Insurance data processing method and device

A data processing and data technology, applied in the computer field, can solve the problems of low precision of claims settlement, low efficiency of claims settlement, high labor intensity, etc.

Active Publication Date: 2020-11-24
PING AN TECH (SHENZHEN) CO LTD
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  • Abstract
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Problems solved by technology

[0003] Based on this, it is necessary to provide an insurance data processing method and device for the problems of high labor intensity, low claim settlement efficiency and low claim settlement accuracy in traditional medical insurance claims

Method used

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  • Insurance data processing method and device
  • Insurance data processing method and device
  • Insurance data processing method and device

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Embodiment Construction

[0048] In order to make the object, technical solution and advantages of the present invention clearer, the present invention will be described in further 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 invention, not to limit the present invention.

[0049] Such as figure 1 As shown, a method for processing insurance data includes the following steps:

[0050] Step 102: The terminal obtains the input policy number through the claim settlement business system, and obtains the corresponding scene information according to the policy number. The scene information includes multiple responsibility attributes and the corresponding responsibility attribute value of each responsibility attribute.

[0051]Specifically, the scenario information corresponds to the policy liability, including multiple liability attributes corresponding to the policy liabil...

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Abstract

Disclosed is an insurance data processing method, comprising: a terminal acquiring an input insurance policy number, and acquiring corresponding scene information according to the insurance policy number, wherein the scene information comprises multiple responsibility attributes, and responsibility attribute values corresponding to each of the responsibility attributes; the terminal acquiring an input responsibility attribute value, and acquiring, according to the input responsibility attribute value, a responsibility attribute in matched scene information, and comparing the input responsibility attribute value with the responsibility attribute value corresponding to the acquired responsibility attribute; when the input responsibility attribute value is identical to the responsibility attribute value of the acquired responsibility attribute, reading pre-stored compensation rule data corresponding to the scene information; and processing the compensation rule data to obtain a compensation numeric value, generating a compensation instruction, and sending the compensation instruction to a payment platform.

Description

technical field [0001] The invention relates to the field of computers, in particular to an insurance data processing method and device. Background technique [0002] The traditional medical insurance claim settlement method is manual settlement of claims. When medical insurance claims are settled, professionals with insurance knowledge, legal knowledge, and medical claim settlement knowledge are required to review claims bills, verify insurance liabilities, and adjust insurance amounts. The manual labor intensity of personnel is high, the efficiency of claim settlement is low, and the time limit for claim settlement is long, and the accuracy of claim settlement is easily affected by the experience of claimants, and the accuracy of claim settlement is low. Contents of the invention [0003] Based on this, it is necessary to provide an insurance data processing method and device for the problems of high labor intensity, low claim efficiency and low claim precision in tradit...

Claims

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Application Information

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Patent Type & Authority Patents(China)
IPC IPC(8): G06Q10/06G06Q20/08G06Q40/08
CPCG06Q10/0637G06Q20/085G06Q40/08
Inventor 王燕梁效栋
Owner PING AN TECH (SHENZHEN) CO LTD
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