Go to the social security center to open a referral certificate

If the insured person needs to be transferred e to his or her illness, the doctor in the designated organization of outpatient coordination shall apply and, with the seal and consent of the organization, transfer to the designated hospital with which the organization has signed an agreement, and the transfer certificate shall be valid at that time

two points should be emphasized: first, it must be a designated organization for outpatient coordination, which is selected by itself at the beginning of each social security year

information required: generally, you can carry your ID card and medical insurance card. In addition, you should keep the examination and diagnosis results of the first hospital to facilitate subsequent referral

extended data

referral refers to a system in which the medical and preventive institutions transfer the patients in their own units to another medical and preventive institution for diagnosis and treatment or treatment according to the needs of the disease

the concept of "Referral" is often divided according to the level of hospitals. In addition to referral between general hospitals of the same level, referral can also be divided into vertical referral and horizontal referral. Vertical referral includes forward referral and reverse referral. Forward referral refers to referral from lower level (community) hospitals to higher level hospitals, while reverse referral refers to referral from higher level hospitals to lower level (community) hospitals. Horizontal referral refers to the same level of specialist, specialty hospital referral

in the process of China's medical system reform, the two-way referral system is an important measure to support community health care and solve the problem of "difficult and expensive to see a doctor", which is established on the basis of the first diagnosis in the community, As well as grassroots hospitals and community medical service institutions, the demand is sluggish, the number of visits is too small and other phenomena are of great significance

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the referral certificate is issued by your designated hospital, and can only be reimbursed if you go to a hospital other than the designated hospital.
generally, the referral certificate is issued by the community hospital when you go to the hospital with the lowest level of medical insurance

It depends on whether you buy migrant workers' medical insurance or comprehensive medical insurance. Only comprehensive medical insurance can open a referral certificate at any community service station. Comprehensive medical insurance is more expensive

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if there is a local social health station, you can go there and ask them to open it for you. Generally, they will open it for you. If not, go to the social security hospital, and the doctors there will also open a referral form for you

Social security is divided into outpatient service and inpatient service. The second level outpatient service needs to be bound to social health service, while inpatient service does not need to be bound to hospital; Third, outpatient and inpatient services need to be bound to social health or hospital. If you pay for the second grade inpatient medical treatment and need to be hospitalized, you don't need to open a referral form. If you are outpatient, you can't open a referral form. If migrant workers need to be hospitalized, they need to go to the superior Hospital of social health to issue a referral certificate. If you don't open it, you can be hospitalized, but the reimbursement will be reced

How do the insured go through the proceres of referral
2007-03-2208:37:00 source: Tianjin daily netizen comments 0 entry into the forum
for referral in Tianjin, the transfer out medical institution shall fill in the registration form of Tianjin basic medical insurance referral (with the "special seal for medical insurance"), and the insured or their family members shall hold this form and the medical insurance certificate, and the hospitalization certificate issued by the transfer in hospital (with the "special seal for medical insurance"), Go to the social security sub center of the unit to go through the registration proceres, issue "Tianjin basic medical insurance hospitalization treatment qualification confirmation form", hold this book and "Tianjin basic medical insurance referral registration form", medical insurance certificate to transfer to medical insurance institutions to go through the hospitalization proceres. Within the scope of Tianjin, the insured can be transferred between designated hospitals. Referral is regarded as the same hospitalization, and a higher starting payment standard is charged according to the regulations
if the insured persons are transferred to other hospitals ring their stay in the city, the responsible hospital shall fill in the registration form of Tianjin basic medical insurance referral. The insured persons or their family members shall register with the social security sub center of the unit with this form and medical insurance certificate. After approval, they can be transferred to Peking Union Medical College Hospital (difficult diseases) and Beijing Fuwai Hospital (heart and kidney diseases) Department of thoracic surgery, Beijing Friendship Hospital (Nephrology). Transfer to other hospitals must be approved by the municipal labor and social security administrative department. After the insured person has been hospitalized in the outpatient department of Tianjin designated hospital, if the hospital suggests that the insured person directly go to Beijing "three" designated social security hospitals for hospitalization, the transfer certificate shall be issued by the responsible hospital in other cities. The insured person shall go through the registration proceres of transfer to other cities in the affiliated sub center of the unit, and can be transferred to Peking Union Medical College Hospital, Beijing Fuwai Hospital, Tianjin Medical College, Tianjin Medical College, Tianjin Medical College Beijing Friendship Hospital. Transfer to other hospitals must be approved by the municipal labor and social security administrative department
if the patient is transferred to another hospital in Tianjin, the expenses shall be handled according to the regulations of hospitalization in Tianjin. The hospitalization expenses transferred from Tianjin to other hospitals shall be paid by indivials or units in advance. After discharge, the medical bills will be handed over to my unit, and the unit will go to the social security sub center to handle the settlement proceres. If the insured are transferred to other hospitals, the proportion of medical expenses borne by themselves will be increased by 5% according to the regulations. At the time of settlement, the insured personnel shall provide the relevant in-patient medical certificates to their units, including the receipt with the supervision seal of the financial department at or above the prefecture level, the diagnosis certificate, the certificate of the level of the hospital, the discharge summary or medical record, and the summary details corresponding to the receipt. After being summarized by the unit, it shall be submitted to the social security sub center of the exchange for verification. After verification, the expenses that meet the payment regulations will be transferred to the bank account of the unit, and the unit will inform the person to collect them
(for reference only)

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