Claims settlement method, system, computer device, and storage medium

A data and image file technology, applied in the computer field, can solve problems such as low work efficiency and accuracy

Pending Publication Date: 2019-03-15
PING AN HEALTH INSURANCE CO LTD
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

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Problems solved by technology

[0003] However, in the traditional method, the claims work is manually entered, reviewe...

Method used

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  • Claims settlement method, system, computer device, and storage medium
  • Claims settlement method, system, computer device, and storage medium
  • Claims settlement method, system, computer device, and storage medium

Examples

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Embodiment Construction

[0057] 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, and are not intended to limit the present application.

[0058] The claim settlement method provided by this application can be applied to such as figure 1shown in the application environment. Wherein, the first terminal 102 and the second terminal 106 communicate with the server 104 through the network. The server 104 receives the claim settlement request carrying the user ID sent by the first terminal 102, and the server 104 receives the claim settlement image file according to the claim settlement request. The server 104 desensitizes and analyzes the claim image file to obtain claim data, and the claim data includes a corre...

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PUM

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Abstract

The present application relates to a claim settlement method, a system, a computer device and a storage medium. The method comprises the following steps of: receiving a claim settlement request carrying a user identification sent by a terminal, and receiving a claim settlement image file according to the claim settlement request. The claim image file is desensitized and analyzed to obtain claim data, and the claim data comprises a corresponding Chinese description. If it is recognized that the claim data is not repeatedly transmitted back and is valid data, a code table is obtained, and codescorresponding to the claim data are matched from the code table according to the Chinese description. According to the user identification, the user historical claim data and user information are obtained, and the wind control model is invoked to input the matched code claim data, historical claim data and user information into the wind control model to identify whether the claim data exist claimrisk or not. When it is identified that there is no claim risk in the claim data, the claim bill is obtained according to the claim data, and the claim expense is calculated according to the claim bill. The claim settlement efficiency can be improved by adopting the method.

Description

technical field [0001] The present application relates to the field of computer technology, in particular to a claim settlement method, system, computer equipment and storage media. Background technique [0002] As a guarantee mechanism, insurance has been integrated into people's daily life. When an insurance accident occurs to the user, the documents related to the claim can be collected to request a claim from the insurance company and obtain the cost of the claim. [0003] However, in the traditional way, the claims work is manually entered, reviewed and calculated by experienced claim personnel, resulting in low work efficiency and accuracy. Contents of the invention [0004] Based on this, it is necessary to provide a claim settlement system and method that can improve efficiency and accuracy for the above technical problems. [0005] A claim settlement method, said method comprising: [0006] receiving the claim settlement request carrying the user ID sent by the...

Claims

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Application Information

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IPC IPC(8): G06Q40/08G06F16/2458G06F16/28
CPCG06Q40/08
Inventor 陈胜邱辉丁奎韩照永
Owner PING AN HEALTH INSURANCE CO LTD
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