Social Insurance Fund personal account of the payer. Vladimir regional branch of the social insurance fund of the Russian Federation. At the stage of payment of benefits

07.03.2020

Recently, a friend of mine told me that he was denied the issuance of an electronic sick leave in a hospital. My friend regarded this act as a violation of the law, but you need to understand that at the moment not all hospitals are connected to the electronic database, so the refusal could be quite legal.

Below we will learn about how to view the electronic sick leave and what programs and sites are needed for this.

An electronic sick leave certificate (electronic card) is a special certificate that confirms the fact that an employee has been treated for any illness, due to which the employee could not perform his job duties for a certain time.

The e-mail also applies to cases of pregnancy, quarantine and care for third parties who are members of the employee's family. This certificate is opened by the employee at the doctor as a result of an examination, which confirmed that the person really needs treatment.

Previously, hospital certificates were issued only in paper form, but in 2019 this document can also be issued in in electronic format at the request of the patient (however, a paper document can also be issued).

For all your key features electronic is no different from paper accounting, with the only exception that it is issued, stored and transmitted to various institutions in electronic form. To date, it is possible to issue an electronic card not in all hospitals, but only in those that are connected to electronic system"Social Insurance".

AT general case email is formatted like this:

When an employee contacts a hospital, the doctor in a special FSS program creates a new sick leave in electronic form. All information about the treatment is entered in this document.
Upon completion of treatment, the doctor informs the employee of a special electronic account number, and also sends a copy of the email to the Social Insurance program.
The recovered employee sends an electronic account number to the accounting department.
The accountant, using the employee number, finds an electronic copy of the email in the database of the Social Insurance system and fills out his part of the certificate. Then the accountant sends an email to the FSS.
After receiving the document, the FSS calculates and pays all the necessary benefits.

How can an employee view an email?

An electronic certificate can be viewed by both the employee and the employer. At the same time, it should be borne in mind that this document is confidential, therefore, some items of the electronic mail may not be visible to the employer (for example, usually the employer does not know the type of disease that his employee had).

In order for an employee to view an email, you need to use the following algorithm:

Register on the State Services portal according to the general algorithm (go through the initial authorization using your login and password, enter your information in special fields, go through authentication in any way convenient for you, and so on).
After that, open the official portal of the Foundation social insurance and select "Personal Account" or follow the direct link http://cabinets.fss.ru
Select the "Insured person's account" item and enter the login and password that you use to enter the State Services portal.
If you entered your login and password correctly, then in this case a special window will open, which will list all the information about the services that the FSS provided to you (mostly these are various benefits - for disability, childbirth, unemployment, and so on). You can also find and print a copy of your e-sheet here.
Please note that through the insured person's office you can also find out the ELS number, which you must provide to the employer in order to receive benefits. Therefore, if you have lost the number that the doctor gave you, then through the personal account of the FSS you can find out the lost number. It should also be understood that through the personal account of the FSS, you can only view and print the e-mail, and you cannot make any changes.

How can an employer view an email?

Let's now find out how to find an email for an employer. To date, all large and medium-sized employers are obliged to connect to a special database of the FSS, with which you can keep track of electronic sheets.

At the same time, it must be understood that if an employee registers an e-mail, the employer is obliged to fill out his part of the sheet using a computer after the employee of the organization is discharged from the hospital.

The electronic system also allows the employer to receive a compensation payment from the FSS for the employee, and the amount of cash assistance in the case of paper and electronic clearance does not differ. In general, the procedure for filling out sheets and receiving compensation is as follows:

The employer enters into a special agreement with any regional branch of the FSS to provide access to the database.
The employer registers in a special FSS program called EIIS "Social Insurance". Accounting and execution of all electronic and paper documents is carried out in this program.
The employer undertakes to train the accountant at his own expense so that he learns how to use the Social Insurance program. The law also allows you to hire an additional accountant who already owns the rules for using the program.
After completing the training, an accountant must receive a special electronic signature from any state institution (for example, at the MFC), which will confirm electronic certificates of the employee's treatment. All office expenses the employer must take care of the registration.
The layout is ready. If any person has opened a certificate for undergoing treatment, then upon completion of the treatment, the employee is obliged to inform the accountant of a special code, which is identification number references. After that, the accountant, using the Social Insurance program, finds the employee's sheet and fills out his part of the certificate. Then he calculates and pays compensation for treatment within no more than 10 days after receiving the certificate, and also submits information about the sick leave to the FSS - after a while the employer receives a monetary compensation for the treatment of a person from the FSS.

Conclusion

Now you know where to look for electronic sick leave for an employee and employer. Let's summarize. If the hospital and the employer are connected to the Social Insurance database, then in this case the employee can issue a sick leave in electronic form.

For all key features E-mail is no different from a standard paper accounting document.

The employer can view and fill out his part of the document using the FSS Social Insurance program. The employee, in turn, can find all his e-mails through the FSS website, and in order to gain access to this site, he needs to register on the State Services portal and go through identification.

Who may need a sick leave check?

It could be checking:

Plain paper sick leave .

Verification here will be carried out, first of all, for the authenticity of the document. The main stakeholders in this are the employer and the employee for whom the sick leave is issued.

Innovative electronic sick leave.

From July 2017, electronic sick leave began to operate at the federal level (before that, in several regions). Unlike paper ones, which are handed out to patients, they are stored on the FSS servers. Access to them, if necessary, can be obtained:

medical organization that issued the document;
employer;
patient employee.

Each of them can request access to sick leave for different purposes.

Let us consider in more detail how to check the sick leave in the two indicated varieties when using the FSS website and other available resources. We agree that such a check is required to be carried out by the employer, the representative of the medical institution and the patient himself.

How to check the electronic sick leave on the FSS website for an employer?

To check the sick leave on the FSS website (and at the same time add the necessary information to it for subsequent sending to the department), the employer needs:

Pre-obtain an EDS for document management with the FSS and create an enterprise account on the Gosuslugi website.

The signature is issued in an accredited certification center for the head of the organization. Creation of a company profile Portal "Gosuslugi" .

Obtain a unique electronic sick leave number from the employee, which is communicated to him by the medical organization after a doctor's appointment.
Enter the "Insurant's Cabinet" on the page http://cabinets.fss.ru.
Select the "Electronic sheets" tab, then - "Request a sheet".
Enter the sick leave number and SNILS of the employee.
If necessary, select a certificate certifying the organization's rights to make a request to the FSS.
Wait for the found sheet to appear in the "List of Sheets".
If necessary, select the item "Filled by the employer."
Fill in the appropriate area of the sick leave, click "Save".

After these actions, the completed sick leave will be sent to the FSS for registration of compensation for the payment of disability benefits.

For the convenience of searching for a sick leave, the employer can use the filters provided by the web interface.

For example, sick leave can be found:

according to the full name of the patient;
according to SNILS;
by sick leave number;
by document status;
by date of issuance.

If necessary, you can generate a sick leave file in XML format in order to subsequently process it in a cryptographic program, if it is used by the employer for electronic document management with government agencies.

Checking the sick leave by number online may also be required by a representative of the medical institution that issued the disability certificate.

How to check the hospital doctor?

To check the sick leave of interest, a representative of a medical organization also uses the familiar resource http://cabinets.fss.ru. At the same time, he selects the “ITU Cabinet” item and uses an EDS issued in accordance with the procedure established by law for a medical institution.

Don't know your rights?

To check the hospital doctor needs:

Log in to the ITU Cabinet.
Select the desired sick leave from the list that opens immediately after entering.
The desired sheet can be found using various filters - as in the case when the employer uses the web interface.

The institution's personal account on the FSS website has a wide range functions and, in particular, provides for:

supplementing the discharged sick leave with various data, correcting the information on the disability certificate - in the prescribed manner;
removal of sick leave - on certain grounds.

How to check sick leave for an employee?

To check the sick leave, the employee himself uses the same web interface http://cabinets.fss.ru. But in this case interested party selects the option "Insured's office".

By that time, a person, as in the case of an employer, should have a profile on the State Services. At the same time, it is not necessary to issue a qualified EDS from a certification center. It is enough just to go through the identity verification procedure at the authorized center for registration at the State Services. The most accessible of them are Russian Post offices, city MFCs, and Rostelecom offices. Their services are free.

The functionality of the "Insured's Cabinet" allows, in particular:

review the certificates of incapacity for work issued to the employee;
print these sheets;
view data on accrued and paid sick leave;
print billing statements.

If necessary, the user can:

view and clarify information about yourself;
view and update contact information.

And this is only a small part of the functions available to the insured person.

As for viewing the data on the sick leave, they are given in their entirety and correspond to the data reflected in the usual sick leave. To find the right sheet, a person can, like an employer or a doctor at a medical institution, use special filters for various details of a sick leave certificate.

Let us now consider how to verify the authenticity of a sick leave in the usual paper form.

How to check the authenticity of a paper sick leave?

The verification in question may include the following procedures:

Checking document security features.

These elements include:

watermarks - with the FSS logo;
inscriptions translucent with ultraviolet light.

Visual check of the document for:

the quality of the paper (it should not differ in touch from the one from which authentically authentic sheets are made);
the presence of microtexts (clearly distinguishable only with the use of a magnifying glass) with the phrase "Disability certificate", which are located under the signatures of the doctor, director and accountant of the employing company;
correctness of filling (in terms of reflecting information about the medical institution).

Reconciliation of the sick leave number with the database of invalid sheets, which the FSS forms and uploads to site .

To do this, download the register of invalid sick leave and check with the paper sick leave number, which is located immediately below the barcode. If there are matches, then the sick leave at the time of its presentation by the employee is invalid.

This registry is updated once a month, so the data may not be up to date. A more reliable way is to send a request to the territorial hotel of the FSS at the place of registration, attaching a copy of the sick leave. Social Insurance will send a request to a medical institution, which will confirm or deny the authenticity of the form. The disadvantage of this method is that the verification takes a very long time.

Sick leave can be paper and electronic. In all cases, they may need to be checked. Paper, as a rule, are checked for authenticity, electronic - for correct execution and for other purposes provided for by the specifics of the electronic document management of the main users of the disability certificate - the employer and the medical institution. The patient himself has the right to access electronic sick leave.

Every citizen of the Russian Federation can receive an electronic sick leave certificate on the website of the Social Insurance Fund of Russia. The number of medical institutions using the service is constantly increasing. When servicing in such clinics, the accountants of the organization will have to work with the personal account of the FSS.

The formation, accrual and receipt of benefits is not difficult either for the employee or for the insured.

What are they needed for

The electronic sick leave certificate differs from the paper version in practicality and convenience, which is necessary for the employer. System advantages:

The impossibility of forgery. Protects the employer from fraud and unjustified costs. Fake printed versions of sick leave can be purchased at almost all major settlements. When using the digital insurance option, fraud will not work.
Ease of filling. Making mistakes when forming a sick leave does not threaten anything, since they are quickly corrected, and the document remains intact.
The storage period of a virtual document is not limited. The threat of its loss and the need for the establishment of weighty folders disappear.

An employee of the company can familiarize himself with his electronic sick leave of the FSS in personal account . A simple procedure eliminates the need to go to the accounting department to obtain the necessary information related to disability.

You must first register on the State Services Portal. The received personal password allows you to enter your personal account and view the sick leave.

How does the system work?

Cooperation between a medical institution, the Social Insurance Fund, the insured and the employee was adopted relatively recently. For this reason, not all employers are online. FSS, and electronic Sick leave is not issued by all hospitals.

The procedure for obtaining an ELN

Get email FSS sick leave is not difficult:

An employee of the organization applies to a medical institution, where he gets an electronic sick leave.
Further, the specialist approves the virtual document, indicating the terms, reasons for disability and other necessary information.
The contacting insured person is assigned a sick leave number, which he transfers to the accountant of his organization.
Using this code, the accountant finds a virtual disability sheet in the personal account of the FSS insured. A legal entity or a private entrepreneur can register in this section.

How sickness FSS is calculated

When calculating sick leave, various parameters are taken into account:

The period of incapacity for work.
The rate at which he works.
regional coefficient.
Salary.
The average salary of a citizen and so on.

The calculation is made in the "Calculation of benefits" section.

Monitoring of sick leave is carried out through the personal account of legal entities. In the section "Electronic certificates of incapacity for work" a complete list of all sick-lists is open.

Also, by means of a filter, the policyholder can find desired document. The following filters are available to him:

Number of the pension certificate.
Hospital number.
sick leave status.

The employer can supplement or edit the sick leave. To do this, a sick leave request is made in the FSS database using the "Get LN" button. A field for entering the sick leave number will open and SNILS the citizen for whom the sick leave is issued. Then you need to click "Get LN" again.

Here the policyholder can not only edit the electronic document, but also print it in paper form.

He can also view benefits that have ever been paid or are pending in the "Benefits Log" section.

To submit reports on sick leave to the FSS, you can use either the FSS portal or a specially developed ARM program.

How to get an electronic sick leave

To the insured person the opportunity to choose the form of the sick leave is given. You should know in advance about the possibility of creating an accountant electronic document. Often there are unpleasant situations when an employee is not accepted with a virtual disability certificate.

Under such a combination of circumstances, the medical institution resets electronic variant and provides paper version document. It is recommended to clarify in advance whether the policyholder can accept the virtual form of the document. If he is ready for this option, you can do without difficulties.

Important!

It should be understood that the use of the personal account of the FSS and the formation of sick leave is the right of the insured, and not a direct obligation!

When filling out the document, the employee should certify in writing the consent to the processing of personal information and the formation of a disability certificate online. As a result, there is no need to confirm the document with the seals of the head physician and the registry.

The sick leave acquires an identification code that allows you to quickly find the form in the FSS LC. After presenting it at the place of work or transferring the code number to the accountant by phone, it will be quickly found in the database.

Actions of the employer in the FSS office

Search and registration electronic sick leave in the FSS is not difficult. It is required to register in the service and purchase the policyholder's personal access code to the personal account. This is possible after registration in the Social Insurance system.

Having studied the actions and practiced in their implementation, the employer will get used to it and will be able to fully appreciate the comfort and prospects of the service.

To get started, you should register on the official website of the State Services, where you will be provided with a password to access LK - personal account of the FSS insured. Registration is carried out using the data of legal entities. person and his details.
Login to the personal account of the FSS. To enter the system, you must enter the mobile number with which you registered on the State Services Portal and the password.
To work with electronic sick leave in LKFSS, a dedicated accountant is required who understands all the intricacies of the service

Having gained access to the personal account of the FSS, the insured must notify subordinates of the availability of the service. In order to use it, you must enter personal data into the electronic sick leave in your medical institution, if possible. After receiving from the employee a personal document number (personal sick leave code), it is transferred to the accountant. Followed by:

Log in to your personal account and find a sick leave by number.
Find out from the electronic document data on the duration of the sick leave for subsequent calculation.
Fill in the information in the electronic sick leave about the organization, the length of service of the employee and the average amount of his income.
Check for errors.
Send the finished document from the office to the FSS department using a special key.

Disability benefits are paid directly from the FSS or through the insured. In the case of an employer, the accountant calculates and charges money along with the next salary. Then he makes a reimbursement operation from the Social Security Fund. (using the submission electronic application or visiting an FSS specialist).

Some entities qualify for a direct payout program. To pay in this case, the insured fills out a request to the FSS LC on behalf of the employee who received the disability certificate, and then sends it to the fund.

How to check your sick leave in the LC

The insured person can check the condition electronic certificate of incapacity for work. To do this, you need to be registered with the State Services. By entering the LC FSS, you can get acquainted with all the information about:

Opening, closing or extending sick leave.
The amount of accruals.
The timing of illness.
The correctness of paperwork by the employer.

Special options in the user's account allow you to receive notifications about changes in the state of the sick leave to your email address.

How to check sick pay?

Check sick leave payment FSS, you can in the section "Benefits and payments". This tab contains information about all accruals ever paid.

Finding the right document is greatly simplified by filters by the following parameters:

Number ELN - sick leave.
Date of opening and closing of the document.
sick leave status.

This will greatly facilitate and speed up the process of finding the required electronic sick leave in your account.

Checking sick pay using SNILS

You can find out the status of accrual settlements after entering the registration number or SNILS number in a special form. Next, press the "Search" button.

The data is updated twice a week.

To simplify the work, on the official page https://cabinets. fss.ru/ , in the relevant section, there are memos for the insured and memos for the insured person.

The FSS personal account has a huge set of features. Employees can view their disability certificates, check their status and calculate the amount paid on them. Employers can not only view sick leave, but also edit them. The presence of a unified system of interaction to a large extent optimizes the solution of insurance issues.

Gateway FSS hospital

Electronic health records are new service Social Security Fund, which is not used by all employers and clinics. But this form of reporting is the future, so the direction will gradually develop and improve. The versatility of the service is that it is simultaneously designed for insured persons, policyholders and ITU employees. Each person has the right to view his electronic sick leave through the "Gosuslugi", of course, if it is formed. This is convenient for controlling accruals and expected payments, as well as for the work of accountants of an employing organization.

Work in the "Personal Account" of the FSS

For the convenience of using all the services of the FSS, a "Personal Account" was created, which is a portal for remote control. The service makes it possible to simplify the work of the Fund's employees themselves, as well as all interested citizens who apply to this institution. It already has many features, and continues to evolve. The official website cabinets.fss.ru is intended for three categories of users:

insured persons;
policyholders;
workers of medical and sanitary expertise (ITU).

For ordinary citizens, only the “Insured’s Cabinet” section is needed, which allows you to view the electronic sick leave through “Government Services”, clarify the due payments to the mother with the newborn and other functions. That is, "Personal Account" is available:

to check compensation for sick leave (BL), including for pregnancy and childbirth;
viewing electronic certificates of incapacity for work;
checking and searching for BL by date, number, name, and other parameters;
printing of sick leaves if necessary;
viewing accrued and transferred state benefits;
free access to personal information.

This is only a part of the functions for working with the BL.

Login to "Personal Account"

To use all the features of the LC, there are two ways to enter: through the Unified Portal of Public Services and directly to the FSS after registering there. Viewing the sick leave through the "Gosuslugi" is available only to users with a verified identity. This is the easiest way to authorize through the ESIA system. Thus, by creating an account on the e-government portal once, any citizen can use almost all available services in different organizations in the region of residence.

You can get acquainted with the possibilities of the portal in the following way. Go to cabinets.fss.ru. Then select the section of the insured person.

By clicking on the "Login to the account" button, the user will be redirected by the system to the authorization page through the "Public Services". The login and password is entered exactly the same as on the e-government portal. The service redirects the user to the FSS LC.

You can view sick leave through "Public Services" by clicking on the three dots in the upper right corner. A window with personal information about the insured person appears:

initials and gender;
SNILS;
passport data;
benefits and disability data, if such data exists;
Contact Information.

Important! Insured people cannot change anything, only view. In case of detection of errors or corrections, they are obliged to contact the FSS, providing an evidence base in the form of relevant documents.

Logging out is easy. By clicking on the dots in the right corner, the necessary command will be in the drop-down window.

Viewing BL Details

Various services are presented at the bottom of the page.

You can study the electronic sick leave in the "Sick leave" section located at the top of the page. It contains the following information:

Document Number;
disability type code;
disability benefits - group and conditions for possible work capacity;
date of issued BL;
whether there was a period of inpatient treatment with numbers and number of days;
whether there was a violation of the regimen prescribed by the doctor;
in the case of sick leave due to pregnancy, then the terms of registration;
information about ITU;
if the document is issued for the care of another person, then his data and diagnosis.

On this tab, other disability sheets are also available for viewing. You can quickly find the required BC using the filter by criteria or parameters. Having selected a sick leave, the patient can print it. To do this, the desired document is selected, and the "print" button is pressed.

Information about accruals

The insured user can always control government payments in the "Benefits and payments" section. By setting a few parameters, it will be easy to identify the desired document. Accruals are indicated in a special journal. To view it, you need to go to the "Calculation of Benefits" tab. On the LK portal there is an opportunity to apply for sanatorium treatment. All information is open, it will not be difficult to find out the cost or date of arrival by clicking on a specific application. The "Personal Account" contains information on all contracts and payments, insurance and accidents.

Perhaps the most important is information about birth certificates. Here is a complete layout of the movement of money and a description of each document.

By the way! Each insured person can constantly track the movement of the money supply from the very beginning to the destination. Transparency of all accruals and spending of money contributes to understanding.

How to make a request?

Being in the personal account, you can get information about any request or service. For this:

Click on the "Create" button, then specify the data and select a function from the drop-down menu.
Click on the name of the insured person in the upper corner, and in the window that appears, select "Requests to the Fund". If you need a new request, then click on the appropriate button.