Medical insurance health claim settlement system based on block chain

Abstract

The invention discloses a medical insurance health claim settlement system based on block chain. The system comprises a user identity recording module for realizing registration of users with different identities in the block chain platform, including hospitals, insurance companies, drugstores and the like; a user file query module being used for checking the identity of the user; an insurance claim settlement progress control module which adjusts and feeds back the whole insurance claim settlement process in real time; an electronic medical record filing module recording all electronic certificates in the block chain and prevents tampering; and an electronic medical record and insurance policy calling module being used for verifying the validity of the electronic certificate through the intelligent contract. The invention provides a solution for solving the problems of low exchange efficiency, long flow and tedious business of multiple medical institutions and insurance claim settlement information. A credible distributed data exchange network is constructed by utilizing a block chain technology, so that a safe and efficient cross-institution, cross-region and cross-industry medical information resource sharing and direct compensation system is realized.

Description

Technical field [0001] The invention relates to the field of information sharing based on blockchain, in particular to a medical insurance health claims system based on blockchain. Background technique [0002] Blockchain technology. Blockchain is a new type of decentralized distributed ledger technology that can safely store digital currency transactions or other data. The feature is that the information stored on the blockchain cannot be forged and tampered with, and the blockchain consensus The algorithm drives each node on the blockchain to participate in the verification process of the transaction, ensuring that the transactions on the blockchain are confirmed and credible, and each node on the blockchain maintains a public ledger for storage The balances and smart contract data of all users on the blockchain network, any modification of the ledger maintained by any node will not be recognized by other nodes, thus ensuring that the public ledger cannot be forged or tampered ...

AI Technical Summary

Problems solved by technology

However, insurance companies cannot directly obtain hospital diagnosis results, the efficiency of claim settlement is low, timeliness is slow, and the offline process requires a lot of manpower. In addition, insurance fraud has brought huge financial risks to insurance companies

In the traditional system interconnection mode, hospitals and other medical institutions and insurance companies need to interconnect networks, systems, data, etc. in pairs, which is costly, and at the same time, affected by the IT resources and capabilities of the docking parties, the threshold for docking is increased, resulting in docking The cycle is long, and the docking party is slow to incorporate

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