Medical examination fee settlement system, method and electronic device

Abstract

The present application provides a medical examination fee settlement system, method and electronic equipment, by modifying the settlement state of the medical first examination order, and judging the necessary order and the unnecessary order associated with the payment of the examination fee in each link of the examination process of the medical first examination order, thereby realizing the one-time settlement of multiple payment orders based on one medical examination, avoiding the contradiction between medical fee settlement and multiple payments, greatly improving the efficiency of medical fee settlement and reimbursement, and avoiding the waste of paper resources in the bill printing process.

Description

Technical Field

[0001] This invention belongs to the field of intelligent settlement technology, and in particular relates to a medical examination fee settlement system, method and electronic device. Background Technology

[0002] In current technology, medical examinations often involve multiple steps. The routine medical examination process mainly includes: the doctor issuing an examination order, the patient paying the fee according to the order, scheduling the examination, and obtaining the examination report after completion. This routine medical examination only requires a single payment to complete the payment process, and medical expenses can be settled immediately after payment. However, complex medical examinations, due to the involvement of consumables, report printing, and other special steps, cannot be completed in one go. For example, for an enhanced CT scan, the process includes: the doctor issuing an examination order, the patient paying the examination fee, scheduling the examination, the examining doctor calculating the contrast agent dosage based on the patient's height and weight to generate consumable costs, injecting the contrast agent, completing the examination, the patient paying the consumable costs, obtaining the examination report, and the patient choosing whether to print the film report. If printing is chosen, a film printing fee is required, and the patient can then print the film report. In some cases, an examination may require multiple departments to complete, making it impossible for patients to pay for a single, complex medical examination in one go.

[0003] To address the above technical problems, this invention proposes a medical examination fee settlement system and method, which solves the above technical problems by modifying the settlement status of medical examination orders and obtaining the necessary and unnecessary orders associated with them. Summary of the Invention

[0004] As one embodiment, the present invention provides a method for settling medical examination fees, the method comprising the following specific steps: S1: Obtain the first inspection order generated for the user, check whether the first inspection order has a first associated order, if so, change the status of the first inspection order to a non-settlement order; the first associated order is an order associated with the first inspection order but not a necessary order to be activated, the necessary order is an order that is necessary to complete the settlement of the inspection; the non-settlement order is an order that cannot be settled. S2: Obtain the user's payment information for the non-settlement order, and activate the first associated order after the check is completed; S3: Detect the user's payment operation on the first associated order. After the payment is completed, generate the inspection result information of the first inspection order and update the payment information of the first associated order to the non-settlement order. S4: Detect whether the user has activated the second associated order of the first inspection order. If so, obtain the settlement cycle of the non-settlement order. The second associated order is a non-essential order associated with the first inspection order but not activated. The non-essential order is an order for which settlement is not required to complete the inspection. S5: If the user pays for the activated second associated order within the settlement period, the non-settlement order is updated again based on the payment information of the second associated order; the status of the updated non-settlement order is changed to a pending settlement order and the settlement operation of the first checked order is performed.

[0005] In some embodiments, the medical examination fee settlement method further includes: obtaining the user's payment information for the non-settlement order, the payment information including payment type information; Determine whether the payment type information is a first preset payment type. If so, activate the first associated order after the check is completed. If not, the status of the first inspection order is changed to a settlement order, and the settlement of the first inspection order is completed; after the user completes payment for the first associated order, the inspection result information of the first inspection order is generated, and the settlement of the first associated order is completed; after the user completes payment for the second associated order, the settlement of the second associated order is completed directly.

[0006] In some embodiments, the medical examination fee settlement method further includes: determining whether the payment type information is a first preset payment type; if so, determining whether the paying user is the user of the first examination order; if so, after payment is completed, generating the examination result information of the first examination order, and updating the payment information of the first associated order to the non-settlement order. If not, after payment is completed, the inspection result information of the first inspection order is generated, the payment user in the payment information of the first associated order is changed to the user of the first inspection order, and then the payment information of the first associated order is updated to the non-settlement order.

[0007] In some embodiments, the medical examination fee settlement method further includes: if the user does not activate the second associated order of the first examination order, or if the user does not pay the activated second associated order within the settlement period, then the order status of the non-settlement order updated by the payment information of the first associated order is modified to a pending settlement order and the settlement operation of the first examination order is performed.

[0008] In some embodiments, the medical examination fee settlement method further includes: obtaining a first examination order generated for a user; detecting whether the first examination order has a first associated order; if so, obtaining the user's basic information; estimating the order amount of the first associated order based on the user's basic information; generating examination fee estimation information based on the order amount of the first examination order and the order amount of the first associated order; and after the user confirms the examination fee estimation information, changing the status of the first examination order to a non-settlement order.

[0009] In some embodiments, the medical examination fee settlement method further includes: obtaining the user's payment information for the non-settlement order, the payment information including first preset payment type information and payment authorization information; the payment authorization information being the password-free payment permission for the first associated order and / or the second associated order; After the inspection is completed, the first associated order is activated; the payment operation for the first associated order is automatically completed according to the first preset payment type information and the payment authorization information, and the inspection result information of the first inspection order is generated; After the user activates the second associated order of the first inspection order, the payment operation for the activated second associated order is automatically completed according to the first preset payment type information and the payment authorization information, and the non-settlement order is updated again based on the payment information of the second associated order.

[0010] In some embodiments, the medical examination fee settlement method further includes: generating a second examination order based on the examination result information of the first examination order; if the user selects the payment type of the second examination order as the first preset payment type, then authorizing the second examination order and its associated orders using the payment authorization information; After the user activates the second inspection order, the payment results of the second inspection order and its associated orders are obtained. If the payment result of the second inspection order is a payment failure, the payment type of the second inspection order and its associated orders is modified to the second preset payment type, and the order status of the second inspection order and its associated orders is modified to settlement order respectively. If the payment result of the associated order of the second inspection order is a payment failure, the payment type of the associated order of the second inspection order is modified to the second preset payment type according to the user's choice, or the associated order of the second inspection order is selected to delay payment.

[0011] In some embodiments, the method for settling medical examination fees by selecting the associated order of the second examination order for delayed payment further includes: detecting the payment balance of the first preset payment type; if the payment balance is greater than or equal to the payment amount of the associated order of the second examination order within the payment period of the delayed payment, then the payment of the associated order of the second examination order is automatically completed, and the second examination order and its associated order are settled. If the payment balance is less than the payment amount of the associated order of the second inspection order during the payment period of the delayed payment, the payment type of the associated order of the second inspection order will be automatically modified to the second preset payment type, and the second inspection order will be settled separately.

[0012] In some embodiments, the present invention provides a medical examination fee settlement system for executing the medical examination fee settlement method described in any of the above embodiments, the system comprising the following modules: The first associated order generation module is used to obtain the first inspection order generated for the user, detect whether the first inspection order has a first associated order, and if so, modify the status of the first inspection order to a non-settlement order; the first associated order is an order associated with the first inspection order but not a necessary order to be activated, the necessary order is an order that is necessary to complete the settlement of the inspection; the non-settlement order is an order that cannot be settled. The first associated order activation module is used to obtain the user's payment information for the non-settlement order and activate the first associated order after the check is completed. The inspection result generation module is used to detect the user's payment operation on the first associated order. After the payment is completed, it generates the inspection result information of the first inspection order and updates the payment information of the first associated order to the non-settlement order. The second associated order generation module is used to detect whether the user has activated the second associated order of the first inspection order. If so, the settlement cycle of the non-settlement order is obtained. The second associated order is a non-essential order associated with the first inspection order but not activated. The non-essential order is an order for which settlement is not required to complete the inspection. The order settlement module is used to check if the user pays for the activated second associated order within the settlement period, and then update the non-settlement order again based on the payment information of the second associated order; modify the status of the updated non-settlement order to a pending settlement order and perform the settlement operation of the first checked order.

[0013] In some embodiments, the present invention provides an electronic device including a memory, a processor, and a computer program stored in the memory and executable on the processor, wherein the processor executes the program to implement the steps of the medical examination fee settlement method described in any of the above embodiments.

[0014] As can be seen, the present invention proposes a medical examination fee settlement system, method and electronic device. By modifying the settlement status of the first medical examination order and judging the necessary and unnecessary orders related to the payment of examination fees in each stage of the examination process of the first medical examination order, the system achieves one-time settlement of multiple payment orders based on a medical examination, thus avoiding the contradiction between medical fee settlement and multiple payments. Attached Figure Description

[0015] To more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings used in the description of the embodiments and the prior art will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present invention. For those skilled in the art, other drawings can be obtained based on these drawings without creative effort.

[0016] Figure 1 This is a schematic diagram of a medical examination fee settlement method provided in some embodiments of this application.

[0017] Figure 2 This is a schematic diagram of the structure of a medical examination fee settlement system provided in some embodiments of this application.

[0018] Figure 3 This is a schematic diagram of an electronic device in some embodiments of this application. Detailed Implementation

[0019] To make the objectives, technical solutions, and advantages of this invention clearer, the invention will be further described in detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are merely illustrative and not intended to limit the invention.

[0020] In the description of this specification, the references to terms such as "one embodiment," "some embodiments," "example," "specific example," or "some examples," etc., indicate that a specific feature, structure, material, or characteristic described in connection with that embodiment or example is included in at least one embodiment or example of the present invention. In this specification, the illustrative expressions of the above terms do not necessarily refer to the same embodiment or example. Furthermore, the specific features, structures, materials, or characteristics described may be combined in any suitable manner in one or more embodiments or examples. Moreover, without contradiction, those skilled in the art can combine and integrate the different embodiments or examples described in this specification, as well as the features of different embodiments or examples.

[0021] like Figure 1 As shown, this application provides a method for settling medical examination fees, including the following specific steps: S1: Obtain the first examination order generated for the user, check if there is a first associated order for the first examination order, and if so, change the status of the first examination order to a non-settlement order; the first associated order is an order associated with the first examination order but not a necessary order that has not been activated, and the necessary order is an order that is required to complete the settlement of the examination; the non-settlement order is an order that cannot be settled; it should be noted that the first examination order of the present invention can be an examination item involving the use of consumables, such as enhanced CT and magnetic resonance MRI. For such examination items, the amount of consumables such as contrast agents cannot be accurately determined before the examination, so the cost of consumables cannot be determined. The user, i.e., the patient, can only pay the fixed cost of the examination in advance. The cost of such consumables can only be determined by the doctor during the examination based on the patient's specific physical condition (such as height, weight, physique, etc.) and then the cost of consumables can be determined. If the cost of an examination is paid multiple times, multiple cost details / settlement statements will be generated. However, the medical expense settlement process often requires a single invoice to be used for a medical item, especially when it involves medical insurance reimbursement and commercial reimbursement, the invoice requirements are higher. This causes a contradiction between medical expense settlement and multiple payments, which ultimately affects the patient's medical reimbursement. To address this, the present invention obtains the first examination order generated for the user and checks whether there is a first associated order. If so, it indicates that the first examination order is an order for examination items involving the use of consumables, such as enhanced CT or MRI. The first associated order is a sub-order associated with the first examination order that involves the use of consumables for the aforementioned examination items, the cost of which cannot be predetermined. In this case, the status of the first examination order is changed to a non-settlement order, which is an order that cannot be settled. Specifically, the first associated order is an order associated with the first examination order but not yet activated. Orders in an inactive state cannot have their costs determined by the doctor, and users cannot perform subsequent processes such as payment and settlement. A necessary order is an order required to complete the settlement of the examination; that is, the payment for the examination order must be completed first, followed by the payment for the necessary order, before the examination settlement operation can proceed.

[0022] S2: Obtain the user's payment information for non-settlement orders. After the examination is completed, activate the first associated order. It should be noted that after the user pays for the non-settlement order, the doctor can perform the examination for the current examination item. During the examination, the doctor determines the amount of consumables required for the current examination based on the user's (i.e., the patient's) actual physical condition such as height, weight, and physique. Then, the doctor determines the cost of the consumables based on the amount of consumables used, thereby activating the first associated order for the current examination. Afterward, the user can perform the payment operation for the first associated order.

[0023] S3: Detect the user's payment operation for the first associated order. After payment is completed, generate the inspection result information for the first inspection order and update the payment information of the first associated order to the non-settlement order. It should be noted that after activating the first associated order of the current inspection order, the user's payment operation for the first associated order is detected. After payment is completed, since the user has paid part of the inspection fee and consumable fee, the conditions for generating the inspection result have been met. After a set time (e.g., 1-2 business days), the inspection result information for the first inspection order will be generated. The user can view the electronic versions of the film and inspection report on the terminal APP, etc. At this time, the payment information of the first associated order can be updated to the non-settlement order, thus completing the payment process of the main inspection stage.

[0024] S4: Detect whether the user has activated the second associated order of the first inspection order. If so, obtain the settlement cycle of the non-settlement order. The second associated order is a non-essential order associated with the first inspection order but not activated. Non-essential orders are orders for which settlement is not required to complete the inspection. It should be noted that, in addition to the necessary first associated order associated with the current inspection order, there may be situations where the user needs to print the above inspection results. Printing electronic versions of inspection results such as films and inspection reports often incurs additional fees. This fee is also part of the current inspection order. Therefore, it can be determined whether to add this fee information to the final settlement process based on the user's actual needs. Specifically, the system checks whether the user has activated the second associated order of the first examination order. The second associated order is a non-essential order that is linked to the first examination order but has not been activated, such as an order for printing electronic versions of examination results, such as films and examination reports. Non-essential orders are orders for which settlement is not required to complete the examination, meaning that electronic examination results can be obtained without paying this printing fee. If so, it indicates that the user needs to print electronic examination results. Since the user has already completed the payment for the main part of the current examination item, the time to obtain the examination results is basically fixed at 1-2 working days. Therefore, the printing cycle of the examination results can be any time after the payment for the first associated order is completed. However, in reality, the settlement of examination orders is subject to time constraints due to the hospital's financial cycle and the medical insurance settlement and reimbursement cycle. It is impossible to indefinitely delay the payment of the second associated order, which would prevent the settlement of the paid part of the entire examination order. Therefore, it is necessary to limit the payment time of the second associated order. Specifically, the settlement cycle of non-settlement orders is obtained, for example, the settlement cycle is one month or the last working day of the current month.

[0025] S5: If the user pays for an activated second associated order within the settlement period, the non-settlement order is updated again based on the payment information of the second associated order; the status of the updated non-settlement order is changed to pending settlement, and the settlement operation for the first inspection order is performed. It should be noted that if the user pays for an activated second associated order within the settlement period, the payment process for all related sub-orders of the current inspection item has been completed, and the final settlement operation can be performed. At this time, the non-settlement order is updated again based on the payment information of the second associated order to update the order information in the non-settlement state of the current inspection item. Then, the status of the updated non-settlement order is changed to pending settlement, and the settlement operation for the first inspection order is performed. This completes the payment and final settlement operations for the current examination order and its associated first and second related orders. Through the above technical solution, the order status of the examination order and its associated first and second related orders is set, and the order information and order status information of the examination order are updated after the corresponding payment and examination operations are completed. This enables a single settlement after multiple payment operations for an examination item, ensuring that all examination costs involved in an examination item can be listed on a single expense statement and settlement form, greatly improving the efficiency of expense settlement and providing convenience for subsequent medical reimbursement processes. It also avoids the reimbursement difficulties caused by listing a single examination cost on multiple documents of the same type.

[0026] As can be seen, this invention proposes a method for settling medical examination fees. This method modifies the settlement status of the first medical examination order and determines the necessary and unnecessary orders associated with the payment of examination fees in each stage of the examination process of the first medical examination order. This enables the one-time settlement of multiple payment orders based on a single medical examination, avoiding the contradiction between medical expense settlement and multiple payments, greatly improving the efficiency of medical expense settlement and reimbursement, and avoiding the waste of paper resources during the printing of invoices.

[0027] In some embodiments, the medical examination fee settlement method further includes: obtaining the user's payment information for non-settlement orders, the payment information including payment type information; it should be noted that the payment type information can be medical insurance payment, out-of-pocket payment (including cash payment, credit card payment, debit card balance payment, etc.). Since different payment types have different requirements for medical settlement, such as medical insurance reimbursement and commercial insurance reimbursement requiring a one-time settlement of multiple payment orders for a single medical examination, while those not involving the above reimbursement do not require a one-time settlement, it is necessary to determine the payment type separately. Specifically, if the payment type information is a first preset payment type, and the first preset payment type is medical insurance payment, it indicates that the user has a medical insurance reimbursement requirement, thus requiring the execution of subsequent processes. Conversely, if the payment type information is the second preset payment type, which is self-payment, it indicates that the user usually does not need medical insurance reimbursement and therefore does not need to proceed with the subsequent process. In special cases, self-payment may involve commercial insurance reimbursement. In such cases, the user can be reminded whether to claim commercial insurance reimbursement when selecting self-payment. If not, it indicates that the user does not need commercial insurance reimbursement and therefore does not need to proceed with the subsequent process. If yes, it indicates that the user needs commercial insurance reimbursement, and even if the payment type is the second preset payment type, the subsequent process must be followed.

[0028] The system determines whether the payment type information matches the first preset payment type. If it does, the first associated order is activated after the check is completed. If not, the status of the first check order is changed to a settlement order, and the settlement of the first check order is completed. After the user completes payment for the first associated order, the check result information for the first check order is generated, and the settlement of the first associated order is completed. After the user completes payment for the second associated order, the settlement of the second associated order is completed directly. It should be noted that determining whether the payment type information matches the first preset payment type, if the first preset payment type is medical insurance payment, indicates that the user has a medical insurance reimbursement need; if so, the first associated order is activated after the check is completed to proceed with the subsequent processes. If not, it indicates that the user does not have a medical insurance reimbursement need. Preferably, the system checks if the user has a commercial insurance reimbursement need. If not, the first examination order status is changed to a settlement order, and the settlement of the first examination order is completed. At this point, settlement is unrestricted. After the user completes payment for the first associated order, the examination result information for the first examination order is generated, and the settlement of the first associated order is completed. After the user completes payment for the second associated order, the settlement of the second associated order is completed directly. This is a normal payment and settlement process; that is, once a payment is completed, the settlement of the current payment order is automatically completed randomly without changing the order status to a non-settlement order. If there is a commercial insurance reimbursement need, the above medical insurance payment type-related processes are executed instead, which will not be elaborated here.

[0029] In some embodiments, the medical examination fee settlement method further includes: determining whether the payment type information is a first preset payment type; if so, determining whether the paying user is the user of the first examination order; if so, after payment is completed, generating the examination result information of the first examination order and updating the payment information of the first associated order to the non-settlement order. It should be noted that, since medical insurance payments can be made not only by the medical insurance user's account, but also by their relatives, i.e., relative B can use the balance of their medical insurance account to pay for medical insurance user A's examination order. In this case, although the payment type is the first preset payment type, the actual payment account is not medical insurance user A. This difference in medical insurance payment accounts may also affect the settlement of the examination order. Therefore, it is necessary to determine the identity information of the paying user in the case of medical insurance payment. Specifically, in the case of medical insurance payment, it is necessary to determine whether the paying user is the user of the first examination order (i.e., user A). If so, it is the case that user A is paying for their own medical insurance account. Thus, after payment is completed, generating the examination result information of the first examination order and updating the payment information of the first associated order to the non-settlement order, at which point no modification of the payment information is required. Conversely, if the paying user is not the user of the first examination order (e.g., user B), it falls under the category of user B paying for their relative's medical insurance account, which is a case of family payment, mutual aid payment, or other payment on behalf of medical insurance. Therefore, after the payment is completed, the examination result information of the first examination order is generated. In order to ensure consistency between the paying user information and the examination order user information, it is necessary to modify the paying user in the payment information of the first associated order to the user of the first examination order, and then update the payment information of the first associated order to the non-settlement order. This achieves information consistency and avoids the settlement of the examination order being affected by different medical insurance payment accounts.

[0030] In some embodiments, the medical examination fee settlement method further includes: if the user does not activate the second associated order of the first examination order, or if the user does not pay the activated second associated order within the settlement period, the order status of the non-settlement order updated by the payment information of the first associated order is changed to a pending settlement order and the settlement operation of the first examination order is performed. It should be noted that since the second associated order is a non-essential order type, the inspection results and settlement can be completed after the payment of the first associated order. Therefore, the second associated order does not affect the settlement of the first inspection order and the first associated order; that is, the second associated order is a non-mandatory step. In this case, if the user has not activated the second associated order of the first inspection order, that is, the user can already obtain the electronic version of the inspection results and inspection report, and may not need to print the inspection results or inspection report, thus not needing to pay this part of the fee. Alternatively, if the user has not paid for the activated second associated order within the settlement period, that is, although the user activated the second associated order within the settlement period, they have not paid for it within the settlement period, indicating that the user's operation caused the activation of the second associated order or that it has been decided that printing the inspection results or inspection report is no longer necessary. In this case, the order status of the non-settlement order updated by the payment information of the first associated order will be changed to a pending settlement order, and the settlement operation of the first inspection order will be performed. That is, the non-settlement order will be updated with the payment information of the first associated order, then the order status of the non-settlement order will be changed to a pending settlement order, and finally the settlement operation of the first inspection order will be performed. This achieves the settlement of the first inspection order in the case of no payment for the second associated order.

[0031] In some embodiments, the medical examination fee settlement method further includes: obtaining a first examination order generated for the user; detecting whether the first examination order has a first associated order; if so, obtaining the user's basic information; estimating the order amount of the first associated order based on the user's basic information; generating examination fee estimation information based on the order amount of the first examination order and the order amount of the first associated order; and after the user confirms the examination fee estimation information, changing the status of the first examination order to a non-settlement order. It should be noted that the implementation process of this invention is carried out under the condition that the medical insurance payment balance can meet the payment amount of the current examination order. However, there may be situations where the medical insurance payment balance is insufficient. In this case, the user may have doubts about the payment of the first associated order with an uncertain payment amount. Therefore, in order to ensure that the user is given a definite estimated amount for the first associated order after paying the basic examination fee, in order to eliminate the user's doubts; specifically, obtaining the first examination order generated for the user; detecting whether the first examination order has a first associated order; if so, estimating the fee amount of the first associated order; at this time, obtaining the user's basic information, which is relevant information affecting the consumption of consumables and can determine the amount of the user's first associated order. For example, information such as a user's height and weight can be obtained from user profiles or from prompts prompting the user to input the currently entered information. Then, based on the user's basic information, the order amount of the first associated order is estimated. Next, based on the order amounts of the first inspection order and the first associated order, an estimated inspection fee is generated. This estimated inspection fee represents the necessary cost to complete the current inspection. After the user confirms the estimated inspection fee, it indicates that the user understands and accepts the approximate cost required to complete the current inspection. At this point, the status of the first inspection order is changed to a non-settlement order, facilitating subsequent updates to the order information. This ensures that the user is aware of and accepts the inspection fee before completing the inspection.

[0032] In some embodiments, the medical examination fee settlement method further includes: obtaining the user's payment information for non-settlement orders, the payment information including first preset payment type information and payment authorization information; the payment authorization information is the password-free payment permission for the first associated order and / or the second associated order; it should be noted that, in order to improve the efficiency of examination fee payment and examination, preferably, the present invention authorizes payment for multiple associated payment orders involved in the current examination order, i.e., the payment authorization information is the password-free payment permission for the first associated order and / or the second associated order, when the user knows and accepts the examination fee before completing the examination. At this time, the user's payment information for non-settlement orders is obtained, the payment information including first preset payment type information and payment authorization information; after the examination is completed, the first associated order is activated; the payment operation for the first associated order is automatically completed according to the first preset payment type information and payment authorization information, at this time the automatic password-free payment of the first associated order is realized, and the examination result information of the first examination order is generated, and the non-settlement order is updated again based on the payment information of the first associated order. After a user activates the second associated order of the first inspection order, it indicates that the user needs to print the inspection results and test report. At this point, the payment operation for the activated second associated order is automatically completed based on the first preset payment type information and payment authorization information. This achieves automatic password-free payment for the second associated order, and the non-settlement order is updated again based on the payment information of the second associated order. This realizes automatic payment for two associated orders based on the current inspection order, which not only improves the payment efficiency of the current inspection order and its associated orders and reduces repeated payment operations for the user, but also improves the efficiency of the user in completing the current inspection.

[0033] In some embodiments, the medical examination fee settlement method further includes: generating a second examination order based on the examination result information of the first examination order; if the user selects the payment type of the second examination order as the first preset payment type, then authorizing the second examination order and its associated orders using payment authorization information; it should be noted that medical examinations may result in unsatisfactory or questionable results, in which case further examinations are often required to confirm the presence of a disease state. For example, if the results of an enhanced CT scan are questionable, further medical examinations with higher precision, such as MRI, are needed. If multiple examinations with similar payment methods are performed consecutively, setting a separate order payment method for each examination would greatly increase the user's expenses. The number of times a payment is required affects the user's examination efficiency and experience. Therefore, this invention improves the payment process for subsequent examinations with similar payment methods, building upon the improvements made to the first examination as described in the aforementioned embodiments, to reduce the complexity of user payments. Specifically, a second examination order is generated based on the examination results of the first examination order. For example, if the first examination order's result is "a nodule exists in a certain area, and an MRI scan is necessary for further confirmation," then the current first examination order's result information is obtained, and the keywords "certain area, MRI" are automatically extracted, thus automatically generating a second examination order associated with the current result: "MRI scan of a certain area." After the second examination order is pushed to the user, if the user selects the first preset payment type for the second examination order, it indicates that the user defaults to using the same payment method as the first examination order to pay for the second examination order. This authorizes the second examination order and its associated orders using payment authorization information. After authorization, password-free payment can be made for the second examination order, thereby improving the payment efficiency of the second examination order. Specifically, after a user activates the second examination order, the payment results of the second examination order and its associated orders are obtained. If the payment result of the second examination order is a payment failure, it indicates that the balance of the first preset payment type is insufficient to pay the basic examination fee of the second examination order. At this time, the payment type of the second examination order and its associated orders is changed to the second preset payment type, i.e., the self-pay payment type, and the order status of the second examination order and its associated orders is changed to settlement order respectively. At this time, it is not necessary to perform a one-time settlement of multiple payment orders for a medical examination.If the payment result for the associated order of the second examination order fails, it indicates that the balance of the first preset payment type is only sufficient to pay the basic examination fee of the second examination order, but insufficient to pay the fees of the associated orders. In this case, the payment type of the associated order of the second examination order is changed to the second preset payment type, i.e., the self-payment type, depending on the user's choice. At this time, only the payment order for the basic examination fee of the current medical examination is settled, and the associated order of the self-payment second examination order cannot be settled together. Alternatively, the associated order of the second examination order can be delayed in payment. Delayed payment means waiting for a preset time period before automatically performing the payment operation. The reason is that when medical insurance is paid, the balance of the medical insurance account will change automatically over time due to the automatic monthly payment. After the automatic payment is received, the balance may be sufficient to meet the payment amount of the associated order of the current second examination order. Therefore, delaying the automatic payment for a certain period of time can achieve one-time settlement of multiple payment orders for a medical examination through medical insurance payment as much as possible, so as to save the user's medical examination costs.

[0034] In some embodiments, the method for settling medical examination fees further includes: detecting the payment balance of a first preset payment type; if the payment balance is greater than or equal to the payment amount of the associated order of the second examination order within the payment period of the delayed payment, the payment of the associated order of the second examination order is automatically completed, and the second examination order and its associated order are settled. It should be noted that this embodiment provides a specific implementation of delayed payment. Specifically, the payment balance of the first preset payment type (i.e., the balance of the medical insurance account for medical insurance payment) is detected. If the payment balance is greater than or equal to the payment amount of the associated order of the second examination order within the payment period of the delayed payment (e.g., the automatic recharge time of the medical insurance account each month, or the end of each month, etc.), it indicates that the payment amount requirement of the associated order of the current examination order can be met through delayed payment. At this time, the payment of the associated order of the second examination order is automatically completed, and the second examination order and its associated order are settled. This achieves payment of the associated order of the second examination order under the first preset payment type through delayed payment when the medical insurance balance is insufficient, improving the payment success rate, while also taking into account the medical insurance payment to reduce the payment cost of users' out-of-pocket payments. Conversely, if the payment balance within the delayed payment period is less than the payment limit of the associated order of the second inspection order, it indicates that even after the time delay, the payment limit requirement of the associated order of the second inspection order still cannot be met. In this case, other payment methods are sought to ensure the payment success rate. Specifically, the payment type of the associated order of the second inspection order is automatically modified to the second preset payment type, namely the self-payment type. Since the self-payment type is usually not limited by the payment limit, the payment success rate is guaranteed even if the user's payment cost cannot be met. Finally, the second inspection order is settled separately to achieve the final settlement requirement.

[0035] like Figure 2 As shown, the present invention also provides a medical examination fee settlement system for performing a medical examination fee settlement method. The system includes the following modules: The first associated order generation module is used to obtain the first inspection order generated for the user, detect whether there is a first associated order for the first inspection order, and if so, modify the status of the first inspection order to a non-settlement order. A first associated order is an order associated with the first inspection order but not yet activated as a necessary order; a necessary order is an order required for settlement to complete the inspection. A non-settlement order is an order that cannot be settled. It should be noted that the first inspection order of this invention can be for inspection items involving the use of consumables, such as enhanced CT and MRI. For these types of inspection items, the amount of consumables such as contrast agents cannot be accurately determined before the inspection, thus making it impossible to accurately determine the amount of consumables used. The cost of consumables is often fixed. Users, i.e., patients, can only prepay the fixed cost of the examination. The cost of these consumables is determined by the doctor during the examination based on the patient's specific physical condition (e.g., height, weight, physique). However, multiple payments for a single examination generate multiple detailed expense statements / settlement forms. Medical expense settlement often requires a single invoice for each medical procedure, especially for reimbursements involving medical insurance and commercial reimbursements, which have higher invoice requirements. This creates a contradiction between medical expense settlement and multiple payments, ultimately affecting the patient's medical reimbursement. To address this, this invention obtains the first examination order generated for the user and checks if there is a first associated order. If so, it indicates that the first examination order is for examinations involving consumables, such as enhanced CT or MRI, and the first associated order is a sub-order related to the first examination order whose cost for consumables cannot be pre-determined. In this case, the status of the first examination order is changed to a non-settlement order, meaning an order that cannot be settled. Among them, the first associated order is an order that is associated with the first examination order but is not activated. Orders that are not activated cannot be used by doctors to determine the cost, and users cannot make payments or settle accounts. The necessary order is an order that is required to complete the settlement of the examination. That is, the payment for the examination order must be completed first, and then the payment for the necessary order can be completed before the settlement operation of the examination can be carried out.

[0036] The first associated order activation module is used to obtain the user's payment information for non-settlement orders and activate the first associated order after the examination is completed. It should be noted that after the user pays for the non-settlement order, the doctor can perform the examination for the current examination item. During the examination, the doctor determines the amount of consumables required for the current examination based on the user's (i.e., the patient's) actual physical condition such as height, weight, and physique, and then determines the cost of the consumables based on the amount of consumables used, thereby activating the first associated order for the current examination order. Afterwards, the user can perform the payment operation for the first associated order.

[0037] The inspection result generation module detects the user's payment operation for the first associated order. After payment is completed, it generates the inspection result information for the first inspection order and updates the payment information of the first associated order to the non-settlement order. It should be noted that after activating the first associated order of the current inspection order, the module detects the user's payment operation for the first associated order. After payment is completed, since the user has paid for part of the inspection fee and consumables, the conditions for generating the inspection result have been met. After a set time (e.g., 1-2 business days), the inspection result information for the first inspection order will be generated. The user can view the electronic versions of the inspection results, such as films and inspection reports, on the terminal APP. At this time, the payment information of the first associated order can be updated to the non-settlement order, thus completing the payment process for the main aspects of the inspection.

[0038] The second associated order generation module is used to detect whether the user has activated the second associated order of the first inspection order. If so, it obtains the settlement cycle of the non-settlement order. The second associated order is a non-essential order associated with the first inspection order but not activated. Non-essential orders are orders for which settlement is not required to complete the inspection. It should be noted that, in addition to the necessary first associated order associated with the current inspection order, there may also be situations where the user needs to print the above inspection results. Printing electronic versions of inspection results such as films and inspection reports often incurs additional fees. This fee is also part of the current inspection order. Therefore, it can be determined whether to add this fee information to the final settlement process based on the user's actual needs. Specifically, the system checks whether the user has activated the second associated order of the first examination order. The second associated order is a non-essential order that is linked to the first examination order but has not been activated, such as an order for printing electronic versions of examination results, such as films and examination reports. Non-essential orders are orders for which settlement is not required to complete the examination, meaning that electronic examination results can be obtained without paying this printing fee. If so, it indicates that the user needs to print electronic examination results. Since the user has already completed the payment for the main part of the current examination item, the time to obtain the examination results is basically fixed at 1-2 working days. Therefore, the printing cycle of the examination results can be any time after the payment for the first associated order is completed. However, in reality, the settlement of examination orders is subject to time constraints due to the hospital's financial cycle and the medical insurance settlement and reimbursement cycle. It is impossible to indefinitely delay the payment of the second associated order, which would prevent the settlement of the paid part of the entire examination order. Therefore, it is necessary to limit the payment time of the second associated order. Specifically, the settlement cycle of non-settlement orders is obtained, for example, the settlement cycle is one month or the last working day of the current month.

[0039] The order settlement module checks if a user pays for an activated second associated order within the settlement period. If so, it updates the non-settlement orders based on the payment information of the second associated order; the updated non-settlement order status is then changed to "pending settlement order," and the settlement operation for the first checked order is performed. It should be noted that if a user pays for an activated second associated order within the settlement period, the payment process for all related sub-orders of the current checked item has been completed, and the final settlement operation can proceed. At this point, the non-settlement orders are updated again based on the payment information of the second associated order to update the order information in the non-settlement state of the current checked item. Then, the updated non-settlement order status is changed to "pending settlement order," and the settlement operation for the first checked order is performed. This completes the payment and final settlement operations for the current examination order and its associated first and second related orders. Through the above technical solution, the order status of the examination order and its associated first and second related orders is set, and the order information and order status information of the examination order are updated after the corresponding payment and examination operations are completed. This enables a single settlement after multiple payment operations for an examination item, ensuring that all examination costs involved in an examination item can be listed on a single invoice, expense list, and settlement statement. This greatly improves the efficiency of expense settlement and provides convenience for subsequent medical reimbursement processes, avoiding the reimbursement difficulties caused by listing a single examination cost on multiple documents of the same type.

[0040] As can be seen, the present invention proposes a medical examination fee settlement system. This system modifies the settlement status of the first medical examination order and determines the necessary and unnecessary orders associated with the payment of examination fees in each stage of the examination process of the first medical examination order. This enables the one-time settlement of multiple payment orders based on a single medical examination, avoiding the contradiction between medical fee settlement and multiple payments, greatly improving the efficiency of medical fee settlement and reimbursement, and avoiding the waste of paper resources during the printing of invoices.

[0041] like Figure 3As will be understood by those skilled in the art, this invention includes electronic devices for performing one or more of the operations described in this application. These electronic devices may be specifically designed and manufactured for the desired purpose, or may include known devices found in general-purpose computers. These devices have computer programs stored therein that can be selectively activated or reconfigured. Such computer programs may be stored in a device (e.g., a computer)-readable medium or in any type of medium suitable for storing electronic instructions and coupled to a bus, including but not limited to any type of disk (including floppy disks, hard disks, optical disks, CD-ROMs, and magneto-optical disks), ROM (Read-Only Memory), RAM (Random Access Memory), EPROM (Erasable Programmable Read-Only Memory), EEPROM (Electrically Erasable Programmable Read-Only Memory), flash memory, magnetic cards, or optical cards. That is, a readable medium includes any medium by which a device (e.g., a computer) stores or transmits information in a readable form.

[0042] Those skilled in the art will understand that each block in these structural diagrams and / or block diagrams and / or flow diagrams, as well as combinations of blocks in these structural diagrams and / or block diagrams and / or flow diagrams, can be implemented using computer program instructions. Those skilled in the art will also understand that these computer program instructions can be provided to a processor of a general-purpose computer, a specialized computer, or other programmable data processing method for implementation, thereby enabling the processor of the computer or other programmable data processing method to execute the schemes specified in the blocks or plurality of blocks of the structural diagrams and / or block diagrams and / or flow diagrams disclosed herein.

[0043] Those skilled in the art will understand that the steps, measures, and schemes in the various operations, methods, and processes discussed in this invention can be alternated, modified, combined, or deleted. Furthermore, other steps, measures, and schemes in the various operations, methods, and processes discussed in this invention can also be alternated, modified, rearranged, decomposed, combined, or deleted. Furthermore, steps, measures, and schemes in the prior art that are similar to those disclosed in this invention can also be alternated, modified, rearranged, decomposed, combined, or deleted.

[0044] The above are merely embodiments of the present invention and do not limit the scope of the patent. Any equivalent structural or procedural transformations made based on the description and drawings of the present invention, or direct or indirect applications in other related technical fields, are similarly included within the scope of patent protection of the present invention.

Claims

1. A method for settling medical examination fees, characterized in that, The method includes the following steps: S1: Obtain the first inspection order generated for the user, check whether the first inspection order has a first associated order, if so, change the status of the first inspection order to a non-settlement order; the first associated order is an order associated with the first inspection order but not a necessary order to be activated, the necessary order is an order that is necessary to complete the settlement of the inspection; the non-settlement order is an order that cannot be settled. S2: Obtain the user's payment information for the non-settlement order, and activate the first associated order after the check is completed; S3: Detect the user's payment operation on the first associated order. After the payment is completed, generate the inspection result information of the first inspection order and update the payment information of the first associated order to the non-settlement order. S4: Detect whether the user has activated the second associated order of the first inspection order. If so, obtain the settlement cycle of the non-settlement order. The second associated order is a non-essential order associated with the first inspection order but not activated. The non-essential order is an order for which settlement is not required to complete the inspection. S5: If the user pays for the activated second associated order within the settlement period, the non-settlement order is updated again based on the payment information of the second associated order; the status of the updated non-settlement order is changed to a pending settlement order and the settlement operation of the first checked order is performed.

2. The method for settling medical examination fees according to claim 1, characterized in that, Also includes: Obtain the user's payment information for the non-settlement order, the payment information including payment type information; Determine whether the payment type information is a first preset payment type. If so, activate the first associated order after the check is completed. If not, change the status of the first inspection order to a settlement order and complete the settlement of the first inspection order; After the user completes payment for the first associated order, the inspection result information of the first inspection order is generated, and the settlement of the first associated order is completed; after the user completes payment for the second associated order, the settlement of the second associated order is completed directly.

3. The method for settling medical examination fees according to claim 2, characterized in that, Also includes: Determine whether the payment type information is a first preset payment type. If so, determine whether the paying user is the user of the first order inspection. If so, after the payment is completed, generate the inspection result information of the first order inspection and update the payment information of the first associated order to the non-settlement order. If not, after payment is completed, the inspection result information of the first inspection order is generated, the payment user in the payment information of the first associated order is changed to the user of the first inspection order, and then the payment information of the first associated order is updated to the non-settlement order.

4. The method for settling medical examination fees according to claim 1, characterized in that, Also includes: If the user does not activate the second associated order of the first inspection order, or if the user does not pay the activated second associated order within the settlement period, the order status of the non-settlement order updated by the payment information of the first associated order will be changed to a pending settlement order and the settlement operation of the first inspection order will be performed.

5. A method for settling medical examination fees according to claim 1, characterized in that, Also includes: Obtain the first inspection order generated for the user, check whether the first inspection order has a first associated order, if so, obtain the user's basic information, estimate the order amount of the first associated order based on the user's basic information, generate inspection fee estimation information based on the order amount of the first inspection order and the order amount of the first associated order, and after the user confirms the inspection fee estimation information, change the status of the first inspection order to non-settlement order.

6. A method for settling medical examination fees according to claim 5, characterized in that, Also includes: Obtain the user's payment information for the non-settlement order, the payment information including first preset payment type information and payment authorization information; The payment authorization information is the password-free payment permission for the first associated order and / or the second associated order; After the inspection is completed, the first associated order is activated; the payment operation for the first associated order is automatically completed according to the first preset payment type information and the payment authorization information, and the inspection result information of the first inspection order is generated; After the user activates the second associated order of the first inspection order, the payment operation for the activated second associated order is automatically completed according to the first preset payment type information and the payment authorization information, and the non-settlement order is updated again based on the payment information of the second associated order.

7. A method for settling medical examination fees according to claim 6, characterized in that, Also includes: A second inspection order is generated based on the inspection result information of the first inspection order. If the user selects the first preset payment type as the payment type for the second inspection order, the payment authorization information is used to authorize the second inspection order and its associated orders. After the user activates the second inspection order, the payment results of the second inspection order and its associated orders are obtained. If the payment result of the second inspection order is a payment failure, the payment type of the second inspection order and its associated orders is modified to the second preset payment type, and the order status of the second inspection order and its associated orders is modified to settlement order respectively. If the payment result of the associated order of the second inspection order is a payment failure, the payment type of the associated order of the second inspection order is modified to the second preset payment type according to the user's choice, or the associated order of the second inspection order is selected to delay payment.

8. A method for settling medical examination fees according to claim 7, characterized in that, The step of selecting the associated order for delayed payment of the second inspection order also includes: The payment balance of the first preset payment type is detected. If the payment balance is greater than or equal to the payment amount of the associated order of the second inspection order within the payment period of the delayed payment, the payment of the associated order of the second inspection order is automatically completed, and the second inspection order and its associated order are settled. If the payment balance is less than the payment amount of the associated order of the second inspection order during the payment period of the delayed payment, the payment type of the associated order of the second inspection order will be automatically modified to the second preset payment type, and the second inspection order will be settled separately.

9. A medical examination fee settlement system, used to execute the medical examination fee settlement method as described in any one of claims 1-8, characterized in that, The system includes the following modules: The first associated order generation module is used to obtain the first inspection order generated for the user, detect whether the first inspection order has a first associated order, and if so, modify the status of the first inspection order to a non-settlement order; the first associated order is an order associated with the first inspection order but not a necessary order to be activated, the necessary order is an order that is necessary to complete the settlement of the inspection; the non-settlement order is an order that cannot be settled. The first associated order activation module is used to obtain the user's payment information for the non-settlement order and activate the first associated order after the check is completed. The inspection result generation module is used to detect the user's payment operation on the first associated order. After the payment is completed, it generates the inspection result information of the first inspection order and updates the payment information of the first associated order to the non-settlement order. The second associated order generation module is used to detect whether the user has activated the second associated order of the first inspection order. If so, the settlement cycle of the non-settlement order is obtained. The second associated order is a non-essential order associated with the first inspection order but not activated. The non-essential order is an order for which settlement is not required to complete the inspection. The order settlement module is used to check if the user pays for the activated second associated order within the settlement period, and then update the non-settlement order again based on the payment information of the second associated order; modify the status of the updated non-settlement order to a pending settlement order and perform the settlement operation of the first checked order.

10. An electronic device comprising a memory, a processor, and a computer program stored in the memory and executable on the processor, wherein the processor executes the program to implement the steps of the medical examination fee settlement method as described in any one of claims 1-8.

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