Employee outpatient service ataxia data processing and analyzing system

Abstract

The invention discloses a staff outpatient service ataxia data processing and analyzing system, and belongs to the technical field of outpatient service data processing. The method is used for solving the technical problems that in an existing scheme, the local autonomous supervision processing effect in different aspects of staff outpatient service ataxia reimbursement is poor, and the autonomous supervision processing effect of local scheme implementation is poor. Active supervision and data processing analysis in different aspects are carried out on staff outpatient service treatment expense payment and reimbursement of different patients in different position areas each time, and dynamic updating is carried out on ataxia identifiers corresponding to different patients according to analysis results; effective supervision and processing are carried out on the current reimbursement expenses of different patients in different position areas, wherein the current reimbursement requirements of the different patients currently meet the current reimbursement requirements; and monitoring and processing the current staff outpatient service ataxia reimbursement active prompt states in different position areas, and carrying out dynamic optimization management prompt on the current staff outpatient service ataxia reimbursement active prompt states in different position areas according to a processing result.

Description

Technical Field

[0001] The present invention relates to the technical field of outpatient data processing, and in particular to a staff outpatient mutual aid data processing and analysis system. Background Art

[0002] Employee outpatient mutual aid is to increase the proportion of outpatient expenses paid by the unified fund on the basis of the funds in the employees' personal medical insurance accounts, reduce the personal burden of insured employees, and enhance the mutual aid function of the medical insurance fund.

[0003] When the existing employee outpatient mutual aid data processing plan is implemented, due to the different outpatient mutual aid reimbursement plans in various places, and different patients are not clear about which of the medical expenses paid can be reimbursed and the corresponding reimbursement ratio after completing the payment of medical expenses, patients are required to go to the counter to seek manual consultation and processing, and there are active supervision reminders that patients have met the medical expense reimbursement requirements but have not made reimbursement, so the actual outpatient mutual aid reimbursement implementation status in different locations cannot be actively supervised, processed, analyzed and prompted, resulting in poor local autonomous supervision and processing effects in different aspects of employee outpatient mutual aid reimbursement and poor autonomous supervision and processing effects of local plan implementation. Summary of the invention

[0004] The purpose of the present invention is to provide an employee outpatient mutual aid data processing and analysis system, which is used to solve the technical problems of poor local autonomous supervision and processing effects in different aspects of employee outpatient mutual aid reimbursement in existing solutions and poor autonomous supervision and processing effects in local solutions.

[0005] The purpose of the present invention can be achieved through the following technical solutions: A staff outpatient mutual aid data processing and analysis system, comprising: The multi-dimensional supervision and processing module for employee outpatient mutual aid reimbursement is used to actively supervise and analyze the payment and reimbursement of employee outpatient expenses for different patients in different locations and areas, and dynamically update the mutual aid identification corresponding to different patients based on the analysis results; The employee outpatient mutual aid reimbursement patient analysis and reminder module is used to monitor and process the effectiveness of the current reimbursement costs for different patients in different locations who currently meet the reimbursement requirements, and actively remind different patients of their current reimbursement status and costs based on the processing results; The employee outpatient mutual aid reimbursement regional analysis and prompt module is used to supervise and process the current employee outpatient mutual aid reimbursement active prompt status in different location areas, and dynamically optimize the management prompt of the current employee outpatient mutual aid reimbursement active prompt status in different location areas based on the processing results.

[0006] Preferably, after monitoring different patients in different locations and areas who have successfully paid the outpatient medical expenses of employees, a reimbursement supervision instruction is generated, and the identity identifier and mutual aid identifier of the patient to whom the employee medical expenses have been successfully paid are obtained according to the reimbursement supervision instruction, and data analysis is performed on the mutual aid identifier of the patient; If the mutual aid indicator is 1, an outpatient mutual aid implementation instruction is generated, and the employee outpatient mutual aid reimbursement supervision and reminder plan is implemented for the patients according to the outpatient mutual aid implementation instruction, and data analysis is performed on the historical outpatient mutual aid reimbursement status of the patients; If the mutual aid identification is 0, an outpatient mutual aid verification instruction is generated, and the patient identification is used to obtain the patient's total medical expenses in the area where the patient is located that year based on the outpatient mutual aid verification instruction. The total medical expenses are then analyzed to determine the employee outpatient mutual aid status corresponding to the patient.

[0007] Preferably, when analyzing the historical outpatient mutual insurance reimbursement status of the patient; If the total amount of the patient's reimbursable medical treatment is 0, a historical prompt valid instruction is generated, and the total number of first prompts with historical prompt validity is increased by one; If the total amount of the patient's reimbursable medical treatment is not 0, an invalid historical prompt instruction is generated, and the total number of second prompts for invalid historical prompts is increased by one.

[0008] Preferably, the total cost of the patient's medical treatment in the current year is compared and analyzed with the standard cost of medical treatment; If the total cost of medical treatment is less than or equal to the standard cost of medical treatment, the patient is prompted that the reimbursement requirements for medical treatment are not met, and the mutual aid flag of the patient is updated to 0; If the total cost of medical treatment is greater than the standard cost of medical treatment, a reimbursement verification instruction will be generated and the employee outpatient mutual aid reimbursement supervision reminder plan will be implemented for the patients.

[0009] Preferably, when implementing the employee outpatient mutual aid reimbursement supervision and reminder plan, all medical items corresponding to all medical expenses of the patients in the year and the medical item expenses corresponding to different medical items are obtained; All medical treatment items are searched and matched in turn through the reimbursement standard medical treatment item database. If there is a sample medical treatment item that is identical to the medical treatment item in the reimbursement standard medical treatment item database, the corresponding medical treatment item will be marked as a valid medical treatment item.

[0010] Preferably, all valid medical treatment items matching the mark are numbered and marked as i, i=1, 2, 3, ..., n; n is a positive integer; and the medical treatment item fees FJi corresponding to different valid medical treatment items are obtained, and the medical treatment item fees corresponding to all valid medical treatment items are calculated by the formula Calculate and obtain the outpatient mutual aid reimbursable value MG corresponding to the user; where BB is the standard cost of medical treatment; If the reimbursable value of outpatient mutual aid is less than or equal to 0, the patient is prompted that the current reimbursement requirements for medical treatment are not met, and the mutual aid flag of the patient is updated to 0; If the reimbursable value of outpatient mutual aid is greater than 0, the patient will be prompted that he currently meets the requirements for medical reimbursement, and the mutual aid identifier of the patient will be updated to 1.

[0011] Preferably, when the effectiveness of the expenses currently reimbursable for medical treatment are supervised for different patients in different locations who currently meet the medical treatment reimbursement requirements; The outpatient mutual aid reimbursable values ​​obtained by processing the current medical reimbursement requirements of different patients are analyzed through the effective reimbursement identification function, and the outpatient mutual aid reimbursable verification value CB corresponding to the patient is output; Based on the calculated outpatient mutual aid claimable verification value, the patient's current medical treatment and reimbursement status and the corresponding reimbursement expenses are pushed to the patient.

[0012] Preferably, the expression of the reimbursement effective identification function is ; In the formula, MG´ and MG´´ are the upper limit of outpatient mutual aid reimbursement corresponding to the patient's location area and the total reimbursement expenses of the patient in that year, respectively.

[0013] Preferably, when monitoring and processing the active reminder status of the current outpatient mutual aid reimbursement for employees in different location areas, the total number of first reminders and the total number of second reminders currently corresponding to the different location areas are obtained, and the formula is used to calculate the total number of first reminders and the total number of second reminders. Calculate and obtain the regional mutual assistance implementation validity QXi corresponding to different location areas; where j is a different location area, j=1, 2, 3,..., m; m is a positive integer; N1j and N2j are the total number of first prompts and the total number of second prompts corresponding to different location areas, respectively; XBj is the standard value of effective prompts corresponding to different location areas.

[0014] Preferably, if the regional mutual aid implementation validity is greater than or equal to 0, the location area is marked as an effective mutual aid implementation area, and the effective mutual aid implementation area is prompted to maintain the subsequent implementation of the existing employee outpatient mutual aid active supervision plan; If the regional mutual aid implementation validity is less than 0, the location area will be marked as an invalid mutual aid implementation area, and the invalid mutual aid implementation area will be prompted to optimize and upgrade the existing employee outpatient mutual aid active supervision plan.

[0015] Compared with the existing solutions, the present invention achieves the following beneficial effects: The present invention conducts active supervision and data processing analysis on different aspects of the payment and reimbursement of employee outpatient medical expenses for different patients in different location areas each time, and dynamically updates the mutual aid identification corresponding to different patients according to the analysis results. It realizes active supervision and analysis of whether different individual patients in different location areas meet the medical reimbursement requirements after payment, and dynamic updating of the mutual aid identification, thereby improving the local autonomous supervision and processing effects of different aspects of employee outpatient mutual aid reimbursement.

[0016] The present invention expands and utilizes the local supervision and processing data of different individual patients in the early stage by supervising and processing the effectiveness of the current medical treatment and reimbursement expenses corresponding to different patients in different location areas who currently meet the medical treatment reimbursement requirements. Then, targeted push notifications of the current medical treatment and reimbursement status and the corresponding reimbursement expenses can be implemented for different patients in different location areas, further improving the local autonomous supervision and processing effects of different aspects of employee outpatient mutual aid reimbursement.

[0017] The present invention monitors and processes the current active reminder status of employee outpatient mutual aid reimbursement in different location areas, and dynamically optimizes the management prompts of the current active reminder status of employee outpatient mutual aid reimbursement in different location areas according to the processing results, thereby realizing active supervision and digital processing and analysis prompts of the implementation status of existing employee outpatient mutual aid active supervision plans corresponding to different location areas from an overall dimension, and further expanding the utilization of local supervision processing data of different individual patients, thereby improving the autonomous supervision and processing effects of the implementation of local plans for different aspects of employee outpatient mutual aid autonomous reimbursement. BRIEF DESCRIPTION OF THE DRAWINGS

[0018] The present invention will be further described below in conjunction with the accompanying drawings.

[0019] Figure 1 The present invention is a module block diagram of a staff outpatient mutual aid data processing and analysis system.

[0020] Figure 2 The present invention is a flowchart of the steps of operating a staff outpatient mutual aid data processing and analysis system.

[0021] Figure 3 It is a flowchart of data analysis of the patient's mutual identification in the present invention. DETAILED DESCRIPTION

[0022] The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0023] like Figure 1 to Figure 2 As shown, the present invention is a staff outpatient mutual aid data processing and analysis system, including a staff outpatient mutual aid reimbursement multi-dimensional supervision processing module, a staff outpatient mutual aid reimbursement patient analysis prompt module and a staff outpatient mutual aid reimbursement area analysis prompt module; The multi-dimensional supervision and processing module for employee outpatient mutual aid reimbursement is used to actively supervise and analyze the payment and reimbursement of employee outpatient expenses for different patients in different locations and areas, and dynamically update the mutual aid identification corresponding to different patients based on the analysis results; including: Monitor different patients in different locations and areas to generate reimbursement supervision instructions after they have successfully paid for the outpatient medical expenses of employees. Obtain the identity and mutual aid identification of the patient to whom the employee medical expenses have been successfully paid based on the reimbursement supervision instructions, and perform data analysis on the mutual aid identification of the patient; Specifically, different location areas may be different provinces, because outpatient services in different provinces have different reimbursement ratios, reimbursement starting amounts, and maximum reimbursement limits; The identity identifier may specifically be the patient's ID card, which is used to identify the patient; the mutual aid identifier is used to digitally indicate whether the patient meets the outpatient mutual aid status in that year; a mutual aid identifier with a value of 0 indicates that the patient meets the outpatient mutual aid status in that year; a mutual aid identifier with a value of 1 indicates that the patient does not meet the outpatient mutual aid status in that year; like Figure 3 As shown, if the mutual aid indicator is 1, an outpatient mutual aid implementation instruction is generated, and the employee outpatient mutual aid reimbursement supervision and reminder plan is implemented for the patients according to the outpatient mutual aid implementation instruction, and data analysis is performed on the historical outpatient mutual aid write-off status of the patients; If the total amount of the patient's reimbursable medical treatment is 0, a historical prompt valid instruction is generated, and the total number of first prompts with historical prompt validity is increased by one; If the total amount of the patient's reimbursable medical treatment is not 0, a historical prompt invalidation instruction is generated, and the total number of second prompts of historical prompt invalidation is increased by one; In an embodiment of the present invention, by performing data analysis and data statistics on the patient's historical outpatient mutual aid verification status, reliable implementation effect supervision data support can be provided for the subsequent active supervision analysis of the implementation status of the existing employee outpatient mutual aid active supervision plan in different location areas.

[0024] If the mutual aid identification is 0, an outpatient mutual aid verification instruction is generated, and the total medical expenses of the patient in the location area in that year are obtained by using the patient identification according to the outpatient mutual aid verification instruction. The total medical expenses can be obtained through authorized matching according to the medical payment system database of different location areas, and the total medical expenses are analyzed to determine the employee outpatient mutual aid status corresponding to the patient; Compare and analyze the patient's total medical expenses for the year with the standard medical expenses; the standard medical expenses are determined by the reimbursement threshold amount disclosed in the local employee outpatient mutual aid policy; If the total cost of medical treatment is less than or equal to the standard cost of medical treatment, the patient is prompted that the reimbursement requirements for medical treatment are not met, and the mutual aid flag of the patient is updated to 0; If the total cost of medical treatment is greater than the standard cost of medical treatment, a reimbursement verification instruction will be generated and the employee outpatient mutual aid reimbursement supervision and reminder plan will be implemented for the patient; specifically: According to the reimbursement verification instruction, obtain all medical items corresponding to all medical expenses of the patient in the year and the medical item expenses corresponding to different medical items; All medical consultation items are searched and matched in turn through the reimbursement standard medical consultation item database. If there is a sample medical consultation item identical to the medical consultation item in the reimbursement standard medical consultation item database, the medical consultation item is marked as a valid medical consultation item; Among them, a number of different sample medical treatment items are pre-stored in the reimbursement standard medical treatment item database, and the sample medical treatment items indicate that the corresponding payment expenses can be reimbursed. Different sample medical treatment items can be determined by the medical treatment reimbursement requirement data disclosed in the local employee outpatient mutual aid policy; All valid medical treatment items with matching marks are numbered and marked as i, i=1, 2, 3, ..., n; n is a positive integer; and the medical treatment item fees FJi corresponding to different valid medical treatment items are obtained, and the medical treatment item fees corresponding to all valid medical treatment items are calculated by the formula Calculate and obtain the outpatient mutual aid reimbursable value MG corresponding to the user; where BB is the standard cost of medical treatment; If the reimbursable value of outpatient mutual aid is less than or equal to 0, the patient is prompted that the current reimbursement requirements for medical treatment are not met, and the mutual aid flag of the patient is updated to 0; If the reimbursable value of outpatient mutual aid is greater than 0, the patient is prompted to meet the current reimbursement requirements for medical treatment, and the mutual aid flag of the patient is updated to 1; In the embodiment of the present invention, by actively supervising and analyzing data processing of the payment and reimbursement of employee outpatient medical expenses for different patients in different location areas each time, and dynamically updating the mutual aid identification corresponding to different patients based on the analysis results, it is possible to actively conduct supervision and analysis on whether different individual patients in different location areas meet the medical reimbursement requirements after payment, and dynamically update the mutual aid identification, thereby improving the local autonomous supervision and processing effects of different aspects of employee outpatient mutual aid reimbursement.

[0025] The employee outpatient mutual aid reimbursement patient analysis and prompt module is used to monitor and process the effectiveness of the current reimbursement costs for different patients in different locations that meet the reimbursement requirements, and actively prompt the current reimbursement status and costs of different patients based on the processing results; including: When conducting effectiveness supervision on the current reimbursable medical expenses for different patients in different locations who currently meet the medical reimbursement requirements; It is understandable that even if the patient currently meets the requirements for medical reimbursement, it is still necessary to combine the specific outpatient mutual aid reimbursable total expenses limited by the employee outpatient mutual aid policy corresponding to the patient's location area; by conducting effectiveness supervision on the current reimbursable expenses corresponding to different patients in different location areas who currently meet the medical reimbursement requirements, the reliability and comprehensiveness of the employee outpatient mutual aid supervision analysis of different patients in different location areas can be effectively improved.

[0026] The outpatient mutual aid reimbursable values ​​obtained by processing the current medical reimbursement requirements of different patients are analyzed through the effective reimbursement identification function, and the outpatient mutual aid reimbursable verification value CB corresponding to the patient is output; Among them, the expression of the reimbursement effective identification function is: ; In the formula, MG´ and MG´´ are the upper limit of outpatient mutual aid reimbursement corresponding to the patient's location area and the total reimbursement expenses of the patient in the year, respectively, which are determined according to the employee outpatient mutual aid policy corresponding to the location area and obtained from the medical payment system database of the location area; According to the calculated outpatient mutual aid reimbursement verification value, the patient is prompted with the current status of medical treatment and reimbursement and the corresponding reimbursement expenses; the push prompt can be pushed through the mobile phone number reserved by the patient; In the embodiment of the present invention, by supervising and processing the effectiveness of the expenses currently reimbursable for medical treatment for different patients in different location areas who currently meet the medical treatment reimbursement requirements, it is achieved to expand and utilize the local supervision and processing data of different individual patients in the early stage, and then targeted push notifications of the current medical treatment and reimbursement status and the corresponding reimbursement expenses can be implemented for different patients in different location areas, further improving the local autonomous supervision and processing effects of different aspects of employee outpatient mutual aid reimbursement.

[0027] The regional analysis and prompt module for employee outpatient mutual aid reimbursement is used to supervise and process the current active prompt status of employee outpatient mutual aid reimbursement in different locations, and dynamically optimize the management and prompt of the current active prompt status of employee outpatient mutual aid reimbursement in different locations according to the processing results; including: When monitoring and processing the active reminder status of outpatient mutual aid reimbursement for employees in different location areas, the total number of first reminders and the total number of second reminders corresponding to the current location areas are obtained, and the formula is used to calculate the total number of first reminders and the total number of second reminders. Calculate and obtain the regional mutual aid implementation validity QXi corresponding to different location areas; where j is a different location area, j=1, 2, 3, ..., m; m is a positive integer; N1j and N2j are the total number of first prompts and the total number of second prompts corresponding to different location areas; XBj is the effective prompt standard value corresponding to different location areas, which is determined according to the design requirement data of the employee outpatient mutual aid policy corresponding to different location areas; It should be noted that the regional mutual aid implementation validity is used to integrate and calculate the employee outpatient mutual aid supervision data of all patients in different location areas to digitally represent the implementation status of the existing employee outpatient mutual aid active supervision plan corresponding to different location areas; If the regional mutual aid implementation validity is greater than or equal to 0, the location area is marked as an effective mutual aid implementation area, and the effective mutual aid implementation area is prompted to maintain the subsequent implementation of the existing employee outpatient mutual aid active supervision plan; If the regional mutual aid implementation validity is less than 0, the location area will be marked as an invalid mutual aid implementation area, and the invalid mutual aid implementation area will be prompted to optimize and upgrade the existing employee outpatient mutual aid active supervision plan; Among them, the existing active supervision plan for employee outpatient mutual aid will be optimized and upgraded, including but not limited to adding reminder methods, and adding follow-up methods to confirm whether patients have received active push reminders of reimbursement expenses.

[0028] In the embodiment of the present invention, by supervising and processing the current active reminder status of employee outpatient mutual aid reimbursement in different location areas, the current active reminder status of employee outpatient mutual aid reimbursement in different location areas is dynamically optimized and managed according to the processing results, thereby realizing active supervision and digital processing and analysis prompts of the implementation status of existing employee outpatient mutual aid active supervision plans corresponding to different location areas from an overall dimension, further expanding and utilizing the local supervision processing data of different individual patients, and improving the autonomous supervision and processing effects of the implementation of local plans for different aspects of employee outpatient mutual aid autonomous reimbursement.

[0029] In addition, the formulas involved in the above are all dimensionless and numerical calculations. They are a formula that is closest to the actual situation obtained by collecting a large amount of data and simulating it with simulation software.

[0030] In the several embodiments provided by the present invention, it should be understood that the disclosed system can be implemented in other ways. For example, the above-described embodiments of the invention are only illustrative, for example, the division of modules is only a logical function division, and there may be other division methods in actual implementation.

[0031] The modules described as separate components may or may not be physically separated, and the components shown as modules may or may not be physical modules, and may be located in one place or distributed on multiple network modules. Some or all of the modules may be selected according to actual needs to achieve the purpose of the solution of this embodiment.

[0032] In addition, each functional module in each embodiment of the present invention may be integrated into one processing module, or each module may exist physically separately, or two or more modules may be integrated into one module. The above-mentioned integrated module may be implemented in the form of hardware or in the form of hardware plus software functional modules.

[0033] It is obvious to a person skilled in the art that the present invention is not limited to the details of the exemplary embodiments described above, and that the present invention can be implemented in other specific forms without departing from the essential characteristics of the present invention.

[0034] Finally, it should be noted that the above embodiments are only used to illustrate the technical solution of the present invention rather than to limit it. Although the present invention has been described in detail with reference to the preferred embodiments, those skilled in the art should understand that the technical solution of the present invention can be modified or replaced by equivalents without departing from the spirit and scope of the technical solution of the present invention.

Claims

1. A data processing and analysis system for employee outpatient mutual aid, characterized in that: include: The multi-dimensional supervision and processing module for employee outpatient mutual aid reimbursement is used to actively supervise and analyze the payment and reimbursement of employee outpatient expenses for different patients in different locations and areas, and dynamically update the mutual aid identification corresponding to different patients based on the analysis results; The employee outpatient mutual aid reimbursement patient analysis and prompt module is used to monitor and process the effectiveness of the current reimbursement costs for different patients in different locations who currently meet the reimbursement requirements, and actively prompt the current reimbursement status and costs of different patients based on the processing results; The employee outpatient mutual aid reimbursement regional analysis and prompt module is used to supervise and process the current employee outpatient mutual aid reimbursement active prompt status in different location areas, and dynamically optimize the management prompt of the current employee outpatient mutual aid reimbursement active prompt status in different location areas based on the processing results.

2. The employee outpatient mutual aid data processing and analysis system according to claim 1 is characterized in that: After monitoring different patients in different locations and areas who have successfully paid for outpatient treatment expenses of employees, a reimbursement supervision instruction is generated, and the identity and mutual aid identification of the patient who has successfully paid for the employee treatment expenses are obtained according to the reimbursement supervision instruction, and data analysis is performed on the mutual aid identification of the patient; If the mutual aid indicator is 1, an outpatient mutual aid implementation instruction is generated, and the employee outpatient mutual aid reimbursement supervision and reminder plan is implemented for the patients according to the outpatient mutual aid implementation instruction, and data analysis is performed on the historical outpatient mutual aid reimbursement status of the patients; If the mutual aid identification is 0, an outpatient mutual aid verification instruction is generated, and the patient identification is used to obtain the patient's total medical expenses in the area where the patient is located that year based on the outpatient mutual aid verification instruction. The total medical expenses are then analyzed to determine the employee outpatient mutual aid status corresponding to the patient.

3. The employee outpatient mutual aid data processing and analysis system according to claim 2 is characterized in that: When conducting data analysis on the historical outpatient mutual aid reimbursement status of the patients; If the total amount of the patient's reimbursable medical treatment is 0, a historical prompt valid instruction is generated, and the total number of first prompts with historical prompt validity is increased by one; If the total amount of the patient's reimbursable medical treatment is not 0, an invalid historical prompt instruction is generated, and the total number of second prompts for invalid historical prompts is increased by one.

4. The employee outpatient mutual aid data processing and analysis system according to claim 2 is characterized in that: Compare and analyze the patient's total medical expenses for the year with the standard medical expenses; If the total cost of medical treatment is less than or equal to the standard cost of medical treatment, the patient is prompted that the reimbursement requirements for medical treatment are not met, and the mutual aid flag of the patient is updated to 0; If the total cost of medical treatment is greater than the standard cost of medical treatment, a reimbursement verification instruction will be generated and the employee outpatient mutual aid reimbursement supervision reminder plan will be implemented for the patients.

5. The employee outpatient mutual aid data processing and analysis system according to claim 4 is characterized in that: When implementing the employee outpatient mutual aid reimbursement supervision and reminder plan, obtain all the medical expenses of the patients in the year corresponding to all the medical expenses and the medical expenses corresponding to different medical items; All medical treatment items are searched and matched in turn through the reimbursement standard medical treatment item database. If there is a sample medical treatment item that is identical to the medical treatment item in the reimbursement standard medical treatment item database, the corresponding medical treatment item will be marked as a valid medical treatment item.

6. The employee outpatient mutual aid data processing and analysis system according to claim 5 is characterized in that: All valid medical treatment items with matching marks are numbered and marked as i, i=1, 2, 3, ..., n; n is a positive integer; and the medical treatment item fees FJi corresponding to different valid medical treatment items are obtained, and the medical treatment item fees corresponding to all valid medical treatment items are calculated by the formula Calculate and obtain the corresponding outpatient mutual aid reimbursable value MG of the user; where BB is the standard cost of medical treatment; If the reimbursable value of outpatient mutual aid is less than or equal to 0, the patient is prompted that the current reimbursement requirements for medical treatment are not met, and the mutual aid flag of the patient is updated to 0; If the reimbursable value of outpatient mutual aid is greater than 0, the patient will be prompted that he currently meets the reimbursement requirements for medical treatment, and the mutual aid identifier of the patient will be updated to 1.

7. The employee outpatient mutual aid data processing and analysis system according to claim 6 is characterized in that: When conducting effectiveness supervision on the current reimbursable medical expenses for different patients in different locations who currently meet the medical reimbursement requirements; The outpatient mutual aid reimbursable values ​​obtained by processing the current reimbursement requirements of different patients are analyzed through the effective reimbursement identification function, and the outpatient mutual aid reimbursable verification value CB corresponding to the patient is output; Based on the calculated outpatient mutual aid claimable verification value, the patient's current medical treatment and reimbursement status and the corresponding reimbursement expenses are pushed to the patient.

8. The employee outpatient mutual aid data processing and analysis system according to claim 7 is characterized in that: The expression of the reimbursement effective identification function is ; In the formula, MG´ and MG´´ are the upper limit of outpatient mutual aid reimbursement corresponding to the patient's location area and the total reimbursement expenses of the patient in that year, respectively.

9. The employee outpatient mutual aid data processing and analysis system according to claim 3 is characterized in that: When monitoring and processing the active reminder status of outpatient mutual aid reimbursement for employees in different location areas, the total number of first reminders and the total number of second reminders corresponding to the current location areas are obtained, and the formula is used to calculate the total number of first reminders and the total number of second reminders. Calculate and obtain the regional mutual aid implementation validity QXi corresponding to different location areas; where j is a different location area, j=1, 2, 3, ..., m; m is a positive integer; N1j and N2j are the total number of first prompts and the total number of second prompts corresponding to different location areas respectively; XBj is the valid prompt standard value corresponding to different location areas.

10. The employee outpatient mutual aid data processing and analysis system according to claim 9 is characterized in that: If the regional mutual aid implementation validity is greater than or equal to 0, the location area is marked as an effective mutual aid implementation area, and the effective mutual aid implementation area is prompted to maintain the subsequent implementation of the existing employee outpatient mutual aid active supervision plan; If the regional mutual aid implementation validity is less than 0, the location area will be marked as an invalid mutual aid implementation area, and the invalid mutual aid implementation area will be prompted to optimize and upgrade the existing employee outpatient mutual aid active supervision plan.

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