Abstract: Beijing has comprehensively launched direct clearing of cross-province nonlocal hospitalization in basic medical insurance. As one of the first batch of pilot hospitals, the author’s hospital has been admitted to national basic medical insurance nonlocal hospitalization direct clearing system. This paper mainly puts forward countermeasures and suggestions against problems in the early stage of operation, and provides references for improving nonlocal hospitalization service, optimizing medical insurance nonlocal clearing process, and enhancing balanced management of national medica linsurance.