Health service business online settlement processing method and device and related equipment

By setting up a preset settlement middle platform in the health service business line, automatically processing health service business performance data and supplier requests, the problems of low settlement efficiency and high financial risks in traditional technologies are solved, and a more efficient and safe settlement process is achieved.

CN119648212APending Publication Date: 2025-03-18KANG JIAN INFORMATION TECH (SHENZHEN) CO LTD
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Patent Information

Application Number
CN202411554195.4
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2024-10-31
Publication Date
2025-03-18

AI Technical Summary

Technical Problem

In traditional technology, the settlement efficiency of the health service business line is low, with settlement confusion and high financial risks.

Method used

By setting up a preset settlement middle platform, you can receive health service business performance data from the health service business parties, respond to supplier’s request, obtain settlement batches and settlement lists, automatically match purchase prices, generate settlement result data, and make payments based on the payment system.

Benefits of technology

The settlement efficiency of the health service business line has been improved, and through online digital centralized processing, it effectively constrains and regulates settlement data, reducing the risk of fraud and default and improving financial security.

✦ Generated by Eureka AI based on patent content.

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Abstract

The invention belongs to the technical field of digital medical treatment, provides a health service business online settlement processing method and device and related equipment, and aims to solve the problem of low settlement efficiency of a health service business line in the prior art. The method comprises the following steps: receiving synchronized health service business performance data of a preset health service business party, responding to a payment request of a preset supplier, obtaining a settlement batch corresponding to the payment request and a settlement list corresponding to the payment request, and automatically matching a purchase price corresponding to the settlement list according to the settlement list and the health service business performance data, according to the method and the system, the health service business lines are purchased, automatic settlement is carried out according to the purchase price, then payment is carried out, and corresponding settlement is completed, so that the settlement efficiency of the health service business lines can be improved, and due to the fact that settlement processing of all the health service business lines adopts online digital centralized processing, related data related to settlement can be effectively constrained and supervised. The financial security of settlement can be improved.
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Description

Technical Field

[0001] The present application relates to the field of digital medical technology, and in particular to a method, device, computer equipment and computer-readable storage medium for online settlement processing of health service business. Background Art

[0002] Ping An Health is a health service platform. Ping An Health's business lines involve but are not limited to health service providers (hereinafter referred to as suppliers), the platform's own business parties (hereinafter referred to as business parties), and users (i.e. customers). Among them, suppliers are the party that provides health services, business parties are the business departments of the platform itself that expand suppliers or users, and users are users who use health services. Suppliers and users establish health service connections through business parties, and business parties are equivalent to bridges or intermediaries between suppliers and users. For example, in the dental cleaning service business line, the party that provides dental cleaning services is the supplier, including but not limited to hospitals and dental clinics, and the party that enjoys dental cleaning services is the user party, which includes but is not limited to individuals, groups, and units containing several employees. The business party is the middle party between the supplier and the user party that has expanded the dental cleaning service association.

[0003] Ping An Health provides a variety of health services to corporate employees, C-end users and other users. There are many types of health services, including but not limited to dental cleaning services and physical examination services. As a health service platform, Ping An Health connects suppliers and users and needs to regularly settle accounts with suppliers of different health service business lines.

[0004] In traditional technology, in the business scenario where Ping An Health settles with suppliers of different health service business lines, due to the business characteristics of different health service business lines, which include but are not limited to different health service business lines being managed by different departments and having different business processing procedures, Ping An Health generally adopts the following two methods to settle with suppliers of different health service business lines: 1) The business systems corresponding to each health service business line build their own settlement systems and connect with the group's financial intelligence cloud system respectively; 2) Due to the complicated connection of the settlement systems corresponding to each business system, the relevant business personnel simply go through the full offline process, that is, when the supplier settles, the relevant information is mailed to the business personnel, and the business team corresponding to the business personnel conducts manual offline reconciliation. After the reconciliation is completed, the invoices and other documents required for settlement are manually uploaded to the financial intelligence cloud system. After the financial intelligence cloud approves it, the corresponding financial service department will pay the supplier.

[0005] Based on the above, when Ping An Health settles accounts with suppliers, there is settlement confusion and low efficiency among different health service business lines, as well as high financial risks.

[0006] Therefore, how to efficiently carry out settlement of the health service business line has become a technical problem that Ping An Health’s corresponding digital healthcare needs to solve urgently. Summary of the invention

[0007] The present application provides a method, apparatus, computer device and computer-readable storage medium for processing online settlement of a health service business, which can solve the technical problem of low settlement efficiency of the health service business line in traditional technology based on digital medical technology.

[0008] In the first aspect, the present application provides an online settlement processing method for a health service business, including: based on a preset settlement middle station, receiving the health service business performance data synchronized by the preset health service business system end corresponding to the preset health service business party, and storing the health service business performance data; responding to the payment request initiated by the preset supplier system end corresponding to the preset supplier, obtaining the settlement batch corresponding to the payment request and its corresponding settlement list; matching the purchase price corresponding to the settlement list according to the settlement list and the health service business performance data; generating the settlement result data corresponding to the settlement batch according to the settlement list, the health service business performance data and the purchase price; and paying the settlement batch according to the settlement result data and based on the preset payment system.

[0009] In the second aspect, the present application provides an online settlement processing device for health service business, including: a first receiving unit, which is used to receive the health service business performance data synchronized by the preset health service business system end corresponding to the preset health service business party based on the preset settlement middle station, and store the health service business performance data; a first acquisition unit, which is used to respond to the payment request initiated by the preset supplier system end corresponding to the preset supplier, and obtain the settlement batch corresponding to the payment request and its corresponding settlement list; a matching unit, which is used to match the purchase price corresponding to the settlement list according to the settlement list and the health service business performance data; a generation unit, which is used to generate the settlement result data corresponding to the settlement batch according to the settlement list, the health service business performance data and the purchase price; a settlement unit, which is used to pay the settlement batch according to the settlement result data and based on the preset payment system.

[0010] In a third aspect, the present application provides a computer device comprising a memory and a processor, wherein the memory stores a computer program, and the processor implements the steps of the health service business online settlement processing method when executing the computer program.

[0011] In a fourth aspect, the present application provides a computer-readable storage medium, wherein the computer-readable storage medium stores a computer program, and when the computer program is executed by a processor, the processor executes the steps of the health service business online settlement processing method.

[0012] The present application provides a method, device, computer equipment and computer-readable storage medium for online settlement processing of health service business. The method receives synchronized health service business performance data of preset health service business parties based on a preset settlement middle station, responds to the payment request of the preset supplier, obtains the settlement batch corresponding to the payment request and the corresponding settlement list, and automatically matches the purchase price corresponding to the settlement list according to the settlement list and the health service business performance data, and then automatically settles according to the purchase price, and then pays the money to complete the corresponding settlement. Thus, by setting up a preset settlement middle station, the preset supplier, the preset health service business party and the payment department for payment are connected online, and the preset settlement middle station automatically matches the corresponding correct purchase price according to the payment request of the supplier corresponding to the specific health business for many business situations involved in different health service business lines, and automatically settles and pays each supplier of each health service business line, which can not only improve the settlement efficiency of the health service business line, but also because the settlement processing of all health service business lines adopts online digital centralized processing, it can effectively constrain and supervise the relevant data involved in the settlement, thereby avoiding the fraud risk and default risk in the settlement, and improving the financial security of the settlement. BRIEF DESCRIPTION OF THE DRAWINGS

[0013] In order to more clearly illustrate the technical solutions of the embodiments of the present application, the drawings required for use in the description of the embodiments will be briefly introduced below. Obviously, the drawings described below are some embodiments of the present application. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying any creative work.

[0014] Figure 1 A flowchart of an online settlement processing method for health service business provided in an embodiment of the present application;

[0015] Figure 2 A schematic diagram of the system framework structure flow of the online settlement processing method for health service business provided in the embodiment of the present application;

[0016] Figure 3 A schematic diagram of the first sub-flow of the online settlement processing method for health service business provided in an embodiment of the present application;

[0017] Figure 4 A schematic diagram of a second sub-flow of the online settlement processing method for health service business provided in an embodiment of the present application;

[0018] Figure 5 A schematic block diagram of an online settlement processing device for health service business provided in an embodiment of the present application;

[0019] Figure 6 A schematic block diagram of a computer device provided in an embodiment of the present application. DETAILED DESCRIPTION

[0020] The following will be combined with the drawings in the embodiments of the present application to clearly and completely describe the technical solutions in the embodiments of the present application. Obviously, the described embodiments are part of the embodiments of the present application, not all of the embodiments. Based on the embodiments in the present application, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of this application.

[0021] It should be understood that when used in this specification and the appended claims, the terms "include" and "comprises" indicate the presence of described features, integers, steps, operations, elements and / or components, but do not exclude the presence or addition of one or more other features, integers, steps, operations, elements, components and / or combinations thereof.

[0022] The embodiment of the present application provides a method for online settlement processing of health service business, which can be applied to computer devices including but not limited to smart phones, tablet computers, laptop computers, desktop computers, etc., and can be used in the field of digital medicine, including but not limited to online settlement processing of health service business.

[0023] Faced with the technical problem of low settlement efficiency of health service business lines in traditional technologies, the inventors proposed an online settlement processing method for health service business of the embodiment of the present application. The core idea of ​​the embodiment of the present application is: faced with numerous health service business lines, a settlement middle platform is set up, and suppliers, business parties and payment departments that make payments are connected online through the settlement middle platform. The settlement middle platform is used to match the correct settlement data including but not limited to suppliers, performance data, performance status, settlement prices, business contracts, and contracting entities for many business situations involved in different health service business lines, and various settlement data are integrated to automatically settle each supplier of each health service business line. This not only improves the efficiency of settlement, but also because the settlement processing of all health service business lines adopts online digital centralized processing, it can effectively constrain and supervise the relevant data involved in the settlement, thereby avoiding the risk of fraud and default in the settlement, and improving the financial security of the settlement.

[0024] Some embodiments of the present application are described in detail below in conjunction with the accompanying drawings. In the absence of conflict, the following embodiments and features in the embodiments can be combined with each other.

[0025] See also Figure 1 and Figure 2 , Figure 1 A flowchart of an online settlement processing method for health service business provided in an embodiment of the present application is provided. Figure 2 This is a schematic diagram of the system framework structure flow of the online settlement processing method for health service business provided in the embodiment of the present application. Figure 1 and Figure 2 As shown, the method includes but is not limited to the following steps S11-S15:

[0026] S11. Based on the preset settlement middle platform, receive the health service business performance data synchronized by the preset health service business system end corresponding to the preset health service business party, and store the health service business performance data.

[0027] Explanatory, please continue to see Figure 2 ,like Figure 2 As shown, the system corresponding to the online settlement processing method for the health service business provided in the embodiment of the present application includes but is not limited to the preset supplier system corresponding to the preset supplier, the preset health service business system corresponding to the preset health service business party, the preset settlement middle platform, and the preset payment system, wherein the preset supplier system represents a system for the preset supplier to perform operations including but not limited to processing settlement request operations, the preset settlement middle platform represents an intermediate platform that performs corresponding processing on the settlement request of the preset supplier, the preset payment system represents a system for making payments for the settlement of the preset supplier, and the preset health service business system represents a system for the preset health service business party to perform related health service business operations, and the health service business operations include but are not limited to reviewing the payment requests of the preset supplier, uploading relevant business data such as procurement contracts, sales contracts, performance orders, contracting entities, etc. involved in the health service business, and the preset health service business parties include but are not limited to preset business personnel of the preset health service business line, preset health service business platforms, etc., which are intermediate entities that provide preset health service businesses, and the preset health service businesses include but are not limited to services provided for health, such as dentistry, physical examinations, and medical treatment.

[0028] Based on the above settings, based on the preset settlement middle station, the health service business performance data synchronized by the preset health service business system corresponding to the preset health service business party is received, and the health service business performance data is stored. The health service business performance data represents the relevant performance data generated by providing health services to users. Exemplarily, including but not limited to individual or group users, a physical examination contract is signed with the preset health service business party that provides health service business. After the user's physical examination is completed, the physical examination service performance is performed, and physical examination service performance data including but not limited to the use time, location, address or store of the physical examination service corresponding to the user's physical examination will be generated. The preset health service business party synchronizes the above physical examination service performance data to the preset settlement middle station based on the preset health service business system, and then the preset settlement middle station receives the above physical examination service performance data, and subsequently settles with the supplier of the physical examination service according to the above physical examination service performance data.

[0029] S12: respond to the payment request initiated by the preset supplier system corresponding to the preset supplier, and obtain the settlement batch corresponding to the payment request and its corresponding settlement list.

[0030] Explanatory, such as Figure 2 As shown, since health services involve downstream preset suppliers, intermediate preset health service business parties (platforms) and users who use health services, after the user has used the health service, that is, after the preset supplier has provided the health service to the user, the preset supplier has fulfilled the contract to the preset health service business party. At the same time, the preset health service business party has fulfilled the contract to the user. After the fulfillment is completed, the preset health service business party needs to settle with the preset supplier regularly as agreed.

[0031] In this case, the preset supplier initiates a payment request based on the preset supplier system mentioned above. For example, the preset supplier generates settlement batches and corresponding settlement lists based on the brands, stores, health service items and corresponding performance orders providing health services, and generates payment requests based on the settlement batches and settlement lists. Then, based on the preset supplier system, the payment request is sent to the preset health service business party, and transferred to the preset settlement middle station. The preset settlement middle station receives the payment request and obtains the settlement batch and the settlement list corresponding to the payment request.

[0032] S13. Match the purchase price corresponding to the settlement list according to the settlement list and the health service business performance data.

[0033] Explanatory, since the settlement list is a description of the fulfillment order content corresponding to the provision of health services from the perspective of the preset supplier, including but not limited to brands, stores, service items, service usage time, etc., and the health service business fulfillment data is a description from the perspective of the preset health service business party that provides health services to users, including but not limited to supplier information, user information, service information, etc., which supports the settlement center to match the fulfillment order content required for the settlement price, therefore, the settlement list and the health service business performance data contain common fulfillment order information including but not limited to the preset fulfillment order identifier, therefore, there is a corresponding association relationship between the settlement batch of the same preset health service and the health service business performance data based on the common fulfillment order, and the above-mentioned relationship The association relationship includes but is not limited to the preset fulfillment order identification. Then the preset settlement middle platform determines the target service fulfillment order corresponding to the settlement list based on the settlement list, from the fulfillment order data containing many preset health service business lines and their corresponding fulfillment orders. The target service fulfillment order will contain fulfillment data under different fulfillment situations, such as but not limited to forward fulfillment data and reverse fulfillment data. Then, based on the target service fulfillment order, the purchase contract corresponding to the health service business is automatically matched. Based on the purchase contract, the purchase price corresponding to the health service items included in the settlement list is automatically matched to obtain the purchase price corresponding to the settlement list. The purchase price generally refers to the purchase price corresponding to each of the health service item details included in the settlement list.

[0034] S14. Generate settlement result data corresponding to the settlement batch according to the settlement list, the health service business performance data and the purchase price.

[0035] Explanatory note, the amounts of different health service performance orders are calculated and summed up in combination with the settlement list, health service business performance data and purchase price. For example, the above-mentioned positive performance data are added, and the above-mentioned reverse performance data are deleted or subtracted to hedge, so as to automatically generate settlement result data corresponding to the settlement batch. The settlement result data includes but is not limited to the settlement details corresponding to several health service items and the corresponding settlement amounts and total amounts of each.

[0036] S15. According to the settlement result data and based on a preset payment system, the settlement batch is paid.

[0037] Explanatory note, after calculating the settlement results corresponding to the settlement batch based on the preset settlement middle platform, the settlement batch is paid through the connection between the preset settlement middle platform and the preset payment system, thereby completing the settlement corresponding to the settlement batch.

[0038] In the embodiment of the present application, based on the preset settlement middle station, the synchronized health service business performance data of the preset health service business party is received, and the payment request of the preset supplier is responded to, the settlement batch corresponding to the payment request and the corresponding settlement list are obtained, and the purchase price corresponding to the settlement list is automatically matched according to the settlement list and the health service business performance data, and then the purchase price is automatically settled, and then the payment is made to complete the corresponding settlement, so that the preset supplier, the preset health service business party and the payment department for payment are connected online by setting the preset settlement middle station, and the preset settlement middle station is used for many business situations involving different health service business lines, according to the payment request of the supplier corresponding to the specific health business, The corresponding correct purchase price is automatically matched, and each supplier of each health service business line is automatically settled and paid, which can not only improve the settlement efficiency of the health service business line, but also because the settlement processing of all health service business lines adopts online digital centralized processing, it can effectively constrain and supervise the relevant data involved in the settlement, thereby avoiding the risk of fraud and default in the settlement, and improving the financial security of the settlement.

[0039] In one embodiment, receiving health service service performance data synchronized by a preset health service service system corresponding to a preset health service service provider includes at least one of the following:

[0040] Corresponding to the preset positive settlement operation of the preset health service business system end on the service performance order corresponding to the health service provided to the user, receiving the corresponding positive performance data synchronized by the preset health service business system end, and using the positive performance data as the health service business performance data;

[0041] Corresponding to the preset reverse settlement operation of the preset health service business system end on the service performance order corresponding to the health service provided to the user, the corresponding reverse performance data synchronized by the preset health service business system end is received, and the reverse performance data is used as the health service business performance data.

[0042] Explanatoryly, a positive settlement operation is pre-set, i.e., a preset positive settlement operation, which indicates the operation corresponding to the settleable data, i.e., an operation of settling the payment to the preset supplier, and relative to the preset positive settlement operation, a reverse settlement operation is pre-set, i.e., a preset reverse settlement operation, which indicates the operation corresponding to the non-settled data, i.e., an operation of not settling the payment to the preset supplier or making corresponding deductions from the settlement.

[0043] The preset health service business party performs a preset positive settlement operation for the health services that have completed fulfillment based on the fulfillment of the specific health services and based on the corresponding preset health service business system end, generates corresponding positive fulfillment data, and synchronizes the positive fulfillment data to the preset settlement middle station. The preset settlement middle station receives the positive fulfillment data synchronized by the preset health service business system end in response to the above-mentioned preset positive settlement operation, and uses the positive fulfillment data as the health service business fulfillment data.

[0044] Similarly, the preset health service business party, based on the performance of specific health services and based on the corresponding preset health service business system end, performs a preset reverse settlement operation for health services that are not performed normally, for example, health services that cannot be settled due to reasons including but not limited to user refunds and poor service quality, health services that need to be hedged, and health services that result in the return of rights to users. That is, the preset supplier is not paid or a corresponding deduction is made from the settlement, corresponding reverse performance data is generated, and the reverse performance data is synchronized to the preset settlement middle station. The preset settlement middle station receives the reverse performance data synchronized by the preset health service business system end in response to the above-mentioned preset reverse settlement operation, and uses the reverse performance data as the health service business performance data, thereby synchronizing the health service business performance data from the preset health service business system end to the preset settlement middle station, and then the preset settlement middle station automatically settles according to the health service business performance data.

[0045] In the embodiment of the present application, the settlement corresponding to the health service is abstracted into positive settlement and reverse settlement according to the different performance situations of the health service. According to the positive settlement and reverse settlement, the preset health service business party performs the corresponding preset positive settlement operation and preset reverse settlement operation based on the preset health service business system end to transmit the performance information corresponding to the positive performance data and the reverse performance data, obtain the health service business performance data, and synchronize the health service business performance data to the preset settlement middle station. Then, the preset settlement middle station automatically performs settlement processing according to the information of settleable, non-settled or reverse settlement transmitted by the health service business performance data, which can realize and improve the accuracy of automatic settlement of the preset settlement middle station for different performance situations, and can improve the settlement efficiency of the health service business line.

[0046] In one embodiment, corresponding to a preset reverse settlement operation of the preset health service business system end on a service performance order corresponding to health services provided to a user, receiving corresponding reverse performance data synchronized by the preset health service business system end includes at least one of the following:

[0047] Corresponding to a preset non-settlement operation of the preset health service business system end on a service performance order corresponding to health services provided to a user, receiving corresponding non-settlement performance data synchronized by the preset health service business system end;

[0048] Corresponding to the preset hedging operation of the preset health service business system end on the service performance order corresponding to the health service provided to the user, receiving the corresponding hedging performance data synchronized by the preset health service business system end;

[0049] Corresponding to the preset rights and interests rollback operation of the service performance order corresponding to the health service provided to the user by the preset health service business system end, the corresponding rights and interests rollback performance data synchronized by the preset health service business system end is received.

[0050] Explanatory note, for the situation where the service performance order corresponding to the health service of the preset supplier is not settled, a non-settlement operation is pre-set, that is, a preset non-settlement operation. The preset non-settlement operation means an operation to determine before settlement that the corresponding health service will not be settled.

[0051] For situations where the service performance orders corresponding to the health services of the preset suppliers need to be hedged, a hedging operation is pre-set, namely, a preset hedging operation. The preset hedging operation means that corresponding deductions need to be made in the subsequent settlement process for the health services that have been settled previously.

[0052] In the event that a user's rights and interests are withdrawn in a service performance order corresponding to a health service provided by a preset supplier, a rights and interests withdrawal operation is pre-set, namely, a preset rights and interests withdrawal operation. The preset rights and interests withdrawal operation indicates an operation in which the service performance order is not settled due to the user's rights and interests withdrawal.

[0053] The preset health service business party, based on the performance of specific health services and based on the corresponding preset health service business system end, performs the preset non-settlement operation for the service performance order determined not to be settled, generates corresponding non-settlement performance data, and synchronizes the non-settlement performance data to the preset settlement middle station. The preset settlement middle station receives the non-settlement performance data synchronized by the preset health service business system end in response to the above-mentioned preset non-settlement operation, and uses the non-settlement performance data as the health service business performance data.

[0054] The preset health service business party performs the preset hedging operation for the service performance order determined to be hedged according to the performance of the specific health service and based on the corresponding preset health service business system end, generates corresponding hedging performance data, and synchronizes the hedging performance data to the preset settlement middle station. The preset settlement middle station receives the hedging performance data synchronized by the preset health service business system end in response to the above-mentioned preset hedging operation, and uses the hedging performance data as the health service business performance data.

[0055] The preset health service business party, based on the performance of the specific health service and based on the corresponding preset health service business system end, performs the preset rights and interests return operation for the service performance order that is determined to have generated the user's rights and interests return, generates corresponding rights and interests return performance data, and synchronizes the rights and interests return performance data to the preset settlement middle station. The preset settlement middle station receives the rights and interests return performance data synchronized by the preset health service business system end in response to the above-mentioned preset rights and interests return operation, and uses the rights and interests return performance data as the health service business performance data.

[0056] Based on the different performance situations under the above-mentioned reverse settlement of health services, the reverse performance data is synchronized from the preset health service business system end to the preset settlement middle platform, and then the preset settlement middle platform automatically performs settlement according to the reverse performance data.

[0057] In the embodiment of the present application, the reverse settlement operation corresponding to the health service is abstracted into a preset non-settlement operation, a preset hedging operation, and a preset equity fallback operation according to different performance situations under the reverse settlement of the health service. According to the above reverse settlement operation, the preset health service business party performs the above corresponding preset reverse settlement operation based on the preset health service business system end to transmit the performance information corresponding to the reverse performance data under different situations, obtain the reverse performance data, and synchronize the reverse performance data to the preset settlement middle station. Then, the preset settlement middle station automatically performs reverse settlement processing according to the reverse settlement information transmitted by the reverse performance data, which can further improve the accuracy of automatic settlement of the preset settlement middle station for different performance situations, and can improve the settlement security of the health service business line, and avoid the financial risk of settlement errors.

[0058] In one embodiment, see Figure 3 , Figure 3 This is a schematic diagram of the first sub-flow of the online settlement processing method for health service business provided in the embodiment of the present application. Figure 3 As shown, in this embodiment, matching the purchase price corresponding to the settlement list according to the settlement list and the health service business performance data includes:

[0059] S31, determining the preset fulfillment order identifier of the health service order corresponding to the health service provided by the preset supplier included in the settlement list;

[0060] S32: Determine, according to the preset fulfillment order identifier, the target service fulfillment order corresponding to the health service provided to the user contained in the health service business fulfillment data;

[0061] S33, determining a target supplier identifier corresponding to a target supplier according to a preset service location identifier for providing health services to the user included in the target service performance form;

[0062] S34, obtaining the service usage time of the health service provided to the user included in the target service performance order;

[0063] S35, determining a target procurement contract according to the target supplier identifier and the service usage time and based on a preset procurement contract database;

[0064] S36, obtaining a preset health service business identifier included in the target service performance order;

[0065] S37. Determine the purchase price of the health service corresponding to the preset health service business identifier according to the preset health service business identifier and the target procurement contract, and obtain the purchase price corresponding to the settlement list.

[0066] Explanatory, the pre-set fulfillment order identifier is a preset fulfillment order identifier, which indicates a preset identifier for identifying different fulfillment orders. The preset fulfillment order identifier is the key fulfillment information of the preset health service. The preset fulfillment order identifier can be used to allow the preset supplier system, the preset health service business system, and the preset settlement middle station to identify the fulfillment order and the corresponding preset health service business. The preset fulfillment order identifier includes but is not limited to based on Figure 2 The key card information corresponding to the benefit card shown in the example.

[0067] Based on the above settings, first determine the preset fulfillment order identifier of the health service order corresponding to the health service provided by the preset supplier included in the settlement list, the preset fulfillment order identifier includes but is not limited to the rights card code, and then because the health service business performance data contains the performance data corresponding to different preset health service business lines, therefore, according to the preset fulfillment order identifier, determine the target service performance order corresponding to the health service provided to the user contained in the health service business performance data, and then determine the preset service place identifier corresponding to the service place for providing health services to the user contained in the target service performance order, the preset service place identifier includes but is not limited to the preset service store identifier, and the preset service place identifier corresponds to the preset supplier, that is, for the same preset health service, the preset suppliers providing the above health services at different locations may be different. For example, the same physical examination service may have different suppliers providing physical examination services, and then determine the target supplier identifier corresponding to the target supplier.

[0068] Then obtain the service usage time of the health service provided to the user included in the target service performance order, and then determine the target procurement contract corresponding to the target supplier based on the target supplier identifier and the service usage time, and based on the preset procurement contract database, and then obtain the preset health service business identifier included in the target service performance order. The preset health service business identifier includes but is not limited to Figure 2The basic service identifier corresponding to the basic service shown, for example, blood test is used as a basic service. On the basis of blood test, corresponding commodity items such as physical examination and medical beauty based on blood test can be set up accordingly. However, when settling, the settlement is based on the purchase price corresponding to the blood test as the basic service included in the purchase contract. According to the preset health service business identifier and the target purchase contract, the purchase price of the health service corresponding to the preset health service business identifier is determined, and the purchase price corresponding to the settlement list is obtained.

[0069] In the embodiment of the present application, the purchase price required for settlement is automatically matched from the settlement batches provided by the preset suppliers, the health service business performance data synchronized by the preset health service business system, and the preset purchase contract database corresponding to many preset health service business lines and their corresponding performance orders and purchase contracts, through pre-set key performance information including but not limited to the preset performance order identification, and then the settlement batches are automatically settled according to the purchase price, thereby realizing automatic processing of settlement data based on the preset settlement middle station, so as to improve the settlement efficiency of the health service business line.

[0070] In one embodiment, see Figure 4 , Figure 4 This is a schematic diagram of the second sub-flow of the online settlement processing method for health service business provided in the embodiment of the present application. Figure 4 As shown, in this embodiment, according to the preset fulfillment order identifier, determining the target service fulfillment order corresponding to the health service provided to the user contained in the health service business fulfillment data includes:

[0071] S41, determining, according to the preset fulfillment order identifier, an initial service fulfillment order corresponding to the health service provided to the user contained in the health service business fulfillment data;

[0072] S42, determining the reverse performance order corresponding to the reverse performance data;

[0073] S43, determining whether the initial service performance order includes the reverse performance order;

[0074] S44: When the initial service performance order includes the reverse performance order, adjusting the initial service performance order according to the reverse performance order to obtain a target service performance order;

[0075] S45. If the initial service performance order does not include the reverse performance order, use the initial service performance order as the target service performance order;

[0076] Generating settlement result data corresponding to the settlement batch according to the settlement list, the health service business performance data and the purchase price, including:

[0077] Settlement result data corresponding to the settlement batch is generated according to the settlement list, the target service fulfillment order and the purchase price.

[0078] Explanatory, according to the preset performance order identifier, the initial service performance order corresponding to the health service provided to the user contained in the health service business performance data is determined, and the reverse performance order corresponding to the reverse performance data is determined, and then it is judged whether the initial service performance order includes the reverse performance order. In the case that the initial service performance order includes the reverse performance order, the initial service performance order is adjusted according to the reverse performance order. For example, for the reverse performance order corresponding to the above-mentioned non-settlement performance data or equity refund performance data, the corresponding reverse performance order is removed from the initial service performance order. For the above-mentioned The reverse performance order corresponding to the offset performance data is hedged based on the initial service performance order, that is, the reverse performance order corresponding to the offset performance data is subtracted from the settlement amount corresponding to the initial service performance order to perform hedging settlement, so as to obtain the target service performance order. When the initial service performance order does not include the reverse performance order, the initial service performance order is used as the target service performance order to determine the target service performance order corresponding to the settlement. When the settlement is performed, the settlement result data corresponding to the settlement batch is generated according to the settlement list, the target service performance order and the purchase price.

[0079] The embodiment of the present application can improve the accuracy of automatic matching of settlement data by judging whether there is a reverse performance order and, if there is a reverse performance order, adjusting the initial service performance order according to the reverse performance order, thereby further improving the accuracy of automatic settlement of the preset settlement middle station for different performance situations, and improving the settlement efficiency of the health service business line.

[0080] In one embodiment, determining the target procurement contract according to the target supplier identifier and the service usage time and based on a preset procurement contract database includes:

[0081] Based on a preset purchase contract database, determining whether the target supplier identifier has a corresponding purchase contract whose contract validity period includes the service usage time;

[0082] In the case where the target supplier identifier has a corresponding procurement contract, taking the procurement contract as the target procurement contract;

[0083] In the case that there is no corresponding purchase contract for the target supplier identifier, the settlement status corresponding to the settlement batch is updated to a pending settlement status, and whether the purchase contract corresponding to the target supplier identifier is updated is monitored until the purchase contract corresponding to the target supplier identifier is updated.

[0084] Explanatory, based on the preset procurement contract database, determine whether there is a corresponding procurement contract with a contract validity period that includes the service usage time for the target supplier identification. If there is a corresponding procurement contract for the target supplier identification, the procurement contract will be used as the target procurement contract and the settlement process will continue directly. If there is no corresponding procurement contract for the target supplier identification, the settlement status corresponding to the settlement batch will be updated to a pending settlement status, and the pending settlement reason corresponding to the pending settlement status may be notified to relevant personnel through methods including but not limited to telephone communication, online marking, etc., so that the relevant personnel can make corresponding processing and monitor whether the procurement contract corresponding to the target supplier identification is updated until the procurement contract corresponding to the target supplier identification is updated.

[0085] The embodiment of the present application can further improve the automatic settlement efficiency of the health service business line based on the preset settlement middle platform by determining whether a valid procurement contract exists and automatically monitoring the update of the procurement contract when the procurement contract does not exist.

[0086] In one embodiment, after the settlement status corresponding to the settlement batch is updated to a pending settlement status, the method further includes:

[0087] The settlement status of the settlement batch is marked as the pending settlement reason corresponding to the pending settlement status.

[0088] Explanatoryly, after marking the settlement status corresponding to the settlement batch as a pending settlement status, the pending settlement reason corresponding to the pending settlement status is marked after the above-mentioned pending settlement status, so that relevant personnel including but not limited to the preset supplier corresponding to the preset supplier system end, the preset health service business party corresponding to the preset health service business system end, etc. can promptly know the settlement status and the reasons that caused the settlement batch to be pending settlement, which is helpful for relevant personnel to carry out corresponding processing. For example, when the purchase or contract data is missing and causes the above-mentioned settlement batch to be in a pending settlement status, the preset supplier and the preset health service business party can promptly carry out the purchase or contract data and update it based on their respective system ends after knowing it, so that the settlement can continue.

[0089] In the embodiment of the present application, by marking the settlement status of the settlement batch as the pending settlement reason corresponding to the pending settlement status, relevant personnel can be informed of the settlement status and the reason causing the settlement batch to be pending settlement in a timely manner, which helps relevant personnel to make corresponding processing, thereby further improving the automatic settlement efficiency of the health service business line based on the preset settlement middle platform.

[0090] In one embodiment, according to the settlement result data and based on a preset payment system, the settlement batch is settled, including:

[0091] Sending the settlement result data to a preset approval system, and then approving the settlement result data based on the preset approval system;

[0092] Monitoring whether the approval result corresponding to the settlement result data fed back by the preset approval system is approved;

[0093] If the settlement result data is approved, generating a payment request corresponding to the settlement result data;

[0094] Sending the payment request to a preset payment system, and then the preset payment system makes payment according to the payment request;

[0095] If the settlement result data fails to pass approval, a payment request corresponding to the settlement result data will not be generated.

[0096] Explanatoryally, the approval system is pre-set or connected, that is, the preset approval system, and the preset approval system refers to the system for approving the above-mentioned settlement batches.

[0097] Based on the above settings, the settlement result data is sent to the preset approval system, and then based on the preset approval system, the relevant approval personnel will approve the settlement result data, and the preset settlement middle station monitors whether the approval result corresponding to the settlement result data fed back by the preset approval system is approved. If the settlement result data is approved, a payment request corresponding to the settlement result data is generated, and the payment request is sent to the preset payment system, and then the preset payment system makes the payment according to the payment request to continue the settlement processing. If the settlement result data is not approved, the payment request corresponding to the settlement result data is not generated, and corresponding adjustments or processing are made according to the feedback reasons corresponding to the failure to approve, so as to continue to promote automatic settlement processing based on the preset settlement middle station.

[0098] The embodiment of the present application, by sending the settlement result data to the preset approval system for corresponding approval processing, can not only ensure the financial security of the settlement, but also through timely processing of unapproved approvals, can further improve the automatic settlement efficiency of the health service business line based on the preset settlement middle platform.

[0099] In one embodiment, after sending the payment request to a preset payment system, and the preset payment system making payment according to the payment request, the method further includes:

[0100] Monitoring the payment result corresponding to the payment request fed back by the preset payment system;

[0101] According to the payment result, the settlement status corresponding to the settlement batch is updated.

[0102] Explanatory, the payment results corresponding to the above payment requests fed back by the preset payment system are monitored, the payment results including but not limited to payment in progress, payment successful, and payment failed, and then the settlement status corresponding to the above settlement batch is updated based on the above payment results.

[0103] The embodiment of the present application, by monitoring and timely updating the settlement status corresponding to the settlement batches, can enable relevant personnel to know the settlement progress in a timely manner, and when the settlement is abnormal, it helps the relevant personnel to take corresponding measures, thereby further improving the automatic settlement efficiency and processing effect of the health service business line based on the preset settlement middle platform.

[0104] It should be noted that the online settlement processing method for health service business described in the above embodiments can recombine the technical features contained in different embodiments as needed to obtain a combined implementation plan, but all of them are within the scope of protection required by this application.

[0105] See also Figure 5 , Figure 5 This is a schematic block diagram of an online settlement processing device for health service business provided in an embodiment of the present application. Corresponding to the above-mentioned online settlement processing method for health service business, an embodiment of the present application also provides an online settlement processing device for health service business. Figure 5 As shown, the health service business online settlement processing device includes a unit for executing the above-mentioned health service business online settlement processing method, and the health service business online settlement processing device can be configured in a computer device. Figure 5 The health service business online settlement processing device 50 includes a first receiving unit 51, a first obtaining unit 52, a matching unit 53, a generating unit 54 and a settlement unit 55.

[0106] The first receiving unit 51 is used to receive the health service business performance data synchronized by the preset health service business system end corresponding to the preset health service business party based on the preset settlement middle station, and store the health service business performance data;

[0107] The first acquisition unit 52 is used to respond to the payment request initiated by the preset supplier system corresponding to the preset supplier, and acquire the settlement batch corresponding to the payment request and the corresponding settlement list;

[0108] A matching unit 53, configured to match the purchase price corresponding to the settlement list according to the settlement list and the health service business performance data;

[0109] A generating unit 54, configured to generate settlement result data corresponding to the settlement batch according to the settlement list, the health service business performance data and the purchase price;

[0110] The settlement unit 55 is used to pay the settlement batch according to the settlement result data and based on a preset payment system.

[0111] In one embodiment, the first receiving unit 51 includes at least one of the following subunits:

[0112] A first receiving subunit is used to receive corresponding positive performance data synchronized by the preset health service business system end in response to a preset positive settlement operation of the service performance order corresponding to the health service provided to the user by the preset health service business system end, and use the positive performance data as the health service business performance data;

[0113] The second receiving sub-unit is used to receive the corresponding reverse performance data synchronized by the preset health service business system end in response to the preset reverse settlement operation of the service performance order corresponding to the health service provided to the user by the preset health service business system end, and use the reverse performance data as the health service business performance data.

[0114] In one embodiment, the second receiving subunit includes at least one of the following subunits:

[0115] A third receiving subunit is used to receive corresponding non-settlement performance data synchronized by the preset health service business system end in response to the preset non-settlement operation of the service performance order corresponding to the health service provided to the user by the preset health service business system end;

[0116] A fourth receiving subunit is used to receive corresponding hedging performance data synchronized by the preset health service business system end in response to the preset hedging operation of the preset health service business system end on the service performance order corresponding to the health service provided to the user;

[0117] The fifth receiving sub-unit is used to receive corresponding rights and interests fallback performance data synchronized by the preset health service business system end in response to the preset rights and interests fallback operation of the service performance order corresponding to the health service provided to the user by the preset health service business system end.

[0118] In one embodiment, the matching unit 53 includes:

[0119] A first determining subunit is used to determine a preset fulfillment order identifier of a health service order corresponding to the health service provided by the preset supplier included in the settlement list;

[0120] A second determining subunit is used to determine the target service performance order corresponding to the health service provided to the user contained in the health service business performance data according to the preset performance order identifier;

[0121] A third determining subunit is used to determine a target supplier identifier corresponding to a target supplier according to a preset service location identifier for providing health services to users included in the target service performance form;

[0122] A first acquisition subunit is used to acquire the service usage time of the health service provided to the user included in the target service performance order;

[0123] A fourth determination subunit is used to determine a target procurement contract according to the target supplier identifier and the service usage time and based on a preset procurement contract database;

[0124] A second acquisition subunit is used to acquire a preset health service business identifier included in the target service performance order;

[0125] The fifth determining subunit is used to determine the purchase price of the health service corresponding to the preset health service business identifier according to the preset health service business identifier and the target procurement contract, and obtain the purchase price corresponding to the settlement list.

[0126] In one embodiment, the second determining subunit includes:

[0127] A sixth determining subunit, configured to determine, according to the preset fulfillment order identifier, an initial service fulfillment order corresponding to the health service provided to the user contained in the health service business fulfillment data;

[0128] A seventh determination subunit, used to determine the reverse performance order corresponding to the reverse performance data;

[0129] A first judgment subunit is used to judge whether the initial service performance order includes the reverse performance order;

[0130] an adjustment subunit, configured to adjust the initial service performance order according to the reverse performance order to obtain a target service performance order when the initial service performance order includes the reverse performance order;

[0131] The first generating subunit is used to generate the settlement result data corresponding to the settlement batch according to the settlement list, the health service business performance data and the purchase price, including:

[0132] The second generating sub-unit is used to generate settlement result data corresponding to the settlement batch according to the settlement list, the target service performance order and the purchase price.

[0133] In one embodiment, the fourth determining subunit includes:

[0134] A second judgment subunit is used to judge, based on a preset purchase contract database, whether the target supplier identifier has a corresponding purchase contract whose contract validity period includes the service usage time;

[0135] A first updating subunit is used to update the settlement status corresponding to the settlement batch to a pending settlement status when there is no corresponding procurement contract for the target supplier identifier;

[0136] The first monitoring subunit is used to monitor whether the purchase contract corresponding to the target supplier identifier is updated until the purchase contract corresponding to the target supplier identifier is updated.

[0137] In one embodiment, the fourth determining subunit further includes:

[0138] The marking subunit is used to mark the settlement status of the settlement batch as a pending settlement reason corresponding to the pending settlement status.

[0139] It should be noted that technical personnel in the relevant field can clearly understand that the specific implementation process of the above-mentioned health service business online settlement processing device and each unit can refer to the corresponding description in the aforementioned method embodiment, and for the convenience and conciseness of the description, it will not be repeated here.

[0140] At the same time, the division and connection method of each unit in the above-mentioned health service business online settlement processing device is only used for illustration. In other embodiments, the health service business online settlement processing device can be divided into different units as needed, and the units in the health service business online settlement processing device can also adopt different connection sequences and methods to complete all or part of the functions of the above-mentioned health service business online settlement processing device.

[0141] The above-mentioned health service business online settlement processing device can be implemented in the form of a computer program, which can be used in Figure 6 Runs on the computer device shown.

[0142] See also Figure 6 , Figure 6 1 is a schematic block diagram of a computer device provided in an embodiment of the present application. The computer device 500 may be a computer device such as a desktop computer or a server, or may be a component or part in other devices.

[0143] See also Figure 6 The computer device 500 includes a processor 502, a memory and a network interface 505 connected via a system bus 501, wherein the memory may include a non-volatile storage medium 503 and an internal memory 504, and the memory may also be a volatile storage medium.

[0144] The non-volatile storage medium 503 can store an operating system 5031 and a computer program 5032. When the computer program 5032 is executed, the processor 502 can execute the above-mentioned health service business online settlement processing method.

[0145] The processor 502 is used to provide computing and control capabilities to support the operation of the entire computer device 500 .

[0146] The internal memory 504 provides an environment for the operation of the computer program 5032 in the non-volatile storage medium 503. When the computer program 5032 is executed by the processor 502, the processor 502 can execute the above-mentioned health service business online settlement processing method.

[0147] The network interface 505 is used to communicate with other devices over the network. Figure 6 The structure shown in the figure is only a block diagram of a part of the structure related to the present application scheme, and does not constitute a limitation on the computer device 500 to which the present application scheme is applied. The specific computer device 500 may include more or fewer components than those shown in the figure, or combine certain components, or have a different arrangement of components. For example, in some embodiments, the computer device may only include a memory and a processor. In such an embodiment, the structure and function of the memory and the processor are the same as those of the present application scheme. Figure 6 The embodiments shown are consistent and will not be described again here.

[0148] Among them, the processor 502 is used to run the computer program 5032 stored in the memory to implement the following steps: based on the preset settlement middle station, receive the health service business performance data synchronized by the preset health service business system end corresponding to the preset health service business party, and store the health service business performance data; respond to the payment request initiated by the preset supplier system end corresponding to the preset supplier, obtain the settlement batch corresponding to the payment request and its corresponding settlement list; match the purchase price corresponding to the settlement list according to the settlement list and the health service business performance data; generate the settlement result data corresponding to the settlement batch according to the settlement list, the health service business performance data and the purchase price; according to the settlement result data and based on the preset payment system, pay the settlement batch.

[0149] In one embodiment, the processor 502 implements at least one of the following when implementing receiving the health service service performance data synchronized by the preset health service service system corresponding to the preset health service service party:

[0150] Corresponding to the preset positive settlement operation of the preset health service business system end on the service performance order corresponding to the health service provided to the user, receiving the corresponding positive performance data synchronized by the preset health service business system end, and using the positive performance data as the health service business performance data;

[0151] Corresponding to the preset reverse settlement operation of the preset health service business system end on the service performance order corresponding to the health service provided to the user, the corresponding reverse performance data synchronized by the preset health service business system end is received, and the reverse performance data is used as the health service business performance data.

[0152] In one embodiment, the processor 502 implements at least one of the following steps when implementing the preset reverse settlement operation corresponding to the preset health service business system end for the service performance order corresponding to the health service provided to the user and receiving the corresponding reverse performance data synchronized by the preset health service business system end:

[0153] Corresponding to a preset non-settlement operation of the preset health service business system end on a service performance order corresponding to health services provided to a user, receiving corresponding non-settlement performance data synchronized by the preset health service business system end;

[0154] Corresponding to the preset hedging operation of the preset health service business system end on the service performance order corresponding to the health service provided to the user, receiving the corresponding hedging performance data synchronized by the preset health service business system end;

[0155] Corresponding to the preset rights and interests rollback operation of the service performance order corresponding to the health service provided to the user by the preset health service business system end, the corresponding rights and interests rollback performance data synchronized by the preset health service business system end is received.

[0156] In one embodiment, when matching the purchase price corresponding to the settlement list according to the settlement list and the health service business performance data, the processor 502 specifically implements the following steps:

[0157] Determine the preset fulfillment order identifier of the health service order corresponding to the health service provided by the preset supplier included in the settlement list;

[0158] Determining, according to the preset fulfillment order identifier, a target service fulfillment order corresponding to the health service provided to the user contained in the health service business fulfillment data;

[0159] Determine the target supplier identifier corresponding to the target supplier according to the preset service location identifier for providing health services to the user included in the target service performance order;

[0160] Obtaining the service usage time of the health service provided to the user included in the target service performance order;

[0161] Determining a target procurement contract according to the target supplier identifier and the service usage time and based on a preset procurement contract database;

[0162] Obtaining a preset health service business identifier included in the target service performance order;

[0163] According to the preset health service business identifier and the target procurement contract, the procurement price of the health service corresponding to the preset health service business identifier is determined, and the procurement price corresponding to the settlement list is obtained.

[0164] In one embodiment, when the processor 502 determines the target service fulfillment order corresponding to the health service provided to the user included in the health service business fulfillment data according to the preset fulfillment order identifier, it specifically implements the following steps:

[0165] Determining, according to the preset fulfillment order identifier, an initial service fulfillment order corresponding to the health service provided to the user contained in the health service business fulfillment data;

[0166] Determining the reverse performance order corresponding to the reverse performance data;

[0167] Determining whether the initial service performance order includes the reverse performance order;

[0168] In the case where the initial service performance order includes the reverse performance order, adjusting the initial service performance order according to the reverse performance order to obtain a target service performance order;

[0169] Generating settlement result data corresponding to the settlement batch according to the settlement list, the health service business performance data and the purchase price, including:

[0170] Settlement result data corresponding to the settlement batch is generated according to the settlement list, the target service fulfillment order and the purchase price.

[0171] In one embodiment, when determining the target procurement contract according to the target supplier identifier and the service usage time and based on a preset procurement contract database, the processor 502 specifically implements the following steps:

[0172] Based on a preset purchase contract database, determining whether the target supplier identifier has a corresponding purchase contract whose contract validity period includes the service usage time;

[0173] In the case that the target supplier identifier does not have the corresponding purchase contract, updating the settlement status corresponding to the settlement batch to a pending settlement status;

[0174] Monitor whether the purchase contract corresponding to the target supplier identifier is updated until the purchase contract corresponding to the target supplier identifier is updated.

[0175] In one embodiment, after updating the settlement status corresponding to the settlement batch to the pending settlement status, the processor 502 further implements the following steps:

[0176] The settlement status of the settlement batch is marked as the pending settlement reason corresponding to the pending settlement status.

[0177] It should be understood that in the embodiment of the present application, the processor 502 may be a central processing unit (CPU), and the processor 502 may also be other general-purpose processors, digital signal processors (DSP), application-specific integrated circuits (ASIC), field-programmable gate arrays (FPGA) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, etc. Among them, the general-purpose processor may be a microprocessor or the processor may also be any conventional processor, etc.

[0178] Those skilled in the art will appreciate that all or part of the processes in the method for implementing the above embodiment can be completed by a computer program, which can be stored in a computer-readable storage medium. The computer program is executed by at least one processor in the computer system to implement the process steps of the embodiment of the above method.

[0179] Therefore, the present application also provides a computer-readable storage medium. The computer-readable storage medium may be a non-volatile computer-readable storage medium or a volatile computer-readable storage medium, and the computer-readable storage medium stores a computer program, and when the computer program is executed by a processor, the processor executes the following steps:

[0180] A computer program product, when running on a computer, enables the computer to execute the steps of the health service business online settlement processing method described in the above embodiments.

[0181] The computer-readable storage medium may be an internal storage unit of the aforementioned device, such as a hard disk or memory of the device. The computer-readable storage medium may also be an external storage device of the device, such as a plug-in hard disk, a smart memory card (Smart Media Card, SMC), a secure digital (Secure Digital, SD) card, a flash card (Flash Card), etc. equipped on the device. Furthermore, the computer-readable storage medium may also include both an internal storage unit of the device and an external storage device.

[0182] Those skilled in the art can clearly understand that, for the convenience and brevity of description, the specific working processes of the above-described equipment, devices and units can refer to the corresponding processes in the aforementioned method embodiments and will not be repeated here.

[0183] The storage medium is a physical, non-transient storage medium, for example, it can be a USB flash drive, a mobile hard disk, a read-only memory (ROM), a magnetic disk or an optical disk, etc., which can store computer programs.

[0184] Those of ordinary skill in the art will appreciate that the units and algorithm steps of each example described in conjunction with the embodiments disclosed herein can be implemented in electronic hardware, computer software, or a combination of the two. In order to clearly illustrate the interchangeability of hardware and software, the composition and steps of each example have been generally described in terms of function in the above description. Whether these functions are performed in hardware or software depends on the specific application and design constraints of the technical solution. Professional and technical personnel can use different methods to implement the described functions for each specific application, but such implementation should not be considered to be beyond the scope of this application.

[0185] In the several embodiments provided in the present application, it should be understood that the disclosed devices and methods can be implemented in other ways. For example, the device embodiments described above are only schematic. For example, the division of each unit is only a logical function division, and there may be other division methods in actual implementation. For example, multiple units or components can be combined or integrated into another system, or some features can be ignored or not executed.

[0186] The steps in the method of the embodiment of the present application can be adjusted in order, combined and deleted according to actual needs. The units in the device of the embodiment of the present application can be combined, divided and deleted according to actual needs. In addition, the functional units in the various embodiments of the present application can be integrated into one processing unit, or each unit can exist physically separately, or two or more units can be integrated into one unit.

[0187] If the integrated unit is implemented in the form of a software functional unit and sold or used as an independent product, it can be stored in a storage medium. Based on this understanding, the technical solution of the present application is essentially or the part that contributes to the prior art, or all or part of the technical solution can be embodied in the form of a software product, and the computer software product is stored in a storage medium, including a number of instructions for an electronic device (which can be a personal computer, terminal, or network device, etc.) to perform all or part of the steps of the method described in each embodiment of the present application.

[0188] The software tools or components not provided by our company that appear in the embodiments of this application are merely examples and do not represent actual use.

[0189] The above is only a specific implementation of the present application, but the protection scope of the present application is not limited thereto. Any technician familiar with the technical field can easily think of various equivalent modifications or replacements within the technical scope disclosed in the present application, and these modifications or replacements should be included in the protection scope of the present application. Therefore, the protection scope of the present application shall be based on the protection scope of the claims.

Claims

1. A method for processing online settlement of health service business, characterized in that: include: Based on the preset settlement middle platform, receiving the health service business performance data synchronized by the preset health service business system end corresponding to the preset health service business party, and storing the health service business performance data; Respond to the payment request initiated by the preset supplier system corresponding to the preset supplier, and obtain the settlement batch corresponding to the payment request and its corresponding settlement list; According to the settlement list and the health service business performance data, matching the purchase price corresponding to the settlement list; Generate settlement result data corresponding to the settlement batch according to the settlement list, the health service business performance data and the purchase price; According to the settlement result data and based on a preset payment system, the settlement batch is paid.

2. The method for processing online settlement of health service business according to claim 1, characterized in that: Receiving health service business performance data synchronized by the preset health service business system corresponding to the preset health service business party, including at least one of the following: Corresponding to the preset positive settlement operation of the preset health service business system end on the service performance order corresponding to the health service provided to the user, receiving the corresponding positive performance data synchronized by the preset health service business system end, and using the positive performance data as the health service business performance data; Corresponding to the preset reverse settlement operation of the preset health service business system end on the service performance order corresponding to the health service provided to the user, the corresponding reverse performance data synchronized by the preset health service business system end is received, and the reverse performance data is used as the health service business performance data.

3. The method for processing online settlement of health service business according to claim 2, characterized in that: Corresponding to a preset reverse settlement operation of the preset health service business system end on a service performance order corresponding to the health service provided to the user, receiving corresponding reverse performance data synchronized by the preset health service business system end, including at least one of the following: Corresponding to a preset non-settlement operation of the preset health service business system end on a service performance order corresponding to health services provided to a user, receiving corresponding non-settlement performance data synchronized by the preset health service business system end; Corresponding to the preset hedging operation of the preset health service business system end on the service performance order corresponding to the health service provided to the user, receiving the corresponding hedging performance data synchronized by the preset health service business system end; Corresponding to the preset rights and interests rollback operation of the service performance order corresponding to the health service provided to the user by the preset health service business system end, the corresponding rights and interests rollback performance data synchronized by the preset health service business system end is received.

4. The method for processing online settlement of health service business according to claim 2 or 3, characterized in that: According to the settlement list and the health service business performance data, matching the purchase price corresponding to the settlement list includes: Determine the preset fulfillment order identifier of the health service order corresponding to the health service provided by the preset supplier included in the settlement list; Determining, according to the preset fulfillment order identifier, a target service fulfillment order corresponding to the health service provided to the user contained in the health service business fulfillment data; Determine the target supplier identifier corresponding to the target supplier according to the preset service location identifier for providing health services to the user included in the target service performance order; Obtaining the service usage time of the health service provided to the user included in the target service performance order; Determining a target procurement contract according to the target supplier identifier and the service usage time and based on a preset procurement contract database; Obtaining a preset health service business identifier included in the target service performance order; According to the preset health service business identifier and the target procurement contract, the procurement price of the health service corresponding to the preset health service business identifier is determined, and the procurement price corresponding to the settlement list is obtained.

5. The method for processing online settlement of health service business according to claim 4, characterized in that: Determining the target service performance order corresponding to the health service provided to the user contained in the health service business performance data according to the preset performance order identifier includes: Determining, according to the preset fulfillment order identifier, an initial service fulfillment order corresponding to the health service provided to the user contained in the health service business fulfillment data; Determining the reverse performance order corresponding to the reverse performance data; Determining whether the initial service performance order includes the reverse performance order; In the case where the initial service performance order includes the reverse performance order, adjusting the initial service performance order according to the reverse performance order to obtain a target service performance order; Generating settlement result data corresponding to the settlement batch according to the settlement list, the health service business performance data and the purchase price, including: Settlement result data corresponding to the settlement batch is generated according to the settlement list, the target service fulfillment order and the purchase price.

6. The method for processing online settlement of health service business according to claim 4, characterized in that: Determining a target procurement contract based on the target supplier identifier and the service usage time and based on a preset procurement contract database includes: Based on a preset purchase contract database, determining whether the target supplier identifier has a corresponding purchase contract whose contract validity period includes the service usage time; In the case that the target supplier identifier does not have the corresponding purchase contract, updating the settlement status corresponding to the settlement batch to a pending settlement status; Monitor whether the purchase contract corresponding to the target supplier identifier is updated until the purchase contract corresponding to the target supplier identifier is updated.

7. The method for processing online settlement of health service business according to claim 6, characterized in that: After the settlement status corresponding to the settlement batch is updated to a pending settlement status, the method further includes: The settlement status of the settlement batch is marked as the pending settlement reason corresponding to the pending settlement status.

8. An online settlement processing device for health service business, characterized in that: include: A first receiving unit is used to receive, based on a preset settlement middle station, health service business performance data synchronized by a preset health service business system end corresponding to a preset health service business party, and store the health service business performance data; The first acquisition unit is used to respond to the payment request initiated by the preset supplier system corresponding to the preset supplier, and acquire the settlement batch corresponding to the payment request and the corresponding settlement list; A matching unit, configured to match the purchase price corresponding to the settlement list according to the settlement list and the health service business performance data; A generating unit, configured to generate settlement result data corresponding to the settlement batch according to the settlement list, the health service business performance data and the purchase price; The settlement unit is used to pay the settlement batch according to the settlement result data and based on a preset payment system.

9. A computer device, characterized in that: The computer device comprises a memory and a processor connected to the memory; the memory is used to store a computer program; the processor is used to run the computer program to execute the steps of the method according to any one of claims 1 to 7.

10. A computer-readable storage medium, characterized in that: The storage medium stores a computer program, and when the computer program is executed by a processor, the steps of the method according to any one of claims 1 to 7 can be implemented.

Citation Information

Patent Citations

  • Material settlement full-process integrated management platform generation system and method

    CN110969408A

  • Multi-service platform universal settlement method, settlement server, system and storage medium

    CN112435019A

  • AU2020103742A4