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医疗费报销
时间： 2020-12-16
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<strong><span style="font-size:14px;font-family:arial, helvetica, sans-serif;line-height:150%;">一、受理时间</span></strong>
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<span style="font-size:14px;font-family:arial, helvetica, sans-serif;line-height:150%;">医疗（配置）终结30日内到市工伤保险经办机构办理工伤（亡）保险待遇审核手续。</span>
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<strong><span style="font-size:14px;font-family:arial, helvetica, sans-serif;line-height:150%;">二、所需资料</span></strong>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#FF0000;">（除发票、费用清单以外所有材料请准备一份复印件）</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;">1、工伤认定书原件及复印件；</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;">2、医疗费原始发票</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-size:14px;">3、门诊病历、门诊药品清单、门诊放射、CT诊断报告单、出院小结原件及复印件（</span><span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#FF0000;">若员工已报商保，无法提供这几项原件，需提供复印件加盖商保章并且提供商保结算单</span><span style="font-size:14px;">）； </span></span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">4、</span><span style="font-size:14px;">费用清单；</span></span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-size:14px;">5、《</span><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">合肥市工伤医疗（康复）待遇申报表</span><span style="font-size:14px;">》【本页可下载】</span></span><span style="font-size:14px;">加盖单位公章；</span></span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">6、</span><span style="font-size:14px;">辅助器具费原始发票及医嘱确认材料；</span></span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">7、</span><span style="font-size:14px;">劳动能力鉴定费发票及鉴定结论复印件；</span></span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">8、</span><span style="font-size:14px;">民事赔偿法律文书及事故认定书原件及复印件等相关材料；</span></span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#FF0000;">（1）若交通事故中肇事者未被抓获，在报销时还需单位提供的“单位承诺书”承诺内容：肇事者未被抓获、先由基金垫付工伤费用，后期如果肇事者抓获将退还垫付费用。</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#FF0000;">（2）如果对方赔钱，还要申请工伤报销，需要到交警大队开交通事故认定书，下面说明责任情况和赔付情况。对于已经鉴定劳动能力的员工，其伤残补助金等费用也是差额赔付。</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;">9、工伤康复的确认证明；（需要到老社保局办理《康复认定书》）</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">10、</span><span style="font-size:14px;">协议医疗机构或者协议康复机构按照规定出具的诊断证明、费用单据、费用清单和相关病案资料等。</span></span>
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<strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">三、注意事项</span></strong>
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<span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">1、</span><span style="font-size:14px;">发票姓名必须与身份证上的一致；</span></span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">2、</span><span style="font-size:14px;">挂号费、发票必须盖章；</span></span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">3、</span><span style="font-size:14px;">门诊发票须有当日门诊病历的医嘱；</span></span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">4、</span><span style="font-size:14px;">住院发票须有出院小结；</span></span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">5、</span><span style="font-size:14px;">门诊药费须有对应的药品明细；</span></span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">6、</span><span style="font-size:14px;">摄影、CT、MRI需要提供检查报告单；</span></span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">7、</span><span style="font-size:14px;">一次性费用目录。</span></span>
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<strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">【涉及的模板如下，请下载使用】</span></strong>
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<span style="font-size:14px;"> </span><a href="/ueditor/php/upload/file/20201216/1608102644747424.doc"><strong><span style="font-size:14px;">合肥市工伤医疗（康复）待遇申报表.doc</span></strong></a>
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