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Method and apparatus for estimating medical costs

A cost and medical technology, applied in the medical field, can solve problems such as unreasonable growth of medical insurance costs, and achieve the effect of curbing growth

Pending Publication Date: 2019-01-18
PING AN TECH (SHENZHEN) CO LTD
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  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0004] Embodiments of the present invention provide a method and device for estimating medical expenses to solve the problem of unreasonable increase in medical insurance expenses

Method used

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  • Method and apparatus for estimating medical costs
  • Method and apparatus for estimating medical costs

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Embodiment Construction

[0035] The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some of the embodiments of the present invention, not all of them. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.

[0036] see figure 1 , figure 1 It is a schematic flowchart of a method for estimating medical expenses provided by an embodiment of the invention. As shown in the figure, the method includes:

[0037] S101. Obtain medical consultation information and user information of a user in a target preset state.

[0038] Here, the user in the preset state refers to a user who is ill and is visiting a hospital. The target preset state user refers to the ...

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Abstract

The invention provides a method and a device for estimating medical expense, wherein, the method comprises the following steps: acquiring medical consultation information and user information of a target preset state user; Determining characteristic data of the target preset state user according to the medical treatment information and the user information; Determining a first fee grouping corresponding to the target preset state user according to the feature data and a preset fee grouping model; Estimating a medical expense corresponding to the target preset state user according to the firstexpense grouping and a corresponding relationship between the expense grouping and the medical expense. The technical scheme of the invention can estimate the medical expense generated by the preset state user, so that the estimated expense is close to the medical expense required for treating the expense grouping related to the condition of the user, so that the medical expense can be reasonablyused, and the growth of the medical insurance expense is restrained.

Description

technical field [0001] The invention relates to the field of medical technology, in particular to a method and device for estimating medical expenses. Background technique [0002] Social medical insurance is a social insurance system established by the state and society in accordance with certain laws and regulations to provide basic medical needs protection for workers within the scope of protection in case of illness. For households participating in medical insurance, when the user has medical expenses due to illness, the user can reimburse the medical expenses incurred in accordance with the medical insurance reimbursement system, which can alleviate the economic pain caused by illness to a certain extent. pressure. [0003] For medical insurance agencies, it is necessary to pre-allocate medical pooling expenses for reimbursement of medical expenses for sick users within a certain period of time in the future. However, in the current scheme, the medical insurance agenc...

Claims

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Application Information

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IPC IPC(8): G06Q40/08G06Q30/02
CPCG06Q30/0206G06Q40/08Y02A90/10
Inventor 许斯略
Owner PING AN TECH (SHENZHEN) CO LTD
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