員工服務(wù)
— Staff services—
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醫(yī)療費(fèi)報(bào)銷
時(shí)間： 2020-12-16
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<strong><span style="font-size:14px;font-family:arial, helvetica, sans-serif;line-height:150%;">一、受理時(shí)間</span></strong>
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<span style="font-size:14px;font-family:arial, helvetica, sans-serif;line-height:150%;">醫(yī)療（配置）終結(jié)30日內(nèi)到市工傷保險(xiǎn)經(jīng)辦機(jī)構(gòu)辦理工傷（亡）保險(xiǎn)待遇審核手續(xù)。</span>
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<strong><span style="font-size:14px;font-family:arial, helvetica, sans-serif;line-height:150%;">二、所需資料</span></strong>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#FF0000;">（除發(fā)票、費(fèi)用清單以外所有材料請(qǐng)準(zhǔn)備一份復(fù)印件）</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;">1、工傷認(rèn)定書原件及復(fù)印件；</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;">2、醫(yī)療費(fèi)原始發(fā)票</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-size:14px;">3、門診病歷、門診藥品清單、門診放射、CT診斷報(bào)告單、出院小結(jié)原件及復(fù)印件（</span><span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#FF0000;">若員工已報(bào)商保，無(wú)法提供這幾項(xiàng)原件，需提供復(fù)印件加蓋商保章并且提供商保結(jié)算單</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;">費(fèi)用清單；</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;">合肥市工傷醫(yī)療（康復(fù)）待遇申報(bào)表</span><span style="font-size:14px;">》【本頁(yè)可下載】</span></span><span style="font-size:14px;">加蓋單位公章；</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;">輔助器具費(fèi)原始發(fā)票及醫(yī)囑確認(rèn)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;">勞動(dòng)能力鑒定費(fèi)發(fā)票及鑒定結(jié)論復(fù)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;">民事賠償法律文書及事故認(rèn)定書原件及復(fù)印件等相關(guān)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獲，在報(bào)銷時(shí)還需單位提供的“單位承諾書”承諾內(nèi)容：肇事者未被抓獲、先由基金墊付工傷費(fèi)用，后期如果肇事者抓獲將退還墊付費(fèi)用。</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#FF0000;">（2）如果對(duì)方賠錢，還要申請(qǐng)工傷報(bào)銷，需要到交警大隊(duì)開交通事故認(rèn)定書，下面說(shuō)明責(zé)任情況和賠付情況。對(duì)于已經(jīng)鑒定勞動(dòng)能力的員工，其傷殘補(bǔ)助金等費(fèi)用也是差額賠付。</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;">9、工傷康復(fù)的確認(rèn)證明；（需要到老社保局辦理《康復(fù)認(rèn)定書》）</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;">協(xié)議醫(yī)療機(jī)構(gòu)或者協(xié)議康復(fù)機(jī)構(gòu)按照規(guī)定出具的診斷證明、費(fèi)用單據(jù)、費(fèi)用清單和相關(guān)病案資料等。</span></span>
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<strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">三、注意事項(xiàng)</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;">發(fā)票姓名必須與身份證上的一致；</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;">掛號(hào)費(fèi)、發(fā)票必須蓋章；</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;">門診發(fā)票須有當(dāng)日門診病歷的醫(yī)囑；</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;">住院發(fā)票須有出院小結(jié)；</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;">門診藥費(fèi)須有對(duì)應(yīng)的藥品明細(xì)；</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;">攝影、CT、MRI需要提供檢查報(bào)告單；</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;">一次性費(fèi)用目錄。</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，請(qǐng)下載使用】</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;">合肥市工傷醫(yī)療（康復(fù)）待遇申報(bào)表.doc</span></strong></a>
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