809-全民健康保险自垫医疗费用核退申请书填写说明（809- national health insurance self pad medical fee refund application form）.docVIP

809-全民健康保险自垫医疗费用核退申请书填写说明（809- national health insurance self pad medical fee refund application form） Application for filling out the application for refund of medical fees for national health insurance I. matters needing attention: (1) the insured object shall be in accordance with the form and shall submit an application to the accepting entity. (two) according to the national health insurance law seventy-second stipulation: by improper behavior or to false certification, report, statement and receive insurance benefits, according to the claimed insurance benefits shall be punishable by two times; the criminal liability, transferred to judicial organs for. (three) this application shall be printed or used by the insured or printed by the insurance bureau, or by the website of the health insurance bureau. (four) at the age of twenty with the capacity to act, shall I apply shall specify the payer; under twenty years of age, the application by the legal agent, and a proof of identity; my death, filed by the legal heir, and a proof of identity and declaration. (five) if the insured unit covers the medical expenses on behalf of the insured, the insured shall make a written statement specifying the object of payment to be the insured. (six) please specify the address of the payment, in order to facilitate the return of the nuclear refund item. (seven) since April 1st 95 (inpatient hospital days), insurance object for nuclear retreat in mainland China in the 5 day (inclusive) above the pad from medical expenses paid back case, and the administrative department of Health Bureau of national health insurance business practice group recognized the case check necessary to check out the medical. Documents (original receipt of medical expenses, expenses, certificate or certificate), the parties must be notarized notary office in the mainland, then holding the original certificate to the Straits Exchange Foundation (contact Tel: 02address: .tw) for verification, comp