Case processing method, device and equipment, and readable storage medium

Abstract

The embodiment of the invention provides a case processing method, device and equipment and a readable storage medium, and aims to improve the claim settlement efficiency and reduce the cost. The method comprises the steps of obtaining case data of a to-be-claimed case; performing data structured verification on the case data according to a preset verification rule; determining a claim amount value of the to-be-claimed case based on the case data under the condition that the case data passes the data structured verification; and when the difference between the claim amount value of the to-be-claimed case and a claim amount value provided by a third-party platform does not exceed a preset difference, determining that the claim amount value of the to-be-claimed case does not exceed the preset difference; sending the to-be-claimed case to an automatic claim settlement platform corresponding to the to-be-claim settlement case, so that the automatic claim settlement platform outputs claim settlement information for the to-be-claim settlement case according to the claim settlement limit value.

Description

technical field [0001] The embodiments of the present application relate to the technical field of data processing, and in particular, to a case processing method, device, equipment, and readable storage medium. Background technique [0002] With the improvement of people's awareness of insurance, more and more people will invest part of their funds in insurance companies, etc., so that insurance companies need to deal with more and more claims cases. After claims cases occur, users need to ask insurance companies for compensation. The insurance company needs to settle the claim for the claim to determine the compensation amount (ie, the compensation amount) to the user. [0003] Take medical insurance (the type of insurance that pays immediately after the customer is hospitalized due to illness) as an example. The traditional claim settlement method is that after the customer is discharged from the hospital, he gets the settlement documents and medical treatment details fro...

AI Technical Summary

Problems solved by technology

[0005] However, since the case data provided by hospitals, social security, and third-party platforms cannot guarantee a high level of structure (that is, data quality), the data quality is uneven

Therefore, the judgment of the data quality in the case data and the verification of the settlement information are still manually verified. In this way, there is still the problem of high labor costs, which leads to low verification efficiency and low claim settlement efficiency. question

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