Drug price identification method and device, computer equipment and storage medium

Abstract

The embodiment of the invention discloses a drug price identification method and device, computer equipment and a storage medium. The drug price identification method comprises the steps: obtaining historical medical bills from a preset database, and analyzing the historical medical bills; obtaining price information of all drugs in the historical medical bill according to an analysis result; forming a price data set corresponding to each drug according to the obtained price information; fitting the price data set of each drug by using a Gaussian distribution model to obtain a reasonable priceinterval of each drug according to a fitting result; and if a claim settlement request is received, determining a claim settlement drug price in a current claim settlement bill according to the current claim settlement bill in the claim settlement request, and identifying the claim settlement drug price in the current claim settlement bill according to the reasonable price interval. The inventionprovides a drug price identification method based on a detection model, capable of improving the capability of identifying fraud behaviors in a claim settlement process and prevent fund loss of an insurance company.

Description

technical field [0001] The invention relates to the field of computer technology, in particular to a drug price identification method, device, computer equipment and storage medium. Background technique [0002] With the increase in the number of users who purchase medical insurance, insurance companies do not have a good way to identify insurance fraud in the medical claims process. The traditional approach is as long as users get medical bills and related certificates from the hospital, and only for medical bills According to the identification of the major categories of claim settlement drugs, the amount on the medical bill will be compensated according to the claim settlement ratio. This claim settlement method cannot effectively prevent users from using false bills to defraud claims. Situations that can easily lead to the loss of insurance company funds occur. Contents of the invention [0003] In view of this, the embodiments of the present invention provide a drug ...

AI Technical Summary

Problems solved by technology

[0002] With the increase in the number of users who purchase medical insurance, insurance companies do not have a good way to identify insurance fraud in the medical claims process. The traditional approach is as long as users get medical bills and related certificates from the hospital, and only for medical bills According to the identification of the major categories of claim settlement drugs, the amount on the medical bill will be compensated according to the claim settlement ratio. This claim settlement method cannot effectively prevent users from using false bills to defraud claims. Circumstances that are likely to lead to the loss of insurance company funds

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