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Risk detection method and device based on data processing, and storage medium

A risk detection and data processing technology, applied in the field of data processing, can solve problems such as fraudulently obtaining medical insurance, and achieve the effect of improving verification accuracy, reducing the probability of passing the review, and reducing the probability of being missed.

Pending Publication Date: 2019-03-29
PING AN MEDICAL & HEALTHCARE MANAGEMENT CO LTD
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Problems solved by technology

[0003] On the other hand, some unscrupulous drug dealers may cooperate with individuals to defraud medical insurance

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  • Risk detection method and device based on data processing, and storage medium
  • Risk detection method and device based on data processing, and storage medium
  • Risk detection method and device based on data processing, and storage medium

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Embodiment Construction

[0056] 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, not all, embodiments of the present invention. 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.

[0057] Reference herein to an "embodiment" means that a particular feature, structure, or characteristic described in connection with the embodiment can be included in at least one embodiment of the present invention. The presentation of this phrase in various places in the specification are not necessarily all referring to the same embodiment, nor are independent or alternative embodiments mutually exclusive of other embodiments. It is understood explicitly a...

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Abstract

The embodiment of the invention discloses a risk detection method and device based on data processing and a storage medium. The risk detection method based on data processing comprises the following steps: obtaining a plurality of prescription sheets issued by a physician according to a unique identification code of the physician; obtaining the issuing time information of each prescription sheet in the plurality of prescription sheets according to the plurality of prescription sheets, and determining the rationality of the issuing time information; the number of prescriptions with unreasonabletime information in multiple prescriptions is counted. if the ratio of the number of prescriptions with unreasonable time information to multiple prescriptions exceeds the preset threshold, multipleprescriptions are marked as risky prescriptions. The invention can determine a plurality of prescription sheets as risk prescription sheets through checking the rationality of prescription sheets issued by doctors, improve the accuracy of finding false prescription sheets, reduce the probability of passing the examination of false prescription sheets, and further play an active role in standardizing the medical insurance reimbursement process.

Description

technical field [0001] The invention relates to the field of data processing, in particular to a risk detection method and device based on data processing. Background technique [0002] Medical insurance refers to social medical insurance. 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. Nowadays, the medical insurance system has covered a wide range. Individuals can use the medical insurance card to go to the hospital to register, see a doctor, get medicine, and then get reimbursed, so that people can enjoy the medical insurance reimbursement given by the state while preparing their own medical special funds. It reduces people's medical burden and improves people's quality of life. [0003] On the other hand, some unscrupulous drug dealers may cooperate with individuals to defraud...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G06Q40/08G06Q50/22
CPCG06Q40/08G06Q50/22
Inventor 周竹凌汪丽娟
Owner PING AN MEDICAL & HEALTHCARE MANAGEMENT CO LTD
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