Recently, when some patients went to Beijing Friendship Hospital, they found a new change. Some insured patients in Tianjin and Hebei can also make real-time settlement with cards when they go to outpatient and emergency treatment. At present, 10 medical institutions in the city have been included in the list of designated medical institutions for direct settlement of general outpatient service in Beijing, Tianjin and Hebei. According to the relevant person in charge of Beijing Friendship Hospital, at present, Hebei Province, Handan, Baoding, xiong’an, Langfang, Zhangjiakou, Chengde, Qinhuangdao, Dingzhou, Shijiazhuang, Tangshan and Cangzhou are the regions that open the real-time card settlement business in Beijing Tianjin Hebei outpatient department, and the insured personnel do not need to record in the insured places. The insured in Tianjin should put on record in Tianjin before seeing a doctor. The specific filing method is subject to the local requirements. < / P > < p > talking about the specific treatment process, the person in charge said that the insured patients in Tianjin and Hebei should make an appointment for registration through the unified platform for appointment registration in Beijing. After coming to the hospital, they should hold the medical insurance card to the associated window to activate the registration and payment; when visiting the hospital, the insured patients with the medical insurance card can get the number and pay at the manual toll windows of the outpatient and emergency building. What needs to be specially reminded is that at present, Beijing Friendship Hospital only supports Tianjin Hebei medical insurance patients to make appointment for registration through the unified platform for appointment and registration in Beijing, but can not make appointment, collection and payment on the self-service machine. In addition, the insured patients in Tianjin and Hebei should pay at the window and show the medical insurance card actively after the treatment, otherwise the outpatient expenses incurred in this medical treatment will not be reimbursed. < / P > < p > according to the standard of direct settlement of medical expenses of general outpatient service for cross provincial medical treatment in Beijing, Tianjin and Hebei, the payment scope of drug catalog, medical service facilities and diagnosis and treatment items of basic medical insurance shall be subject to the regulations of medical treatment place; the minimum payment standard, payment proportion and maximum payment limit of medical insurance fund shall be implemented in the basic medical insurance policy of the insured place. < p > < p > according to the relevant person in charge of Beijing Friendship Hospital, at present, Tianjin Hebei medical insurance patients are not able to handle emergency observation, outpatient special diseases and other related business with cards, and the local medical insurance department needs to be consulted about the reimbursement policies for emergency stay and outpatient special diseases. In addition, because the medical insurance policies in Hebei Province are not unified, and the information system in some areas of Hebei Province does not support the refund of outpatient card settlement fees, so the outpatient card payment fees of patients in Hebei Province will not be refunded without special circumstances. < / P > < p > in order to provide more convenience for patients in other provinces, Beijing Friendship Hospital has realized the direct settlement of medical expenses of inpatients from other places in 2017.