Medical insurance claim settlement information processing method, device and equipment and storage medium

Abstract

The invention provides a medical insurance claim settlement information processing method, device and equipment and a storage medium, and the method comprises the steps: receiving a medical expense claim settlement request uploaded through a first claim settlement path or a second claim settlement path, wherein the medical expense claim settlement request comprises the doctor-seeing information ofa user; acquiring medical service items undertaken by the user and residual claim settlement amount information from a database according to the user treatment information; according to the user treatment information, the medical service project undertaken by the user and the remaining claim amount information, determining the amount information needing to be compensated and / or the amount information needing to be undertaken by the user in the total medical expense consumed by the user this time; and outputting the amount information to be compensated and / or the amount information needing tobe undertaken by the user. Various claim settlement ways are provided, so the user can conveniently perform claim settlement of medical insurance, the user time is saved, and the user experience is improved; meanwhile, the timeliness of processing the claim settlement case by the insurance company can be improved, the labor cost is saved, and accurate claim settlement of the claim settlement casein various claim settlement ways is realized.

Description

technical field [0001] The present invention relates to the field of communication technology, in particular to a method, device, equipment and storage medium for processing medical insurance claim information. Background technique [0002] As people pay more and more attention to health, more and more people buy medical insurance, and after the insured person suffers from medical expenses due to illness, he can apply to the insurance institution for compensation through the claim settlement procedure, and the insurance institution will give him a certain amount of compensation. Financial compensation. [0003] At present, the claim settlement procedure is usually that the insured person registers at the hospital, pays all medical expenses in advance after seeing a doctor, and then applies for a claim to the insurance company and submits the claim application materials. The existing claim settlement procedure is inefficient and requires a lot of labor costs, and the claim s...

AI Technical Summary

Problems solved by technology

The existing claims procedure is inefficient and requires a lot of labor costs, and the claim application method is relatively simple, which wastes the time of the insured and leads to poor user experience

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