Diagnosis and treatment expense reimbursement method and device, electronic equipment and storage medium

A cost and policy technology, applied in data processing applications, finance, instruments, etc., can solve the problems of multiple links, long process, and multiple reimbursements of medical expenses, and achieve a one-stop convenient effect

Inactive Publication Date: 2022-07-08
武汉金豆医疗数据科技有限公司
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  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0005] In view of this, the present invention provides a method, device, electronic equipment and storage medium for reimbursement of diagnosis and treatment expenses, so as to solve the problems of many times of reimbursement of diagnosis and treatment expenses, many links, and a long process in the related art

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  • Diagnosis and treatment expense reimbursement method and device, electronic equipment and storage medium
  • Diagnosis and treatment expense reimbursement method and device, electronic equipment and storage medium
  • Diagnosis and treatment expense reimbursement method and device, electronic equipment and storage medium

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Embodiment Construction

[0060] The specific embodiments of the present invention will be further described in detail below with reference to the accompanying drawings and specific embodiments. The described embodiments are only some, but not all, embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

[0061] For the sake of citation and clarity, the descriptions or abbreviations of nouns used hereinafter are summarized as follows:

[0062] Information to be reimbursed: the patient's identity information and the corresponding detailed data of medical expenses.

[0063] All reimbursement policies in the coordinating area: including the medical insurance settlement system for designated hospitals in the coordinating area, the national unified medical insurance information platform, the commercial insurance infor...

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Abstract

The invention provides a diagnosis and treatment expense reimbursement method and device, electronic equipment and a storage medium, and relates to the technical field of medical security, and the main technical scheme comprises the following steps: firstly, obtaining to-be-reimbursed information, the to-be-reimbursed information being information for judging whether at least one reimbursement policy in an overall planning area is met, the method comprises the steps that firstly, information to be reimbursed is acquired, all reimbursement policies in an overall planning area are integrated in a preset integrated service platform, secondly, it is determined that the information to be reimbursed conforms to a target reimbursement policy in the integrated service platform, and finally, according to the priority corresponding to the target reimbursement policy, reimbursement processing is conducted on the diagnosis and treatment cost in the information to be reimbursed. Compared with the prior art, all reimbursement policies in the overall planning area are integrated in the integrated service platform, and the obtained information to be reimbursed of the patient is subjected to one-stop reimbursement processing, so that the problems that the number of reimbursement settlement times of the patient is large, the number of links is large and the process is long are solved, and one-stop convenient reimbursement of the patient is realized.

Description

technical field [0001] The invention relates to the technical field of medical security, in particular to a reimbursement method, device, electronic device and storage medium for diagnosis and treatment expenses. Background technique [0002] Under the payment model of Diagnosis Related Groups (DRG) / Diagnosis-Intervention Packet (DIP), patients are reimbursed in real time according to the settlement policy of medical insurance when they are discharged from the hospital, and after reimbursement of part of the expenses through medical insurance , If the patient's pending reimbursement information also complies with policies such as serious illness reimbursement, commercial insurance reimbursement, etc., it is necessary to go to the corresponding handling department to prepare different reimbursement materials and go through the reimbursement procedures. [0003] At present, reimbursement policies such as medical insurance reimbursement, serious illness reimbursement, and comme...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G06Q40/08G06Q10/10
CPCG06Q40/08G06Q10/103
Inventor 潘超火立龙樊强胡启国孙闯王智军杨卫东
Owner 武汉金豆医疗数据科技有限公司
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