1,410 medical institutions in Beijing realize direct settlement of outpatient fees across provinces

The 1,410 designated medical institutions in this city have achieved direct settlement of outpatient medical treatment in different places across provinces.
Patients from other provinces can seek medical treatment in these medical institutions and complete the filing through mobile phone operations to realize direct settlement of medical treatment in different places
.
Insured persons in this city must file for medical treatment in other places
.
According to the relevant person in charge of the Municipal Medical Insurance Bureau, as of the end of September, 1410 designated medical institutions in this city have achieved direct settlement of outpatient consultations in different places across provinces, of which 242 designated medical institutions above secondary level have all opened off-site settlement services
.
It has accumulatively settled 810,000 person-times directly with outpatient (emergency) clinics in other provinces and cities across the country, and the medical expenses were 280 million yuan
.
The Beijing-Tianjin-Hebei three places have opened a total of 3,159 designated medical institutions to realize direct settlement of outpatient clinics, and residents of the three places have realized free flow of medical reimbursement
.
Participants in this city follow the process of “filing first, selecting the coordinating area, and holding a card for medical treatment”.
Participants who have successfully filed have the function of direct settlement for cross-provincial medical treatment in the remote coordinating area where they have successfully filed.
Medical insurance designated hospitals can directly settle medical expenses with a social security card
.
For those insured persons in this city who have not filed for medical treatment in other places, the medical expenses incurred in other places shall not be paid by the medical insurance fund in principle
.
If you are unable to return to Beijing for treatment due to an emergency, the medical expenses incurred in the emergency treatment of a designated hospital of off-site medical insurance can be paid in full by the insured person first, and apply for manual reimbursement after returning to Beijing
.
The medical expenses directly settled by the insured persons in the designated hospitals in different places shall be implemented in accordance with the "list of medical places and policies of the places of insurance"
.
That is to say whether it is in-patient or out-patient, the medical insurance drug catalog, medical service facilities and diagnosis and treatment items are all implemented in the medical insurance policy of the place of medical treatment; the medical insurance fund threshold, payment ratio, maximum payment limit and settlement period are all implemented in the medical insurance of the insured place.
Insurance policy
.
Insured persons in this city do not need to choose a designated hospital for medical treatment in a different place when filing for medical treatment in a different place.
After the filing is successful, they can go to all medical insurance designated hospitals in the filing and coordination area for medical treatment.

.
The Municipal Medical Insurance Bureau reminds that basic medical insurance participants enjoy benefits for the current period of payment.
After the medical insurance is withdrawn, the insured persons cannot continue to enjoy the medical insurance benefits.
At the same time, the remote medical record cannot be processed, and the remote medical related expenses cannot be reimbursed
.
The medical expenses incurred by designated hospitals in this city that have opened cross-provincial remote medical treatment direct settlement and direct settlement services for ordinary outpatients in this city are in line with the insured place.
In case of inter-provincial and remote medical treatment, the social security card can be used for direct settlement
.
If the direct settlement and filing of cross-provincial medical treatment in different places is not carried out in accordance with the local medical insurance policy, the medical expenses incurred for medical treatment in Beijing must be fully settled by the insured person and the designated hospital, and then the expenses shall be declared in accordance with the policy of the insured place
.
At present, insured persons in this city can easily and quickly go through the procedures for the registration of medical treatment in other places on the Internet through the mobile app of the "National Medical Insurance Service Platform" or the WeChat applet of "National Medical Records in Different Places"
.
Participants who have already applied for the direct settlement and recordation of inter-provincial out-of-province medical and hospitalization expenses for basic medical insurance can simultaneously activate the inter-provincial direct settlement service for ordinary outpatient expenses without additional recordation
.