Commercial insurance direct compensation direct payment channel intelligent transformation system and method

Abstract

The invention discloses a commercial insurance direct compensation direct payment channel intelligent transformation system and method. The system comprises a request message receiving module, a request message analysis module, a commercial insurance company recognition module, a request message encapsulation module, a request message sending module, a result message analysis module, a result message assembly module and a result message returning module. The commercial insurance direct compensation direct payment channel intelligent transformation system and method solve the problem that there is no uniform message format in all commercial insurance company systems and hospital transmitting information required by different tasks of all the commercial insurance company systems, and have the differentiated data processing capacity of multiple commercial insurance company systems; the massage format of a hospital information system HIS request is unified; intelligent transformation is conducted on data between the hospital and the commercial insurance hospital systems, the conciseness and usability of a channel are improved, and therefore the interaction is more smooth, safer and more efficient.

Description

technical field [0001] The invention relates to the field of Internet medical information technology, and specifically refers to a system and method for intelligent transformation of commercial insurance direct compensation and direct payment channels. Background technique [0002] Commercial health insurance is an important part of my country's medical security system. Accelerating the development of commercial health insurance is conducive to consolidating the multi-level medical security system and meeting the diverse health security needs of the people. At this stage, the compensation of commercial health insurance is mainly completed through offline labor, which is time-consuming and laborious for patients and insurance institutions. Both patients and commercial insurance companies need to spend more money to complete the entire compensation process, which is not conducive to It is also not conducive for commercial insurance companies to systematically reduce the manage...

AI Technical Summary

Problems solved by technology

[0003] Aiming at the defects in the prior art, the present invention provides an intelligent conversion system for commercial insurance direct compensation and direct payment channels, which solves the problem that there is no uniform message format for the information transmitted by the hospital side required by each commercial insurance company system and its different businesses

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