The reimbursement process of outpatient medical insurance is as follows: first, you register with a medical insurance card in the hospital, then you go to a doctor for diagnosis and medicine, and finally you settle the bill directly with a medical insurance card. Hospitalization surgery, according to the proportion of hospitalization reimbursement.
Legal basis: Article 64 of the Regulations on Basic Medical Insurance for Urban Workers in People's Republic of China (PRC).
If the social insurance agency fails to pay the basic medical insurance benefits according to the regulations, the administrative department of labor security shall order it to pay; Refusing to pay, the relevant responsible persons shall be given administrative sanctions.
If the designated medical institution fails to pay the basic medical insurance benefits according to the regulations, the administrative department of labor security or the social insurance agency shall order it to pay; Refuse to pay, by the administrative department of labor security or social insurance agencies in accordance with the relevant provisions to give corresponding treatment.
If a party refuses to accept the decision, it may apply for administrative reconsideration or report or accuse according to law.
skill
The above answer is only for the current information combined with my understanding of the law, please refer carefully!
If you still have questions about this issue, I suggest you sort out relevant information and communicate with professionals in detail.