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

A data management and risk technology, applied in the computer field, can solve problems such as low interaction efficiency, long claim settlement cycle, long evaluation cycle, etc., to achieve the effect of improving processing efficiency and ensuring effectiveness

Pending Publication Date: 2019-03-29
深圳平安医疗健康科技服务有限公司
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  • Abstract
  • Description
  • Claims
  • Application Information

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Problems solved by technology

However, all aspects of the claim settlement business are interacted with each other, the interaction efficiency is low, and the claim settlement period is long
In addition, at present, insurance liability is assessed manually and the result of claim settlement is determined manually. The assessment cycle is long, and the result of claim settlement is subject to subjective influence, which may lead to inaccurate claim settlement results.
For target users, there is still no system for full-process management and control of review, appointment, doctor visit, follow-up, and claim settlement, and the validity of data in each link cannot be guaranteed

Method used

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

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Embodiment Construction

[0034] The following will clearly and completely describe the technical solutions in the embodiments of the present application 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.

[0035] It should be understood that the terms "first", "second" and the like in the description and claims of the present application and the drawings are used to distinguish different objects, rather than to describe a specific order. Furthermore, the terms "include" and "have", as well as any variations thereof, are intended to cover a non-exclusive inclusion. For example, a process, method, system, product or device comprising a series of steps or units is not l...

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Abstract

A data management method and device base on risk management and control are disclosed in embodiment of that present application. The method includes: acquiring user information for the target user, and creating a job based on the user information, and determining a target attendant of the target user according to the first address of the target user in the work order and the second address of at least one attendant in the attendant information database, sending an escort task notification to a terminal corresponding to the target escort, receiving the escort data uploaded by the target escort,analyzing the diagnostic information in the escort data, and determining a claim settlement result of the target user according to the analysis result of the diagnostic information. By adopting the embodiment of the application, the whole data flow control can be realized, the validity of each link data can be ensured, the processing efficiency of each link of data management can be improved, andthe processing efficiency of the whole data management process can be further improved.

Description

technical field [0001] The present application relates to the field of computer technology, in particular to a data management method and device based on risk control. Background technique [0002] At present, after the target user is suspected of suffering from a serious illness or diagnosed with a serious illness, he applies to the insurance company for a claim, and the insurance company then starts the claim settlement business according to the claim settlement process set by itself. However, all aspects of the claims business are interacted with each other, the interaction efficiency is low, and the claim settlement cycle is long. In addition, at present, the insurance liability is assessed manually and the claim settlement result is determined. The assessment cycle is long, and the claim settlement result is greatly affected by the subjectivity, which may lead to inaccurate claim settlement results. For the target users, there is still no system for controlling the who...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G06Q40/08
CPCG06Q40/08
Inventor 张淦
Owner 深圳平安医疗健康科技服务有限公司
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