On-line appeal method and system for medical insurance

A medical insurance and regional technology, applied in the field of regional medical insurance online appeal method and system, can solve the problems of untimely timeliness, unfavorable environmental protection, and inability to appeal to the downside, and achieve the effect of relieving work pressure and simplifying the work process

Inactive Publication Date: 2017-10-24
武汉金豆医疗数据科技有限公司
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Paper complaints have the following disadvantages: 1. A large amount of paper is required, which is not conducive to environmental protection
2. The time limit is not timely, and there is a large delay
3. Two people are required to go to each hospital to collect materials
4. Unable to lower the appeal pressure to the smallest stakeholder
5. There is a probability of human error

Method used

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  • On-line appeal method and system for medical insurance
  • On-line appeal method and system for medical insurance
  • On-line appeal method and system for medical insurance

Examples

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Embodiment Construction

[0032] The principles and features of the present invention are described below in conjunction with the accompanying drawings, and the examples given are only used to explain the present invention, and are not intended to limit the scope of the present invention.

[0033] Such as figure 1 As shown, an online appeal method for regional medical insurance includes the following steps,

[0034] S1, the medical insurance center server reviews the received electronic business documents uploaded online by the hospital server, and sends the information that fails to pass the review to the hospital server online;

[0035] S2. The hospital server appeals online for the information that fails to pass the review, and re-uploads the corresponding electronic business documents to the medical insurance center server online, and re-executes S1.

[0036] In this specific example:

[0037] In S2, the hospital server can make one or more online appeals. In S1, the server of the medical insura...

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PUM

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Abstract

The invention relates to an on-line appeal method and system for medical insurance. The method comprises the following steps: S1, a medical insurance center server examines and approves the received electronic service bill uploaded by a hospital server on line, and transmits information not passing examination and approval to the hospital server on line; and S2, the hospital server appeals the information not passing examination and approval on line, and re-uploads the corresponding electronic service bill to the medical insurance center server, and S1 is re-executed. The method and the system can save a lot of paper, printers and appeal time, relieve the working pressure of the medical insurance office, and simplify the workflow.

Description

technical field [0001] The invention relates to a medical insurance appeal method and system, in particular to a regional medical insurance online appeal method and system. Background technique [0002] At present, the medical insurance center and the relevant medical insurance designated institutions (hospitals) in the region adopt the method of regularly uploading the expense details by the hospital in the process of document review and appeal of illegal documents, and the medical insurance center will notify the designated institutions after regular review. After receiving the notice, the designated institution organizes printed materials for paper complaints. Paper complaints have the following disadvantages: 1. A large amount of paper is required, which is not conducive to environmental protection. 2. The time limit is not timely, and there is a large delay. 3. Two people are required to go to each hospital to collect materials. 4. Unable to lower the appeal pressure...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G06Q50/22
CPCG06Q50/22
Inventor 火立龙宋和平朱静张喻龙
Owner 武汉金豆医疗数据科技有限公司
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