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Medical data processing method and device, computer equipment and storage medium

A technology of medical data and processing methods, applied in the computer field, can solve problems such as public interest damage, achieve the effect of reducing public interest loss and preventing insurance fraud

Inactive Publication Date: 2018-01-19
PING AN MEDICAL & HEALTHCARE MANAGEMENT CO LTD
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

In recent years, there have been more and more cases of fraudulent use of social security cards. For example, criminals rent social security cards to various hospitals to prepare medicines, and then resell them in different categories, which seriously damages the public interest.

Method used

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  • Medical data processing method and device, computer equipment and storage medium
  • Medical data processing method and device, computer equipment and storage medium
  • Medical data processing method and device, computer equipment and storage medium

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Embodiment Construction

[0059] In order to make the purpose, technical solution and advantages of the present application clearer, the present application will be further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described here are only used to explain the present application, not to limit the present application.

[0060] Such as figure 1 As shown, in one embodiment, a kind of medical data processing method is provided, comprising the following steps:

[0061] Step 110, obtaining medical data, including medical records and / or medication records.

[0062] Specifically, when a social insurance participant needs medical insurance reimbursement, the medical insurance reimbursement information can be entered through the terminal, and the terminal generates a corresponding medical insurance document. The medical insurance document can include social security card information and the current reimbursement in...

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PUM

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Abstract

The present application relates to a medical data processing method, device, computer equipment and storage medium. The above method includes: acquiring medical data, including medical records and / or medication records; analyzing the medical records and / or medication records to obtain a medical review scenario of the medical data; Corresponding review model; extract features corresponding to the review model from the medical data through the review model, and calculate the risk score of the medical data according to the features; when the risk score is greater than the value associated with the medical review When the scene matches the preset threshold, the medical data is marked as suspicious data. The above-mentioned medical data processing method, device, computer equipment and storage medium can effectively prevent insurance fraud and reduce the loss of public interests.

Description

technical field [0001] The present application relates to the field of computer technology, in particular to a medical data processing method, device, computer equipment and storage medium. Background technique [0002] Social insurance refers to a non-profit social security system with the function of redistribution of income that the state compels most members of society to participate in order to prevent and share social risks such as old age, unemployment, disease, and death, and to achieve social security. In recent years, there have been more and more cases of fraudulent use of social security cards. For example, criminals rent social security cards to various hospitals to prepare medicines, and then resell them in different categories, which seriously damages the public interest. Contents of the invention [0003] The embodiment of the present application provides a medical data processing method, device, computer equipment, and storage medium, which can effectively...

Claims

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Application Information

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IPC IPC(8): G06Q40/08G06Q50/22
Inventor 阮晓雯丁睿
Owner PING AN MEDICAL & HEALTHCARE MANAGEMENT CO LTD
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