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

An efficient, commercial insurance technology, applied in the field of medical commercial insurance, can solve the problem of low efficiency of commercial claims, reduce the risk of data leakage, ensure credibility, and improve the efficiency of claims

Pending Publication Date: 2021-10-22
ANHUI PROVINCIAL HOSPITAL
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

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, a

Method used

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

Examples

Experimental program
Comparison scheme
Effect test

Example Embodiment

[0037] figure 1 It shows a claim unit that implements a medical compulsory method of the present invention, including medical institution system, insurance company system, data processing system connected to the medical institution system and insurance company system via network The patient client of the connection data processing system and the block chain node of the medical institution system, insurance company system, and data processing system, respectively.

[0038] The patient client initiates a medical claims request via a data processing system. According to the medical claims request, the patient's client's medical claims request, the medical institution system and the insurance company system, from the medical institution system, the patient's medical data and payment data, according to the office The obtained medical data and payment data generate claims data and sends the claim data to the insurance company. The data processing system has been communicated with the i...

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PUM

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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...

Claims

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Application Information

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IPC IPC(8): G06F21/60G06F21/62G06Q40/08
CPCG06F21/6245G06F21/602G06Q40/08
Inventor 操礼庆赵昕昱吴德强解亮柳杨陈文龙
Owner ANHUI PROVINCIAL HOSPITAL
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