Provinces" in the navigation bar under the official account, select the province or overall planning area that needs to be queried, and click "Query", the search result is as follows It is a designated medical institution that has opened direct settlement of outpatient expenses across provinces.
     
      ——The website of the National Medical Insurance Service Platform.
    Click on the "Inter-provincial direct settlement of outpatient expenses pilot query" in the lower left corner of the webpage to enter the section, and click on the "Remote networked designated medical institution query" in the lower left corner to search according to the categories of "networked medical institutions" and "networked retail pharmacies".
     
      ——The National Medical Insurance Service Platform App.
    Click "Business Management"-"Remote Medical Treatment"-"Outpatient Inquiry"-"Remote Networked Designated Medical Institution Inquiry", select the corresponding province, overall planning area or enter the name of a designated medical institution in the search bar to query.
     
      Does the direct settlement of outpatient expenses across provinces require medical records in other places?
     
      In this regard, the National Medical Insurance Bureau has made it clear:
     
      Participants who have applied for basic medical insurance for direct settlement and filing of inter-provincial out-of-region hospitalization expenses can simultaneously activate the direct settlement service of ordinary outpatient expenses across provinces without additional filing;
     
      The policies for direct settlement of outpatient expenses across provinces vary from place to place, and other people who have general outpatient needs for medical treatment shall apply for the record of medical treatment in other places in accordance with the management requirements for medical treatment in different places in the insured place;
     
      Through the official account of the National Medical Insurance Bureau, insured persons can inquire whether their insured place needs to be filed, or consult the medical insurance agency in the insured place for specific requirements.
     
      Regarding the specific operation of inquiring whether filing is required, you can follow the official account of the National Medical Insurance Administration, click on "My Medical Insurance"-"Public Inquiry"-"Opening a Coordination Area for Direct Settlement of General Outpatient Expenses across Provinces" in the navigation bar below, and select the desired query Click the query button after the provinces to search.
     
      How to apply for medical records in remote places online?
     
      ——The National Medical Insurance Service Platform App.
    Click "Business Management"-"Remote Medical Treatment".
    Remote medical treatment includes "quick filing" and "self-service activation", covering 21 provincial-level regions and 4 provincial-level regions respectively, and can be inquired separately.
    You can also click on the functional section of "Business Handling"-"Remote Medical Treatment"-"Hospitalization Inquiry"-"Inquiry for Medical Insurance Agency Insured Place" to learn about the online filing channels provided by your insured place.
     
      ——WeChat mini program for medical records in different places of the country.
    You can enter the mini program to complete the "quick filing".
    Or complete the online filing through the “Cross-province and remote medical filing” in the WeChat mini-program of the “National Government Service Platform”.
     
      What should I do if I report a settlement error?
     
      The inter-provincial direct settlement of outpatient expenses has been in trial operation for a week, and the common reasons for reporting errors are: "The insured place is temporarily unavailable", "The insured has not filed", "The status of individual insured is abnormal", "Insufficient personal account balance", "System problems", etc.
    .
    The National Medical Insurance Bureau will answer one by one according to different situations.
     
      ——If the insured area has not been opened, you can continue to pay attention to the information released by the National Medical Insurance Bureau, and more and more coordinating areas will be opened one after another;
     
      ——If the insured has not filed, please consult the place of insured and complete the filed through online channels;
     
      ——If the individual's insured status is abnormal, you can check the recent medical insurance payment records.
    If there is any overpayment, you should make up the payment in time.
    After the payment is completed, you can file for the record or the medical insurance settlement again;
     
      ——If the balance of the employee's medical insurance personal account is insufficient, it means that the personal account balance is not enough to pay the medical expenses that should be paid by the individual this time (urban and rural residents have no personal accounts);
     
      ——If the system reports an error, you can dial the telephone number of the participating agency to report the related problem.
    Participants can use the National Medical Insurance Service Platform App, through "Business Handling"-"Remote Medical Treatment"-"Hospitalization Inquiry"-"Insured Place Medical Insurance Agency Inquiry", and you can check the local medical insurance agency's information by choosing the insured place.
    Consult the telephone and other information.
     
      The National Medical Insurance Bureau reminds that insured persons who encounter errors can be reimbursed manually according to the original reimbursement channels.
      Medical Network, February 26.
    Since February 1, 27 common outpatient expenses including the new pilot projects have been directly settled across provinces in the pilot provinces to achieve interconnection and interoperability and start trial operation.
     
      How to check whether the insured area is open? Which designated medical institutions can settle directly? Whether direct settlement of outpatient expenses across provinces requires remote medical records.
    .
    .
    The National Medical Insurance Bureau responds to the public on hot issues related to direct settlement across provinces.
     
      How to check whether the insured area is open?
     
      Participants can inquire through 3 ways.
     
      ——The official account of the National Medical Insurance Bureau.
    Click on "My Medical Insurance"-"Public Inquiry"-"Opening the Coordination Area for Direct Settlement of General Outpatient Expenses across Provinces" in the navigation bar under the official account, and select the province that needs to be queried to search for the coordinating area that has been opened.
     
      ——The website of the National Medical Insurance Service Platform.
    Click the "Inter-provincial Outpatient Expenses Direct Settlement Pilot Inquiry" in the lower left corner of the webpage to enter the section, and then click the "Inquiry of Pilot Area Status" in the lower left corner to inquire.
     
      ——The National Medical Insurance Service Platform App.
    Click "Business Handling"-"Remote Medical Treatment"-"Outpatient Inquiry"-"Inquiry for Outpatient Opening Areas in Pilot Areas" to inquire.
     
      Which designated medical institutions can settle directly?
     
      Participants can inquire through 3 ways.
     
      ——The official account of the National Medical Insurance Bureau.
    Click "My Medical Insurance"-"Public Inquiry"-"Designated Medical Institutions for Direct Settlement of General Outpatient Expenses across Provinces" in the navigation bar under the official account, select the province or overall planning area that needs to be queried, and click "Query", the search result is as follows It is a designated medical institution that has opened direct settlement of outpatient expenses across provinces.
     
      ——The website of the National Medical Insurance Service Platform.
    Click on the "Inter-provincial direct settlement of outpatient expenses pilot query" in the lower left corner of the webpage to enter the section, and click on the "Remote networked designated medical institution query" in the lower left corner to search according to the categories of "networked medical institutions" and "networked retail pharmacies".
     
      ——The National Medical Insurance Service Platform App.
    Click "Business Management"-"Remote Medical Treatment"-"Outpatient Inquiry"-"Remote Networked Designated Medical Institution Inquiry", select the corresponding province, overall planning area or enter the name of a designated medical institution in the search bar to query.
     
      Does the direct settlement of outpatient expenses across provinces require medical records in other places?
     
      In this regard, the National Medical Insurance Bureau has made it clear:
     
      Participants who have applied for basic medical insurance for direct settlement and filing of inter-provincial out-of-region hospitalization expenses can simultaneously activate the direct settlement service of ordinary outpatient expenses across provinces without additional filing;
     
      The policies for direct settlement of outpatient expenses across provinces vary from place to place, and other people who have general outpatient needs for medical treatment shall apply for the record of medical treatment in other places in accordance with the management requirements for medical treatment in different places in the insured place;
     
      Through the official account of the National Medical Insurance Bureau, insured persons can inquire whether their insured place needs to be filed, or consult the medical insurance agency in the insured place for specific requirements.
     
      Regarding the specific operation of inquiring whether filing is required, you can follow the official account of the National Medical Insurance Administration, click on "My Medical Insurance"-"Public Inquiry"-"Opening a Coordination Area for Direct Settlement of General Outpatient Expenses across Provinces" in the navigation bar below, and select the desired query Click the query button after the provinces to search.
     
      How to apply for medical records in remote places online?
     
      ——The National Medical Insurance Service Platform App.
    Click "Business Management"-"Remote Medical Treatment".
    Remote medical treatment includes "quick filing" and "self-service activation", covering 21 provincial-level regions and 4 provincial-level regions respectively, and can be inquired separately.
    You can also click on the functional section of "Business Handling"-"Remote Medical Treatment"-"Hospitalization Inquiry"-"Inquiry for Medical Insurance Agency Insured Place" to learn about the online filing channels provided by your insured place.
     
      ——WeChat mini program for medical records in different places of the country.
    You can enter the mini program to complete the "quick filing".
    Or complete the online filing through the “Cross-province and remote medical filing” in the WeChat mini-program of the “National Government Service Platform”.
     
      What should I do if I report a settlement error?
     
      The inter-provincial direct settlement of outpatient expenses has been in trial operation for a week, and the common reasons for reporting errors are: "The insured place is temporarily unavailable", "The insured has not filed", "The status of individual insured is abnormal", "Insufficient personal account balance", "System problems", etc.
    .
    The National Medical Insurance Bureau will answer one by one according to different situations.
     
      ——If the insured area has not been opened, you can continue to pay attention to the information released by the National Medical Insurance Bureau, and more and more coordinating areas will be opened one after another;
     
      ——If the insured has not filed, please consult the place of insured and complete the filed through online channels;
     
      ——If the individual's insured status is abnormal, you can check the recent medical insurance payment records.
    If there is any overpayment, you should make up the payment in time.
    After the payment is completed, you can file for the record or the medical insurance settlement again;
     
      ——If the balance of the employee's medical insurance personal account is insufficient, it means that the personal account balance is not enough to pay the medical expenses that should be paid by the individual this time (urban and rural residents have no personal accounts);
     
      ——If the system reports an error, you can dial the telephone number of the participating agency to report the related problem.
    Participants can use the National Medical Insurance Service Platform App, through "Business Handling"-"Remote Medical Treatment"-"Hospitalization Inquiry"-"Insured Place Medical Insurance Agency Inquiry", and you can check the local medical insurance agency's information by choosing the insured place.
    Consult the telephone and other information.
     
      The National Medical Insurance Bureau reminds that insured persons who encounter errors can be reimbursed manually according to the original reimbursement channels.
      Medical Network, February 26.
    Since February 1, 27 common outpatient expenses including the new pilot projects have been directly settled across provinces in the pilot provinces to achieve interconnection and interoperability and start trial operation.
     
      How to check whether the insured area is open? Which designated medical institutions can settle directly? Whether direct settlement of outpatient expenses across provinces requires remote medical records.
    .
    .
    The National Medical Insurance Bureau responds to the public on hot issues related to direct settlement across provinces.
     
      How to check whether the insured area is open?
      How to check whether the insured area is open?
     
      Participants can inquire through 3 ways.
     
      ——The official account of the National Medical Insurance Bureau.
    Click on "My Medical Insurance"-"Public Inquiry"-"Opening the Coordination Area for Direct Settlement of General Outpatient Expenses across Provinces" in the navigation bar under the official account, and select the province that needs to be queried to search for the coordinating area that has been opened.
     
      ——The website of the National Medical Insurance Service Platform.
    Click the "Inter-provincial Outpatient Expenses Direct Settlement Pilot Inquiry" in the lower left corner of the webpage to enter the section, and then click the "Inquiry of Pilot Area Status" in the lower left corner to inquire.
     
      ——The National Medical Insurance Service Platform App.
    Click "Business Handling"-"Remote Medical Treatment"-"Outpatient Inquiry"-"Inquiry for Outpatient Opening Areas in Pilot Areas" to inquire.
     
      Which designated medical institutions can settle directly?
      Which designated medical institutions can settle directly?
     
      Participants can inquire through 3 ways.
     
      ——The official account of the National Medical Insurance Bureau.
    Click "My Medical Insurance"-"Public Inquiry"-"Designated Medical Institutions for Direct Settlement of General Outpatient Expenses across Provinces" in the navigation bar under the official account, select the province or overall planning area that needs to be queried, and click "Query", the search result is as follows It is a designated medical institution that has opened direct settlement of outpatient expenses across provinces.
     
      ——The website of the National Medical Insurance Service Platform.
    Click on the "Inter-provincial direct settlement of outpatient expenses pilot query" in the lower left corner of the webpage to enter the section, and click on the "Remote networked designated medical institution query" in the lower left corner to search according to the categories of "networked medical institutions" and "networked retail pharmacies".
     
      ——The National Medical Insurance Service Platform App.
    Click "Business Management"-"Remote Medical Treatment"-"Outpatient Inquiry"-"Remote Networked Designated Medical Institution Inquiry", select the corresponding province, overall planning area or enter the name of a designated medical institution in the search bar to query.
     
      Does the direct settlement of outpatient expenses across provinces require medical records in other places?
      Does the direct settlement of outpatient expenses across provinces require medical records in other places?
     
      In this regard, the National Medical Insurance Bureau has made it clear:
      In this regard, the National Medical Insurance Bureau has made it clear:
     
      Participants who have applied for basic medical insurance for direct settlement and filing of inter-provincial out-of-region hospitalization expenses can simultaneously activate the direct settlement service of ordinary outpatient expenses across provinces without additional filing;
     
      The policies for direct settlement of outpatient expenses across provinces vary from place to place, and other people who have general outpatient needs for medical treatment shall apply for the record of medical treatment in other places in accordance with the management requirements for medical treatment in different places in the insured place;
     
      Through the official account of the National Medical Insurance Bureau, insured persons can inquire whether their insured place needs to be filed, or consult the medical insurance agency in the insured place for specific requirements.
     
      Regarding the specific operation of inquiring whether filing is required, you can follow the official account of the National Medical Insurance Administration, click on "My Medical Insurance"-"Public Inquiry"-"Opening a Coordination Area for Direct Settlement of General Outpatient Expenses across Provinces" in the navigation bar below, and select the desired query Click the query button after the provinces to search.
     
      How to apply for medical records in remote places online?
      How to apply for medical records in remote places online?
     
      ——The National Medical Insurance Service Platform App.
    Click "Business Management"-"Remote Medical Treatment".
    Remote medical treatment includes "quick filing" and "self-service activation", covering 21 provincial-level regions and 4 provincial-level regions respectively, and can be inquired separately.
    You can also click on the functional section of "Business Handling"-"Remote Medical Treatment"-"Hospitalization Inquiry"-"Inquiry for Medical Insurance Agency Insured Place" to learn about the online filing channels provided by your insured place.
     
      ——WeChat mini program for medical records in different places of the country.
    You can enter the mini program to complete the "quick filing".
    Or complete the online filing through the “Cross-province and remote medical filing” in the WeChat mini-program of the “National Government Service Platform”.
     
      What should I do if I report a settlement error?
      What should I do if I report a settlement error?
     
      The inter-provincial direct settlement of outpatient expenses has been in trial operation for a week, and the common reasons for reporting errors are: "The insured place is temporarily unavailable", "The insured has not filed", "The status of individual insured is abnormal", "Insufficient personal account balance", "System problems", etc.
    .
    The National Medical Insurance Bureau will answer one by one according to different situations.
     
      ——If the insured area has not been opened, you can continue to pay attention to the information released by the National Medical Insurance Bureau, and more and more coordinating areas will be opened one after another;
     
      ——If the insured has not filed, please consult the place of insured and complete the filed through online channels;
     
      ——If the individual's insured status is abnormal, you can check the recent medical insurance payment records.
    If there is any overpayment, you should make up the payment in time.
    After the payment is completed, you can file for the record or the medical insurance settlement again;
     
      ——If the balance of the employee's medical insurance personal account is insufficient, it means that the personal account balance is not enough to pay the medical expenses that should be paid by the individual this time (urban and rural residents have no personal accounts);
     
      ——If the system reports an error, you can dial the telephone number of the participating agency to report the related problem.
    Participants can use the National Medical Insurance Service Platform App, through "Business Handling"-"Remote Medical Treatment"-"Hospitalization Inquiry"-"Insured Place Medical Insurance Agency Inquiry", and you can check the local medical insurance agency's information by choosing the insured place.
    Consult the telephone and other information.
     
      The National Medical Insurance Bureau reminds that insured persons who encounter errors can be reimbursed manually according to the original reimbursement channels.
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