Commercial health insurance on-line automatic account checking system, and method thereof

Abstract

The invention discloses a commercial health insurance on-line automatic account checking system, and a method thereof. The commercial health insurance on-line automatic account checking system includes a data acquisition layer, a data caching layer and an account checking result layer, wherein the data acquisition layer is used for respectively integrating with a hospital information system and a commercial insurance company system to acquire the account checking data of a hospital, the account checking of a commercial insurance company and the account checking of a platform; the data caching layer is implemented based on a Redis database, and is used for account checking between the platform and the hospital, account checking between the platform and the commercial insurance company, and commercial insurance company among three parties; and the account checking result layer is used for storing the account checking result generated from the data caching layer to a platform database, and sending the account checking result to the related parties. The commercial health insurance on-line automatic account checking system, and the method thereof can realize commercial health insurance on-line account checking between different medical mechanisms and different commercial insurance companies, thus greatly improving the account checking efficiency, optimizing the flow of commercial health insurance on-line automatic compensation. Moreover, the commercial health insurance on-line automatic account checking system, and the method thereof use the high performance key-value storage system Redis caching technology to put the data in the Redis database for data caching, thus having high operating efficiency.

Description

technical field [0001] The invention relates to the technical field of Internet medical information, in particular to an online automatic account reconciliation system and method for commercial health insurance. 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 management and compensation costs of commercial...

AI Technical Summary

Problems solved by technology

[0003] In view of the above-mentioned background, the present invention provides an online automatic account reconciliation system and method for commercial health insurance, focusing on solving the problem of account reconciliation between the commercial insurance online claim settlement transaction platform and the systems of multiple hospitals and multiple commercial insurance companies

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