Multi-agent platform insurance excess drug quantity identification system and recording device

By designing the insurance overdose identification system of multi-intelligent platform, and automatically collecting and comparing drug use information, the problem of low drug reimbursement audit efficiency in the insurance industry has been solved, rapid and accurate audits have been achieved, and work efficiency and quality have been improved.

CN119558987APending Publication Date: 2025-03-04YINSHUOJU (SHANGHAI) INTELLIGENT TECH CO LTD
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Patent Information

Application Number
CN202411617655.3
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2024-11-13
Publication Date
2025-03-04

AI Technical Summary

Technical Problem

In the insurance industry, the review efficiency of drug reimbursement is low and the audit work is strong, mainly due to the reliance on manual review.

Method used

Design a multi-intelligent platform insurance overdose identification system and entry device, including user management module, information entry module, system analysis module, system maintenance and update module and report generation module. Through automated collection and comparison of drug use information, prescription information and drug purchase records, drug matching, timeline verification, dose and cycle analysis, and risk identification and evaluation.

Benefits of technology

It achieves rapid and accurate drug reimbursement audits, improves audit efficiency and quality, and reduces the intensity of audit work.

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Abstract

The invention discloses a multi-agent platform insurance excess dose recognition system and input device, and the system comprises an excess dose recognition system which comprises a user management module, an information input module, a system analysis module, a system maintenance and updating module, and a report generation module. The user management module creates personal archives of users for clients, collects age, gender, weight, height and health conditions, and facilitates subsequent systematic comparison. The system comprises a user management module, an information input module, a system analysis module, a system maintenance and update module and a report generation module, multiple agents of the system work cooperatively, and rapid auditing of medicine excess amount recognition can be achieved, so that the working efficiency and the working quality are improved.
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Description

Technical Field

[0001] The present invention relates to the technical field of nutrition management systems, and more specifically to an insurance overdose recognition system and an input device for a multi-agent platform. Background Art

[0002] In the insurance industry, drug reimbursement is an important link, which aims to provide financial support for customers' medical expenses. Drug reimbursement refers to the insurance company's partial or full financial compensation for the cost of drugs purchased and used by customers for disease treatment according to the insurance contract. This process usually involves customers submitting medication records, prescription information and purchase receipts, and the insurance company conducts review and reimbursement.

[0003] In the insurance industry, drug reimbursement for users is mostly done manually, which is inefficient and labor-intensive. Therefore, a new technical solution is needed to solve this problem. Summary of the invention

[0004] The purpose of the present invention is to provide an insurance overdose identification system and input device for a multi-agent platform, which solves the problem that drug reimbursement for users in the insurance industry is mostly carried out by manual review, which has low review efficiency and high review work intensity.

[0005] To achieve the above-mentioned purpose, the present invention provides the following technical solutions: an insurance overdose identification system and an input device of a multi-agent platform, comprising: an overdose identification system, wherein the overdose identification system comprises a user management module, an information input module, a system analysis module, a system maintenance and update module, and a report generation module, wherein the user management module creates a user's personal profile for the customer, collects information including age, gender, weight, height, and health status, and facilitates subsequent system comparison;

[0006] The information entry module includes user medication information, doctor prescription information and drug purchase records. The user medication information needs to collect drug name, medication time, medication dosage and medication frequency. The doctor prescription information needs to collect prescription number, issue date, drug list and will. The drug purchase record needs to collect purchase time, purchase quantity and purchase channel. The collection of various information facilitates system comparison to improve the accuracy of auditing.

[0007] The system analysis module includes a data integration and cleaning module, a matching and verification module, a dosage and cycle analysis module, and a risk identification and assessment module;

[0008] The matching and verification module includes drug matching and timeline verification. The drug matching matches the drug name in the medication record with the drug in the prescription information and purchase record to ensure the consistency of drug information. The timeline verification checks whether the medication time, prescription time and drug purchase time are logical, such as the medication time should be after the prescription is issued, and the drug purchase time should be before medication;

[0009] The dosage and cycle analysis module includes drug dosage comparison and medication cycle comparison. The dosage comparison compares the dosage in the medication record with the dosage recommended in the prescription to check whether there is overdose. The medication cycle comparison analyzes the duration and interval of medication to determine whether it meets the medication cycle requirements in the prescription.

[0010] The risk identification and assessment module includes risk assessment and overdose identification. The risk assessment further evaluates the identified overdose to discover the potential risk level and the health problems and medical expenses that may be caused. The overdose identification compares the medication cycle and dosage to determine whether there is an overdose or stockpiling problem within the cycle.

[0011] As a preferred embodiment of the present invention, the data integration and cleaning module will first automatically integrate the medication records, prescription information and purchase records manually entered by customers, imported from the doctor's prescription system, and obtained from the drug purchase record system, and clean the integrated data to remove duplicate, erroneous or invalid data entries to ensure that the data basis for analysis is accurate and reliable.

[0012] As a preferred implementation of the present invention, the report generation module generates a detailed report for the identified user who has exceeded the medication dosage, and takes corresponding processing measures according to the content of the report.

[0013] As a preferred implementation mode of the present invention, the system maintenance and update module regularly checks the system operation status to ensure the accuracy and integrity of the data, and maintains and upgrades the system according to business needs and technical updates.

[0014] As a preferred embodiment of the present invention, it includes: an input device, a scanning plate is arranged inside the input device and a plug hole is arranged on the side, a control button is arranged on the surface of the input device, a cover is arranged on the surface of the input device and the cover is rotatably connected to the input device, the cover covers the surface of the scanning plate, a printer is arranged on the side of the input device and the printer and the input device are electrically connected, and an outlet and a paper tray are arranged on the side of the printer.

[0015] As a preferred embodiment of the present invention, a storage slot is disposed on the top of the printer and a processing device is disposed inside the storage slot, and the processing device is rotatably connected to the storage slot.

[0016] As a preferred embodiment of the present invention, a card block is provided on the side of the cover plate and a card slot is provided on the surface of the recording device, and the card block and the card slot are embedded in each other.

[0017] Compared with the prior art, the present invention has the following beneficial effects:

[0018] The overdose identification system of the present invention includes a user management module, an information entry module, a system analysis module, a system maintenance and update module and a report generation module, wherein the user management module creates a user's personal profile for the customer, and collects information including age, gender, weight, height, and health status to facilitate subsequent system comparison; the information entry module includes user medication information, doctor prescription information and drug purchase records, wherein the user medication information needs to collect the drug name, medication time, medication dosage and medication frequency; the doctor prescription information needs to collect the prescription number, issuance date, drug list and will; the drug purchase record needs to collect the purchase time, purchase quantity and purchase channel; the collection of various information facilitates the comparison of the system to improve the audit accuracy; the system analysis module includes a data integration and cleaning module, a matching and verification module, a dosage and cycle analysis module and a risk identification and assessment module; the matching and verification module includes drug matching and timeline verification; the drug matching matches the drug name in the medication record with the prescription information and the drug in the purchase record to ensure the consistency of the drug information; the time Online verification checks whether the medication time, prescription time and drug purchase time are logical, such as the medication time should be after the prescription is issued, and the drug purchase time should be before the medication. The dosage and cycle analysis module includes drug dosage comparison and medication cycle comparison. The dosage comparison compares the dosage in the medication record with the dosage recommended in the prescription to check whether there is any overdose. The medication cycle comparison analyzes the duration and interval of medication to determine whether it meets the medication cycle requirements in the prescription. The risk identification and assessment module includes risk assessment and overdose identification. The risk assessment further evaluates the identified overdose to discover the potential risk level and the health problems and medical expenses that may be caused. Overdose identification determines whether there is an overdose or hoarding problem within the cycle based on the medication cycle and dosage comparison. The report generation module generates a detailed report for the identified overdose users and takes corresponding treatment measures based on the report content. The multi-agents of the system work together to achieve rapid review of overdose identification to improve work efficiency and work quality. BRIEF DESCRIPTION OF THE DRAWINGS

[0019] Figure 1It is a schematic diagram of the process flow of the overdose identification system of the present invention;

[0020] Figure 2 This is a flow chart of the information input module of the present invention;

[0021] Figure 3 This is a schematic diagram of the system analysis module flow of the present invention;

[0022] Figure 4 It is a schematic diagram of the structure of the data entry device of the present invention.

[0023] In the figure: 1. Entry device; 2. Cover plate; 3. Card block; 4. Card slot; 5. Plug hole; 6. Control button; 7. Printer; 8. Processing device; 9. Storage slot; 10. Exit; 11. Paper tray. DETAILED DESCRIPTION

[0024] 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.

[0025] See also Figure 1-4 , the present invention provides a technical solution: an insurance overdose identification system and input device of a multi-agent platform, including: an overdose identification system, the overdose identification system includes a user management module, an information input module, a system analysis module, a system maintenance and update module and a report generation module, the user management module creates a user's personal profile for the customer, collects information including age, gender, weight, height, and health status, and facilitates subsequent system comparison;

[0026] The information entry module includes user medication information, doctor prescription information and drug purchase records. The user medication information needs to collect drug name, medication time, medication dosage and medication frequency. The doctor prescription information needs to collect prescription number, issue date, drug list and will. The drug purchase record needs to collect purchase time, purchase quantity and purchase channel. The collection of various information facilitates system comparison to improve the accuracy of auditing.

[0027] The system analysis module includes a data integration and cleaning module, a matching and verification module, a dosage and cycle analysis module, and a risk identification and assessment module;

[0028] The matching and verification module includes drug matching and timeline verification. The drug matching matches the drug name in the medication record with the drug in the prescription information and purchase record to ensure the consistency of drug information. The timeline verification checks whether the medication time, prescription time and drug purchase time are logical, such as the medication time should be after the prescription is issued, and the drug purchase time should be before medication;

[0029] The dosage and cycle analysis module includes drug dosage comparison and medication cycle comparison. The dosage comparison compares the dosage in the medication record with the dosage recommended in the prescription to check whether there is overdose. The medication cycle comparison analyzes the duration and interval of medication to determine whether it meets the medication cycle requirements in the prescription.

[0030] The risk identification and assessment module includes risk assessment and overdose identification. The risk assessment further evaluates the identified overdose to discover the potential risk level and the health problems and medical expenses that may be caused. The overdose identification compares the medication cycle and dosage to determine whether there is an overdose or stockpiling problem within the cycle.

[0031] Further improvements, such as Figure 3 As shown: the data integration and cleaning module will first automatically integrate the medication records, prescription information and purchase records obtained from the customer's manual entry, the doctor's prescription system import, and the drug purchase record system, and clean the integrated data to remove duplicate, erroneous or invalid data entries to ensure that the data basis for analysis is accurate and reliable.

[0032] Further improvements, such as Figure 1 As shown: the report generation module generates a detailed report for the identified user who exceeds the medication dosage, and takes corresponding processing measures according to the report content.

[0033] Further improvements, such as Figure 1 As shown: The system maintenance and update module regularly checks the system operation status to ensure the accuracy and completeness of the data, and maintains and upgrades the system according to business needs and technical updates.

[0034] Further improvements, such as Figure 4As shown: it includes: an input device 1, a scanning plate is arranged inside the input device 1 and a plug hole 5 is arranged on the side, a control button 6 is arranged on the surface of the input device 1, a cover plate 2 is arranged on the surface of the input device 1 and the cover plate 2 is rotatably connected to the input device 1, the cover plate 2 covers the surface of the scanning plate, a printer 7 is arranged on the side of the input device 1 and the printer 7 is electrically connected to the input device 1, an outlet 10 and a paper tray 11 are arranged on the side of the printer 7, a paper document to be input is placed on the surface of the scanning plate and covered with the cover plate 2, and it is scanned, the scanned information can be information such as a medicine box, a doctor's prescription, a purchase receipt, etc., the scanned document is transmitted to the processing device 8, it is identified and reviewed by the overdose recognition system in the processing device 8, and a report is printed by the printer 7.

[0035] Further improvements, such as Figure 4 As shown: a storage slot 9 is provided on the top of the printer 7 and a processing device 8 is provided inside the storage slot 9. The processing device 8 is rotatably connected to the storage slot 9. This arrangement facilitates the storage of the processing device 8 and ensures safety when not in use.

[0036] Further improvements, such as Figure 4 As shown: a card block 3 is provided on the side of the cover plate 2 and a card slot 4 is provided on the surface of the recording device 1 , and the card block 3 and the card slot 4 are interlocked with each other. This arrangement ensures the stability of the cover plate 2 .

[0037] Working principle: The overdose identification system includes user management module, information entry module, system analysis module, system maintenance and update module and report generation module. The user management module creates a personal profile for the customer and collects information including age, gender, weight, height and health status to facilitate subsequent system comparison. The information entry module includes user medication information, doctor prescription information and drug purchase records. User medication information needs to collect drug name, medication time, medication dosage and medication frequency. Doctor prescription information needs to collect prescription number, issuance date, drug list and will. Drug purchase records need to collect purchase time, purchase quantity and purchase channel. The collection of various information facilitates system comparison to improve the accuracy of audit. The system analysis module includes data integration and cleaning module, matching and verification module, dosage and cycle analysis module and risk identification and assessment module. The matching and verification module includes drug matching and timeline verification. Drug matching matches the drug name in the medication record with the prescription information and the drug in the purchase record to ensure the consistency of drug information. Online verification checks whether the medication time, prescription time and drug purchase time are logical, such as the medication time should be after the prescription is issued, and the drug purchase time should be before the medication. The dosage and cycle analysis module includes drug dosage comparison and medication cycle comparison. The dosage comparison compares the dosage in the medication record with the dosage recommended in the prescription to check whether there is any overdose. The medication cycle comparison analyzes the duration and interval of medication to determine whether it meets the medication cycle requirements in the prescription. The risk identification and assessment module includes risk assessment and overdose identification. The risk assessment further evaluates the identified overdose to discover the potential risk level and the health problems and medical expenses that may be caused. Overdose identification determines whether there is an overdose or hoarding problem within the cycle based on the medication cycle and dosage comparison. The report generation module generates a detailed report for the identified overdose users and takes corresponding treatment measures based on the report content. The multi-agents of the system work together to achieve rapid review of overdose identification to improve work efficiency and work quality.

[0038] The above shows and describes the basic principles and main features of the present invention and the advantages of the present invention. It is obvious to those skilled in the art that the present invention is not limited to the details of the above exemplary embodiments, and the present invention can be implemented in other specific forms without departing from the spirit or basic features of the present invention. Therefore, no matter from which point of view, the embodiments should be regarded as exemplary and non-restrictive. The scope of the present invention is defined by the attached claims rather than the above description, and it is intended that all changes falling within the meaning and scope of the equivalent elements of the claims are included in the present invention. Any figure mark in the claims should not be regarded as limiting the claims involved.

[0039] Finally, a few points should be explained: First, in the description of this application, it should be noted that, unless otherwise specified and limited, the terms "installed", "connected", and "connected" should be understood in a broad sense, and can be mechanical or electrical connections, or internal connectivity between two components, or direct connections. "Up", "down", "left", "right", etc. are only used to indicate relative position relationships. When the absolute position of the object being described changes, the relative position relationship may change.

[0040] Finally, it should be noted that the above description is only a preferred embodiment of the present invention and is not intended to limit the present invention. Although the present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art can still modify the technical solutions described in the aforementioned embodiments or replace some of the technical features therein by equivalents. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention shall be included in the protection scope of the present invention.

Claims

1. A multi-agent platform insurance overdose identification system, characterized by: include: An overdose identification system, which includes a user management module, an information entry module, a system analysis module, a system maintenance and update module, and a report generation module. The user management module creates a user's personal profile for the customer, and collects information including age, gender, weight, height, and health status to facilitate subsequent system comparison; The information entry module includes user medication information, doctor prescription information and drug purchase records. The user medication information needs to collect drug name, medication time, medication dosage and medication frequency. The doctor prescription information needs to collect prescription number, issue date, drug list and will. The drug purchase record needs to collect purchase time, purchase quantity and purchase channel. The collection of various information facilitates system comparison to improve the accuracy of auditing. The system analysis module includes a data integration and cleaning module, a matching and verification module, a dosage and cycle analysis module, and a risk identification and assessment module; The matching and verification module includes drug matching and timeline verification. The drug matching matches the drug name in the medication record with the drug in the prescription information and purchase record to ensure the consistency of drug information. The timeline verification checks whether the medication time, prescription time and drug purchase time are logical, such as the medication time should be after the prescription is issued, and the drug purchase time should be before medication; The dosage and cycle analysis module includes drug dosage comparison and medication cycle comparison. The dosage comparison compares the dosage in the medication record with the dosage recommended in the prescription to check whether there is overdose. The medication cycle comparison analyzes the duration and interval of medication to determine whether it meets the medication cycle requirements in the prescription. The risk identification and assessment module includes risk assessment and overdose identification. The risk assessment further evaluates the identified overdose to discover the potential risk level and the health problems and medical expenses that may be caused. The overdose identification compares the medication cycle and dosage to determine whether there is an overdose or stockpiling problem within the cycle.

2. The multi-agent platform insurance overdose identification system according to claim 1, characterized in that: The data integration and cleaning module will first automatically integrate medication records, prescription information and purchase records manually entered by customers, imported from the doctor's prescription system, and obtained from the drug purchase record system, and then clean the integrated data to remove duplicate, erroneous or invalid data entries to ensure that the data basis for analysis is accurate and reliable.

3. The multi-agent platform insurance overdose identification system according to claim 1, characterized in that: The report generation module generates a detailed report for the identified user who has exceeded the medication dosage, and takes corresponding treatment measures according to the report content.

4. The multi-agent platform insurance overdose identification system according to claim 1, characterized in that: The system maintenance and update module regularly checks the system operation status to ensure the accuracy and completeness of the data, and maintains and upgrades the system according to business needs and technical updates.

5. The input device of the insurance excess drug dosage identification system of a multi-agent platform according to claim 1 is characterized in that: include: An input device (1), wherein a scanning plate is arranged inside the input device (1) and a plug hole (5) is arranged on the side thereof, a control button (6) is arranged on the surface of the input device (1), a cover plate (2) is arranged on the surface of the input device (1) and the cover plate (2) and the input device (1) are rotatably connected, the cover plate (2) covers the surface of the scanning plate, a printer (7) is arranged on the side of the input device (1) and the printer (7) and the input device (1) are electrically connected, and an outlet (10) and a paper tray (11) are arranged on the side of the printer (7).

6. The input device of the insurance excess drug dosage identification system of a multi-agent platform according to claim 5, characterized in that: The top of the printer (7) is provided with a storage slot (9), and a processing device (8) is provided inside the storage slot (9), and the processing device (8) is rotatably connected to the storage slot (9).

7. The input device of the insurance excess drug dosage recognition system of a multi-agent platform according to claim 5 is characterized in that: A card block (3) is provided on the side of the cover plate (2) and a card slot (4) is provided on the surface of the recording device (1), and the card block (3) and the card slot (4) are interlocked.

Citation Information

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