System for assisting application for issuance of claimant's medical expenses certificate for intractable diseases

Abstract

To assist an application for issuance of a claimant's medical expenses certificate for intractable diseases, and assist determination regarding the issuance of the claimant's certificate.SOLUTION: A help desk module 26 provides information necessary for an application to an applicant 12 and receives a request for a service from the applicant 12. An identity verification module 28 obtains authentication data 50 necessary for preparing a request form for issuing a certificate and an application form for a claimant's certificate 44, on the side of a service site 14. A material collection module 32 acquires a document necessary for an application for issuing the claimant's certificate to generate an application history 40. An applicant information storage processing module 30 performs control to completely collect data necessary for the application for issuing the claimant's certificate. A determination data generation module 34 generates an automatic decision report 48 to be determined from the data in the application history 40. A communication control module 36 transmits, to a determination authority involved in determination operation, the application form for the claimant's certificate 44, annexed documents 46, and the automatic decision report 48.SELECTED DRAWING: Figure 1

Description

[Technical field]

[0001] The present invention relates to an application support system that assists applicants with their procedures and the work of the assessment agency in determining whether or not to issue an intractable disease medical expenses beneficiary certificate, which requires various judgments depending on the content of the application form submitted by the applicant. [Background technology]

[0002] Systems that support various procedures through a network are being actively developed. For example, Patent Document 1 introduces a system that supports the application and examination procedures for receiving nursing care certification. [Prior art documents] [Patent documents]

[0003] [Patent Document 1] JP 2001-5880 A Summary of the Invention [Problem to be solved by the invention]

[0004] For certain intractable diseases specified by law, if an application is submitted to a public health center with a doctor's certificate etc., a recipient certificate for medical expense deductions will be issued. This application requires the applicant to prepare many types of documents, and the documents are issued by various sources, so the workload on the applicant is heavy. In addition, the public health center etc. that received the application has to allocate many human resources to determine whether or not to issue the recipient certificate, because the contents are specialized and the judgment is complicated. Furthermore, because the judgment materials include documents issued by medical institutions, care must be taken when handling personal information via the network. In addition, with the spread of smartphones and PCs, digitalization is progressing in government agencies, medical institutions etc., and a system that can flexibly respond to the progress of digitalization is desired. [Means for solving the problem]

[0005] The following configurations are each a means for solving the above problems.

[0006] <Configuration 1> A service site for assisting applications for issuance of intractable disease medical expenses recipient certificates and for assisting in the assessment work for issuance of the recipient certificates is connected to the applicant's terminal device and the assessment agency's terminal device via a network, The service site includes a help desk module, an identity verification processing module, a document collection module, an applicant information storage processing module, a judgment data generation module, and a communication control module. The help desk module has a function of providing the applicant with information necessary for the application procedure via the applicant's terminal device and accepting requests for auxiliary services from the applicant; The identity verification processing module has a function of executing a process for obtaining, via the applicant's terminal device, authentication data required for automatically creating a prescribed certificate issuance request form and a recipient certificate application form on the service site side; The document collection module has the function of sending a prescribed certificate issuance request form with the above-mentioned applicant's authentication data to the certificate issuer, acquiring documents necessary for the certificate issuance application via the network, and adding them to the applicant's application history, The applicant information storage processing module has a function of referring to the application history of the applicant and controlling the document collection module until the data and supporting documents required for the application for the certificate are collected, The assessment data generation module has a function to generate an automatic assessment report that displays a list of data required for the assessment work to issue a recipient certificate, as well as data including the recipient rank and medical expense payment rate determined from the list of data, The communication control module is an intractable disease medical expenses recipient certificate application support system that has the function of transmitting a recipient certificate application form, supporting documents, and an automatic assessment report to the assessment agency that performs the above-mentioned assessment work.

[0007] <Configuration 2> The above-mentioned help desk module is the intractable disease medical expenses recipient certificate issuance support system described in configuration 1, characterized in that it has the function of monitoring the progress of the applicant's procedure by referring to the applicant's application history, and notifying the applicant of the names of the relevant documents and the time restrictions for submitting an application for the issuance of the recipient certificate to the assessment agency.

[0008] <Configuration 3> The applicant information storage processing module of the intractable disease medical expense benefit certificate issuance application support system described in configuration 2 is characterized in that the application history stored in the storage device can be referenced from the terminal device of the assessment agency.

[0009] <Configuration 4> The above-mentioned judgment data generation module extracts data necessary for the judgment work for issuing the recipient certificate from the attached documents of the recipient certificate application form, and then automatically executes a process to mask items not necessary for the said work from the attached documents, and stores the data after this masking process in the above-mentioned application history.This is the intractable disease medical expenses recipient certificate issuance application support system described in configuration 3.

[0010] <Component 5> The intractable disease medical care benefit certificate issuance support system according to configuration 4, characterized in that the communication control module transmits the attached documents after the mask processing to the terminal device of the assessment agency. <Component 6> The above-mentioned communication control module is a support system for application for issuance of an intractable disease medical care benefit certificate as described in configuration 5, characterized in that it transmits an inquiry number assigned by the issuing agency of the supporting documents to the terminal device of the assessment agency.

[0011] <Component 7> When the medical institution's terminal device reads the two-dimensional code for login provided by the applicant and logs in to the service site, or when the applicant's terminal device reads the two-dimensional code for certificate upload provided by the medical institution and then logs in to the service site, The above-mentioned information collection module is an intractable disease medical expense beneficiary certificate issuance application support system described in configuration 1, characterized in that it accepts input of a certificate issued by the medical institution via the medical institution's terminal device and stores it in a storage device.

[0012] <Component 8> The above-mentioned information collection module accepts input of data indicating the name of the medical institution, medical expenses, and receipts issued by the medical institution from the medical institution's terminal device, generates a self-payment limit management table, a medical expenses declaration form, and a total medical expenses certificate, stores them in a storage device, and keeps them in a state that allows them to be downloaded from the applicant's terminal device.This is the intractable disease medical expenses recipient certificate issuance support system described in configuration 7. <Component 9> When the maximum out-of-pocket payment management table, receipt, medical expense declaration form, or total medical expense certificate is displayed on the administrative agency's terminal device on the service site, The information collection module of the intractable disease medical expenses recipient certificate issuance support system described in configuration 8 is characterized in that it collects information on whether the medical institutions displayed on its operation screen are eligible for intractable disease medical expenses benefits, and when it detects an inapplicable medical institution, it displays a message pointing out the applicable medical institution or displays a button to allow the medical institution to be excluded. Effect of the Invention

[0013] Applicants who apply for a certificate for intractable disease medical expenses can receive comprehensive support for the complicated application procedures that are unique to this system and involve many related organizations, and can complete the procedures quickly. The documents required for the certificate application are obtained through the network and stored in the applicant's application history in a storage device, so the progress of the procedure can be monitored and managed automatically and smoothly. Moreover, since the information required for the application is based on the judgment rules, if a judgment data list is created and the results of an automatic judgment are provided to the judgment agency, the judgment agency such as a public health center can greatly reduce the burden of complicated judgment work by providing the automatic judgment report. The service site protects personal information while saving the application history, so even after the certificate is obtained, the same functions can be used to support the management of medical expenses paid by the applicant, and the burden of renewal procedures can also be reduced. [Brief description of the drawings]

[0014] [Figure 1] FIG. 1 is a block diagram showing an example of the configuration of a system according to the present invention. [Diagram 2] FIG. 2 is an explanatory diagram showing an example of how the authentication data is used. [Diagram 3] FIG. 3 is an explanatory diagram of an example of ancillary documents collected by the data collection module. [Figure 4] FIG. 4 is a diagram illustrating an example of the operation of the judgment data generation module. [Diagram 5] FIG. 5 is an explanatory diagram showing an example of the automatic determination report. [Figure 6] FIG. 6 is an explanatory diagram showing an example of a previously issued recipient certificate. [Figure 7] FIG. 7 is an explanatory diagram showing an example of a recipient certificate issued this time. [Figure 8] FIG. 8 is an explanatory diagram of a new service provided at the service site. [Figure 9] FIG. 9 is an explanatory diagram of additional services provided at the service site. [Figure 10] FIG. 10 is a diagram showing an example of the upper limit of self-payment amount management list. [Figure 11] FIG. 11 is a diagram showing an example of a medical expenses declaration form. [Figure 12] FIG. 12 is a diagram showing an example of a total medical expenses certificate. [Figure 13] FIG. 13 is a diagram showing an example of a medical expenses input screen on the hospital / pharmacy side. [Figure 14] FIG. 14 is a diagram showing an example of a medical expenses confirmation screen of a public health center or the like. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0015] Hereinafter, the embodiment of the present invention will be described in detail with reference to each example. EXAMPLES

[0016] In the present invention, a service site is provided to assist applicants in their procedures to facilitate the issuance of intractable disease medical care benefit certificates. Furthermore, this service site assists the assessment work of assessment agencies such as public health centers to reduce their burden. As digitalization advances, the application assessment work may change in the future, but here, an embodiment will be described using a public health center as an example of the assessment agency.

[0017] As shown in Fig. 1, this service site 14 is connected to a network 22 so that it can be accessed from a terminal device 18, such as a personal computer or smartphone, of the applicant 12, and also from a terminal device 20 of the public health center. For example, it is preferable that the applicant's terminal device 18 accesses the site through a mobile phone communications network, and the public health center's terminal device 20 accesses the site through a highly secure closed network. The service site 14 is provided with a server computer or the like connected to the network 22, but as this is known hardware, it is not shown and will be described simply as the service site 14.

[0018] The service site 14 is provided with a help desk module 26, an identity verification processing module 28, an applicant information storage processing module 30, a document collection module 32, a judgment data generation module 34, and a communication control module 36. All of these are configured as program modules of a server computer that automatically processes data. In addition, a storage device 42 is provided for storing an application history 40 that indicates data acquired or generated at the service site 14 for application purposes.

[0019] In addition to application forms 44, supporting documents 46, and automated assessment reports 48 for new applications, application history 40 also includes data from past applications 41. Past data 41 is data on the results of past applications in cases where the current application is a renewal procedure. This allows application history and related documents to be managed on an applicant basis, and in the case of renewal, data is prepared that can be referenced for new assessments. Periodic renewal applications are also required for intractable disease medical care benefit certificates, which is a factor that increases the burden on assessment agencies. Therefore, as explained below, this system contributes greatly to reducing the burden on applicants and assessment period.

[0020] To issue an intractable disease medical expenses recipient certificate, the health center 16 makes a judgment according to the type and severity of the intractable disease to be certified and the eligibility of the applicant 12, such as the income category. In other words, the rank of the recipient, such as the medical expenses burden ratio, is determined according to the content of the application. Therefore, the applicant 12 conventionally obtained a resident's card, a health insurance card, a tax payment certificate, etc. in addition to a medical certificate prepared by a doctor and a clinical investigation individual record, and submitted these as attached documents 46 together with the application 44 to the health center 16. The service site 14 of the present invention automates many of the procedures to reduce the burden on the applicant 12. At the same time, an automatic judgment report 48 is provided to reduce the burden of the judgment process on the health center 16.

[0021] (Help Desk Module) The help desk module 26 provided on the service site 14 has a function of providing information and advice to the applicant 12 on the tasks and precautions required for the application procedure. It can have functions such as searching and displaying a list of "frequently asked questions," automatically answering questions in chat format using AI (Artificial Intelligence), and connecting to a support staff terminal device 27 as shown in Fig. 1. Furthermore, when the help desk module 26 receives a request from the applicant 12 for a recipient certificate issuance support service, it has a function of opening an application history 40 in a storage device 42 for recording and storing data dedicated to that applicant.

[0022] When the applicant 12 decides to request the procedure from this service site 14 as a result of using the help desk module 26, the questions and advice of the applicant 12 should also be saved in the application history 40. The application history 40 can also be referenced from the terminal device 20 of the health center to confirm the application details and to refer to the judgment process. In addition, since there are time restrictions, for example, from April to September, during which applications can be made to the health center 16, the help desk module 26 should monitor the progress of the applicant's procedures and notify the applicant of the relationship with the time restrictions for application to the health center. In other words, a function can be provided that references the application history 40 and automatically notifies the applicant's terminal device 18 of the optimal timing for preparing the application.

[0023] (Identity verification processing module) The identity verification processing module 28 has a function of executing a process to obtain authentication data 50 (Fig. 2) of the applicant 12. As shown in Fig. 2, the authentication data 50 is used to automatically create various application data 49 such as various certificate issuance requests and beneficiary certificate issuance applications 44, for which identity verification has been performed on the service site 14 side. The authentication data 50 can be obtained from the My Number card. The format of the authentication data 50 is arbitrary. Any other format may be used as long as it is electronic data that proves that the procedure is for the applicant.

[0024] (Data collection module) The document collection module 32 has a function of transmitting various application data 49 (FIG. 2) with the authentication data 50 as described above to the city hall 38 or the like through the network 22 (FIG. 1) to collect necessary data. The various application data 49 is, for example, a certificate issuance request form 59 such as a resident's card. As shown in the list of attached documents in FIG. 3, data such as a household record 56, a resident's card 58, a municipal tax assessment certificate 60, and a health insurance card 62 can be obtained from the city hall 38 or the like. For example, if the environment is ready, it is possible to access data of prefectures and municipalities and obtain such information through an intermediate server provided by the Japan Local Government Information System Agency (JLIS). The document collection module 32 may generate various application data 49 with the authentication data 50 that has been verified by identity verification according to the application destination. If the necessary data can be collected from Mynaportal, that method may be adopted.

[0025] The application for specific medical expenses payment 44 requires the entry of various items related to the applicant. For this, items read from the applicant's My Number card or items obtained from Mynaportal 37, etc. are used. For routes where digitalization has not yet progressed, the document collection module 32 has a function of printing documents for mailing and preparing them for sending. For example, medical institutions 39 mail medical certificates, clinical investigation individual forms 54, etc. to the applicant 12. Therefore, the document collection module has a function of sending messages to the applicant 12 requesting that the relevant documents be mailed or emailed, and preparing to send a return envelope.

[0026] The document collection module 32 has a function of adding the results to the application history 40 of the applicant 12 after obtaining the necessary documents. It is expected that as digitalization of administrative agencies and medical institutions progresses, the applicant's name, address, date of birth, gender, etc. will be obtained when the My Number card is read, and income tax information and household information will also be obtained from the My Number Portal. In addition, it is preferable to have a function of generating various certificate issuance request forms 59 with the applicant's authentication data, sending them to the relevant certificate issuing agency, and requesting that the data file be automatically returned when the specified necessary information is entered. This has the effect of making it easier to protect the applicant's personal information, since only the minimum data necessary for the application for issuance of the intractable disease medical expenses recipient certificate can be collected.

[0027] (Applicant information storage processing module) The applicant information storage processing module 30 (Fig. 1) has a function of referring to the application history 40 (Fig. 1) of the applicant 12 and controlling the document collection module 32 until the data and supporting documents 46 required for the application procedure for issuance of an intractable disease medical expenses recipient certificate are collected. Conventionally, when the supporting documents 46 required for the application are collected, they are submitted to the public health center 16 together with the application form 44, and the staff of the public health center 16 analyzes the contents and judges whether or not to issue the recipient certificate. The service site 14 of the present invention generates an automatic judgment report 48 and executes a process that reduces the burden of this complicated judgment work.

[0028] The applicant information storage processing module 30 has a function of storing data used in an application, not only for the application procedure but also to support the applicant 12 after the application has been submitted. However, if related documents are simply stored as is, security management becomes difficult.

[0029] Therefore, the applicant information storage processing module temporarily stores the application form 44 and supporting documents 46 in the application history 40 until the application procedure is completed, and then erases all data after the application procedure is completed with the screening agency (health center 16). Alternatively, only the application form 44 and the recipient certificate 63 issued as a result are stored in the application history 40 in preparation for support after acquisition of the recipient certificate and renewal applications, which will be described later. Methods for protecting personal information on both the service site side and the health center side will be described later.

[0030] (Judgment data generation module) When the determination data generation module 34 determines that the document collection module 32 has acquired the necessary information, it extracts the information required for qualification determination from those documents on behalf of the staff of the public health center 16. As shown in Fig. 5, for example, the clinical investigation individual form 54 lists the treatment date 70, the name of the medical institution 72, the patient name 74, and the name and severity of the disease 76. The image data is read by OCR (Optical Character Recognition) to acquire this data.

[0031] In the same way, all information necessary for judging whether or not to issue a recipient certificate is obtained from various certificates 80 such as a resident's card and tax certificate. An automatic judgment report 48 is then generated by referring to a judgment table 35 that displays the rules for judging whether or not to issue a recipient certificate. For example, the data of the portion of the tax payment certificate that corresponds to the tax payment amount is read, the recipient rank according to the tax payment amount is judged, and the accident liability amount is calculated.

[0032] Figure 5 is an example of the resulting automatic assessment report 48. The "applicant information" that is the basis for the assessment is listed, and the "copayment assessment result" contains specific data that is the basis for the calculation.

[0033] (Communication Control Module) The communication control module 36 (Fig. 1) transmits the recipient certificate issuance application form 44, attached documents 46, and automatic assessment report 48 stored in the storage device 42 (Fig. 1) to the terminal device 20 of the examination agency such as the health center 16. At the same time, it transmits a copy of these to the applicant 12. Therefore, the applicant 12 can obtain the recipient certificate by only performing the data entry and data transmission tasks requested by the service site 14.

[0034] (Decision-making body) The assessment agency such as the public health center 16 can refer to the items described in the automatic assessment report 48 to assess the recipient rank and issue an intractable disease medical care benefit certificate. The information necessary for assessment is available, and calculations for determining the recipient rank and the payment rate have also been performed, so the burden of the review is greatly reduced. The submitted attachment 46 only needs to be referred to for confirmation. When applying for renewal, the current recipient certificate shown in FIG. 7 can be created by referring to the previous recipient certificate shown in FIG. 6. If the past data 41 is stored in the storage device 42 of the service site 14, the assessment data generation module 34 can generate data equivalent to the difference between the previous data and the current data and attach it to the automatic assessment report 48, further reducing the burden of the assessment process on the public health center. EXAMPLES

[0035] (Protection of Personal Information) As mentioned above, the documents attached to the application for issuance of the recipient's certificate for medical expenses for intractable diseases contain important personal information such as medical information. The information written on these documents includes many items that are not necessary for the decision to issue the recipient's certificate. For example, after extracting the data required for the decision to issue the recipient's certificate from the individual clinical investigation form 54 shown in Figure 4, a process is executed to mask the items that are not necessary for the decision to issue the recipient's certificate. If the process from receiving the individual clinical investigation form 54 to this masking process is automated, the information will not be seen by anyone.

[0036] After processing, the clinical research individual form 54 will clearly indicate the data extraction areas 64 and masked areas 66. The data after this masking process is saved in the application history 40. This process is performed for all attached documents. This makes it easier to manage the protection of personal information.

[0037] Also, if the assessment agency allows it, it is advisable to submit masked image data of various certificates as attachments, instead of images of the originals. The public health center 16 can compare the necessary parts with the original certificates, so it can make a decision with peace of mind. This makes it easier for the assessment agency to manage the protection of personal information.

[0038] Traditionally, when accepting various applications, the application form would be accompanied by an original copy of the certificate, and once a permit or other document was issued, the permit and the entire set of application documents would be bound together and stored. However, for example, a resident's certificate has a validity period, and if it is not submitted within a certain period from the date of issue, it will not function as a certificate. For example, even now, there are attempts to use a database that can check the address, etc. of an applicant in real time using the My Number, etc.

[0039] As the digitalization of various institutions progresses, it is thought that eventually there will be no need at all to attach original certificates or images to application forms. All that is needed is a list of URLs where the latest data can be instantly referenced at any time using authentication data. This will completely solve the problem of protecting personal information. As an interim measure until then, as mentioned above, masked image data of various certificates can be submitted to the assessment body as an attachment, and each certificate will display the reference number assigned by the certificate issuing body when the original was issued. When the assessment body wants to check the original, it is a good idea to make it possible to view the certificate issuing body's database using the reference number. EXAMPLES

[0040] A new service provided by the above-mentioned service site 14 will be explained with reference to Figure 7. At this service site 14, a mobile app 82 for the new service is saved in the application history 40 of the applicant 12. The applicant 12 can download this mobile app 82 to his / her own smartphone 84 for use.

[0041] In this embodiment, an example will be described in which two types of mobile apps 82 are downloaded. First, consider a case in which an applicant 12 visits a public health center to carry out a new application procedure. At this time, the mobile app 82 is started and a two-dimensional code 86 is displayed on a smartphone 84. This two-dimensional code 86 is read by a code reader 88 provided in a terminal device 20 at the public health center.

[0042] As a result of the code being read by the code reader 88, a reception screen 90 as shown in this figure is displayed on the health center terminal device 20. The reception screen 90 displays the applicant's name 92, address 94, and reception number 96. This is the data obtained as a result of reading the two-dimensional code 86. In other words, if the applicant 12 displays the two-dimensional code 86 on the smartphone 84 and has it read by the health center terminal device 20, the applicant 12 can omit the task of writing down their name and address at the reception desk when visiting.

[0043] Moreover, a reception number is displayed at the same time, eliminating the need to receive a card to wait in line. The public health center also automatically issues reception numbers and automatically records visitors, greatly reducing the amount of work required.

[0044] The above-mentioned service site 14 can create and store such a mobile app 82 and allow the applicant 12 to use it. Furthermore, in this embodiment, another mobile app 82 is downloaded to the smartphone 84 of the applicant 12. When this mobile app 82 is started, a community site 98 for patients with intractable diseases is displayed on the smartphone 84, as shown in the drawing. Usually, even if there are a certain number of people nationwide who suffer from the same disease, it is often difficult to find them in the neighborhood. By introducing the community site 98 for patients with intractable diseases from the service site 14, it is possible to provide more convenience to the applicant 12. EXAMPLES

[0045] As described above, once an applicant has obtained an intractable disease medical expenses beneficiary certificate using the support site, the applicant will then need to manage the medical expenses he or she pays. For this purpose, as shown in Fig. 9, the service site 14 can also provide a service for storing and submitting a self-payment upper limit management table 100, a medical expenses declaration form 102, and a total medical expenses certificate 104 in a storage device 42. In the application history 40 shown in Fig. 1, when a beneficiary certificate 63 is issued, data required for managing the medical expenses and data that can be used for updating and registering are saved in the past records 41.

[0046] The self-payment upper limit management table 100 is a document that the applicant brings to the hospital or pharmacy each time and has the self-payment amount written at the counter. An example is shown in FIG. 10. It is for clarifying the total amount paid in a month. If the total amount exceeds the certified self-payment upper limit, the applicant is exempt from paying at the hospital or pharmacy. If this is always stored in the storage device 42 of the support site 14, the applicant 12 can use the latest management table at any time using a smartphone or the like. Then, this can be submitted to a local government such as a city hall. The method described in Example 1 and the like can be adopted for submission to the local government. In other words, the function used for applying for the issuance of an intractable disease medical expenses recipient certificate can be used to manage the medical expenses paid by the applicant.

[0047] For example, each time the applicant 12 uses a medical institution 39, the corresponding medical data is uploaded to the service site 14 by a method described later. After the data is uploaded, the information collection module of the service site 14 determines whether the data was provided by the corresponding medical institution 39 that provides medical care for intractable diseases, and executes a process to automatically exclude the non-eligible medical institutions 39 from the total medical expenses calculation. Alternatively, the communication module displays the created self-payment upper limit management table 100 on the terminal device of the local government or health center, and also displays operation buttons that allow the user to freely delete and exclude each piece of data that has been read by operating the terminal device of the local government or health center. An example of this display screen is shown in FIG. 14.

[0048] The medical expense declaration form 102 is a document in which the applicant writes down the amount of self-payment at the hospital or pharmacy. An example is shown in FIG. 11. This must be submitted to the city hall or the like with receipt information attached. Every time the applicant pays medical expenses or medicine fees, the applicant can access the support site 14, register, and upload a photo of the receipt. This procedure is also the same as the procedure when applying for the issuance of the intractable disease medical expenses recipient certificate, so the applicant can use the login ID, etc., used for the issuance of the recipient certificate. The applicant can request the service site to submit the documents to the city hall or the like, or download them periodically and submit the documents themselves. The above-mentioned document collection module can control the uploading of data, and the communication module can control the transmission of data to the city hall or the like.

[0049] The total medical expenses certificate 104 is a document that the applicant requests their doctor to fill in the amount of the applicant's out-of-pocket expenses. An example is shown in FIG. 12. This certificate can also be uploaded to the support site 14. When a certificate indicating the details of medical treatment and medical expenses is issued by the medical institution, the applicant can directly upload a photo of the certificate to the service site. There is also a method in which the medical institution 39 or pharmacy 110 logs into the service site 14 and uploads the certificate directly under the control of the data collection module. This is done by following the procedure below.

[0050] 9, first, the applicant 12 displays a two-dimensional code 86 including information (such as a login ID) for the applicant to log in to the service site 14 on his / her own smartphone 84. The applicant then has a terminal device 112 installed in the medical institution 39 read this two-dimensional code 86. The medical institution 39 then uses the information in the two-dimensional code 86 from the terminal device 112 to access the service site 14. Note that this two-dimensional code may be printed on a card or paper possessed by the applicant.

[0051] When a medical institution uses the login code of the applicant 12 to request uploading of a certificate indicating the details of medical treatment and medical expenses, the information collection module of the service site 14 recognizes and approves this operation. Then, the communication control module displays, on the terminal device of the medical institution 39, an operation screen (FIG. 13) that the medical institution enters to upload the corresponding certificate. As a result, data such as the certificate issued by the medical institution 39 is uploaded to the service site 14 and stored in the storage device 42. This flow is indicated by the solid arrow in FIG. 9.

[0052] In addition, the same process can be performed in the following manner. First, the medical institution 39 displays the contents of the medical fee certificate on its own terminal device 112 as a two-dimensional code 86. The two-dimensional code may be printed on the certificate. The applicant 12 reads this with the smartphone 84. Then, the applicant 12 logs into the service site 14 himself and registers the two-dimensional code 86 on the service site. The image data of the certificate may be stored, for example, in a cloud online storage and only the URL may be registered on the service site as the two-dimensional code 86, and then the certificate may be automatically uploaded to the service site 14. This results in the same result as if the certificate had been uploaded directly from the medical institution to the service site without passing through the applicant's hands. This flow is indicated by the dashed arrow. The applicant can freely request uploading of the certificate to medical institutions and pharmacies other than the medical institution requested to issue the certificate when applying for issuance of the intractable disease medical fee recipient certificate.

[0053] Figure 14 shows an example of the operation screen of the application support system for issuing intractable disease medical expenses recipient certificates used by local governments and health centers. It displays the date of consultation, the name of the medical institution or pharmacy, the medical expenses incurred, and buttons to display photos of the maximum self-payment amount management table, receipt, total medical expenses certificate, etc., as well as a button to remove the medical institution from the list if it is not the relevant medical institution. It would be good to have a function where the data collection module automatically detects medical institutions that are not the relevant medical institutions and indicates them by color coding, for example. As mentioned above, the necessary corrections can be made on the terminal device of the local government or health center. Again, the functions used for applying for issuance of intractable disease medical expenses recipient certificates can be used directly.

[0054] If these data are uploaded to the service site, all of the documents shown in Figures 10 to 12, namely the maximum out-of-pocket expense management table 100, medical expense declaration form 102, and total medical expense certificate 104, can be automatically generated in one go. Moreover, the contents can be automatically corrected or corrections can be requested from the local government or health center, so applicants can download and use these documents with peace of mind. The function for uploading certificates issued by medical institutions can also be used to obtain certificates for applying for an intractable disease medical expense certificate. In this way, the service site can provide convenience to applicants 12 even after they have obtained eligibility to receive benefits. [Explanation of symbols]

[0055] 12 Applicant 14 Service Site 16 Health Center 18 Applicant's terminal equipment 20 Health center terminal equipment 22 Network 24 Incurable Disease Medical Expenses Certificate 26 Help Desk Module 27 Support staff terminal equipment 28 Identity Verification Processing Module 30 Applicant information storage processing module 32 Data Collection Module 34 Judgment data generation module 35 Decision Table 36 Communication Control Module 37 My Number Portal 38 City Hall 39 Medical Institutions 40 Application History 41 Past minutes 42 Storage device 44 Application form 46 Annex 48 Automatic judgment report 49 Various application form data 50 Authentication Data 54 Clinical Investigation Individual Form 56 Household Record 58 Resident record 60 Municipal tax certificate 62 Health Insurance Card 63 Recipient's certificate 64 Data Extraction Points 66 Masked Areas 70 Clinic days 72 Medical institution name 74 Patient name 76 Disease name and severity, etc. 78 Various Certificates 82 Mobile Apps 84 Smartphones 86 2D Code 88 Code reader 90 Reception screen 92 Applicant name 94 Address 96 Reception number 98 Community Site 100 Self-payment limit management table 102 Medical Expenses Declaration 104 Certificate of total medical expenses 106 Receipts 108 Certificate 110 Pharmacy

Claims

1. A service site for assisting applications for issuance of intractable disease medical expenses recipient certificates and for assisting in the assessment work for issuance of the recipient certificates is connected to the applicant's terminal device and the assessment agency's terminal device via a network, The service site includes a help desk module, an identity verification processing module, a document collection module, an applicant information storage processing module, a judgment data generation module, and a communication control module. The help desk module has a function of providing the applicant with information necessary for the application procedure via the applicant's terminal device and accepting requests for auxiliary services from the applicant; The identity verification processing module has a function of executing a process for obtaining, via the applicant's terminal device, authentication data required for automatically creating a prescribed certificate issuance request form and a recipient certificate application form on the service site side; The document collection module has the function of sending a prescribed certificate issuance request form with the above-mentioned applicant's authentication data to the certificate issuer, acquiring documents necessary for the certificate issuance application via the network, and adding them to the applicant's application history, The applicant information storage processing module has a function of referring to the application history of the applicant and controlling the document collection module until the data and supporting documents required for the application for the certificate are collected, The assessment data generation module has a function to generate an automatic assessment report that displays a list of data required for the assessment work to issue a recipient certificate, as well as data including the recipient rank and medical expense payment rate determined from the list of data, The communication control module is an intractable disease medical expenses recipient certificate application support system that has the function of transmitting a recipient certificate application form, supporting documents, and an automatic assessment report to the assessment agency that performs the above-mentioned assessment work.

2. The above-mentioned help desk module is characterized in that it has the function of monitoring the progress of the applicant's procedures by referring to the applicant's application history, based on the type of data required for the recipient certificate application and the validity period of the attached documents, and notifying the applicant of the names of the relevant documents and the time restrictions for submitting the recipient certificate to the assessment agency.

3. The intractable disease medical expenses beneficiary certificate issuance application support system described in claim 2, characterized in that the above-mentioned applicant information storage processing module makes the application history stored in the storage device accessible from the terminal device of the assessment agency.

4. The intractable disease medical expenses recipient certificate issuance application support system described in claim 3, characterized in that the above-mentioned judgment data generation module extracts data necessary for the judgment work for issuing the recipient certificate from the attached documents of the recipient certificate application form, and then automatically performs a process to mask items that are not necessary for the work on the attached documents, and saves the data after this masking process in the above-mentioned application history.

5. The intractable disease medical care benefit certificate issuance application support system described in claim 4, characterized in that the communication control module transmits the attached documents after the mask processing to the terminal device of the assessment agency.

6. The intractable disease medical expenses beneficiary certificate issuance application support system as described in claim 5, characterized in that the above-mentioned communication control module transmits an inquiry number assigned by the issuing agency of the attached documents to the terminal device of the assessment agency.

7. When the medical institution's terminal device reads the two-dimensional code for login provided by the applicant and logs in to the service site, or when the applicant's terminal device reads the two-dimensional code for certificate upload provided by the medical institution and then logs in to the service site, The intractable disease medical expense recipient certificate issuance application support system described in claim 1, characterized in that the above-mentioned information collection module accepts input of certificates issued by medical institutions via the medical institution's terminal device and stores the same in a memory device.

8. The above-mentioned document collection module accepts input of data indicating the name of the medical institution, medical expenses, and receipts issued by the medical institution from the medical institution's terminal device, generates a self-payment limit management table, a medical expenses declaration form, and a total medical expenses certificate, stores them in a storage device, and keeps them in a state that allows them to be downloaded from the applicant's terminal device, as described in the intractable disease medical expenses recipient certificate issuance application support system.

9. When the maximum out-of-pocket payment management table, receipt, medical expense declaration form, or total medical expense certificate is displayed on the administrative agency's terminal device on the service site, The above-mentioned information collection module collects information on whether medical institutions displayed on the operation screen are eligible for intractable disease medical expenses benefits, and when it detects an inapplicable medical institution, it displays a message pointing out the applicable medical institution or displays a button to allow it to be excluded, as described in the intractable disease medical expenses benefits application support system.

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