An insurance product pricing method and system based on clinical prognosis digital twinning

By using Transformer neural networks and reinforcement learning agents to process clinical time-series data, the problem of insufficient data processing and adaptive capabilities in insurance pricing has been solved, enabling real-time, refined assessment of individual risk and stable pricing decisions.

CN122415236APending Publication Date: 2026-07-17RENJI HOSPITAL AFFILIATED TO SHANGHAI JIAO TONG UNIV SCHOOL OF MEDICINE
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Patent Information

Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
RENJI HOSPITAL AFFILIATED TO SHANGHAI JIAO TONG UNIV SCHOOL OF MEDICINE
Filing Date
2026-06-15
Publication Date
2026-07-17

AI Technical Summary

Technical Problem

Existing insurance pricing technologies cannot effectively handle non-linear time-series clinical data, lack adaptive capabilities, and are unstable in decision-making when faced with missing or abnormal clinical data, resulting in delayed risk assessment and inaccurate pricing.

Method used

Employing a Transformer neural network architecture and reinforcement learning agent, this system processes clinical time-series data through a multi-head attention mechanism to generate risk prognosis survival function trajectories. Furthermore, it introduces a confidence gating mechanism based on prediction variance quantification to achieve dynamic pricing and abnormal circuit breaking.

Benefits of technology

It enables real-time and refined characterization of individual health risks, enhances the system's adaptability and decision-making efficiency, ensures computational stability and compliance, and improves the accuracy and reliability of pricing.

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Abstract

本发明涉及保险软件领域,公开了一种基于临床预后数字孪生的保险产品定价方法及系统,所述包括:通过数据通信与接口模块对采集的临床数据进行校验、脱敏与时序特征序列构建;利用内嵌Transformer架构的临床预后数字孪生计算单元对患者病程进行时序建模,输出高精度的个体风险预后生存函数轨迹;强化学习定价学习单元以该轨迹为状态空间,通过策略网络在预设奖励函数引导下执行定价动作推理,并实时计算决策预测方差;当预测方差低于安全阈值时,自动输出最优保费区间与赔付规则,否则触发熔断或人工复核。本发明实现了定价过程的实时自适应优化与风险可控决策,显著提升了定价精度、系统鲁棒性与集成扩展性。
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