Under normal circumstances, after applying for the filing of medical treatment in other places, the medical expenses can be directly settled. But recently, some neighbors have wondered: why can't they directly settle the expenses when they are discharged from the hospital, even though they have already gone through the filing procedures for medical treatment in other places?
Don't worry, I'll come out with an answer today, and talk to you about medical treatment in other places~
Why can't I settle the settlement after I file for the ICP filing?
Aunt Chen has been working in Guangzhou to participate in the insurance, due to a vacation some time ago, she went back to her hometown in Jiangxi to visit relatives, but she did not expect to be hospitalized when she was suddenly unwell in her hometown. I have applied for the filing of medical treatment in other places before, but why is it that I am discharged from the hospital now, but I can't directly settle the medical expenses?
Answer: Check whether the filing for medical treatment in other places has exceeded the validity period.
The validity period of the filing for temporary medical treatment in Guangzhou is 6 months;
Long-term residence in other places for in-service insured persons not more than 5 years;
Non-in-service insured personnel who are resettled in other places for retirement and long-term residence in other places shall have long-term medical treatment benefits in other places.
If Aunt Chen's filing for medical treatment in another place exceeds the validity period, she must re-file in order to enjoy the treatment of medical treatment in another place!
Note: The time limit for the validity period of the record for remote medical treatment in each place is different, and you should refer to the regulations of your own insurance place!
What are some other reasons that can affect billing?
In fact, there are the following situations, which will also lead to the inability to directly settle for medical treatment in other places.
(1) The selection of filing information for medical treatment in other places is incorrect
If there is an error in the ICP filing information, the settlement cannot be made.
1. The filing date is incorrect: For example, Aunt Chen's filing information shows that she started to seek medical treatment in a different place on December 22, but she was originally hospitalized on November 22, and she was discharged from the hospital on December 12.
2. Wrong choice of filing co-ordination area: For example, if you seek medical treatment in Jiangxi Province, but you choose Anhui as the filing area, you cannot directly settle for medical treatment in other places.
Warm reminder: Nowadays, many people, especially the elderly, are prone to negligence and wrong choices during operation, so they can ask their children to help with the record.
If there is an error in the ICP filing information and you want to re-file for the ICP filing, you can settle the bill directly as long as you re-file the ICP filing before discharge.
If you don't have time to re-file, you can also settle the medical expenses in cash and then go back to the place where you are insured for manual reimbursement.
(2) The insured person's personal insurance status or information is abnormal
1. Abnormal individual insurance status: such as the discontinuation of medical insurance payment, the transfer and continuation of medical insurance relationship, etc.
2. Abnormal personal insurance information: such as name, gender, ID number, place of insurance and other actual identity information is inconsistent with the information retained by the medical insurance department.
Therefore, when everyone's personal information is changed, other certificate information should also be updated in time to avoid affecting their social security rights and interests.
(3) Non-local designated medical institutions have not yet opened direct Internet settlement for medical treatment in other places
At present, the national remote medical treatment has not been realized, and some designated medical institutions have not opened the direct settlement function of remote medical treatment, and they cannot realize remote direct settlement.
You can check the list of networked medical institutions through the website of Guangzhou Medical Insurance Bureau!
If you still want to know more about social security, retirement and other knowledge, welcome to pay attention!