The following three conditions must be met at the same time for referral in different places: the disease is a difficult disease, which cannot be diagnosed by expert consultation organized by the third-class first-class or municipal specialized hospitals in this city, or cannot be further treated due to the medical technology and equipment conditions of the hospitals in this city; Transfer from different places should be the designated medical institution of local basic medical insurance; The level of diagnosis and treatment of medical institutions transferred to different places should be higher than that of this Municipality.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Expand the reference process of remote data:

1, the applicant or client applies to the hospital that undertakes the referral business;

2, attending and above doctors fill in the remote referral approval form;

3, the hospital organized expert consultation, and put forward opinions;

4, the hospital medical insurance office audit registration; In charge of the dean's examination and signature;

5. The applicant or client shall go to the social security agency for examination and approval with the Approval Form for Remote Referral.

The designated medical institutions transferred out shall also report the referral information to the municipal social insurance institutions for the record.

If the insured person needs to be referred again after transferring to other places, the medical institution outside the city shall issue a certificate of referral again.