The invention belongs to the technical field of medical insurance, and particularly relates to a
system for managing
hospitalized patients with the medical insurance. The
system comprises a medical insurance settlement
system and a background
server, wherein the medical insurance settlement system and the background
server are connected through an internal
local area network. The medical insurance settlement system comprises a basic information module, a cost management module, an identification module, a prompt module, a
discharge diagnosis and a prognosis fill-in module, wherein the cost management module comprises an actual
payment module, a prepaid amount module, a self-paying amount module and a social security paying module; the identification module comprises a self-paying identification module and a
discharge medicine taking identification module; the prompt module comprises an extremely-special project prompt module, a special instruction fill-in module, a limit range prompt module and a medical insurance notification module. By means of the system, the insurance type, deposit information and cost information of the patients with the medical insurance can be inquired about, query, segmentation, uploading and the like of instruction information identification can be achieved, work efficiency and audit accuracy of the medical insurance auditing personnel are improved, and the overall
informatization management level of a hospital is increased.