The invention discloses a method and a
system for
verification and claim of on-line insurance claim settlement. According to the invention, on the basis of a user diagnosis and treatment
record, a
medication administration record and a
physical examination record, a
database of data of users' applications on insurance claim settlement is established; meanwhile, an insurance claim settlement standard check
database is also established for an insurance company; according to an association control provided by the
system, a comparison is carried out between the user application claim settlement
database and the claim settlement standard check database of the insurance company; and then insurance claim settlement is carried out according to a resulted check standard and claim settlement fees can be paid to an insurance user in an on-line
payment mode. A patient can complete operation on application for claim settlement through a network platform, so that labor and time are saved and operation can be completed conveniently and rapidly. According to check on an insurance claim settlement database, the
system provided in the invention will automatically prompt the user that what a concrete claim
payment standard is met, so that it is saved that the user confirms whether an insurance claim settlement standard is met by a call or a fax. And then insurance claim settlement fees will be directly transferred from an insurance company's account to a patient' s account by an on-line
payment mode with convenience and
rapidity.