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A data processing method and device based on risk management and control

A data processing and data technology, applied in the computer field, can solve the problems of low data processing efficiency, affecting the accuracy of data processing, manual sorting, etc.

Pending Publication Date: 2019-02-22
深圳平安医疗健康科技服务有限公司
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  • Description
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  • Application Information

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Problems solved by technology

[0002] Medical insurance is an important part of social insurance. In the medical security social system, the amount of outpatient consumption is huge, and there are many cases of outpatient consumption. Therefore, there may be situations where false outpatient information is fabricated to seek illegitimate benefits. These behaviors seriously affect the The balance of payments of medical insurance has violated the interests of the insured
In order to solve this problem, the current medical data processing method needs manual sorting and analysis
In this way, the manual labor intensity is very high, the data processing efficiency is low, and errors are prone to occur, which affects the accuracy of data processing.

Method used

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  • A data processing method and device based on risk management and control
  • A data processing method and device based on risk management and control
  • A data processing method and device based on risk management and control

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Embodiment Construction

[0021] The technical solutions in the embodiments of the present application will be described in more detail below with reference to the drawings in the embodiments of the present application. Obviously, the described embodiments are part of the embodiments of the present application, not all of them. Based on the embodiments in this application, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the scope of protection of this application.

[0022] It should be understood that when used in this specification and the appended claims, the terms "comprising" and "comprises" indicate the presence of described features, integers, steps, operations, elements and / or components, but do not exclude one or Presence or addition of multiple other features, integers, steps, operations, elements, components and / or collections thereof.

[0023] see figure 1 , is a schematic diagram of a data processing system based on risk cont...

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Abstract

The embodiment of the application discloses a data processing method and a terminal based on risk management and control, wherein the method comprises the following steps of obtaining the outpatient data of a third party platform, wherein the outpatient data comprises the first outpatient data collected in a target cycle and the second outpatient data collected in a previous cycle of the target cycle; calculating the first outpatient data and the second outpatient data to obtain the value of the outpatient index of the third party platform; obtaining the outpatient indicators of each third-party platform included in the third-party platform cluster to which the third-party platform belongs, wherein the types of each third-party platform included in the third-party platform cluster are same; processing the outpatient indices of each third-party platform to obtain the dynamic indices thresholds of outpatient indices; and when a value of an outpatient indicator of a third party platform is greater than the dynamic indicator threshold, determining the distortion of the outpatient data. According to the embodiment of that present application the authenticity of the outpatient data can be monitored, and the accuracy of monitoring is improved.

Description

technical field [0001] The present application relates to the field of computer technology, and in particular to a data processing method and device based on risk control. Background technique [0002] Medical insurance is an important part of social insurance. In the medical security social system, the amount of outpatient consumption is huge, and there are many cases of outpatient consumption. Therefore, there may be situations where false outpatient information is fabricated to seek illegitimate benefits. These behaviors seriously affect the The balance of payments of medical insurance has violated the interests of the insured. In order to solve this problem, the current medical data processing method requires manual sorting and analysis. In this way, manual labor is very intensive, data processing efficiency is low, and errors are prone to occur, which affects the accuracy of data processing. How to efficiently and accurately process medical data is an urgent problem t...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G06Q10/06G06Q40/08G16H10/60
CPCG06Q10/0635G06Q40/08G16H10/60
Inventor 黄骏钰
Owner 深圳平安医疗健康科技服务有限公司
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