Medical insurance service information processing method and device, electronic equipment and storage medium
Through the medical insurance business information processing method, the information to be verified by medical insurance objects is collected and verified, the security of medical insurance business processing is ensured, the problem of insufficient security of online medical insurance services is solved, and the prevention of medical insurance theft and user experience is realized. Improvement.
Patent Information
- Application Number
- CN202411418250.7
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-10-11
- Publication Date
- 2025-01-07
AI Technical Summary
The security of online medical insurance services is not high, resulting in serious medical insurance theft problem.
A medical insurance business information processing method is proposed. By receiving medical insurance business processing requests, collecting information to be verified, and obtaining the second object information associated with the first object information, performing identity verification, and obtaining medical insurance processing after the verification is passed The business information corresponding to the type is processed to improve the security of medical insurance business.
Effectively prevent medical insurance theft, improve the security of online medical insurance services, simplify user identity verification processes, and improve user experience and medical insurance management efficiency.
Smart Images
Figure CN119273370A_ABST
Abstract
Description
Technical Field
[0001] The present disclosure relates to the field of computer technology, and in particular to a medical insurance business information processing method, device, electronic device and storage medium. Background Art
[0002] With the rapid development of Internet technology, online medical insurance services (also known as medical insurance business) have gradually become a part of people's daily lives. However, the popularity of online medical insurance services has brought a series of security issues, especially medical insurance fraud. Among the related technologies, the security of medical insurance business implementation is not high. Summary of the invention
[0003] The present disclosure aims to solve one of the technical problems in the related art at least to some extent.
[0004] To this end, the first purpose of the present disclosure is to propose a medical insurance business information processing method to improve the security of medical insurance business implementation.
[0005] The second objective of the present disclosure is to provide a medical insurance business information processing device.
[0006] A third objective of the present disclosure is to provide an electronic device.
[0007] A fourth objective of the present disclosure is to provide a computer-readable storage medium.
[0008] A fifth object of the present disclosure is to provide a computer program product.
[0009] To achieve the above-mentioned purpose, the first aspect of the present disclosure proposes a medical insurance business information processing method, including: receiving a medical insurance business processing request, wherein the medical insurance business processing request includes: first object information of the medical insurance object, a medical insurance processing type and business processing information corresponding to the medical insurance processing type; collecting information to be verified of the medical insurance object, and obtaining second object information associated with the first object information, wherein the first object information and the second object information are respectively used to describe the medical insurance object, and the first object information and the second object information are different; verifying the medical insurance object according to the information to be verified and the second object information to obtain a verification result; when the verification result is that the medical insurance object has passed the verification, obtaining the medical insurance business information corresponding to the medical insurance processing type; and processing the medical insurance business information according to the business processing information to obtain a medical insurance processing result.
[0010] To achieve the above-mentioned purpose, the second aspect of the present disclosure proposes a medical insurance business information processing device, including: a receiving module, used to receive a medical insurance business processing request, wherein the medical insurance business processing request includes: first object information of the medical insurance object, a medical insurance processing type and business processing information corresponding to the medical insurance processing type; a collection module, used to collect the information to be verified of the medical insurance object, and obtain the second object information associated with the first object information, wherein the first object information and the second object information are respectively used to describe the medical insurance object, and the first object information and the second object information are different; a verification module, used to verify the medical insurance object according to the information to be verified and the second object information, and obtain a verification result; an acquisition module, used to obtain the medical insurance business information corresponding to the medical insurance processing type when the verification result is that the medical insurance object has passed the verification; and a processing module, used to process the medical insurance business information according to the business processing information to obtain a medical insurance processing result.
[0011] To achieve the above-mentioned purpose, the third aspect embodiment of the present disclosure proposes an electronic device, including: a processor, and a memory communicatively connected to the processor; the memory stores computer execution instructions; the processor executes the computer execution instructions stored in the memory, so as to implement a medical insurance business information processing method proposed in the first aspect embodiment of the present disclosure.
[0012] To achieve the above-mentioned purpose, the fourth aspect embodiment of the present disclosure proposes a computer-readable storage medium, in which computer execution instructions are stored. When the computer execution instructions are executed by the processor, they are used to implement the medical insurance business information processing method proposed in the first aspect embodiment of the present disclosure.
[0013] To achieve the above-mentioned purpose, the fifth aspect of the present disclosure proposes a computer program product, including a computer program, which, when executed by a processor, implements the medical insurance business information processing method proposed in the first aspect of the present disclosure.
[0014] The medical insurance business information processing method, device, electronic device, non-transitory computer-readable storage medium storing computer instructions, and computer program product provided by the present disclosure receive a medical insurance business processing request, wherein the medical insurance business processing request includes: first object information of the medical insurance object, the medical insurance processing type, and the business processing information corresponding to the medical insurance processing type, collect the information to be verified of the medical insurance object, and obtain the second object information associated with the first object information, wherein the first object information and the second object information are respectively used to describe the medical insurance object, and the first object information and the second object information are different, verify the medical insurance object according to the information to be verified and the second object information, and obtain the verification result, and when the verification result is that the medical insurance object is verified, obtain the medical insurance business information corresponding to the medical insurance processing type, and process the medical insurance business information according to the business processing information to obtain the medical insurance processing result. Thus, the security of the implementation of the medical insurance business is improved.
[0015] Additional aspects and advantages of the present disclosure will be given in part in the following description and in part will be obvious from the following description or learned through practice of the present disclosure. BRIEF DESCRIPTION OF THE DRAWINGS
[0016] The above and / or additional aspects and advantages of the present disclosure will become apparent and easily understood from the following description of the embodiments in conjunction with the accompanying drawings, in which:
[0017] Figure 1 A flowchart of a medical insurance business information processing method provided by an embodiment of the present disclosure;
[0018] Figure 2 A flowchart of another medical insurance business information processing method provided by an embodiment of the present disclosure;
[0019] Figure 3 is a schematic diagram of the medical insurance business processing flow in the embodiment of the present disclosure;
[0020] Figure 4 A schematic diagram of the structure of a medical insurance business information processing device provided by an embodiment of the present disclosure;
[0021] Figure 5 It is a schematic structural diagram of an electronic device shown in an exemplary embodiment of the present disclosure. DETAILED DESCRIPTION
[0022] Embodiments of the present disclosure are described in detail below, and examples of the embodiments are shown in the accompanying drawings, wherein the same or similar reference numerals throughout represent the same or similar elements or elements having the same or similar functions. The embodiments described below with reference to the accompanying drawings are exemplary and are intended to be used to explain the present disclosure, and should not be construed as limiting the present disclosure.
[0023] It should be noted that the information (including but not limited to user device information, user personal information, etc.), data (including but not limited to data used for analysis, stored data, displayed data, etc.) and signals involved in this disclosure are all authorized by the user or fully authorized by all parties, and the collection, use and processing of relevant data must comply with the relevant laws, regulations and standards of relevant countries and regions. The acquisition, transmission, storage, use and processing of data in the technical solution of this disclosure are in compliance with the relevant provisions of national laws and regulations.
[0024] It should be noted that in the embodiments of the present disclosure, certain software, components, models and other existing solutions in the industry may be mentioned, which should be regarded as exemplary. Their purpose is only to illustrate the feasibility of implementing the technical solution of the present disclosure, but it does not mean that the applicant has or will necessarily use the solution.
[0025] Figure 1 A flowchart of a method for processing medical insurance business information provided by an embodiment of the present disclosure.
[0026] This embodiment takes the medical insurance business information processing method as an example in which it is configured in a medical insurance business information processing device. In this embodiment, the medical insurance business information processing method can be configured in a medical insurance business information processing device, and the medical insurance business information processing device can be set in a server, or can also be set in an electronic device, without limitation.
[0027] This embodiment takes the medical insurance business information processing method configured in an electronic device as an example, wherein the electronic device is a hardware device such as a smart phone, a tablet computer, a personal digital assistant, an e-book, etc. having various operating systems.
[0028] It should be noted that the execution subject of the embodiment of the present disclosure may be, for example, a central processing unit (CPU) in a server or electronic device in terms of hardware, or may be, for example, a related background service in a server or electronic device in terms of software, without limitation.
[0029] like Figure 1 As shown, the medical insurance business information processing method includes:
[0030] S101: Receive a medical insurance business processing request, wherein the medical insurance business processing request includes: first object information of a medical insurance object, a medical insurance processing type, and business processing information corresponding to the medical insurance processing type.
[0031] Among them, the online request for implementing the medical insurance service can be called a medical insurance service processing request. For example, the medical insurance service terminal can provide a request interface, and receive the medical insurance service processing request input by the customer or user based on the request interface. The medical insurance object is the customer or user; or the medical insurance service terminal can receive the medical insurance service processing request sent by the electronic device; or the medical insurance service terminal can automatically identify that the medical insurance object has the need to use the medical insurance service, and generate the medical insurance service processing request in response to the triggering of the medical insurance object, without limitation.
[0032] In some embodiments, various information used to implement the medical insurance business can be carried in the medical insurance business processing request to support the subsequent medical insurance business implementation process. For example, the first object information of the medical insurance object can be carried in the medical insurance business processing request. The first object information is used to describe the medical insurance object in a certain dimension to identify the medical insurance object. The first object information is specifically, for example, the account information of the medical insurance object logging into the medical insurance business information processing device, and can also be, for example, the information entered by the medical insurance object when triggering the generation of the medical insurance business processing request, and there is no limitation on this.
[0033] In some embodiments, the medical insurance processing request may carry a medical insurance processing type, which is used to indicate the type of medical insurance service requested to be implemented. The medical insurance processing type may specifically include querying medical insurance service information, performing payment processing based on medical insurance service information, or querying the result of payment processing, or requesting online update of medical insurance service information, etc., without limitation.
[0034] In some embodiments, the medical insurance business processing request may carry business processing information corresponding to the medical insurance processing type, wherein the business processing information refers to the relevant information for processing the business required to support the implementation of the medical insurance business requested this time. Business processing information, such as order information supporting the query of payment processing results, business completion time supporting the query of medical insurance business information, payment order information supporting payment processing based on medical insurance business information, etc., is not limited to this.
[0035] In some embodiments, after receiving a medical insurance business processing request, the business-related information to be processed stored in the system can be called, and then in response to the selection instruction of the medical insurance object, one or several business-related information selected based on the selection instruction can be used as business processing information, and in response to subsequent trigger instructions, the selected business processing information can be carried in the medical insurance business processing request, and there is no restriction on this.
[0036] In some embodiments, at least two of the first object information of the medical insurance object, the medical insurance processing type, and the business processing information corresponding to the medical insurance processing type can be carried in the medical insurance business processing request to support the correct implementation of online medical insurance business, and there is no restriction on this.
[0037] In some embodiments, the medical insurance processing type includes at least one of the following: a first type, wherein the first type is used to query medical insurance business information; a second type, wherein the second type is used to make payments based on medical insurance business information; and a third type, wherein the third type is used to query payment results. Thus, it can be effectively applied to personalized medical insurance business scenarios, improve the flexibility of medical insurance business implementation, fully ensure the security of medical insurance business implementation, and effectively improve the use experience of medical insurance business.
[0038] S102: Collect information to be verified of the medical insurance object, and obtain second object information associated with the first object information, wherein the first object information and the second object information are respectively used to describe the medical insurance object, and the first object information and the second object information are different.
[0039] After receiving the medical insurance business processing request and obtaining the first object information of the medical insurance object, the medical insurance processing type and the business processing information corresponding to the medical insurance processing type from the medical insurance business processing request, the collection of the medical insurance object's information to be verified can be triggered, wherein the information to be verified refers to information used to verify the medical insurance object, and the description dimension of the information to be verified is different from the description dimension of the medical insurance object in the first object information. The information to be verified can be information with a higher security level that can more accurately reflect the identity of the medical insurance object. The information to be verified is, for example, facial feature information of the medical insurance object, and there is no restriction on this.
[0040] In some embodiments, a verification information collection device can be configured in the medical insurance business information processing device. After receiving a medical insurance business processing request, the medical insurance business information processing device can start the verification information collection device and use the verification information collection device to collect the information to be verified of the medical insurance object.
[0041] In some embodiments, after the information to be verified of the medical insurance object is collected, the acquisition of the second object information associated with the first object information can be triggered, wherein the second object information can be used to match the information to be verified, and the matching result can be used to verify the identity of the medical insurance object, such as verifying whether the medical insurance object to which the information to be verified belongs and the medical insurance object described by the first object information are the same medical insurance object, which can improve the security of verification. The second object information can be pre-stored object information, the first object information and the second object information are used to describe the medical insurance object respectively, and the first object information and the second object information are different. The second object information can be, for example, the facial feature information of the pre-stored medical insurance object. For example, before receiving the current medical insurance business processing request, the first object information and the second object information of the same medical insurance object can be collected in advance, and the first object information and the second object information can be associated, and the association relationship between the first object information and the second object information can be saved. When receiving the current medical insurance business processing request, the pre-stored second object information associated with the first object information can be used to implement the legality verification of the information to be verified collected this time, and there is no restriction on this.
[0042] In some embodiments, before receiving the medical insurance service processing request, the first object information and the second object information of the medical insurance object can be collected, and the association relationship between the first object information and the second object information of the medical insurance object can be generated, and the first object information, the second object information and the association relationship of the medical insurance object can be saved. It supports querying the associated second object information based on the first object information to quickly verify and compare the information to be verified, and supports improving the verification efficiency of the medical insurance object.
[0043] S103: Verify the medical insurance object according to the information to be verified and the second object information to obtain a verification result.
[0044] After the information to be verified of the medical insurance object and the second object information associated with the first object information are collected, the medical insurance object can be verified according to the information to be verified and the second object information to obtain a verification result. For example, feature comparison can be performed on the information to be verified and the second object information to determine whether the information to be verified and the second object information are the same. If the two are determined to be the same, the verification result is determined to be a verification pass. If the two are determined to be different, the verification result is determined to be a verification failure. There is no restriction on this.
[0045] In some embodiments, in the process of verifying the medical insurance object according to the information to be verified and the second object information to obtain the verification result, the similarity analysis can be performed on the information to be verified and the second object information to obtain the similarity result value, and when the similarity result value is greater than or equal to the preset threshold, the verification result is determined to be that the medical insurance object has passed the verification, and when the similarity result value is less than the preset threshold, the verification result is determined to be that the medical insurance object has not passed the verification. In this way, the verification efficiency and verification accuracy can be effectively improved, and it is supported to accurately determine whether the collected information to be verified and the second object information belong to the same medical insurance object. When it is determined that the collected information to be verified and the second object information belong to the same medical insurance object, the subsequent medical insurance processing process is triggered, thereby greatly improving the security of the implementation of the medical insurance business.
[0046] S104: When the verification result shows that the medical insurance object has passed the verification, obtain the medical insurance business information corresponding to the medical insurance processing type.
[0047] In the above, the medical insurance object is verified according to the information to be verified and the second object information to obtain the verification result. When the verification result is that the medical insurance object has passed the verification, the medical insurance business information corresponding to the medical insurance processing type is obtained. Among them, the medical insurance business information refers to the relevant information used to implement the medical insurance business. The medical insurance business information, for example, supports the actual order content retrieved based on the order information to be queried, the medical insurance order information queried based on the business completion time to be queried, the medical insurance processing result, the order content to be paid retrieved based on the payment order information, the payment amount, the payment confirmation information, etc., and there is no restriction on this.
[0048] S105: Process the medical insurance business information according to the business processing information to obtain the medical insurance processing result.
[0049] In the above case where the verification result is that the medical insurance object has passed the verification, after obtaining the medical insurance business information corresponding to the medical insurance processing type, the business processing information can be used to process the medical insurance business information to obtain the medical insurance processing result. For example, the processing logic can be determined based on the medical insurance processing type, and the processing logic can be executed to call the business processing information to process the medical insurance business information to obtain the medical insurance processing result.
[0050] In this embodiment, by receiving a medical insurance business processing request, wherein the medical insurance business processing request includes: first object information of the medical insurance object, the medical insurance processing type and the business processing information corresponding to the medical insurance processing type, and collecting the to-be-verified information of the medical insurance object, and obtaining the second object information associated with the first object information, wherein the first object information and the second object information are respectively used to describe the medical insurance object, and the first object information and the second object information are different, the medical insurance object is verified according to the to-be-verified information and the second object information to obtain a verification result, and when the verification result is that the medical insurance object is verified, the medical insurance business information corresponding to the medical insurance processing type is obtained, and the medical insurance business information is processed according to the business processing information to obtain the medical insurance processing result. Thus, the security of the implementation of the medical insurance business is improved.
[0051] In some embodiments of the present disclosure, in the process of collecting the information to be verified of the medical insurance object, a first verification information collection request may be generated according to the first object information of the medical insurance object, and a target collection device in the electronic device may be called according to the first verification information collection request, and initial verification information of the medical insurance object may be collected based on the target collection device, and the information to be verified may be extracted from the initial verification information. Thus, while ensuring the accuracy of the information to be verified, the collection efficiency of the information to be verified can be improved.
[0052] In some embodiments of the present disclosure, in the process of collecting the information to be verified of the medical insurance object, a second verification information collection request may be generated based on the first object information of the medical insurance object, and the second verification information collection request may be sent to the cloud server, so as to call the information collection interface of the cloud server based on the second verification information collection request, collect the initial verification information of the medical insurance object based on the information collection interface, and extract the information to be verified from the initial verification information. Thus, while ensuring the accuracy of the information to be verified, the collection efficiency of the information to be verified can be improved, and the collection resource consumption of the medical insurance business information processing device can be saved, further supporting the improvement of the collection efficiency of the information to be verified.
[0053] In some embodiments of the present disclosure, in the process of extracting the information to be verified from the initial verification information, the object image information of the medical insurance object can be extracted from the initial verification information, and the object image information is input into the feature extraction model, and the object image features output by the feature extraction model are obtained, wherein the feature extraction model has modeled and learned the mapping relationship between the object image information and the object image features, and the information to be verified of the medical insurance object is identified from the object image features. Thus, by parsing the information to be verified from the collected initial verification information based on the artificial intelligence model, the accuracy of the collection of the information to be verified can be greatly improved.
[0054] Figure 2A flowchart of another medical insurance business information processing method provided in an embodiment of the present disclosure.
[0055] like Figure 2 As shown, the medical insurance business information processing method includes:
[0056] S201: Receive a medical insurance business processing request, wherein the medical insurance business processing request includes: first object information of a medical insurance object, a medical insurance processing type, and business processing information corresponding to the medical insurance processing type.
[0057] S202: Collect information to be verified of the medical insurance object, and obtain second object information associated with the first object information, wherein the first object information and the second object information are respectively used to describe the medical insurance object, and the first object information and the second object information are different.
[0058] S203: Verify the medical insurance object according to the information to be verified and the second object information to obtain a verification result.
[0059] S204: When the verification result shows that the medical insurance object has passed the verification, obtain the medical insurance business information corresponding to the medical insurance processing type.
[0060] S205: Process the medical insurance business information according to the business processing information to obtain the medical insurance processing result.
[0061] For the description of S201 - S205 , please refer to the above embodiment for details, which will not be repeated here.
[0062] S206: Dynamically monitor request characteristic information of medical insurance business processing requests.
[0063] After the medical insurance business information is processed according to the business processing information and the medical insurance processing result is obtained, it is also possible to monitor whether there are abnormalities in the medical insurance business processing request. Abnormalities include illegal logins, high-frequency unreasonable operations, etc., which are not limited.
[0064] In some embodiments, the request characteristic information of the medical insurance business processing request can be dynamically monitored. The request characteristic information is used to describe the request characteristics of the medical insurance business processing request, such as the frequency of the request, the location information of the request, the time information of the request, etc., and there is no limitation on this.
[0065] S207: Determine whether there is any abnormality in the medical insurance business processing request based on the request characteristic information, and obtain a determination result.
[0066] The above-mentioned dynamic monitoring of the request characteristic information of the medical insurance business processing request can analyze the request characteristic information based on the abnormal analysis rules to determine whether the medical insurance business processing request is abnormal and obtain the determination result. For example, the sending location of the medical insurance business processing request can be monitored to determine whether it is a remote login, or the sending frequency of the medical insurance business processing request can be monitored to determine whether it is a high-frequency sending. If it is a remote login or a high-frequency sending, it can be determined that the medical insurance business processing request is abnormal, and there is no restriction on this.
[0067] S208: When the determination result indicates that there is an abnormality in the medical insurance service processing request, interruption control information is generated, and the processing of the medical insurance service information is interrupted based on the interruption control information.
[0068] When the above determination result indicates that the medical insurance business processing request is abnormal, the interruption control information can be triggered to generate, and the processing of the medical insurance business information can be interrupted using the interruption control information. In some other embodiments, the processed part can also be rolled back based on the interruption control information to avoid the abnormal medical insurance business processing request from bringing bad influence to the medical insurance business, and there is no limitation on this.
[0069] Therefore, by generating interruption control information when the judgment result indicates that there is an abnormality in the medical insurance business processing request, and interrupting the processing of the medical insurance business information based on the interruption control information, the security of the implementation of the medical insurance business can be effectively ensured, and the processed part can also be rolled back based on the interruption control information to avoid the adverse effects of abnormal medical insurance business processing requests on the medical insurance business.
[0070] S209: Collect the information to be verified of the medical insurance object again.
[0071] When the determination result indicates that there is an abnormality in the medical insurance service processing request, the collection of the medical insurance object's information to be verified can be triggered again. The medical insurance object's information to be verified collected again can be used to re-verify the identity of the medical insurance object.
[0072] S210: Re-verify the medical insurance object according to the information to be verified and the second object information, until the verification result of the re-verification is that the medical insurance object has passed the verification, and generate trigger control information.
[0073] After collecting the information to be verified of the medical insurance object, the medical insurance object can be verified again based on the information to be verified and the second object information. The verification process can refer to the above description and will not be repeated here.
[0074] S211: Triggering the processing of medical insurance business information based on the trigger control information.
[0075] That is to say, if the result of the re-verification is that the medical insurance object verification is passed, trigger control information is generated, and the trigger control information is used to trigger the processing of medical insurance business information. The processing of the medical insurance business information can be to continue to trigger the processing of the medical insurance business information after the interruption control information interrupts the processing of the medical insurance business information, or it can be a process of re-acquiring the medical insurance business information corresponding to the medical insurance processing type and re-processing the re-acquired medical insurance business information according to the business processing information. There is no restriction on this.
[0076] In this embodiment, by receiving a medical insurance business processing request, wherein the medical insurance business processing request includes: first object information of the medical insurance object, the medical insurance processing type and the business processing information corresponding to the medical insurance processing type, and collecting the to-be-verified information of the medical insurance object, and obtaining the second object information associated with the first object information, wherein the first object information and the second object information are respectively used to describe the medical insurance object, and the first object information and the second object information are different, the medical insurance object is verified according to the to-be-verified information and the second object information to obtain a verification result, and when the verification result is that the medical insurance object is verified, the medical insurance business information corresponding to the medical insurance processing type is obtained, and the medical insurance business information is processed according to the business processing information to obtain the medical insurance processing result. Thus, the security of the implementation of the medical insurance business is improved. By generating interrupt control information when the judgment result indicates that the medical insurance business processing request is abnormal, and interrupting the processing of the medical insurance business information based on the interrupt control information, the security of the implementation of the medical insurance business can be effectively ensured, and the processed part can also be rolled back based on the interrupt control information to avoid the abnormal medical insurance business processing request from bringing bad influence to the medical insurance business. In addition, when the judgment result indicates that there is an abnormality in the medical insurance business processing request, the information to be verified of the medical insurance object is collected again, and the medical insurance object is re-verified based on the information to be verified and the second object information until the verification result of the re-verification is that the medical insurance object has passed the verification, and trigger control information is generated, and the processing of the medical insurance business information is triggered based on the trigger control information. This can ensure the security of medical insurance business processing to the greatest extent while ensuring that the medical insurance business can be implemented continuously and correctly, thereby effectively improving the user experience of the medical insurance object.
[0077] The examples of the embodiments of the present disclosure are as follows: the verification of medical insurance business operations can be achieved through the identification technology of information to be verified, effectively preventing the fraudulent use of medical insurance cards. Risk monitoring can also be performed in real time. For example, the system can monitor the business operation behavior of medical insurance subjects in real time, and trigger early warnings in time when abnormal operations are found, thereby improving the security of the system. It can also provide a convenient user experience. Medical insurance subjects only need to register verification information (an optional example of the second object information) once, and then they can collect the information to be verified to support rapid completion of identity verification without having to remember complex passwords or frequently receive SMS verification.
[0078] The medical insurance business processing system may include the following modules (taking medical insurance subjects as users as an example):
[0079] 1. Registration module for information to be verified: When users make an appointment through the official account applet, they can register information to be verified. The system collects the user's initial verification information, extracts the object image features, and stores the object image features in the database. The extracted user's object image features are bound to the user's first object information.
[0080] 2. Authentication module for information to be verified: When the user performs online medical insurance business operations, the system prompts the user to authenticate the information to be verified. The user collects the information to be verified through a mobile phone or other device and uploads it to the system. The system extracts features from the uploaded information to be verified and compares it with the object image features stored in the database. If the comparison is successful, the authentication is passed and the user can continue to perform medical insurance operations. If the comparison fails, the authentication fails and the system can reject the user's medical insurance business operation request (an optional example of a medical insurance business processing request).
[0081] 3. Risk monitoring module: The system monitors the user's medical insurance business operations in real time. If any abnormal operation is found (such as multiple login attempts in a short period of time, login from an abnormal location, etc.), a risk warning will be triggered, the user's medical insurance business operations will be suspended, and the user will be prompted to authenticate the information to be verified again.
[0082] The online medical insurance treatment system of the embodiment of the present disclosure can effectively prevent medical insurance fraud and improve the security of the online medical insurance treatment system. At the same time, due to the use of information recognition technology to be verified (such as face recognition technology), the system of the embodiment of the present disclosure also has the advantages of simple operation and good user experience.
[0083] like Figure 3 As shown, Figure 3 It is a schematic diagram of the medical insurance business processing flow in the embodiment of the present disclosure. The system provides medical insurance services through the hospital official account, mini-programs, web pages, etc. When the user performs online medical insurance business operations through the terminal, the system will automatically trigger the verification information authentication process. The user collects and uploads the information to be verified according to the system prompts, and can continue the operation after the system completes the verification. In addition, the system can also be connected to the database of the medical insurance department to realize real-time updating and query of medical insurance information. After the user passes the verification of the information to be verified, the user can easily query personal medical insurance information, reimbursement records, etc., to improve the efficiency of medical insurance treatment.
[0084] The method provided by the embodiment of the present disclosure is highly secure, easy to operate, and provides a good user experience, effectively preventing medical insurance fraud, improving the efficiency and security of medical insurance management, and providing more reliable support for people's health protection.
[0085] Figure 4 A schematic diagram of the structure of a medical insurance business information processing device provided in an embodiment of the present disclosure.
[0086] like Figure 4 As shown, the medical insurance business information processing device 40 includes:
[0087] The receiving module 401 is used to receive a medical insurance business processing request, wherein the medical insurance business processing request includes: first object information of a medical insurance object, a medical insurance processing type, and business processing information corresponding to the medical insurance processing type.
[0088] The collection module 402 is used to collect the information to be verified of the medical insurance object and obtain the second object information associated with the first object information, wherein the first object information and the second object information are respectively used to describe the medical insurance object, and the first object information and the second object information are different.
[0089] The verification module 403 is used to verify the medical insurance object according to the information to be verified and the second object information to obtain a verification result.
[0090] The acquisition module 404 is used to acquire the medical insurance business information corresponding to the medical insurance processing type when the verification result is that the medical insurance object has passed the verification.
[0091] The processing module 405 is used to process the medical insurance business information according to the business processing information to obtain the medical insurance processing result.
[0092] It should be noted that the aforementioned explanation of the medical insurance business information processing method is also applicable to the medical insurance business information processing device of this embodiment and will not be repeated here.
[0093] In this embodiment, by receiving a medical insurance business processing request, wherein the medical insurance business processing request includes: first object information of the medical insurance object, the medical insurance processing type and the business processing information corresponding to the medical insurance processing type, and collecting the to-be-verified information of the medical insurance object, and obtaining the second object information associated with the first object information, wherein the first object information and the second object information are respectively used to describe the medical insurance object, and the first object information and the second object information are different, the medical insurance object is verified according to the to-be-verified information and the second object information to obtain a verification result, and when the verification result is that the medical insurance object is verified, the medical insurance business information corresponding to the medical insurance processing type is obtained, and the medical insurance business information is processed according to the business processing information to obtain the medical insurance processing result. Thus, the security of the implementation of the medical insurance business is improved.
[0094] As an example, Figure 5 is a schematic diagram of the structure of an electronic device shown in an exemplary embodiment of the present disclosure, such as Figure 5As shown, the electronic device 700 may further include:
[0095] The memory 710 and the processor 720, a bus 730 connecting different components (including the memory 710 and the processor 720), the memory 710 stores a computer program, and when the processor 720 executes the program, the medical insurance business information processing method of the embodiment of the present disclosure is implemented.
[0096] Bus 730 represents one or more of several types of bus structures, including a memory bus or memory controller, a peripheral bus, an accelerated graphics port, a processor or a local bus using any of a variety of bus architectures. For example, these architectures include but are not limited to Industry Standard Architecture (ISA) bus, Micro Channel Architecture (MAC) bus, Enhanced ISA bus, Video Electronics Standards Association (VESA) local bus and Peripheral Component Interconnect (PCI) bus.
[0097] The electronic device 700 typically includes a variety of electronic device readable media. These media can be any available media that can be accessed by the electronic device 700, including volatile and non-volatile media, removable and non-removable media.
[0098] The memory 710 may also include computer system readable media in the form of volatile memory, such as random access memory (RAM) 740 and / or cache memory 750. The electronic device 700 may further include other removable / non-removable, volatile / non-volatile computer system storage media. By way of example only, the storage system 760 may be used to read and write non-removable, non-volatile magnetic media ( Figure 5 not shown, usually called a "hard drive"). Although Figure 5 Not shown, a disk drive for reading and writing to a removable non-volatile disk (e.g., a "floppy disk"), and an optical disk drive for reading and writing to a removable non-volatile optical disk (e.g., a CD-ROM, a DVD-ROM, or other optical media) may be provided. In these cases, each drive may be connected to the bus 730 via one or more data medium interfaces. The memory 710 may include at least one program product having a set (e.g., at least one) of program modules that are configured to perform the functions of the various embodiments of the present disclosure.
[0099] A program / utility 780 having a set (at least one) of program modules 770 may be stored, for example, in the memory 710, such program modules 770 including but not limited to an operating system, one or more application programs, other program modules, and program data, each of which or some combination may include an implementation of a network environment. The program modules 770 generally perform the functions and / or methods of the embodiments described in the present disclosure.
[0100] The electronic device 700 may also communicate with one or more external devices 790 (e.g., keyboard, pointing device, display 791, etc.), may also communicate with one or more devices that enable a user to interact with the electronic device 700, and / or communicate with any device that enables the electronic device 700 to communicate with one or more other computing devices (e.g., network card, modem, etc.). Such communication may be performed through an input / output (I / O) interface 792. Furthermore, the electronic device 700 may also communicate with one or more networks (e.g., local area network (LAN), wide area network (WAN) and / or public network, such as the Internet) through a network adapter 793. As shown, the network adapter 793 communicates with other modules of the electronic device 700 through a bus 730. It should be understood that, although not shown in the figure, other hardware and / or software modules may be used in conjunction with the electronic device 700, including but not limited to: microcode, device drivers, redundant processing units, external disk drive arrays, RAID systems, tape drives, and data backup storage systems.
[0101] The processor 720 executes various functional applications and data processing by running the programs stored in the memory 710 .
[0102] It should be noted that the implementation process and technical principles of the electronic device of this embodiment refer to the aforementioned explanation of the medical insurance business information processing method of the disclosed embodiment, and will not be repeated here.
[0103] In order to implement the above embodiments, the present disclosure also proposes an electronic device, including: a processor, and a memory communicatively connected to the processor; the memory stores computer-executable instructions; the processor executes the computer-executable instructions stored in the memory to implement the method provided by the above embodiments.
[0104] In order to implement the above embodiments, the present disclosure further proposes a computer-readable storage medium, in which computer-executable instructions are stored. When the computer-executable instructions are executed by a processor, they are used to implement the methods provided by the above embodiments.
[0105] In order to implement the above embodiments, the present disclosure also proposes a computer program product, including a computer program, which implements the methods provided by the above embodiments when executed by a processor.
[0106] The collection, storage, use, processing, transmission, provision and disclosure of user personal information involved in this disclosure shall comply with the relevant laws and regulations and shall not violate public order and good morals.
[0107] It should be noted that personal information from users should be collected for legitimate and reasonable purposes and should not be shared or sold outside of these legitimate uses. In addition, such collection / sharing should be carried out after receiving the user's informed consent, including but not limited to notifying the user to read the user agreement / user notice and sign the agreement / authorization including authorization of relevant user information before the user uses the function. In addition, any necessary steps should be taken to protect and safeguard access to such personal information data and ensure that others who have access to personal information data comply with its privacy policy and procedures.
[0108] The present disclosure anticipates providing implementation schemes for users to selectively block the use or access of personal information data. That is, the present disclosure anticipates providing hardware and / or software to prevent or block access to such personal information data. Once the personal information data is no longer needed, risks can be minimized by limiting data collection and deleting the data. In addition, when applicable, such personal information is de-identified to protect the privacy of the user.
[0109] In the description of the aforementioned embodiments, the description with reference to the terms "one embodiment", "some embodiments", "example", "specific example", or "some examples" etc. means that the specific features, structures, materials or characteristics described in conjunction with the embodiment or example are included in at least one embodiment or example of the present disclosure. In this specification, the schematic representations of the above terms do not necessarily refer to the same embodiment or example. Moreover, the specific features, structures, materials or characteristics described may be combined in any one or more embodiments or examples in a suitable manner. In addition, those skilled in the art may combine and combine the different embodiments or examples described in this specification and the features of the different embodiments or examples, unless they are contradictory.
[0110] In addition, the terms "first" and "second" are used for descriptive purposes only and should not be understood as indicating or implying relative importance or implicitly indicating the number of the indicated technical features. Thus, a feature defined as "first" or "second" may explicitly or implicitly include at least one of the features. In the description of the present disclosure, "plurality" means at least two, such as two, three, etc., unless otherwise clearly and specifically defined.
[0111] Any process or method description in a flowchart or otherwise described herein may be understood to represent a module, segment or portion of code that includes one or more executable instructions for implementing the steps of a custom logical function or process, and the scope of the preferred embodiments of the present disclosure includes additional implementations in which functions may not be performed in the order shown or discussed, including performing functions in a substantially simultaneous manner or in reverse order depending on the functions involved, which should be understood by technicians in the technical field to which the embodiments of the present disclosure belong.
[0112] The logic and / or steps represented in the flowchart or otherwise described herein, for example, can be considered as an ordered list of executable instructions for implementing logical functions, and can be embodied in any computer-readable medium for use by an instruction execution system, device or apparatus (such as a computer-based system, a system including a processor, or other system that can fetch instructions from an instruction execution system, device or apparatus and execute the instructions), or in combination with these instruction execution systems, devices or apparatuses. For the purpose of this specification, "computer-readable medium" can be any device that can contain, store, communicate, propagate or transmit a program for use by an instruction execution system, device or apparatus, or in combination with these instruction execution systems, devices or apparatuses. More specific examples of computer-readable media (a non-exhaustive list) include the following: an electrical connection with one or more wires (electronic device), a portable computer disk box (magnetic device), a random access memory (RAM), a read-only memory (ROM), an erasable and programmable read-only memory (EPROM or flash memory), a fiber optic device, and a portable compact disk read-only memory (CDROM). In addition, the computer-readable medium may even be paper or other suitable medium on which the program is printed, since the program may be obtained electronically, for example, by optically scanning the paper or other medium and then editing, interpreting or processing in other suitable ways if necessary, and then stored in a computer memory.
[0113] It should be understood that the various parts of the present disclosure can be implemented in hardware, software, firmware or a combination thereof. In the above-mentioned embodiments, multiple steps or methods can be implemented in software or firmware stored in a memory and executed by a suitable instruction execution system. For example, if implemented in hardware, as in another embodiment, any one of the following technologies known in the art or a combination thereof can be used to implement: a discrete logic circuit having a logic gate circuit for implementing a logic function for a data signal, a dedicated integrated circuit having a suitable combination of logic gate circuits, a programmable gate array (PGA), a field programmable gate array (FPGA), etc.
[0114] A person skilled in the art may understand that all or part of the steps in the method for implementing the above-mentioned embodiment may be completed by instructing related hardware through a program, and the program may be stored in a computer-readable storage medium, which, when executed, includes one or a combination of the steps of the method embodiment.
[0115] In addition, each functional unit in each embodiment of the present disclosure may be integrated into a processing module, or each unit may exist physically separately, or two or more units may be integrated into one module. The above-mentioned integrated module may be implemented in the form of hardware or in the form of a software functional module. If the integrated module is implemented in the form of a software functional module and sold or used as an independent product, it may also be stored in a computer-readable storage medium.
[0116] The storage medium mentioned above may be a read-only memory, a disk or an optical disk, etc. Although the embodiments of the present disclosure have been shown and described above, it can be understood that the above embodiments are exemplary and cannot be understood as limitations of the present disclosure. A person of ordinary skill in the art may change, modify, replace and modify the above embodiments within the scope of the present disclosure.
Claims
1. A method for processing medical insurance business information, characterized in that: The method comprises the following steps: receiving a medical insurance business processing request, wherein the medical insurance business processing request includes: first object information of a medical insurance object, a medical insurance processing type, and business processing information corresponding to the medical insurance processing type; Collecting the to-be-verified information of the medical insurance object, and acquiring second object information associated with the first object information, wherein the first object information and the second object information are respectively used to describe the medical insurance object, and the first object information and the second object information are different; Verify the medical insurance object according to the information to be verified and the second object information to obtain a verification result; When the verification result is that the medical insurance object has passed the verification, obtaining medical insurance business information corresponding to the medical insurance processing type; and The medical insurance business information is processed according to the business processing information to obtain a medical insurance processing result.
2. The method according to claim 1, characterized in that The collecting of the to-be-verified information of the medical insurance object includes: Generate a first verification information collection request according to the first object information of the medical insurance object; Invoking a target acquisition device in the electronic device according to the first verification information acquisition request, and acquiring initial verification information of the medical insurance object based on the target acquisition device; and The information to be verified is extracted from the initial verification information.
3. The method according to claim 1, characterized in that: The collecting of the to-be-verified information of the medical insurance object includes: Generate a second verification information collection request according to the first object information of the medical insurance object; Sending the second verification information collection request to the cloud server, calling the information collection interface of the cloud server based on the second verification information collection request, and collecting the initial verification information of the medical insurance object based on the information collection interface; The information to be verified is extracted from the initial verification information.
4. The method according to any one of claims 2 to 3, characterized in that: The extracting the information to be verified from the initial verification information includes: Extracting the object image information of the medical insurance object from the initial verification information; Inputting the object image information into a feature extraction model, and obtaining the object image features output by the feature extraction model, wherein the feature extraction model has modeled and learned the mapping relationship between the object image information and the object image features; The information to be verified of the medical insurance object is identified from the object image features.
5. The method according to claim 1, characterized in that The verifying the medical insurance object according to the information to be verified and the second object information to obtain a verification result includes: Performing a similarity analysis on the information to be verified and the second object information to obtain a similarity result value; When the similarity result value is greater than or equal to a preset threshold, determining that the verification result is that the medical insurance object has passed the verification; When the similarity result value is less than the preset threshold, it is determined that the verification result is that the medical insurance object has not passed the verification.
6. The method according to claim 1, characterized in that The method further comprises: Dynamically monitor the request characteristic information of the medical insurance business processing request; Determine whether the medical insurance business processing request is abnormal according to the request characteristic information, and obtain a determination result; When the determination result indicates that there is an abnormality in the medical insurance service processing request, interruption control information is generated, and the processing of the medical insurance service information is interrupted based on the interruption control information.
7. The method according to claim 6, characterized in that The method further comprises: If the determination result indicates that the medical insurance service processing request is abnormal, collecting the to-be-verified information of the medical insurance object again; Re-verifying the medical insurance object according to the information to be verified and the second object information, until the verification result of the re-verification is that the medical insurance object has passed the verification, and generating trigger control information; The processing of the medical insurance business information is triggered based on the trigger control information.
8. The method according to claim 1, characterized in that: The method further comprises: Collecting the first object information and the second object information of the medical insurance object; Generate an association relationship between the first object information and the second object information of the medical insurance object; The first object information, the second object information and the association relationship of the medical insurance object are saved.
9. The method according to claim 1, characterized in that: The medical insurance treatment type includes at least one of the following: The first type, wherein the first type is used to query the medical insurance business information; The second type, wherein the second type is used for payment based on the medical insurance business information; The third type, wherein the third type is used to query payment results.
10. A medical insurance business information processing device, characterized in that: The device comprises: A receiving module, configured to receive a medical insurance service processing request, wherein the medical insurance service processing request includes: first object information of a medical insurance object, a medical insurance processing type, and service processing information corresponding to the medical insurance processing type; a collection module, used to collect the to-be-verified information of the medical insurance object, and obtain second object information associated with the first object information, wherein the first object information and the second object information are respectively used to describe the medical insurance object, and the first object information and the second object information are different; A verification module, used to verify the medical insurance object according to the information to be verified and the second object information, and obtain a verification result; an acquisition module, configured to acquire medical insurance business information corresponding to the medical insurance processing type when the verification result is that the medical insurance object has passed the verification; and A processing module is used to process the medical insurance business information according to the business processing information to obtain a medical insurance processing result.
11. An electronic device, characterized in that: include: A processor, and a memory communicatively connected to the processor; The memory stores computer-executable instructions; The processor executes the computer-executable instructions stored in the memory to implement the method according to any one of claims 1 to 9.
12. A computer-readable storage medium, characterized in that: The computer-readable storage medium stores computer-executable instructions, which are used to implement the method according to any one of claims 1 to 9 when executed by a processor.
13. A computer program product, characterized in that The invention comprises a computer program, which implements the method according to any one of claims 1 to 9 when being executed by a processor.