System for managing hospitalized patients with medical insurance

Abstract

The invention belongs to the technical field of medical insurance, and particularly relates to a system for managing hospitalized patients with the medical insurance. The system comprises a medical insurance settlement system and a background server, wherein the medical insurance settlement system and the background server are connected through an internal local area network. The medical insurance settlement system comprises a basic information module, a cost management module, an identification module, a prompt module, a discharge diagnosis and a prognosis fill-in module, wherein the cost management module comprises an actual payment module, a prepaid amount module, a self-paying amount module and a social security paying module; the identification module comprises a self-paying identification module and a discharge medicine taking identification module; the prompt module comprises an extremely-special project prompt module, a special instruction fill-in module, a limit range prompt module and a medical insurance notification module. By means of the system, the insurance type, deposit information and cost information of the patients with the medical insurance can be inquired about, query, segmentation, uploading and the like of instruction information identification can be achieved, work efficiency and audit accuracy of the medical insurance auditing personnel are improved, and the overall informatization management level of a hospital is increased.

Description

technical field [0001] The invention belongs to the technical field of medical insurance, in particular to an inpatient medical insurance patient management system. Background technique [0002] With the continuous reform and improvement of my country's social security system, medical insurance covers more and more people, and local medical insurance patients have become the main source of hospital patients. With the continuous expansion of the scope of insurance participation in various places, especially after the implementation of universal medical insurance, it takes a long time to manually divide the out-of-pocket expenses of medical insurance patients during medical insurance settlement, which is no longer suitable for the construction needs of digital hospitals. The workload of hospital management personnel It is very large, and it is easy to cause data loss. The medical insurance review and settlement process is not standardized and reasonable, and the work efficienc...

AI Technical Summary

Problems solved by technology

With the continuous expansion of the scope of insurance participation in various places, especially after the implementation of universal medical insurance, it takes a long time to manually divide the out-of-pocket expenses of medical insurance patients during medical insurance settlement, which is no longer suitable for the construction needs of digital hospitals. The workload of hospital management personnel It is very large, and it is easy to cause data loss. The medical insurance review and settlement process is not standardized and reasonable, and the work efficiency of medical insurance review is very low, resulting in a waste of time

Images