Smart medical account checking method and system

Abstract

The invention provides an intelligent medical reconciliation method and system. The method comprises the following steps: unilateral check in a hospital; checking a hospital bill with a medical insurance center bill; the interface is divided into an upper layer data display area and a lower layer data display area, the upper layer displays His settlement system data, and the lower layer displays center settlement data; the reconciliation system is published as a windows service based on the. Net technology and is deployed on a server of a hospital. And configuring the abnormal data processing account in a parameter configuration form. The technical problems of dependence on manual operation, low account checking efficiency and accuracy, poor applicability to various payment channel scenes and low security are solved.

Description

Technical Field

[0001] The present invention relates to the field of medical financial data processing, and particularly to a method and system for intelligent medical reconciliation. Background Art

[0002] The hospital reconciliation system is a very important part of hospital management. The accuracy of reconciliation directly affects the financial management and operating efficiency of the hospital. Traditional manual reconciliation requires staff to pull data from the background of the His system and then compare it with the data of the medical insurance center one by one. There is also automatic reconciliation that automatically pulls the data generated under this channel and reconciles it with the medical insurance center according to the payment channel; there is also automatic reconciliation based on the hospital His system that deeply integrates the trading platform and the service system.

[0003] For example, the following existing patent application documents:

[0004] The existing invention patent application document "A Reconciliation System and Corresponding Computer Equipment" with publication number CN112508710A. This existing reconciliation system includes: a scheduling microservice for managing the scheduling of the timing tasks of the reconciliation system; a HIS microservice for downloading HIS bills from the hospital information system HIS in response to the call of the scheduling microservice; a medical insurance microservice for parsing the audited medical insurance bills in response to the call of the scheduling microservice, and performing real-time reconciliation of the medical insurance bills and HIS bills according to the preset corresponding reconciliation data matching rules; in response to successful reconciliation, forming the accounts receivable of the finance with the corresponding data; in response to failed reconciliation, forming difference data with the corresponding data. However, in the foregoing existing solutions, it is difficult to directly download data from the His system, and at the same time, the comparison operation in this existing technology has a high degree of dependence on the His system.

[0005] In summary, the existing technology has technical problems such as relying on manual operations, low reconciliation efficiency and accuracy, poor applicability to multiple payment channel scenarios, and low security. Summary of the Invention

[0006] The technical problem to be solved by the present invention is: how to solve the technical problems in the existing technology such as relying on manual operations, low reconciliation efficiency and accuracy, poor applicability to multiple payment channel scenarios, and low security.

[0007] The present invention adopts the following technical solutions to solve the above technical problems: The intelligent medical reconciliation method includes:

[0008] S1. Conduct internal unilateral reconciliation in the hospital, obtain and reconcile the bills between the hospital settlement system and the hospital His system to obtain the determination information of bilateral and unilateral accounts for medical treatment;

[0009] S2. Reconcile the hospital bills with the medical insurance center bills. Using the patient's settlement ID as an index, search for the settlement data in the hospital's His settlement system and the settlement data in the medical insurance center respectively, and based on this, obtain the effective data determination information of the current settlement ID in the hospital's His settlement system and the settlement data in the medical insurance center, and obtain the unilateral and bilateral settlement determination information accordingly.

[0010] S3. Based on the bilateral and unilateral account determination information of the medical treatment and the unilateral and bilateral settlement determination information, process and display the His settlement display data and the center settlement display data on the hierarchical display interface.

[0011] S4. Publish the preset reconciliation system as an operating system service based on the preset network technology for deployment on the hospital server.

[0012] S5. For the abnormal data processing account, collect the login information, verify the abnormal processing permission based on this, and perform abnormal processing operations according to the abnormal processing permission.

[0013] The present invention reduces the dependence on the His platform. Specifically:

[0014] Use an independent reconciliation software. This system is an independent running program developed based on.netcore, and an installation package can be separately published for installation.

[0015] Use data export and backup. Regularly export the data of the His platform to the local to ensure data security and accessibility.

[0016] Collect data from multiple channels. In addition to transmitting data from the His to the reconciliation system, data can also be directly connected to the database to obtain reconciliation data or imported through Excel to obtain reconciliation data.

[0017] (1) This system is an independent running program developed based on.netcore. Users can configure the database connection parameters to make the system connect to the His database to obtain His data. Or the data of the His can be imported into Excel, and then through the Excel import function of the system, the His data can be imported into the reconciliation system.

[0018] For different His platforms, through inter-process communication, the operation of the reconciliation program can be initiated, and at the same time, through parameter configuration, the reconciliation program can run independently, improving the independence of the system running environment and the applicability of multiple payment channel scenarios.

[0019] The present invention has different processing methods for different unilateral data. It can ensure that the settlement data of the hospital is completely consistent with the center settlement data, including the total amount, medical insurance payment amount, account payment amount of different insurance types in the outpatient and inpatient situations and the corresponding amounts in the center.

[0020] In a more specific technical solution, in step S1, using the patient's visit ID as an index, search respectively in the hospital settlement system and the hospital His system for consistent charging information, based on which obtain charging information of the same type, obtain bill balance determination data, and obtain visit bilateral and unilateral account determination information.

[0021] In a more specific technical solution, step S2 includes:

[0022] S21. On the His platform, initiate a reconciliation request to the preset reconciliation system;

[0023] S22. In the preset reconciliation system, receive the reconciliation request;

[0024] S23. Use the preset reconciliation system to send a reconciliation trigger signal, based on which trigger the general ledger operation;

[0025] S24. Obtain the His original data from the His platform, based on which use the preset logic to calculate the His settlement data;

[0026] S25. Obtain the medical insurance center settlement data from the medical insurance center data storage device, compare the His settlement data with the medical insurance center settlement data, based on which obtain the abnormal determination information;

[0027] S26. According to the abnormal determination information, when there is abnormal data, perform a detailed reconciliation operation;

[0028] S28. Obtain the His detailed data from the His platform data storage device;

[0029] S29. Send a central detailed data request to the medical insurance center, based on which obtain the medical insurance center detailed data, compare the His detailed data with the medical insurance center detailed data to generate an abnormal data detailed comparison result.

[0030] The present invention can directly download data from the His system, or can also, without relying on the His, import data through Excel for comparison of unilateral data. The present invention focuses on processing the comparison between the His settlement data and the central settlement data, helping the hospital to achieve the balance between in-hospital data and medical insurance center data, so as not to affect the hospital's reimbursement.

[0031] In a more specific technical solution, in step S3, the hierarchical display interface includes: a His settlement system data display layer, a central settlement data display layer.

[0032] The reconciliation system of the present invention has a visual interface, can also be published as a windows service for regular reconciliation, and send the reconciliation result to the financial person in charge in the form of a text message, reducing the manual workload. At the same time, since the medical insurance center requires the hospital to reconcile accounts once a month, the present invention can avoid affecting the hospital's reimbursement due to forgetting to reconcile accounts.

[0033] Specifically, the present invention enables the staff to clearly see the reconciliation result at a glance. Through detailed reconciliation, it is possible to specifically know which data is unilateral data and the source of the data, including: whether it is His unilateral or medical insurance unilateral, or His internal unilateral. The present invention also has a timed automatic reconciliation function based on the Windows service, and sends the abnormal data to the relevant person in charge in the form of a text message notification, improving the efficiency and accuracy of reconciliation.

[0034] In a more specific technical solution, in step S3, according to the bilateral and unilateral account determination information of the visit and the settlement unilateral and bilateral determination information, unilateral and bilateral sorting is performed.

[0035] The present invention performs double verification processing on abnormal data. First, it verifies whether the reconciled abnormal data is real unilateral data. For example, for hospital unilateral data, the central settlement information query interface can be adjusted according to the settlement serial number of the unilateral data to confirm whether there is such data in the center. If it is central unilateral data, the data can be queried on the His data display interface according to the settlement serial number or personal number of the central data to check whether it exists.

[0036] In order to reduce the operation errors of the reconciliation personnel, the system sets the number of abnormal data that can be processed per day and the maximum amount. When there are a large number of unilateral data or large-amount unilateral data and exceed this limit, the operator needs to request processing permission from a manager with higher authority. The high-authority operator gives the current operator the form of sending a key, and the system can continue to process the unilateral data after verifying the key. This not only urges the high-authority manager to verify the data, but also reduces the greater responsibility that the operator needs to bear due to misoperation.

[0037] First is the horizontal sorting of data, that is, the order in which the data is displayed in the list. Here, according to the hospital's requirements, based on.net controls, important data can be displayed in the first few columns of the data display area. The vertical sorting is based on the abnormal status of the data. The non-unilateral data is sorted above, and the list of unilateral data is sorted below, and different font colors are used to display, so as to clearly distinguish which are abnormal data. In addition, the system provides a filtering function, which can perform fuzzy queries in the data display list according to the patient's name, or can accurately query the corresponding data through the patient's visit information such as personal number, visit serial number, settlement

[0038] serial number and other information. The data display list has a total row, which is convenient for users to compare whether the statistical data of His and the center, such as the total cost, the total amount of fund payment, the total amount of personal cash payment, etc., match. The filtering operation is performed on the hierarchical display interface.

[0039] Publish this application as a Windows service to achieve automatic reconciliation, improve the reconciliation efficiency, and perform multiple verifications to prevent data from being misjudged as unilateral and causing losses to customers.

[0040] The present invention establishes a standardized data structure, integrates the data generated by Alipay mini programs, WeChat, window payment, etc., completes the storage of the data, and realizes multi-channel payment reconciliation.

[0041] The data of the present invention is uniformly stored in a database table, without the need to distinguish between window or mobile payment, only distinguish between outpatient or inpatient and the settlement data under the reimbursement insurance types corresponding to the two visiting methods.

[0042] In a more specific technical solution, in step S4, the preset network technology includes:.net technology.

[0043] In a more specific technical solution, in step S4, regular reconciliation is performed according to a preset cycle. When abnormal reconciliation data is found, the SMS API interface is called, and according to the patient information and visit ID corresponding to the current abnormal data, a reminder message is generated and sent to the bill verification end.

[0044] The present invention publishes the reconciliation system as a Windows scheduled task based on.net technology, realizes the function of regular reconciliation, and improves the timeliness of the reconciliation operation. The present invention adopts programming technology based on.net5.0 and realizes the function of regular reconciliation based on Quartz.

[0045] Through permission management, the present invention can specify users to perform reconciliation. Control the processing of daily abnormal data to prevent misoperations by operators. At the same time, in order to prevent real abnormal data from not being processed in time, the operator's permission can be improved by applying for a key from the administrator, which fully guarantees the security of the reconciliation operation and the abnormal data processing operation.

[0046] In a more specific technical solution, step S5 includes:

[0047] S51. According to the comparison result of the abnormal data details, find the source information of the abnormal data;

[0048] S52. According to the source information of the abnormal data, determine and obtain the payment scenario data, and perform specific scenario payment operations accordingly;

[0049] S53. According to the source information of the abnormal data, determine the abnormal type, and perform differential abnormal data reconciliation processing until the hospital bill data is consistent with the medical insurance center bill data;

[0050] S54. Send a key generation tool to the preset management end, use the preset management end to input the hospital institution code, authorization date, and encryption key, use the key generation tool to generate an input key through the AES encryption algorithm, and send the input key to the preset reconciliation end to perform verification operations using the input key;

[0051] S55. Using the reconciliation system, based on the current hospital institution code, authorization date, and encryption key, generate the current key using the AES encryption algorithm; compare whether the input key is the same as the current key, and accordingly complete the verification operation and continuously process the abnormal data.

[0052] Based on AES encryption, the present invention improves the confirmation of abnormal data processing by sending key verification, reducing the losses brought to the hospital by the misoperations of the reconciliation operator.

[0053] In a more specific technical solution, the intelligent medical reconciliation system includes:

[0054] A unilateral reconciliation module for performing unilateral reconciliation within the hospital, obtaining and reconciling the bills between the hospital settlement system and the hospital His system to obtain the bilateral and unilateral account determination information for medical treatment;

[0055] A settlement reconciliation module for reconciling the hospital bills with the bills of the medical insurance center. Using the settlement ID of the patient as an index, respectively search for the settlement data of the hospital His settlement system and the settlement data of the medical insurance center, and accordingly obtain the valid data determination information of the current settlement ID in the settlement data of the hospital His settlement system and the settlement data of the medical insurance center, and accordingly obtain the settlement unilateral and bilateral determination information. The settlement reconciliation module is connected to the unilateral reconciliation module;

[0056] A unilateral and bilateral information display module for processing and displaying the His settlement display data and the center settlement display data on a hierarchical display interface according to the bilateral and unilateral account determination information for medical treatment and the settlement unilateral and bilateral determination information. The unilateral and bilateral information display module is connected to the settlement reconciliation module;

[0057] A service deployment module for publishing the preset reconciliation system as an operating system service based on the preset network technology to be deployed on the hospital server. The service deployment module is connected to the unilateral and bilateral information display module;

[0058] An abnormal processing module for processing the abnormal data account, collecting the login information, accordingly verifying the abnormal processing authority, and performing abnormal processing operations according to the abnormal processing authority. The abnormal processing module is connected to the service deployment module and the settlement reconciliation module.

[0059] The present invention has the following advantages compared with the prior art:

[0060] The present invention reduces the dependence on the His platform. For different His platforms, through inter-process communication, the reconciliation program can be initiated, and at the same time, through parameter configuration, the reconciliation program can run independently, improving the independence of the system operating environment and the applicability to various payment channel scenarios. The present invention adopts a visual interface, enabling staff to clearly see the reconciliation results at a glance. And through detailed reconciliation, it can specifically know which data is one-sided data and the source of the data, including: one-sided data from His or medical insurance, and one-sided data within His. The present invention also has a timed automatic reconciliation function based on the windows service, and sends the abnormal data to the relevant person in charge in the form of a text message notification, improving the efficiency and accuracy of reconciliation.

[0061] The present invention establishes a standardized data structure, integrates the data generated by Alipay mini-programs, WeChat, window payments, etc., completes data storage, and realizes multi-channel payment reconciliation.

[0062] Based on the.net technology, the present invention publishes the reconciliation system as a windows timed task, realizing the timed reconciliation function and improving the timeliness of the reconciliation operation.

[0063] Through permission management, the present invention can specify users to perform reconciliation, control the processing of daily abnormal data, and prevent operator misoperations. At the same time, the present invention solves the technical problems existing in the prior art, such as relying on manual operations, low security, low reconciliation efficiency and accuracy, poor applicability to various payment channel scenarios, and low security. To prevent real abnormal data from not being processed in time, the operator's permission can be improved by applying for a key from the administrator, fully ensuring the security of the reconciliation operation and abnormal processing operation, reconciliation efficiency and accuracy. Description of the Drawings

[0064] Figure 1 It is a schematic diagram of the basic steps of the intelligent medical reconciliation method according to an embodiment of the present invention; Detailed Embodiment

[0065] To make the objectives, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the embodiments of the present invention. Obviously, the described embodiments are part of the embodiments of the present invention, rather than all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

[0066] Embodiment

[0067] As Figure 1 shown, the intelligent medical reconciliation method provided by the present invention includes the following basic steps:

[0068] S1. Internal one-sided reconciliation in the hospital;

[0069] For the internal unilateral data processing within a hospital, in traditional internal unilateral accounts within a hospital, generally due to network reasons or the like, both the His settlement system and the medical insurance center may have data, but the patient has not actually paid successfully at the hospital. Such data causes troubles to the hospital and patients and is likely to lead to contradictions. Generally, through the reversal interface, the data in the center is first cleared, and then the data in the His settlement system is changed to invalid. Only then can the patient re-pay.

[0070] In view of the foregoing situation, in this embodiment, the internal unilateral nuclear operation includes but is not limited to: checking the bills between the hospital settlement system and the hospital His system. In this embodiment, using the patient's visit ID as the unique index, it is respectively checked whether there is charging information in both the settlement system and the His system. The charging information is divided into outpatient charging information and inpatient charging information. If there is the same type of charging information based on this visit ID in both the settlement system and the His system, it is determined that the bill is balanced; otherwise, it is determined as an internal unilateral account in His.

[0071] S2. Check the hospital bill against the medical insurance center bill;

[0072] In this embodiment, using the settlement ID returned by the center at the time of patient settlement as the unique index, the His settlement system and the center settlement data are respectively searched. If there is valid data of this settlement ID on both sides, it is determined that the hospital bill is balanced with the medical insurance center bill; if there is data of this settlement ID in the hospital settlement system but no corresponding ID data in the medical insurance center, it is a unilateral situation on the center side; if there is no data of this settlement ID in the hospital settlement system but there is corresponding settlement ID data in the medical insurance center, it is a unilateral situation on the hospital side.

[0073] S3. The interface has upper and lower two-layer data display areas. The upper layer displays the data of the His settlement system, and the lower layer displays the center settlement data;

[0074] In this embodiment, the data is sorted by whether it is unilateral. The unilateral data is displayed in highlighted font at the bottom of the corresponding display area for the convenience of the operator to view. At the same time, filtering operations are performed on the interface. In this embodiment, the filtering fields include but are not limited to: patient name, visit ID, and settlement ID, which are convenient for finding specific patient information.

[0075] S4. Publish the reconciliation system as a windows service based on.net technology and deploy it on the hospital server;

[0076] In this embodiment, for example, regular reconciliation can be performed during the hospital's rest time every day (such as in the morning or at noon). If abnormal data with a return value of the first type or the second type is found, by calling the SMS API interface, it is sent to the person in charge of the hospital bill in the form of the patient name + visit ID to which the abnormal data belongs, reminding them to process the abnormal data.

[0077] Abnormal data processing strategy. In this embodiment, abnormal data includes: the first type, that is, real abnormal data, which indeed needs to be processed; the second type, that is, false abnormal data caused by some reason, which is actually normal data. Through multi-level permission management, the irreversible losses caused by misoperations can be effectively reduced.

[0078] S5. Configure the abnormal data processing account in the form of parameter configuration.

[0079] In this embodiment, first obtain the login personnel information of the current program, and determine whether this person has the permission to handle exceptions. For personnel with permission, the operator can process a fixed number S of abnormal data and the abnormal data with an amount upper limit H per day for charging exceptions. S and H are configured through parameters. If there is data exceeding S or H that needs to be processed, the operator needs to apply to the superior for a key, and can continue to process the data only after entering the key.

[0080] In this embodiment, during the process of identifying abnormal data, comparison calculations are performed; in this embodiment, according to the settlement Id of the medical insurance center, check whether there is data with the same settlement Id in His;

[0081] If the data with the same settlement Id mentioned above does not exist, then according to the visit Id of the central settlement data and the total amount of this data, check whether there is data with the same settlement Id and amount in the His data; if the data with the same settlement Id and amount mentioned above does not exist, then according to the personal number, settlement date, and settlement amount of this data, check whether there is consistent data in the His data.

[0082] In this embodiment, if the data with the same settlement Id mentioned above, the data with the same settlement Id and amount, and the consistent data do not exist, this data is determined to be His unilateral data, and this data is processed at this time.

[0083] In this embodiment, a key generation tool is provided to the administrator. The administrator inputs the hospital institution code + authorization date + encryption Key. After the key generation tool generates a key through the AES encryption algorithm, the administrator can copy the key and send it to the reconciliation personnel. After the reconciliation personnel enter the key, the reconciliation system also generates a set of keys in the same AES encryption manner according to the current hospital institution code + authorization date + encryption Key, and then compares whether the key input by the operator is the same as the generated key. If the generated key strings are the same, the abnormal data can be continued to be processed, otherwise the operator will not be able to process the data in the current system.

[0084] The present invention solves the technical problems existing in the prior art, such as relying on manual operations, low reconciliation efficiency and accuracy, poor applicability in scenarios of multiple payment channels, and low security.

[0085] The above embodiments are only used to illustrate the technical solutions of the present invention, rather than to limit it; although the present invention has been described in detail with reference to the foregoing embodiments

[0086] those skilled in the art should understand that: they can still modify the technical solutions recorded in the foregoing embodiments, or perform equivalent replacements on some of the technical features; and these modifications or replacements do not make the essence of the corresponding technical solutions deviate from the spirit and scope of the technical solutions of the embodiments of the present invention.

Claims

1. The smart medical reconciliation method is characterized by: The method comprises: S1. Use the patient's medical ID as an index to search for the hospital's settlement system and HIS system's charging information, determine the balance of bills and unilateral accounts, obtain the bilateral and unilateral account determination information, and handle internal unilateral account problems caused by network reasons; S2. Using the settlement ID as the index, compare the settlement data of the HIS settlement system and the medical insurance center to determine whether it is bilateral or unilateral. This involves obtaining data from the HIS platform and the medical insurance center, using preset logic calculations and detailed reconciliation operations, and generating abnormal data detailed comparison results; S3. The interface displays HIS and central settlement data in upper and lower layers, sorting them by unilateral or not, marking unilateral data at the bottom with color fonts, filtering and searching by patient information, and performing unilateral and bilateral sorting and double verification processing; S4. Based on .net technology, the reconciliation system is published as a windows service and deployed on the hospital server. Reconciliation is performed regularly according to preset cycles (such as hospital rest time). When an abnormality occurs, the SMS API interface is called to remind the person in charge of the bill. .net5.0 programming and Quartz are used to implement the timing function. S5. Configure account permissions through parameters, verify the permissions of the logged-in personnel, apply for a key to handle abnormal data that exceeds the permissions, and process it based on the encryption algorithm (AES) verification, including analyzing the source and type of the abnormality and targeted reconciliation operations.

2. The smart medical reconciliation method according to claim 1, characterized in that: In step S1, the patient's medical ID is used as an index to find out whether the hospital settlement system and the hospital His system have consistent charging information, thereby obtaining the same type of charging information, and obtaining bill balance judgment data to obtain the bilateral and unilateral account judgment information of the medical consultation.

3. The smart medical reconciliation method according to claim 1, characterized in that: The step S2 includes: S21, on the His platform, initiating a reconciliation request to a preset reconciliation system; S22, receiving the reconciliation request in the preset reconciliation system; S23, using the preset reconciliation system to issue a reconciliation trigger signal to trigger a general ledger reconciliation operation; S24, obtaining His original data from the His platform, and using preset logic to obtain His settlement data; S25, obtaining the settlement data of the medical insurance center from the data storage device of the medical insurance center, comparing the His settlement data with the settlement data of the medical insurance center, and obtaining abnormality determination information accordingly; S26. According to the abnormal determination information, when there is abnormal data, a detailed account reconciliation operation is performed; S28. His detailed data is obtained from the His platform data storage device; S29, sending a center detailed data request to the medical insurance center, obtaining the medical insurance center detailed data accordingly, and comparing the His detailed data with the medical insurance center detailed data to generate an abnormal data detailed comparison result.

4. The smart medical reconciliation method according to claim 1, characterized in that: In the step S3, the layered display interface includes: a His settlement system data display layer and a central settlement data display layer.

5. The smart medical reconciliation method according to claim 1, characterized in that: In the step S3, unilateral and bilateral sorting is performed according to the bilateral and unilateral account determination information of the medical treatment and the unilateral and bilateral determination information of the settlement, and filtering operations and double verification processing are performed on the layered display interface.

6. The smart medical reconciliation method according to claim 1, characterized in that: In the step S4, the preset network technology includes: .net technology.

7. The smart medical reconciliation method according to claim 1, characterized in that: In the step S4, regular reconciliation is performed according to a preset cycle. When an abnormality is found in the reconciliation data, the SMS API interface is called to generate and send a reminder message to the bill checking end based on the patient information corresponding to the current abnormal data and the medical consultation ID.

8. The smart medical reconciliation method according to claim 1, characterized in that: In the step S5, the abnormal data processing account is configured in the form of parameter configuration.

9. The smart medical reconciliation method according to claim 1, characterized in that: The step S5 includes: S51, finding the source information of the abnormal data according to the abnormal data detail comparison result; S52. Determine and obtain payment scenario data according to the abnormal data source information, and perform a payment operation in a specific scenario based on the data; S53, determining the abnormal type according to the abnormal data source information, and reconciling the abnormal data until the hospital bill data is consistent with the medical insurance center bill data; S54, sending a key generation tool to the preset management terminal, using the preset management terminal to input the hospital organization code, authorization date, and encryption key, using the key generation tool to generate an input key through the AES encryption algorithm, and sending the input key to the preset reconciliation terminal to use the input key for verification operation; S55. Use the reconciliation system to generate the current key using the AES encryption algorithm according to the current hospital institution code, the authorization date and the encryption key; compare the input key with the current key to see if they are consistent, thereby completing the verification operation and continuously processing abnormal data.

10. Smart medical reconciliation system, characterized by: The system comprises: The unilateral verification module is used to conduct unilateral verification within the hospital, obtain and verify the bills between the hospital settlement system and the hospital His system, and obtain the bilateral and unilateral account determination information of the medical treatment; A settlement verification module is used to verify the hospital bill with the medical insurance center bill, and uses the settlement ID of the patient as an index to search the settlement data of the hospital's His settlement system and the settlement data of the medical insurance center respectively, thereby obtaining valid data determination information of the current settlement ID in the settlement data of the hospital's His settlement system and the settlement data of the medical insurance center, and thereby obtaining unilateral and bilateral settlement determination information. The settlement verification module is connected to the unilateral verification module; A unilateral and bilateral information display module is used to process and display His settlement display data and center settlement display data on a hierarchical display interface according to the bilateral and unilateral account determination information of the medical consultation and the unilateral and bilateral determination information of the settlement. The unilateral and bilateral information display module is connected to the settlement verification module; A service deployment module, which publishes the preset reconciliation system as an operating system service based on a preset network technology to be deployed on a hospital server, and the service deployment module is connected to the unilateral and bilateral information display modules; The exception handling module is used to handle the exception data account, collect login information, verify the exception handling authority, and perform exception handling operations according to the exception handling authority. The exception handling module is connected to the service deployment module and the settlement verification module.

Images