A business processing method based on data processing and related equipment

Abstract

The embodiment of the present invention discloses a method for handling business based on data processing and related equipment, the method comprising: a terminal can receive a user's handling business request, and identify a handling business identifier carried in the handling business request, obtain a target handling rule matching the handling business identifier from one or more pre-configured handling rules, and determine the handling materials corresponding to the handling target handling business specified by the target handling rule, and then output a first prompt information, the first prompt information is used to prompt the user to submit the handling materials corresponding to the handling target handling business. The present invention is conducive to improving the declaration efficiency of handling business.

Description

Technical Field

[0001] The present invention relates to the technical field of medical insurance, and in particular to a business processing method based on data processing and related equipment. Background Art

[0002] At present, for some medical insurance reporting-related business, such as major disease reimbursement business, chronic disease reimbursement business, and special medicine / special material reporting business, applicants are often required to prepare a lot of handling materials. However, since applicants do not understand the handling procedures and the handling materials required, they often go to the handling hall many times to handle the business due to insufficient preparation of handling materials, resulting in low reporting efficiency. Summary of the invention

[0003] The embodiment of the present invention provides a method for processing business based on data processing and related equipment, which is conducive to improving the declaration efficiency of business.

[0004] In a first aspect, an embodiment of the present invention provides a method for handling business based on data processing, the method comprising:

[0005] Receiving a business handling request from a user, wherein the business handling request carries a business handling identifier, and the business handling identifier is used to indicate a target business handled by the user;

[0006] Acquire a target handling rule matching the handling business identifier from one or more pre-configured handling rules, wherein the target handling rule specifies handling materials corresponding to the target handling business;

[0007] Outputting first prompt information, wherein the first prompt information is used to prompt the user to submit the handling materials.

[0008] In one embodiment, the target handling business is a disease reimbursement business, and the handling materials are reimbursement materials for the disease reimbursement business. After outputting the first prompt information, the reimbursement materials submitted by the user for the disease reimbursement business can also be obtained and stored; the audit results for the reimbursement materials input by the auditor are received, and the audit results are parsed; if the audit result for the reimbursement materials is passed through parsing, a second prompt information is output, and the second prompt information is used to prompt the user that the reimbursement materials for the disease reimbursement business are passed through parsing; if the audit result for the reimbursement materials is not passed through parsing, the reason information for the failure of the reimbursement materials is obtained from the audit result, and a third prompt information is output, and the third prompt information is used to prompt the user that the reimbursement materials are not passed through parsing, as well as the reason information for the failure of the audit.

[0009] In one embodiment, after obtaining the reimbursement materials submitted by the user for the disease reimbursement business and before storing the reimbursement materials, it is also possible to detect whether the reimbursement materials submitted by the user are missing based on the handling materials prompted in the first prompt information. If the reimbursement materials submitted by the user are not missing, the step of storing the reimbursement materials is triggered; if the reimbursement materials submitted by the user are missing, the target reimbursement materials missing from the reimbursement materials submitted by the user compared with the handling materials prompted in the first prompt information are determined, and a fourth prompt information is output, wherein the fourth prompt information is used to prompt the user to submit the missing target reimbursement materials.

[0010] In one embodiment, if the analysis shows that the audit result of the reimbursement materials is passed, the user's location can also be obtained, and a target service hall within a preset distance from the location can be selected from the preset service halls for handling the disease reimbursement business; the fifth prompt information is output, and the fifth prompt information is used to prompt the user to arrive at the target service hall to handle the disease reimbursement business. The object information includes the address and name of the target service hall, the corresponding means of transportation to reach the target service hall, and one or more of the transportation routes corresponding to the means of transportation.

[0011] In one embodiment, the target handling business is a special medicine and special material declaration business, and the handling materials include prescription identification information of a prescription form associated with the special medicine and special material declaration business, and the prescription identification information of the prescription form associated with the special medicine and special material declaration business submitted by the user can also be obtained; according to the prescription identification information, the target prescription information matching the prescription identification information is obtained from various pre-stored prescription information, and the target prescription information is output, wherein the prescription information includes one or more of the identity information of the special medicine and special material declarer, the drug name of the drug, the dosage corresponding to each drug, the quantity corresponding to each drug, and the information of the doctor who issued the prescription form.

[0012] In one embodiment, the issuance information of the special medicines and special materials input by the user can also be received, and the issuance information includes the issuance information of the special medicines and special materials, the issuance object information and the issuance time; the issuance information is stored in a database to facilitate the social insurance party to verify according to the issuance information.

[0013] In one embodiment, after receiving the user's request for handling a service, the method further includes:

[0014] Obtaining a pre-stored social security account number of the user, and determining the social security handling area of ​​the user according to the social security account number;

[0015] The specific implementation method of obtaining the target handling rule matching the handling business identifier from one or more pre-configured handling rules is as follows:

[0016] According to the pre-established correspondence between each business handling identifier, each area and each handling rule, a target handling rule matching the business handling identifier carried in the business handling request and the social security handling area is obtained from one or more preset handling rules.

[0017] In a second aspect, an embodiment of the present invention provides a data processing-based agency business processing device, and the data processing-based agency business processing device includes a unit for executing the method of the first aspect.

[0018] In a third aspect, an embodiment of the present invention provides a terminal, comprising a processor, a network interface and a memory, wherein the processor, the network interface and the memory are interconnected, wherein the network interface is controlled by the processor for sending and receiving messages, and the memory is used to store a computer program that supports the terminal to execute the above method, wherein the computer program comprises program instructions, and the processor is configured to call the program instructions to execute the method of the above first aspect.

[0019] In a fourth aspect, an embodiment of the present invention provides a computer-readable storage medium, wherein the computer-readable storage medium stores a computer program, wherein the computer program includes program instructions, and when the program instructions are executed by a processor, the processor executes the method of the first aspect.

[0020] In an embodiment of the present invention, a terminal can receive a user's business handling request, identify a business handling identifier carried in the business handling request, obtain a target business handling rule that matches the business handling identifier from one or more pre-configured business handling rules, and then output a first prompt message, which is used to prompt the user to submit the handling materials corresponding to the target business handling. By adopting the present invention, the user can know in advance the handling materials that need to be submitted for handling the business handling according to the first prompt message, and then obtain the handling materials in advance, which is conducive to improving the declaration efficiency of the business handling. BRIEF DESCRIPTION OF THE DRAWINGS

[0021] In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the accompanying drawings required for use in the description of the embodiments will be briefly introduced below. Obviously, the accompanying drawings described below are some embodiments of the present invention. For ordinary technicians in this field, other accompanying drawings can be obtained based on these accompanying drawings without paying any creative work.

[0022] Figure 1It is a flowchart of a business handling method based on data processing provided by an embodiment of the present invention;

[0023] Figure 2 It is a flowchart of another method for handling business based on data processing provided by an embodiment of the present invention;

[0024] Figure 3 It is a flowchart of another method for handling business based on data processing provided by an embodiment of the present invention;

[0025] Figure 4 It is a schematic block diagram of a business processing device based on data processing provided by an embodiment of the present invention;

[0026] Figure 5 It is a schematic block diagram of a terminal provided by an embodiment of the present invention. DETAILED DESCRIPTION

[0027] The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0028] See also Figure 1 , Figure 1 1 is a flow chart of a method for handling business based on data processing provided by an embodiment of the present invention. As shown in the figure, the method for handling business based on data processing may include:

[0029] 101. A terminal receives a service request from a user. The service request carries a service identifier, and the service identifier is used to indicate a target service to be handled by the user.

[0030] Among them, the above-mentioned business handling mainly refers to medical insurance business handling, such as major disease reimbursement business, chronic disease reimbursement business, special medicine / special material declaration business and other declaration business.

[0031] In one embodiment, the terminal is pre-installed with an application corresponding to the business handling platform, or can open a website corresponding to the business handling platform. In this case, the user can log in to the business handling platform through the terminal, and select the target business handling that the user wants to handle in the business handling platform, that is, input his own business handling request. Further, after the terminal receives the business handling request input by the user, it can obtain the business handling identifier of the target business handling that the user wants to handle from the business handling request.

[0032] 102. The terminal obtains a target handling rule that matches the handling business identifier from one or more pre-configured handling rules, and the target handling rule specifies handling materials corresponding to the above target handling business.

[0033] The handling business identifier may be any identifier such as a character string, a symbol with a shape, a color, etc. that can uniquely identify the handling business, such as a name corresponding to the handling business, and the present invention does not make any specific limitation on this.

[0034] In one embodiment, the terminal may pre-establish a one-to-one mapping relationship between each handling business and each handling business identifier, that is, when the handling business identifier of a certain handling business YW has been determined, the handling business YW may be uniquely found according to the handling business identifier. In this case, after the terminal identifies the handling business identifier, the handling business corresponding to the handling business identifier may be determined as the target handling business that the user needs to handle according to the pre-established one-to-one mapping relationship between each handling business and each handling business identifier.

[0035] In one embodiment, the terminal can pre-establish a one-to-one mapping relationship between each handling rule and each handling business identifier, and different handling business identifiers can correspond to different handling rules. For example, the major disease reimbursement business identifier corresponds to the handling rules for major disease reimbursement, the chronic disease reimbursement identifier corresponds to the handling rules for chronic disease reimbursement, and the special medicine and special material declaration identifier for special patients corresponds to the handling rules for special medicine and special material declaration. In this case, when the terminal determines that the handling business identifier carried in the user's handling business request is a chronic disease reimbursement identifier, the handling rules for chronic disease reimbursement can be determined as the target handling rules corresponding to the chronic disease reimbursement identifier according to the one-to-one mapping relationship between each pre-established handling rule and each handling business identifier. Alternatively, when the terminal determines that the handling business identifier carried in the user's handling business request is a major disease reimbursement identifier, the handling rules for major disease reimbursement can be determined as the target handling rules corresponding to the major disease reimbursement identifier according to the one-to-one mapping relationship between each pre-established handling rule and each handling business identifier.

[0036] In one embodiment, a user can log in to the business handling platform through a terminal and enter his or her own social security card account number, and the terminal can store the user's social security card account number in a database. In this case, when the terminal receives the user's business handling request, it can obtain the pre-stored social security account number of the user and determine the social security handling area for leaving the house based on the social security account number. Furthermore, the terminal can obtain the target handling rule that matches the business handling identifier and social security handling area carried in the business handling request from one or more preset handling rules based on the correspondence between the pre-established business handling identifiers, the areas (i.e., the social security handling areas), and the handling rules.

[0037] Exemplarily, the handling business identifier is the name of the handling business, and the correspondence between the above-mentioned handling business identifiers, the regions and the handling rules can be shown in Table 1. Each handling rule corresponds to its own corresponding handling material.

[0038] Table 1

[0039]

[0040]

[0041] In this case, after receiving the service request from the user, the business handling platform parses the business handling identifier carried in the service request and determines that the name of the target business that the user needs to handle is the chronic disease reimbursement business, that is, the business handling identifier is "chronic disease reimbursement business". Further, the social security account bound to the user is obtained, and the region where the user's social security account is located, that is, the (social security handling area), is identified as Chongqing. Then, according to the corresponding relationship shown in Table 1, the target handling rule that matches the handling business identifier "chronic disease reimbursement business" and the social security handling area "Chongqing" is determined to be rule chongqing2.

[0042] In a feasible implementation, considering that the handling rules of off-site processing may be different from those of local processing, the terminal can establish a correspondence relationship 1 between the region, the handling business identifier and the local handling rules, and a correspondence relationship 2 between the region, the handling business and the off-site handling rules, wherein the handling business identifier can be, for example, the name of the handling business. In this case, after receiving the user's handling business request, the terminal can identify the region R1 to which the user's social security account belongs, and the user's current login location R2, and compare the region R1 to which the user's social security account belongs with the user's current login location R2. If the comparison shows that R1 and R2 are in the same region, the local processing flow is executed, and the local handling rules (i.e., the target handling rules) corresponding to the user are determined from the correspondence relationship 1. If the comparison shows that R1 and R2 are in different regions, the off-site processing flow is executed, and the off-site handling rules (i.e., the target handling rules) corresponding to the user are determined according to the correspondence relationship 2.

[0043] 103. The terminal outputs a first prompt message, where the first prompt message is used to prompt the user to submit the handling materials.

[0044] Among them, the handling materials may include a copy of the user's ID card, medical insurance or health insurance card, the original and copy of the medical expense settlement list, invoice, diagnosis certificate, discharge record, reimbursement application form, bank card copy, other materials (such as CT, DR and MRI examination materials), case information, etc., and the present invention does not make specific limitations on this.

[0045] In one embodiment, the terminal pre-sets the corresponding handling materials for each handling rule. In this case, after the terminal executes step 102 to obtain the target handling rule, the handling materials corresponding to the target handling rule can be determined, that is, the handling materials required by the user to handle the target handling business can be determined.

[0046] In one embodiment, after the terminal detects that the user has logged in to handle business, it can further detect whether the user has bound a social security account. If not, a prompt message is output, and the prompt message is used to prompt the user to bind a social security account.

[0047] Among them, the user login method of the business handling platform may include: user account login, fingerprint login, face login, iris login, voice login, etc. In one embodiment, when the terminal detects that the corresponding login page of the business handling platform is opened, it can collect the user's face information in the designated area of ​​the login page, and match the collected face information with the face image in the face library. If the matching result shows that there is any face image in the face library that matches the user's face information, it is determined that the user has successfully logged into the business handling platform. In addition, fingerprint login, iris login and face image login can adopt similar logic, which will not be repeated here.

[0048] As another feasible implementation method, the user can open and log in to the business handling platform by inputting voice. In this case, the terminal needs to collect the user's voiceprint information in advance and establish a mapping relationship between the voiceprint information and the business handling platform. That is, when the terminal detects the existence of the voiceprint information, it can uniquely open and log in to the business handling platform.

[0049] In an embodiment of the present invention, a terminal can receive a user's business handling request, identify a business handling identifier carried in the business handling request, obtain a target business handling rule that matches the business handling identifier from one or more pre-configured business handling rules, and then output a first prompt message, which is used to prompt the user to submit the handling materials corresponding to the target business handling. By adopting the present invention, the user can learn the handling materials that need to be submitted for handling the business handling according to the first prompt message, and then obtain the handling materials in advance, which is conducive to improving the declaration efficiency of the business handling.

[0050] See also Figure 2 , Figure 2 FIG. 1 is a flow chart of another method for handling business based on data processing provided by an embodiment of the present invention. As shown in the figure, the method for handling business based on data processing may include:

[0051] 201. A terminal receives a service request from a user. The service request carries a service identifier, and the service identifier is used to indicate a target service to be handled by the user.

[0052] 202. The terminal obtains a target handling rule that matches the handling business identifier from one or more pre-configured handling rules, where the target handling rule specifies handling materials corresponding to the target handling business.

[0053] 203. The terminal outputs a first prompt message, where the first prompt message is used to prompt the user to submit the handling materials, where the handling materials are reimbursement materials for disease reimbursement services.

[0054] The specific implementation of steps 201 to 203 can refer to the relevant description of steps 101 to 103 in the above embodiment, which will not be repeated here.

[0055] 204. The terminal obtains the reimbursement materials for the disease reimbursement business submitted by the user, and stores the reimbursement materials.

[0056] Among them, the disease reimbursement business may include various disease reimbursement businesses, such as major disease reimbursement business, chronic disease reimbursement business, etc. The reimbursement materials may include a copy of the user's ID card, medical insurance or medical insurance card, the original and copy of the medical expense settlement list, invoice, diagnosis certificate of the disease, discharge record, reimbursement application form, bank card copy, other materials (such as CT, DR and MRI examination materials), case information of the disease, etc., and the present invention does not make specific limitations on this.

[0057] In one embodiment, after the terminal obtains the reimbursement materials submitted by the user for the disease reimbursement business, it can also detect whether the reimbursement materials submitted by the user are missing based on the handling materials prompted in the first prompt information (that is, the handling materials specified by the disease reimbursement business rules). If the reimbursement materials submitted by the user are not missing, the reimbursement materials submitted by the user are stored so that the reviewer can obtain the reimbursement materials submitted by the user and review the reimbursement materials submitted by the user.

[0058] Alternatively, if the reimbursement materials submitted by the user are missing, the terminal determines the target reimbursement materials missing from the reimbursement materials submitted by the user compared to the handling materials prompted in the first prompt information, and outputs a fourth prompt information, which is used to prompt the user to submit the missing target reimbursement materials, so that the reviewer can review the target reimbursement materials submitted by the user again. In this way, the terminal can conduct a preliminary screening of the reimbursement materials (such as whether there are missing quantities), and after the preliminary screening is passed, the reviewer can conduct further review (such as whether there are errors in the format), which can reduce the workload of the reviewer to a certain extent.

[0059] Exemplarily, the handling business identifier indicates that the target handling business handled by the user is a disease reimbursement business, and the corresponding target handling rule of the disease reimbursement business is rule sahgnhai1, which stipulates that the handling materials required for handling the disease reimbursement business are 8 kinds of handling materials, including the user's ID card copy, medical insurance card, original medical expense settlement list, copy of medical expense settlement list, diagnosis certificate, discharge record, reimbursement application form and bank card copy. In this case, the terminal parses the reimbursement materials submitted by the user to determine that the reimbursement materials include the user's ID card copy, medical insurance card, original medical expense settlement list, copy of medical expense settlement list, diagnosis certificate, discharge record and reimbursement application form. Further, the terminal compares the reimbursement materials submitted by the user with the handling materials required for handling the disease reimbursement business specified in rule sahgnhai1, and determines that the reimbursement materials submitted by the user are missing, and the missing target reimbursement material is a copy of the bank card. Then, the fourth prompt information can be output to prompt that the reimbursement materials submitted by the user this time are missing, and the missing target reimbursement material is a copy of the bank card.

[0060] 205. The terminal receives the audit results of the reimbursement materials input by the auditor and analyzes the audit results.

[0061] 206. If the terminal parses and obtains that the review result for the reimbursement materials is passed, a second prompt message is output, where the second prompt message is used to prompt the user that the review of the reimbursement materials for the disease reimbursement business has been passed.

[0062] 207. If the terminal parses and obtains that the audit result for the reimbursement materials is not passed, the terminal obtains the reason information for the failure of the reimbursement materials from the audit result, and outputs the third prompt information, which is used to prompt the user that the audit for the reimbursement materials has not passed, and the reason information for the failure of the audit.

[0063] For example, when the reimbursement materials required for disease reimbursement include 10 types of reimbursement materials, including a copy of the ID card, the medical insurance card, the original and copy of the medical expense settlement list, the invoice, the diagnosis certificate, the discharge record, the reimbursement application form, the copy of the bank card, and the case of the serious illness, the above-mentioned reasons for failure to pass the review may be, for example, that the copy of the medical expense settlement list is missing, the diagnosis certificate is not stamped by the hospital, the invoice is an outpatient and emergency invoice that is not within the reimbursement scope, or a certain invoice has been reimbursed, etc.

[0064] In one embodiment, if the analysis shows that the audit result of the reimbursement materials is passed, the terminal can obtain the user's location, select a target service hall within a preset distance from the location from the preset service halls for handling the disease reimbursement business, and output a fifth prompt message. The fifth prompt message is used to prompt the user to reach the target service hall to handle the disease reimbursement business. The object information includes the address and name of the target service hall, the corresponding means of transportation to reach the target service hall, and one or more of the transportation routes corresponding to the means of transportation.

[0065] Exemplarily, the preset distance is 1000 meters, and the handling halls that can handle disease reimbursement business pre-stored in the terminal include handling hall 01, handling hall 02, handling hall 03, and handling hall 04. When the terminal parses and obtains the review and approval of the reimbursement materials, it is obtained that the user's current location is address 1, and it is determined that the distances between address 1 and handling hall 01, handling hall 02, handling hall 03, and handling hall 04 are 1050 meters, 2000 meters, 3000 meters, and 500 meters, respectively. In this case, since 500 meters is within the preset distance, the terminal can determine handling hall 04 as the target handling hall, and obtain the address and name of handling hall 04, and can also obtain the corresponding means of transportation to handling hall 04, and the corresponding traffic route of the means of transportation, and output the fifth prompt information, which is used to prompt the user to arrive at the address, name, corresponding means of transportation to handling hall 04, and the corresponding traffic route (that is, object information) of handling hall 04.

[0066] In an embodiment of the present invention, the terminal can receive a user's request for handling a business, identify a handling business identifier carried in the request for handling a business, obtain a target handling rule that matches the handling business identifier from one or more pre-configured handling rules, and then output a first prompt message, the first prompt message is used to prompt the user to submit the handling materials corresponding to the target handling business, the handling materials are reimbursement materials corresponding to the disease reimbursement business. Further, the terminal can obtain the reimbursement materials for the disease reimbursement business submitted by the user, store the reimbursement materials, receive the review results for the reimbursement materials input by the reviewer, and parse the review results. If the terminal parses and obtains a pass for the review result for the reimbursement materials, it outputs a second prompt message for prompting the user that the reimbursement materials for the disease reimbursement business have been reviewed and approved. If the terminal parses and obtains that the review for the reimbursement materials has not passed, it obtains the reason information for the failure of the review of the reimbursement materials from the review result, and outputs a third prompt message for prompting the user that the review of the reimbursement materials has not passed, and the reason information for the failure of the review. By adopting the present invention, on the one hand, the user can be informed of the reimbursement materials required for handling the disease reimbursement business before going to the processing hall to handle the disease reimbursement business, and on the other hand, the reimbursement materials submitted by the user can be pre-reviewed, which is conducive to improving the reporting efficiency of the disease reimbursement business.

[0067] See also Figure 3 , Figure 3 FIG. 1 is a flow chart of another method for handling business based on data processing provided by an embodiment of the present invention. As shown in the figure, the method for handling business based on data processing may include:

[0068] 301. A terminal receives a service request from a user. The service request carries a service identifier, and the service identifier is used to indicate a target service to be handled by the user.

[0069] 302. The terminal obtains a target handling rule that matches the handling business identifier from one or more pre-configured handling rules, where the target handling rule specifies handling materials corresponding to the target handling business.

[0070] 303. The terminal outputs a first prompt message, where the first prompt message is used to prompt the user to submit the handling materials, where the handling materials include prescription identification information of a prescription associated with the special medicine and special material declaration business.

[0071] The specific implementation of steps 301 to 303 can refer to the relevant description of steps 101 to 103 in the above embodiment, which will not be repeated here.

[0072] 304. The terminal obtains prescription identification information of the prescription form associated with the special medicine and special material declaration business submitted by the user.

[0073] The prescription identification information of the prescription may be, for example, the prescription number, the identification information of the patient corresponding to the prescription, the identification information of the doctor corresponding to the prescription, etc., and the present invention does not make any specific limitation to this.

[0074] In one embodiment, the user can designate a staff member of a designated hospital or designated pharmacy. When the applicant for special medicines and special materials takes the prescription to the designated hospital or designated pharmacy to apply for the special medicines and special materials included in the prescription, the staff member can log in to the business handling platform through the terminal and enter the prescription identification information (such as the prescription number) of the prescription, and the terminal can obtain the prescription identification information of the prescription corresponding to the special medicine and special material application entered by the staff member.

[0075] 305. The terminal obtains target prescription information matching the prescription identification information from various pre-stored prescription information based on the prescription identification information, and the prescription information includes one or more of the identity information of the applicant for special medicines and special materials, the name of the medicine, the dosage of each medicine, the quantity of each medicine and the information of the doctor who issued the prescription.

[0076] In one embodiment, before the applicant of special medicines and special materials needs to apply for special medicines and special materials, he needs to go to a designated hospital to find a doctor to issue a prescription corresponding to the application for special medicines and special materials. When the hospital issues the prescription, the prescription information of the prescription can be entered through the terminal to log in to the business platform. Further, after the terminal receives the prescription information, it can obtain the prescription identification information corresponding to the prescription, and associate the prescription information with the prescription identification information of the prescription and store it in a database. In this case, when the terminal executes step 304 to obtain the prescription identification information of the prescription submitted by the user and associated with the special medicine application business, it can obtain the target prescription information that matches the prescription identification information from various pre-stored prescription information based on the prescription identification information.

[0077] 306. The terminal outputs target prescription information.

[0078] In one embodiment, after the terminal outputs the target prescription information, the staff of the designated hospital or designated pharmacy (i.e., the user) can view the target prescription information and compare the target prescription information with the prescription information currently provided by the applicant of special medicines and special materials to determine whether the two match (such as whether the information is consistent). If they match, the applicant of special medicines and special materials will be reviewed and the special medicines and special materials will be issued to the applicant based on the prescription.

[0079] In one embodiment, the terminal is pre-installed with an application corresponding to the business handling platform. The user can log in to the business handling platform through the terminal and submit the prescription information of the prescription currently provided by the applicant for special medicines and special materials (hereinafter referred to as the first prescription information). The first prescription information can be, for example, a scanned copy of the prescription currently provided by the applicant for special medicines and special materials. Further, the terminal can compare the first prescription information with the target prescription information to determine whether the similarity between the first prescription information and the target prescription information is greater than a preset similarity threshold (such as 95%). If the comparison shows that the similarity between the first prescription information and the target prescription information is greater than the set similarity threshold, the special medicine and special material application of the applicant for special medicines and special materials is verified and passed, and the sixth prompt information is output. The sixth prompt information is used to prompt the user that the special medicine and special material application of the applicant for special medicines and special materials has been verified. Further, after the user views the sixth prompt information, the special medicine and special material will be issued to the applicant for the medicine and special material.

[0080] In one embodiment, after the staff of the designated hospital or designated pharmacy (i.e., the user) issues special medicines and special materials to the applicant of special medicines and special materials, they can log in to the business platform through the terminal and enter the issuance information of this special medicine and special materials in the business platform. The issuance information includes the issued special medicine and special material information, the issuance object information, and the issuance time. Among them, the special medicine and special material information can be, for example, the name of the special medicine and special material, the issuance quantity, etc., and the issuance object information can be, for example, the identity information of the issuance object, that is, the applicant of the special medicine and special material. In this case, the terminal can receive the issuance information of the special medicine and special material input by the user, and store the issuance information in the database, so that the social security party can verify it according to the issuance information.

[0081] In an embodiment of the present invention, the terminal can receive a user's request for handling a business, identify a handling business identifier carried in the request for handling a business, obtain a target handling rule that matches the handling business identifier from one or more pre-configured handling rules, and then output a first prompt message, the first prompt message is used to prompt the user to submit handling materials corresponding to the target handling business, the handling materials are reimbursement materials corresponding to the disease reimbursement business. Further, the terminal can obtain the prescription identification information of the prescription form associated with the special medicine and special material declaration business submitted by the user, and according to the prescription identification information, obtain the target prescription information that matches the prescription identification information from various pre-stored prescription information, output the target prescription information, so that the user can compare the target prescription information with the prescription information currently provided by the special medicine and special material declarer, and if the comparison passes, issue the special medicine and special material included in the prescription form to the special medicine and special material declarer. The use of the present invention is conducive to improving the declaration efficiency of the special medicine and special material declaration business.

[0082] The embodiment of the present invention also provides a data processing-based business processing device, which includes a device for executing the above-mentioned Figure 1 , Figure 2 or Figure 3 Specifically, see Figure 4 , is a schematic block diagram of a data processing-based business processing device provided in an embodiment of the present invention. The data processing-based business processing device of this embodiment includes:

[0083] The receiving unit 401 is used to receive a service request from a user, wherein the service request carries a service identifier, and the service identifier is used to indicate a target service to be handled by the user;

[0084] Processing unit 402 is used to obtain a target handling rule matching the handling business identifier from one or more pre-configured handling rules, wherein the target handling rule specifies the handling materials corresponding to the handling of the target handling business;

[0085] The output unit 403 is used to output first prompt information, where the first prompt information is used to prompt the user to submit the handling materials.

[0086] In one embodiment, the target handling business is a disease reimbursement business, and the receiving unit 401 is further used to obtain the reimbursement materials for the disease reimbursement business submitted by the user;

[0087] The processing unit 402 is further configured to store the reimbursement materials acquired by the receiving unit 401;

[0088] The receiving unit 401 is further configured to receive the audit result of the reimbursement materials input by the auditor;

[0089] The processing unit 402 is further used to parse the audit result received by the receiving unit 401. If the audit result obtained by the analysis for the reimbursement materials is passed, a second prompt information is output through the output unit 403, and the second prompt information is used to prompt the user that the reimbursement materials for the disease reimbursement business have been reviewed and passed; if the audit result obtained by the analysis for the reimbursement materials is failed, the reason information for the failure of the reimbursement materials is obtained from the audit result, and a third prompt information is output through the output unit 403, and the third prompt information is used to prompt the user that the review of the reimbursement materials has failed, as well as the reason information for the failure of the review.

[0090] In one embodiment, the processing unit 402 is also used to detect whether the reimbursement materials submitted by the user are missing based on the handling materials prompted in the first prompt information. If the reimbursement materials submitted by the user are not missing, the reimbursement materials submitted by the user are stored; if the reimbursement materials submitted by the user are missing, the target reimbursement materials missing from the reimbursement materials submitted by the user compared with the handling materials prompted in the first prompt information are determined, and a fourth prompt information is output through the output unit 403, and the fourth prompt information is used to prompt the user to submit the missing target reimbursement materials.

[0091] In one embodiment, the processing unit 402 is also used to obtain the user's location if the analysis shows that the audit result of the reimbursement materials is passed, and select a target service hall within a preset distance from the location from the preset service halls for handling the disease reimbursement business; output the fifth prompt information through the output unit 403, and the fifth prompt information is used to prompt the user to arrive at the target service hall to handle the disease reimbursement business. The object information includes the address and name of the target service hall, the corresponding means of transportation to reach the target service hall, and one or more of the transportation routes corresponding to the means of transportation.

[0092] In one embodiment, the target handling business is a special medicine and special material declaration business, and the handling materials include prescription identification information of a prescription associated with the special medicine and special material declaration business. The receiving unit 401 is further used to obtain the prescription identification information of the prescription associated with the special medicine and special material declaration business submitted by the user;

[0093] The processing unit 402 is further used to obtain target prescription information matching the prescription identification information from various pre-stored prescription information according to the prescription identification information, and output the target prescription information, wherein the prescription information includes one or more of the identity information of the applicant of special medicines and special materials, the drug name of the drug, the dosage corresponding to each drug, the quantity corresponding to each drug, and the information of the doctor who issued the prescription;

[0094] The output unit 403 is also used to output the target prescription information so that the user can compare the target prescription information with the prescription information currently provided by the special medicine and special material applicant, and if the comparison passes, the special medicine and special material included in the prescription will be issued to the special medicine and special material applicant.

[0095] In one embodiment, the receiving unit 401 is further used to receive the distribution information of the special medicines and special materials input by the user, and the distribution information includes the distribution information of the special medicines and special materials, the distribution object information and the distribution time;

[0096] The processing unit 402 is further used to store the issuance information in a database so that the social security party can verify the issuance information.

[0097] In one embodiment, the processing unit 402 is further configured to obtain a pre-stored social security account number of the user, and determine the social security handling area of ​​the user according to the social security account number;

[0098] According to the pre-established correspondence between each business handling identifier, each area and each handling rule, a target handling rule matching the business handling identifier carried in the business handling request and the social security handling area is obtained from one or more preset handling rules.

[0099] It should be noted that the functions of the functional units of the data processing-based business processing device described in the embodiment of the present invention can be based on Figure 1 , Figure 2 or Figure 3 The specific implementation process of the method in the method embodiment can be referred to Figure 1 , Figure 2 or Figure 3 The relevant description of the method embodiment will not be repeated here.

[0100] See also Figure 5 , Figure 5 is a schematic block diagram of a terminal provided by an embodiment of the present invention, such as Figure 5 As shown, the terminal includes a processor 501, a memory 502 and a network interface 503. The processor 501, the memory 502 and the network interface 503 can be connected via a bus or other means. Figure 5 Take the connection through the bus as an example. Among them, the network interface 503 is controlled by the processor to send and receive messages, the memory 502 is used to store computer programs, the computer program includes program instructions, and the processor 501 is used to execute the program instructions stored in the memory 502. Among them, the processor 501 is configured to call the program instructions to execute: receiving a user's business handling request, the business handling request carries a business handling identifier, and the business handling identifier is used to indicate the target business handling handled by the user; obtaining a target handling rule that matches the business handling identifier from one or more pre-configured handling rules, and the target handling rule stipulates the handling materials corresponding to the handling of the target business handling; outputting a first prompt information, and the first prompt information is used to prompt the user to submit the handling materials.

[0101] It should be understood that in the embodiment of the present invention, the processor 501 may be a central processing unit (CPU), and the processor 501 may also be other general-purpose processors, digital signal processors (DSP), application-specific integrated circuits (ASIC), field-programmable gate arrays (FPGA) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, etc. A general-purpose processor may be a microprocessor or the processor may also be any conventional processor, etc.

[0102] The memory 502 may include a read-only memory and a random access memory, and provide instructions and data to the processor 501. A portion of the memory 502 may also include a non-volatile random access memory. For example, the memory 502 may also store information about the device type.

[0103] In a specific implementation, the processor 501, the memory 502 and the network interface 503 described in the embodiment of the present invention can execute the Figure 1 , Figure 2 or Figure 3 The implementation method described in the method embodiment can also execute the implementation method of the business processing device based on data processing described in the embodiment of the present invention, which will not be repeated here.

[0104] In another embodiment of the present invention, a computer-readable storage medium is provided, wherein the computer-readable storage medium stores a computer program, wherein the computer program includes program instructions, and when the program instructions are executed by a processor, the following are achieved: receiving a business handling request from a user, wherein the business handling request carries a business handling identifier, wherein the business handling identifier is used to indicate a target business handling by the user; obtaining a target handling rule matching the business handling identifier from one or more pre-configured handling rules, wherein the target handling rule specifies the handling materials corresponding to handling the target business handling; and outputting a first prompt message, wherein the first prompt message is used to prompt the user to submit the handling materials.

[0105] The computer-readable storage medium may be an internal storage unit of the terminal described in any of the foregoing embodiments, such as a hard disk or memory of the terminal. The computer-readable storage medium may also be an external storage device of the terminal, such as a plug-in hard disk, a smart memory card (Smart Media Card, SMC), a secure digital (SecureDigital, SD) card, a flash card (Flash Card), etc. equipped on the terminal. Further, the computer-readable storage medium may also include both an internal storage unit of the terminal and an external storage device. The computer-readable storage medium is used to store the computer program and other programs and data required by the terminal. The computer-readable storage medium may also be used to temporarily store data that has been output or is to be output.

[0106] A person skilled in the art can understand that all or part of the processes in the above-mentioned embodiments can be implemented by instructing the relevant hardware through a computer program, and the program can be stored in a computer-readable storage medium, and when the program is executed, it can include the processes of the embodiments of the above-mentioned methods. The storage medium can be a disk, an optical disk, a read-only memory (ROM) or a random access memory (RAM), etc.

[0107] The above disclosure is only part of the embodiments of the present invention, which certainly cannot be used to limit the scope of the rights of the present invention. Ordinary technicians in this field can understand that all or part of the processes of the above embodiments and equivalent changes made according to the claims of the present invention are still within the scope of the invention.

Claims

1. A business handling method based on data processing, characterized in that: include: Receive a business handling request from a user, wherein the business handling request carries a business handling identifier, and the business handling identifier is used to indicate a target business handling handled by the user; the target business handling is a declaration-type medical insurance business, and the declaration-type medical insurance business includes a major disease reimbursement business, a chronic disease reimbursement business, and a special medicine and special material declaration business; the business handling request is triggered and input by a user logging into a business handling platform through a terminal and selecting a target business handling that the user wants to handle in the business handling platform; Obtaining the social security account number corresponding to the user, and determining the social security handling area of ​​the user according to the social security account number; According to the pre-established correspondence between each business handling identifier, each region and each handling rule, a target handling rule matching the business handling identifier carried in the business handling request and the social security handling area is obtained from multiple preset handling rules, and the target handling rule stipulates the handling materials corresponding to the handling of the target business; wherein the correspondence between the business handling identifier, the region and the handling rule includes the correspondence between the business handling identifier, the region and the local handling rule and the correspondence between the business handling identifier, the region and the remote handling rule. If the region to which the user's social security account belongs is in the same region as the user's current login location, the target handling rule is the corresponding local handling rule; if the region to which the user's social security account belongs is in a different region from the user's current login location, the target handling rule is the corresponding remote handling rule; Outputting a first prompt message, wherein the first prompt message is used to prompt the user to submit the handling materials; the handling materials include at least two of the following: a copy of the user's ID card, a medical insurance or health insurance card, an original and a copy of a medical expense settlement list, an invoice, a diagnosis certificate, a discharge record, a reimbursement application form, a copy of a bank card, examination materials, case information, and a scanned copy of a prescription, and different handling materials correspond to different types of medical insurance businesses; the target handling business includes a disease reimbursement business, and the handling materials are reimbursement materials for the disease reimbursement business; If the analysis shows that the review result of the reimbursement materials is passed, the user's location is obtained, and a target handling hall within a preset distance from the location is selected from the preset handling halls for handling the disease reimbursement business; Outputting fifth prompt information, the fifth prompt information is used to prompt the user to arrive at the target handling hall to handle the object information of the disease reimbursement business, the object information includes the address and name of the target handling hall, the corresponding means of transportation to the target handling hall, and the traffic route corresponding to the means of transportation; If the target handling business includes the special medicine and special material declaration business, and the handling materials include the prescription identification information of the prescription associated with the special medicine and special material declaration business, then the prescription identification information of the prescription associated with the special medicine and special material declaration business submitted by the user is obtained; According to the prescription identification information, target prescription information matching the prescription identification information is obtained from various pre-stored prescription information, and the target prescription information is output, wherein the prescription information includes the identity information of the applicant for special medicines and special materials, the drug name of the drug, the dosage of each drug, the quantity of each drug, and the information of the doctor who issued the prescription; Receive the distribution information of the special medicine and special material input by the user, wherein the distribution information includes the distribution information of the special medicine and special material, the distribution object information and the distribution time; The issuance information is stored in a database to facilitate the social security party to verify based on the issuance information.

2. The method according to claim 1, characterized in that The target handling business is a disease reimbursement business, the handling materials are reimbursement materials for the disease reimbursement business, and after outputting the first prompt information, the method further includes: Acquiring reimbursement materials for the disease reimbursement business submitted by the user, and storing the reimbursement materials; Receive the audit results of the reimbursement materials input by the auditor, and analyze the audit results; If the analysis shows that the review result of the reimbursement materials is passed, outputting second prompt information, wherein the second prompt information is used to prompt the user that the review of the reimbursement materials for the disease reimbursement business has been passed; If the analysis shows that the audit result for the reimbursement materials is failure, the reason information for the failure of the reimbursement materials is obtained from the audit result, and a third prompt information is output, wherein the third prompt information is used to prompt the user that the audit for the reimbursement materials has failed, as well as the reason information for the failure of the audit.

3. The method according to claim 2, characterized in that After obtaining the reimbursement materials submitted by the user for the disease reimbursement business and before storing the reimbursement materials, the method further includes: According to the handling materials prompted in the first prompt information, detecting whether the reimbursement materials submitted by the user are missing, and if the reimbursement materials submitted by the user are not missing, triggering the step of storing the reimbursement materials; If the reimbursement materials submitted by the user are missing, the target reimbursement materials missing from the reimbursement materials submitted by the user are determined compared with the handling materials prompted in the first prompt information, and a fourth prompt information is output, wherein the fourth prompt information is used to prompt the user to submit the missing target reimbursement materials.

4. A business processing device based on data processing, characterized in that: include: A receiving unit is used to receive a user's business handling request, wherein the business handling request carries a business handling identifier, and the business handling identifier is used to indicate a target business handling handled by the user; the target business handling is a declaration-type medical insurance business, and the declaration-type medical insurance business includes a major disease reimbursement business, a chronic disease reimbursement business, and a special medicine and special material declaration business; the business handling request is triggered by the user logging into the business handling platform through a terminal and selecting the target business handling business that the user wants to handle in the business handling platform; A processing unit, configured to obtain a social security account number corresponding to the user, and determine a social security handling area for the user according to the social security account number; According to the pre-established correspondence between each business handling identifier, each region and each handling rule, a target handling rule matching the business handling identifier carried in the business handling request and the social security handling area is obtained from multiple preset handling rules, and the target handling rule stipulates the handling materials corresponding to the handling of the target business; wherein the correspondence between the business handling identifier, the region and the handling rule includes the correspondence between the business handling identifier, the region and the local handling rule and the correspondence between the business handling identifier, the region and the remote handling rule. If the region to which the user's social security account belongs is in the same region as the user's current login location, the target handling rule is the corresponding local handling rule; if the region to which the user's social security account belongs is in a different region from the user's current login location, the target handling rule is the corresponding remote handling rule; an output unit, configured to output a first prompt message, wherein the first prompt message is configured to prompt the user to submit the handling materials; the handling materials include at least two of a copy of the user's ID card, a medical insurance or health insurance card, an original and a copy of a medical expense settlement list, an invoice, a diagnosis certificate, a discharge record, a reimbursement application form, a copy of a bank card, examination materials, case information, and a scanned copy of a prescription, and different handling materials correspond to different types of medical insurance services; the target handling business includes a disease reimbursement business, and the handling materials are reimbursement materials for the disease reimbursement business; The processing unit is further configured to obtain the user's location if the analysis shows that the review result of the reimbursement materials is passed, and select a target handling hall within a preset distance from the location from the preset handling halls for handling the disease reimbursement business; The output unit is further used to output fifth prompt information, wherein the fifth prompt information is used to prompt the user to arrive at the target handling hall to handle the object information of the disease reimbursement business, and the object information includes the address and name of the target handling hall, the corresponding means of transportation to the target handling hall, and the traffic route corresponding to the means of transportation; The receiving unit is further configured to obtain the prescription identification information of the prescription associated with the special medicine and special material declaration business submitted by the user if the target handling business includes the special medicine and special material declaration business and the handling materials include the prescription identification information of the prescription associated with the special medicine and special material declaration business; The processing unit is further used to obtain target prescription information matching the prescription identification information from various pre-stored prescription information according to the prescription identification information; The output unit is further used to output the target prescription information, wherein the prescription information includes the identity information of the applicant for special medicines and special materials, the drug name of the drug, the dosage of each drug, the quantity of each drug and the information of the doctor who issued the prescription; The receiving unit is further used to receive the distribution information of the special medicines and special materials input by the user, wherein the distribution information includes the distribution information of the special medicines and special materials, the distribution object information and the distribution time; The processing unit is also used to store the issuance information in a database to facilitate the social security party to verify based on the issuance information.

5. A terminal, characterized in that: The method comprises a processor and a memory, wherein the processor and the memory are connected to each other, wherein the memory is used to store a computer program, the computer program comprises program instructions, and the processor is configured to call the program instructions to execute the method according to any one of claims 1 to 3.

6. A computer-readable storage medium, characterized in that: The computer-readable storage medium stores a computer program, wherein the computer program includes program instructions, and when the program instructions are executed by a processor, the processor is caused to perform the method according to any one of claims 1 to 3.

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