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Social security violation detection method, device and equipment and computer readable storage medium

A detection method and social security card technology, applied in the field of social security monitoring, can solve problems such as waste of manpower and outpatient pooling funds, and achieve the effect of avoiding manpower waste and improving supervision efficiency

Pending Publication Date: 2019-04-26
PING AN MEDICAL & HEALTHCARE MANAGEMENT CO LTD
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  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0005] The main purpose of the present invention is to provide a social security violation detection method, device, equipment and computer-readable storage medium, aiming to solve the technical problems of human waste and outpatient pooling fund waste caused by manual supervision in the prior art

Method used

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  • Social security violation detection method, device and equipment and computer readable storage medium
  • Social security violation detection method, device and equipment and computer readable storage medium
  • Social security violation detection method, device and equipment and computer readable storage medium

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Embodiment Construction

[0047] It should be understood that the specific embodiments described here are only used to explain the present invention, not to limit the present invention.

[0048] The social security violation detection method involved in the embodiment of the present invention is mainly applied to social security violation detection equipment, which may be PC (personal computer), portable computer, mobile terminal and other equipment with display and processing functions.

[0049] refer to figure 1 , figure 1 It is a schematic diagram of the hardware structure of the social insurance violation detection device involved in the solution of the embodiment of the present invention. In the embodiment of the present invention, the social security violation detection device may include a processor 1001 (such as a central processing unit, CPU), a communication bus 1002, a user interface 1003, a network interface 1004, and a memory 1005. Wherein, the communication bus 1002 is used to realize t...

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Abstract

The invention provides a social security violation detection method based on an intelligent decision detection model. The social security violation detection method comprises the following steps: obtaining doctor-seeing data of a social security card settlement doctor-seeing expense of an insured person; Inputting the doctor seeing data into a deviation detection model, and determining whether abnormal price parameters exist in the doctor seeing data or not through the deviation detection model; And if the abnormal price parameters exist in the doctor seeing data, determining that the doctor seeing data is abnormal, and extracting abnormal data in the doctor seeing data to provide a punishment proof for punishing the medical institution. The invention further provides a social security violation detection device, social security violation detection equipment and a computer readable storage medium. According to the invention, the doctor-seeing data settled by the medical institution through the social security card is supervised through the deviation detection model, so that the manpower waste caused by manual supervision and the waste of outpatient overall funds are avoided, and the supervision efficiency of the outpatient overall funds is improved.

Description

technical field [0001] The technical field of social security monitoring of the present invention, in particular, relates to a social security violation detection method, device, equipment and computer-readable storage medium. Background technique [0002] Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. Through the payment of employers and individuals, a medical insurance fund is established. After the insured person suffers from medical expenses for medical treatment, the medical insurance institution will give him a certain amount of economic compensation. When a medical institution settles the insured person's diagnosis and treatment services, for the same drug, the price parameter of the medical institution does not match the reference price of the drug. to great harm. [0003] At present, for the illegal social security operation of abnormal...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G06Q40/08G06F17/27G06N3/04
CPCG06Q40/08G06F40/289G06N3/044
Inventor 陈明东黄越胥畅
Owner PING AN MEDICAL & HEALTHCARE MANAGEMENT CO LTD
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