Method for determining drug withdrawal abnormality based on data processing, and terminal device

A technology for data processing and determining methods, applied in the computer field, can solve the problems of medical insurance institutions being unable to settle claims, reducing the credibility of medical institutions' claims claims, and difficulty in settlement of claims by medical insurance institutions. Claims settlement process with high reliability

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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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

This makes it impossible for medical insurance institutions to settle claims directly based on the claims made by medical institutions, which brings difficulties to the settlement of claims by medical insurance institutions and reduces the credibility of medical institutions' claim claims

Method used

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  • Method for determining drug withdrawal abnormality based on data processing, and terminal device
  • Method for determining drug withdrawal abnormality based on data processing, and terminal device
  • Method for determining drug withdrawal abnormality based on data processing, and terminal device

Examples

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Effect test

Embodiment 1

[0035] see figure 1 , figure 1 It is a schematic flow chart of a method for determining abnormality in taking medicine based on data processing provided by an embodiment of the invention. In this embodiment, a terminal device is used as an execution subject for description. As shown, the method includes:

[0036] S101. Obtain a patient's settlement request for a target drug.

[0037] In some feasible implementation manners, the terminal device can obtain the patient's settlement request for the target drug. The above-mentioned settlement request may be a settlement request initiated by a patient or a staff member of a medical institution. The above-mentioned settlement request may include the patient's personal information, medicine collection information and settlement method, etc., which are not limited here. The patient's personal information may include the patient's identity information, body shape characteristic information, disease information, and the like. The a...

Embodiment 2

[0048] see figure 2 , figure 2 It is a schematic flowchart of another method for determining abnormality in taking medicine based on data processing provided by the embodiment of the invention. In this embodiment, a terminal device is used as an execution subject for description. As shown, the method includes:

[0049] S201. Obtain a patient's settlement request for a target drug.

[0050] In some feasible implementation manners, the terminal device can obtain the patient's settlement request for the target drug. The above-mentioned settlement request may be a settlement request initiated by a patient or a staff member of a medical institution. The above-mentioned settlement request may include the patient's personal information, medicine collection information and settlement method, etc., which are not limited here. The patient's personal information may include the patient's identity information, body shape characteristic information, disease information, and the like...

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PUM

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Abstract

The invention provides a method for determining drug retrieval abnormality based on data processing, and a terminal device. The method includes obtaining a settlement request of a patient for a targetdrug, wherein the settlement request includes patient personal information, drug retrieval information, and a settlement method. If the settlement method is the first settlement method, when it is determined that the patient satisfies the target settlement condition according to the patient's personal information, the single maximum dosage corresponding to the target drug is obtained. When the target drug withdrawal amount determined by the drug withdrawal information is greater than the single maximum drug amount, the patient is determined to take drugs excessively, and an abnormal drug withdrawal prompt is sent. By adopting the embodiment of the invention, the credibility of the claim settlement requirement of the medical structure can be improved, and the insurance fraud probability can be reduced.

Description

technical field [0001] The invention relates to the field of computer technology, in particular to a method for determining abnormality in taking medicine based on data processing and a terminal device. Background technique [0002] With the development of society and the continuous improvement of people's living standards, people gradually begin to accept various insurance items, especially medical insurance for basic medical needs, which is particularly valued by people. There are two main types of existing medical insurance, including social medical insurance established by the state and society and profitable commercial medical insurance established by enterprises. For users who have participated in medical insurance, when they are sick, the user can reimburse the medical expenses caused by the disease according to the claims rules of the medical insurance, thereby alleviating the economic pressure of the user due to illness to a certain extent. However, with the popula...

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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