beijingshigongshangbaoxianyiliaofeiyongshenbao

一、门（急）诊费申报材料： 

1、beijingshigongshangbaoxianshougongbaoxiaofeiyongshenbaojiesuanmingxibiao    yuanjian1fen 

2、beijingshigongshangbaoxianyiliaofeiyongshougongbaoxiaoshenbaobiao    yuanjian2fen 

3、shoufeipiaoju    yuanjian 

4、chufangdifang    yuanjian    rendinggongshanghou，beijingshigongshangyiliaojigouchujudechufangdifangxujiagaigongshangyiliaozhuanyongzhang 

5、jiancha、zhiliaodengfeiyongmingxi    yuanjian 

6、yixuezhenduanzhengmingshu（hanjizhen）   yuanjianhuofuyinjian1fen 

7、jizhenliuguanzhengming    yuanjian1fen    jinxianjizhenliuguanfeiyongtigong 

8、gongshangzheng   fuyinjian1fen 

9、lingkazhengming   fuyinjian1fen 

youxiashuqingkuangzhongdeyigehuoduoge，xuanzhaoyaoqiufenbietijiaocailiao 

yinbingqingzhiliaoxuyaodaoyidijiuyide，lingxutigong 

10、gongshangzhigongyidijiuyibeianbiao    fuyinjian1fen 

daowaibuzhangqijuzhude，lingxutigong 

11、beijingshigongshangzhigongyidijiuyishenbaobeianbiao    fuyinjian1fen 

二、住院费用申报材料： 

1、beijingshigongshangbaoxianshougongbaoxiaofeiyongshenbaojiesuanmingxibiao        yuanjian1fen 

2、beijingshigongshangbaoxianyiliaofeiyongshougongbaoxiaoshenbaobiao        yuanjian2fen 

3、beijingshigongshangzhigongyiliaofeiyongbaoxiaoshenpibiao        yuanjian3fen dancizhuyuanfeiyongchaoguo5wanyuandejiatiancibiao 

4、shoufeipiaoju        yuanjian1fen 

5、zhuyuanfeiyongjiesuandan        yuanjian1fen 

6、chuyuanzhenduanzhengming        yuanjianhuofuyinjian1fen 

7、gongshangzheng        fuyinjian1fen 

youxiashuqingkuangzhongdeyigehuoduoge，xuanzhaoyaoqiufenbietijiaocailiao 

jizhenweichikahuanzhe，lingxutigong： 

8、jizhenzhengming        yuanjian1fen        xumingquehuanzheruyuantujingweijizhenruyuan 

yinbingqingzhiliaoxuyaodaoyidijiuyide，lingxutigong： 

9、gongshangzhigongyidijiuyibeianbiao        fuyinjian1fen 

daowaibuzhangqijuzhude，lingxutigong： 

10、beijingshigongshangzhigongyidijiuyishenbaobeianbiao        fuyinjian1fen 

gongshangkangfuzhiliaode，lingxutigong： 

11、beijingshigongshangkangfushenqingbiao        fuyinjian1fen 

tijiaoshijian： meiyue1-15ri（gongzuori）  

tijiaodidian：shaoyuan5jia319

lianxidianhua：62756362

附件1：北京市工伤保险手工报销费用申报结算明细表     

附件2：北京市工伤保险医疗费用手工报销申报表        

附件3：北京市工伤职工医疗费用报销审批表