Medical commercial insurance method capable of improving commercial insurance claim settlement efficiency

Abstract

The medical commercial insurance method capable of improving commercial insurance claim settlement efficiency comprises the following steps: according to a patient medical data acquisition request initiated by a data processing system, a medical institution system encrypts patient medical data into a patient medical data ciphertext, transmits a HASH value corresponding to the patient medical data ciphertext to a block chain for storage, and sends the patient medical data ciphertext to a data processing system through a network; after receiving the patient medical data ciphertext, the data processing system obtains a HASH value corresponding to the patient medical data ciphertext by using a block chain, and verifies the received patient medical data ciphertext; and after the patient medical data ciphertext is verified successfully, the data processing system decrypts the patient medical data ciphertext into patient medical data, forms patient commercial insurance medical data required by commercial insurance claim settlement and sent to an insurance company system, obtains commercial insurance claim settlement result information from the insurance company system through a network, and returns the commercial insurance claim settlement result information to the patient client.

Description

technical field [0001] The invention relates to commercial insurance claim settlement, in particular to a medical commercial insurance method that can improve the efficiency of commercial insurance claim settlement. Background technique [0002] With the continuous deepening of the country's promotion of the big health industry, social medical security has been unable to meet the basic needs of patients, and commercial medical insurance, which is a strong supplement to medical insurance, cannot be closely related to medical institutions, making patients' commercial insurance reimbursement The process is complex and time-consuming. In the ecological service of this system, as a processing, transfer and distribution platform for data interaction between medical institutions and insurance companies, it realizes the online interconnection of medical data, and realizes the functions of online payment and online claim settlement. Obviously, medical data is the core link of the ec...

AI Technical Summary

Problems solved by technology

[0003] In addition, at present, most of the entrances for commercial insurance patients to report cases are through the service ports provided by various insurance companies. Patients need to print and save medical treatment materials in medical institutions, and submit them to commercial insurance companies for claim settlement by taking pictures. Commercial insurance companies also need Only by recognizing images can the data be structured and claims can be settled. The efficiency of commercial claims is very low.

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