On July 26, the national medical insurance bureau and the Ministry of Finance issued the "notice on further improving the direct settlement of cross provincial and cross provincial medical treatment of basic medical insurance", which will unify the detailed rules of the insured's field medical treatment filing, fund payment, collaborative business and so on, which will have an important impact on every insured who needs to go out for medical treatment. How to handle the direct settlement of cross provincial and non local medical treatment? To put it simply, it means filing first, choosing a fixed point and going to a doctor with a code card. Before medical treatment in other places, insured personnel can go through the procedures of medical treatment registration in other places through online and offline channels such as the national medical insurance service platform app, the national medical treatment registration applet in other places, the State Council client applet, or the insured local handling agency window; After the registration is opened, all the cross provincial networked designated medical institutions opened by the insured in the place of registration can enjoy the cross provincial direct settlement service of hospitalization expenses; When seeking medical treatment, you need to show effective vouchers such as medical insurance electronic vouchers or social security cards. On May 23, at Lugouqiao community health service center in Fengtai District, Beijing, medical workers scanned electronic medical insurance cards for patients who made an appointment for on-site treatment through video connection. Ju huanzong, a reporter from Xinhua news agency, photographed that the policy of direct settlement and payment for cross provincial medical treatment can be understood as "the directory of medical treatment places and the policy of insured places". In other words, implement the payment scope and relevant regulations stipulated by the place of medical treatment, including the payment scope of basic medical insurance drugs, medical service items and medical consumables; Implement the basic medical insurance fund minimum payment standard, payment proportion, maximum payment limit, outpatient chronic diseases range and other relevant policies stipulated by the insured place. How to handle cross provincial and non local medical records? Except that the emergency rescue personnel in other places are deemed to have been filed and do not need to submit materials, other personnel are required to provide medical insurance electronic vouchers, valid identity documents or social security cards and filing forms. In addition, for the relocation of retirees, they need to provide the "home page of household register" and their "permanent population registration card" or personal commitment; Long term residents in different places need to provide residence certificate or personal commitment; The resident staff in different places shall provide the dispatch certificate of the work unit in the insured place, the certificate of the work unit in different places, and the work contract or the personal commitment; Non local referral personnel shall provide the referral certificate issued by the designated medical institution specified by the insured place. On June 7, Tian Guang, director of the respiratory department of Longli County People's Hospital in Guizhou Province, checked the patient's medical image data through the remote diagnosis system. Xinhua News Agency reporter Ou Dongqu photographed that at present, all planned areas have opened online registration services for remote medical treatment on the national medical insurance service platform app, the national remote medical treatment filing applet, the State Council client applet, etc., and the insured local handling agencies should complete them within two working days. In addition, 120 coordinated regions across the country have achieved self-service filing, and the insured can handle and take effect immediately. What are the precautions after filing? After the registration and filing of long-term residents in different provinces, as long as there is no application to change the filing information or the insured status has not changed, the filing is long-term effective, and there is no limit on the number of medical treatment. For the personnel who go out for medical treatment temporarily across provinces, the validity period of temporary filing shall not be less than 6 months. During the validity period, they can see a doctor for many times and enjoy direct settlement at the place of medical treatment, and there is no need to see a doctor for filing once. At present, some co-ordinated regions require more than one year after filing to cancel or change. According to the new requirements in the notice, from January 1, 2023, the time limit for local governments to change or cancel the filing will not exceed 6 months. For the insured who is too late to handle the filing, the notice makes it clear that if the registration of medical treatment in different places is made up before the discharge settlement, the designated medical institution connected with the local medical treatment network should handle the cross provincial direct settlement of medical expenses for the insured. If the insured goes through the filing procedures after leaving the hospital at his own expense, he can also handle the manual reimbursement of medical insurance according to the regulations of the insured place. How to settle the settlement of outpatient chronic diseases in different places? The relevant person in charge of the National Medical Insurance Bureau said that at present, more than 200 coordinated regions across the country have realized the direct settlement of treatment costs related to five outpatient chronic diseases, including hypertension, diabetes, radiotherapy and chemotherapy for malignant tumors, uremia dialysis, and anti rejection treatment after organ transplantation. According to the introduction, the insured with outpatient chronic diseases qualification need to complete five steps to enjoy the cross provincial direct settlement service, including: the first step is to understand the individual's qualification to enjoy outpatient chronic diseases treatment; The second step is to take the initiative to understand the policies related to the direct inter provincial settlement of outpatient chronic diseases in the insured place; The third step is to select and open the relevant outpatient chronic diseases cross provincial networking designated medical institutions; Step 4: take the initiative to inform the online designated medical institutions that they have the qualification of outpatient chronic diseases; Step 5: carry out settlement as required with medical insurance electronic voucher or social security card. On May 9, Chen Xin (first from the left) and volunteers accompanied Lao Chen (second from the right), a hearing-impaired person, to register for medical treatment in Jiangbei District of Zhongda Hospital Affiliated to Southeast University in Nanjing. Xinhua News Agency reporter Li Bo photographed how to expand the scope of direct settlement and reimbursement of medical expenses in different places? In view of the public's concern about the expenses incurred outside the hospital during the treatment of trauma, emergency rescue and hospitalization in other places, the notice clearly stipulates that the trauma expenses without third-party responsibility that meet the local management regulations can be included in the direct settlement scope of cross provincial medical treatment in other places; If the patient needs to go to other designated medical institutions for examination and treatment or to buy drugs at designated pharmacies due to his illness, the relevant expenses will be included in the hospitalization expenses and directly settled across provinces. In addition, the notice allows cross provincial long-term residents to enjoy treatment in both the place of filing and the place of insurance. If long-term residents from different provinces do need to return to the insured place for medical treatment within the validity period of filing, they can enjoy the medical insurance settlement service in the insured place, which is not lower than the treatment level of cross provincial referral in principle. Relevant policies will be officially implemented from January 1, 2023. (outlook new era)