KR20010078970A - Method of managing the medical insurance system on the network and providing a program-reading computer readable record medium - Google Patents

Abstract

PURPOSE: A national health insurance related medical insurance management method and a recording medium capable of reading the program for performing the same by a recorded computer are provided to prevent false/excessive demand for insurance allowances of medical service facilities and to prevent the unreasonable use of medical services of a defaulter of insurance fees. CONSTITUTION: An operating server receives information containing a medical insurance card number and prescription from a hospital. The operating server transmits the prescription corresponding to the medical insurance card number to a pharmacy. The operating server transmits a payment command for a request for paying a medical service charge from a medical facility to the server of a settlement facility.

Description

Method of managing the medical insurance system on the network and providing a program-reading computer readable record medium}

The present invention relates to a method for managing health insurance related to national health insurance using an information communication network and a computer-readable recording medium recording a program thereof. More specifically, the present invention relates to a credit card inquiry and credit through a public telephone network (PSTN). By using the card inquiry network, information on the total amount of medical service fees by medical service organizations can be managed by the Insurance Corporation server or by using the Internet network to manage the prescription information and fee of each patient by medical service institutions. Records the methods and programs related to health insurance management related to national health insurance to prevent insolvency of medical insurance finances due to false claims, inefficiency in the examination of medical insurance benefits, use of medical insurance by unqualified persons and overcharge of insurance benefits. The present invention relates to a computer-readable recording medium.

Conventionally, in order for a patient to provide medical services at a medical service institution, especially a hospital or a pharmacy, and receive medical insurance payments, the patient's name, date of treatment, and symbol of a nursing institution should be written on the insurance record and reported to the Health Insurance Corporation at the end of the month. In addition, the Health Insurance Corporation conducted a formal document examination on this and took a method of paying the insurance money claimed by the medical service organization.

Therefore, the abuse of such a system has caused some medical service organizations to make false / overcharge claims, resulting in insolvency of medical insurance finances.

In addition, there has been a problem of accelerating the insolvency of the medical insurance finances due to the unfair use of medical services by long-term delinquents of medical insurance premiums in the current situation where the medical insurance payment confirmation system is abolished.

An object of the present invention is to solve the above problems, using the credit card inquiry network and the credit card inquiry network through a public telephone network (PSTN) to manage the information on the total medical service fees for each medical service agency in the Insurance Corporation server Or by managing information about each patient's prescription information and fees by using the Internet network to prevent false / fructose claims of insurance benefits and prevent unfair medical services from long-term delinquents. To prevent the insolvency of medical insurance finance by improving the efficiency of screening of unfair claims by the Health Insurance Corporation, and to provide a computer-readable recording medium that records medical insurance management methods and programs related to the national health insurance. The purpose is.

1 is a first exemplary diagram of an information communication system to which the present invention is applied.

Figure 2 is an illustration of a magnetic stripe medical insurance card to which the present invention is applied.

3 is a flow chart related to the national health insurance-related medical insurance management method according to a first embodiment of the present invention.

4 is a second exemplary diagram of an information communication system to which the present invention is applied;

5 is a logical flowchart of a method for managing health insurance related to national health insurance according to a second embodiment of the present invention.

Figure 6 is an example of the 'brief care information' window of the patient transmitted to the pharmacy side.

7 is a detailed flowchart of the medical service fee billing and approval step according to the second embodiment of the present invention.

8 is a detailed flowchart of a step of transmitting a medical service fee payment command according to a second embodiment of the present invention.

The present invention for achieving the above object is a medical insurance management method related to the national health insurance using the Internet network, comprising the steps of: (a) the operation server receives information including the medical insurance card number and prescription from the hospital side; (b) the operation server transmitting the prescription corresponding to the medical insurance card number to a pharmacy; And (c) the operation server transmitting a payment command for the medical service fee payment request of the medical institution to the payment institution server.

Preferably, prior to the step (c), the web server further comprises the step of receiving a request for approval of the medical service fee from the medical institution side, and transmitting the approval to the medical institution side, wherein the approval or not The step of transmitting to the medical institution side may include (d) receiving, by the web server, information including a medical insurance card number, a medical service fee, and a medical service fee claim from the medical institution side; (e) receiving, by the web server, the payment information of the patient stored in the DB server from the DB server; (f) determining, by the web server, whether to approve a medical service fee claim requested by the medical institution side through the information received in steps (d) and (e); When the web server approves the medical expenses as a result of the determination of the step (f) of the web server, the web server transmitting the approval message and the approval number for the medical service fee claim to the medical institution; The web server transmitting information including the medical insurance card number, the medical service fee amount, and the medical service fee approval history to the operation server.

Also preferably, the step (c) may include (g) receiving, by the operation server, information including a medical insurance card number, a medical service fee amount, and a medical service fee authorization from the medical institution; (h) receiving, by the operating server, information including a medical service fee amount and a medical service fee approval history of a patient corresponding to the medical insurance card number from a data server; (i) determining, by the operation server, whether the information including the medical service fee amount and the medical service fee approval details received by the steps (g) and (h) coincide; If the result of the determination of step (i) of the operation server is matched, the operation server transmitting a payment message for the medical service fee to the medical institution; And transmitting, by the operation server, a command regarding payment of the medical service fee to a payment institution server.

More preferably, the medical service fee approval details include at least one of an approval number and a billing authority.

On the other hand, for the health insurance management related to national health insurance using the Internet network, (A) the operation server receives the information including the medical insurance card number and prescription from the hospital side; (B) the operation server transmits the prescription corresponding to the medical insurance card number to the pharmacy side; And (C) a computer-readable recording medium having recorded thereon a program for executing a function of transmitting a payment command for a medical service fee payment request from a medical institution to a payment institution server.

Preferably, prior to the (C) function, the web server further comprises the function of receiving a request for approval of the bill for the medical service fee associated with the prescription from the medical institution side, and transmits the approval to the medical institution side, the approval The function of transmitting whether or not to the medical institution side includes (D) the web server receiving information from the medical institution side including information including a medical insurance card number, a medical service fee and a medical service fee claim; (E) a function of the web server receiving the deposit information of the patient stored in the DB server from the DB server; (F) a function of determining whether or not the web server approves the medical service fee claim requested by the medical institution through the information received by the function (D) and the function (E); As a result of the determination of the function (F) of the web server, when the web server approves the medical expenses, the web server transmitting the approval message and the approval number for the medical service fee claim to the medical institution; The web server provides a computer-readable recording medium having recorded thereon a program for performing a function of transmitting the information including the medical insurance card number, the medical service fee amount and the medical service fee approval history to the operation server.

Also preferably, the (C) function may include: (G) a function of receiving, by the operation server, information including a medical insurance card number, a medical service fee amount, and a medical service fee authorization from the medical institution; (H) the operation server receives the information from the data server including the medical service fee amount of the patient corresponding to the medical insurance card number and the medical service fee approval details; (I) the operation server determining whether the information including the medical service fee amount and the medical service fee approval history received by the (G) function and (H) function match; A function of transmitting, by the operating server, a payment message for the medical service fee to the medical institution, if it matches, as a result of the determination of the function (I) of the operating server; And a computer readable recording medium having recorded thereon a program for performing a function of transmitting, by the operation server, the command regarding payment of the medical service fee to a payment institution server.

Hereinafter, the present invention will be described in detail with reference to the accompanying drawings.

1 is a first exemplary diagram of an information communication system to which the present invention is applied.

As shown in the figure, an information communication system to which the present invention is applied includes a public switched telephone network (PSTN) 100 for supporting a service related to the present invention online, a patient's medical insurance card. Read the insurance card number and send it to the operator's server, send the medical service fee to the operator's server, and receive information on whether the payment is approved from the operator's server (hereinafter referred to as “fee”). Fee from the operator server 300 and the operator server 300 to perform the function of transmitting and receiving and storing the necessary information between the medical institution card inquiry device 200, the medical institution card inquiry device 200 and the Insurance Corporation server Receive payment approval request information and the like, and transmits the information on whether the payment to the operator server 300 and required Insurance corporation server 400 that stores the information.

The medical institution provided with the medical institution card inquiry apparatus 200 refers to a medical service providing institution defined in a related law such as a hospital, a clinic, or a pharmacy.

In addition, the medical institution card inquiry device 200 (hereinafter referred to as "inquiry device") is a reader that performs the function of reading the necessary information from the medical insurance card of the patient related to the present invention, medical insurance from the operator server 300 An indicator for displaying a payment approval message of the card, payment details, an output device for outputting a medical insurance card sales slip according to the payment details, information by the reader, information by the calculator, and the like. And a controller that transmits to the operator server 300 and performs functions of controlling other readers, indicators, and output devices.

The reader is not limited to a magnetic stripe magnetic reader, but includes a radio frequency reader or an IC reader that reads necessary information by incorporating an IC chip into a card and then directly contacting the IC pins. .

The operator server 300 receives the information on the fee payment approval request from the inquiry device 200 and transmits the information to the Insurance Corporation server 400, and transmits the information about payment approval from the Insurance Corporation server 400. Web server 310 that performs the function of receiving and transmitting to the inquiry device 200, and stores information such as information about the medical institution requesting the payment approval, fee amount, medical insurance card number and fee approval number DB server 320 is included.

In addition to the above-described functions, the operator server is also programmed to perform the functions performed by the value added network (VAN) company server.

The Insurance Corporation server 400 receives information about the medical insurance card number of the patient, fee payment approval request information, information about the medical institution that requested the fee payment approval, fee amount, etc. from the web server 310 and confirms payment approval. The insurance approval server 410 and the medical insurance card number of the patient for each medical institution for performing the function of determining and transmitting the information and the fee payment information to the web server 310, the medical service providing date, the medical service provider And a data server 420 for storing a fee payment amount for the service and a payment history of a patient's medical insurance premium corresponding to the medical insurance card number.

2 is an example of a magnetic stripe card among medical insurance cards read by a reader of the inquiry apparatus.

The health insurance card issuance target is all members of the medical insurance, the purpose is to substitute for the health insurance card and proof of eligibility for medical insurance, and the information recorded is information about the health insurance card number and the institutional sign in the case of workplace medical insurance.

However, the medical insurance card according to the present invention is not limited to the type, use, and recorded information of the card illustrated in FIG. 2.

3 is a flowchart illustrating a medical insurance management method related to national health insurance according to the first embodiment of the present invention.

The medical institution provides the medical service to the patient and allows the medical device to read the medical insurance card of the patient using the inquiry device 200 and inputs a fee amount into the inquiry device 200 (S2).

The information read by the reader is the medical insurance card number of the patient and information on the organizational preferences when the patient is a member of the workplace medical insurance.

The web server 310 receives the medical insurance card number, fee amount, medical institution, medical date and fee payment request information read out in step S2 from the medical institution card inquiry apparatus 200 to the insurance approval server 410. The DB server stores the information in the patient DB corresponding to the medical insurance card number (S4).

The insurance approval server 410 stores the information received by the step S4 in the patient DB corresponding to the medical insurance card number and receives the medical insurance payment status information of the patient DB to the medical service fee amount of the patient In determining whether or not to approve payment is used as basic data (S6).

The insurance approval server 410 determines whether to approve payment of the medical service fee amount of the patient using the medical insurance payment status information received in step S6 (S8).

As a result of the determination in step S8, when approval is not allowed, the insurance approval server 410 transmits an approval disallowed message to the inquiry apparatus 200 through the web server 310, and the inquiry apparatus 200. The output of the outputs it (S10).

As a result of the determination in step S8, when the approval is granted, the insurance approval server 410 pays the medical service fee amount and the data server 420 sends the payment information to the medical insurance card number. Store in the DB (S12).

The web server 310 receives the insurance use approval and approval number from the insurance approval server and transmits the insurance use approval and approval number to the inquiry apparatus 200, and the DB server 320 transmits information regarding insurance use approval and approval number to the medical care. It is stored in the patient DB corresponding to the insurance card number (S14).

The inquiry apparatus 420 outputs a sales slip including information on an approval number, a fee amount, etc. transmitted from the web server 310 to determine the fee for the patient (S16).

In this way, the Insurance Corporation server 400 can prevent the use of insurance money by an unqualified person by managing information on the medical insurance payment status of the patient corresponding to the medical insurance card number, the Insurance Corporation server 400 is medical By managing the medical information of insurance users for each service provider by automatically calculating the total amount of monthly insurance premiums to be paid for each medical service provider can perform a function to prevent the false / overcharge of the medical insurance premiums.

4 is a second exemplary diagram of an information communication system to which the present invention is applied.

As shown in the figure, the information communication system to which the present invention is applied includes a medical insurance card number, a medical fee, and a medical fee approval request from an Internet network 500 and an operator server for supporting a service related to the present invention online. Hospital computer 600 (hereinafter referred to as "hospital side") that transmits information related to medical expenses payment, receives information related to medical expenses approval, sends information related to prescription and medical expenses payment request to Insurance Corporation server, and receives information related to medical expenses payment. .), A pharmacy computer (700) that transmits information about a medical insurance card number, a dispensing fee, and a dispensing approval request to an operator server, receives information related to the dispensing fee approval, receives a prescription from the Insurance Corporation server, and transmits and receives information related to the dispensing payment. ) (Hereinafter referred to as "pharmacy side"), the hospital side 600 or the pharmacy side 700 (hereinafter "medical device" Side).) From the health insurance card number, medical expenses or dispensing fee (hereinafter referred to as "medical service fee"), the request for approval of the medical service fee, etc., and information on whether the medical service fee is approved. Receiving a prescription from the operator server 800, the hospital side 600, and transmits to the medical institution side and the Insurance Corporation server, transmits the prescription to the pharmacy side 700, the operator server 800 Insurance Corporation server 900 for receiving and storing the information on the medical service approval from the medical institution, transmitting and receiving information about the medical service fee payment with the medical institution, and transmits the medical service fee payment command to the payment institution server; Receives the medical service fee payment order from the Insurance Corporation server 900 and the medical care for it It includes a payment institution server 1000 for paying a service fee to the medical institution.

The Internet network 500 is capable of performing functions such as file viewing and e-mail transmission by using a TCP / IP protocol that can be connected by wire and a WAP protocol that can be wirelessly connected.

In addition, the hospital side 600 and the pharmacy side 700 is a computer device that can communicate with the Internet browser that can display web content, and wireless Internet communication as well as personal computers such as desktop computers, notebook computers, etc. Possible mobile phones, PDAs (Personal Digital Assistants), IMT2000, etc. The personal computer preferably includes at least a Windows 98 operating system, a Pentium-class CPU, a 64Mb memory, and the like. At least one inquiry apparatus including a reader and an output apparatus should be provided.

The matters concerning the reader specification are the same as the matters of the reader in the first embodiment, and the matters concerning the medical insurance card specification read by the reader are the same as the matters of the medical insurance card in the first embodiment.

The operator server 800 receives the information on the medical insurance card number, medical service fee, medical service fee claim for payment of the medical service fee from the medical institution, and receives the payment information of the patient from the Insurance Corporation server, After determining whether to approve the medical service fee claim, the Web server 810 for transmitting the information to the medical institution side and the Insurance Corporation server and controls the DB server, the member DB for managing the basic information of the member medical institution, Patient DB that manages personal information including patient's medical insurance card number and personal information, Deposit DB that manages the patient's deposit information received from the Insurance Corporation server, and whether to approve the medical service fee claim It includes a DB server 820 including an approval DB for managing information about.

The Insurance Corporation server 900 receives information necessary for a prescription and medical expenses payment request from the hospital side, transmits information on whether the medical expenses are paid, transmits a prescription to the pharmacy side, and provides information about the medical expenses payment request. Receives and sends information on whether or not to pay the fee for the payment, and transmits the medical insurance payment information for each patient to the web server, and receives information about the medical service fee amount and approval status, including the medical fee and subsidies from the web server And, the operation server 910 for transmitting a command to request the payment of the medical service fee to the payment institution server, and controls the data server, the member DB for managing the basic information of the medical institution as a member, to manage the personal information of each patient Patient DB, Insurance DB that manages information about each patient's insurance deposit details, A prescription DB for managing discharge, an approval DB for managing information on medical service fee approval details for each patient transmitted from the web server, and a medical service fee payment DB for storing information on medical service fee payments; A data server 920.

5 is a logical flowchart of a method for managing health insurance related to national health insurance according to a second embodiment of the present invention.

The medical institution accesses the web server 810 and subscribes as a member to the operator site and the Insurance Corporation site in order to receive the service related to the present invention (S22).

In the present embodiment, the web server 810 and the operation server 910 at the time of membership registration in the step S22 is a business registration number, the address of the workplace, the telephone number of the workplace, the business type, the name of the operator, the operator from the medical institution side The DB server 820 and the data server 920 receive the address, ID, password and the like of the information stored in the member DB, but the information stored in the DB server 820 and the data server 920 in the present invention Is not limited thereto.

The medical institution side and the Insurance Corporation server 900 is a program provided by the operator to install the client software which is a program that can access the operator server to perform online procedures for claiming and approving the medical service fee related to the present invention online. (S24)

The medical institution side and the Insurance Corporation server 900 may install the client software through a medium capable of storing information such as a floppy diskette or a compact diskette, but the medical institution side and the Insurance Corporation server 900 access the operator site. It is preferable to install it by downloading it.

The operation server 910 receives the medical insurance card number and prescription of the patient from the hospital side 600 of the medical institution side, the data server 920 stores the medical insurance card number and prescription in the prescription DB (S26) .

The prescription stored in the data server 920 includes at least the name and resident registration number of the patient, the name and phone number of the medical institution, the disease classification code according to the Korean standard disease sign classification according to the statistical law, the name of the medical practitioner, license type and number, prescription It is desirable to include information on the name, quantity, usage and dosage of the drug, the date and time of prescription delivery, as well as other references for the preparation of the drug.

The operation server 910 receives the patient's medical insurance card number and prescription request from the pharmacy side 700 of the medical institution side, and transmits the corresponding prescription to the pharmacy side 700 (S28).

The pharmacist prepares medicines corresponding to the symptoms of the patient on the basis of the prescription received by the computer 700 by the step S28.

When the operation server 910 receives the patient's medical insurance card number and a prescription request signal according to the 28th step, the operation server 910 sends the patient corresponding to the medical insurance card number to the pharmacy side 700. Send brief medical information

The brief medical information includes information briefly describing medical days, medical institutions, medical personnel, medical expenses, and other information of the fare within a predetermined period set by an operator, and FIG. 6 is a patient transmitted to the pharmacy side 700. This is an example of the 'Simplified Care Information' window.

When the pharmacy side 700 selects any part of a medical day, a medical institution, a medical practitioner, and a medical treatment content in the 'brief medical care information' window, the operation server 910 performs a data server 920 by the step S26. The patient's prescription corresponding to the medical insurance card number previously stored is transmitted.

The prescription transmitted from the operation server 910 to the pharmacy side 700 includes at least the name and resident registration number of the patient, the name and telephone number of the medical institution, the disease classification code according to the Korean standard disease sign classification according to the statistical law, The name, quantity, usage and dosage, the date and date of the prescription, the institution and the reference for the preparation of the medicine should be included. In particular, the name of the prescription medicine should be described in the general name, product name, or name given in the Korean Pharmacopoeia.

The web server 810 receives information regarding a patient's medical insurance card number, a medical service fee, and a medical service fee claim from the medical institution, and stores necessary information in the DB server 820, and stores the necessary information in the DB server 820. In the case where the patient is not ineligible using the information on the state of the patient's medical insurance premium payment pre-stored in the), the fee is charged for the medical service provided to the patient, and the approval details are stored in the operation server 810. Transfer to (S30).

When there is a request for payment of the medical service fee from the medical institution, the operation server 910 receives information received from the medical institution and information previously received in step S30 and stored in the data server 920. When the fertilizer is matched, the operation server 910 transmits a payment command for the amount corresponding to the medical service fee to the payment institution server 1000 (S32).

The medical service fee claim and approval step of step S30 of FIG. 5 will be described in detail with reference to FIG. 7 as follows.

7 is a detailed flowchart of the medical service fee billing and approval step according to the second embodiment of the present invention.

The medical institution accesses the operator site and performs a login procedure using at least one of an ID and a password (S42).

The web server 810 receives information regarding a medical insurance card number, a medical service fee, and a medical service fee claim from the medical institution (S44).

The web server 810 receives the payment information of the patient stored in the DB server 320 from the DB server (S46).

The payment information of the patient includes information regarding a premium payment history of the patient and the expiration date of the insurance, and the operation server 910 transmits the payment information of the patient to the web server 810 in real time. 810 stores the received payment information of the patient in the DB server 820.

The web server 810 determines whether the payment status of the medical insurance premium of the patient meets the criteria set by the operator based on the information received in the step S44 and the step S46 to request the medical institution. It is determined whether to approve the medical service fee claim (S48).

As a result of the determination in step S48 of the web server, when the web server 810 approves the medical expenses, the DB server 820 sends an approval message and an authorization number for the medical service fee request to the medical insurance card number. Stored in the DB of the patient corresponding to the, the web server 810 transmits the approval message and the approval number for the medical service fee claim to the medical institution (S50).

The web server 810 transmits the medical insurance card number, the medical service fee amount and the medical service fee approval history to the operation server 910 (S52).

The data server 920 approves the medical insurance card number, the medical service fee amount, and the medical service fee approval details received by the operation server 910 according to the medical insurance card number in step S52. Store in the history DB.

The medical service fee approval details preferably include at least a statement of approval of the claim, an approval number, an approval date, and a billing institution.

If the web server 810 does not approve medical expenses as a result of the determination in step S48 of the web server, the DB server 820 sends a disapproval message for the medical service fee request to the medical insurance card number. The web server 810 transmits the disapproval message for the medical service fee request to the medical institution, in the DB of the corresponding patient (S54).

The data server 920 transmits the medical insurance card number, the medical service fee amount, and the medical service fee disapproval message received by the operation server 910 to the medical insurance card number in step S54. Store in the approval history DB.

The medical service fee payment step of step S32 of FIG. 5 will be described in detail with reference to FIG. 8 as follows.

8 is a detailed flowchart illustrating a step of transmitting a medical service fee payment command according to a second embodiment of the present invention.

The medical institution accesses the Insurance Corporation site and performs a login procedure using at least one of an ID and a password (S62).

The operation server 910 receives a medical insurance card number, medical service fee amount and medical service fee approval from the medical institution (S64).

The operation server 910 receives the medical service fee amount and the medical service fee approval details of the patient corresponding to the medical insurance card number previously stored in the data server 920 (S66).

The operation server 910 determines whether the information regarding the medical service fee amount and the medical service fee approval history received in the step S64 and the step S66 is identical (S68).

As a result of the determination in step S68 of the operation server, if it matches, the operation server 910 transmits a payment message for the medical service fee requested by the medical institution to the medical institution (S70).

The operation server 910 transmits a command regarding payment of the medical service fee to a payment institution server 1000 (S72).

The data server 920 stores the medical service fee payment approval and payment details in the medical service fee payment DB (S74).

As a result of the determination in step S68 of the operation server, if there is a mismatch, the operation server 910 transmits a non-payment message for the medical service fee requested by the medical institution to the medical institution (S76).

The operation server 910 proceeds to step S74, and causes the data server 920 to store information about the medical service fee payment impossible in the medical service fee payment DB.

The invention can also be embodied as computer readable code on a computer readable recording medium. The computer-readable recording medium includes all kinds of recording devices in which data that can be read by a computer system is stored. Examples of computer-readable recording media include ROM, RAM, CD-ROM, magnetic tape, floppy disk, optical data storage, and the like, which are also implemented in the form of a carrier wave (for example, transmission over the Internet). It also includes. The computer readable recording medium can also be distributed over network coupled computer systems so that the computer readable code is stored and executed in a distributed fashion.

According to the present invention as described above, the details of the prescriptions and prescription drugs for all hospitals and pharmacies can be obtained from the Insurance Service, it is possible to contrast the details of the prescription and prescription details to prevent fraudulent / false claims In addition, it is possible to block the use of insurance services by insured persons in advance, thereby preventing the insolvency of medical insurance finances.

In addition, the prescription stored in the operator server can be read at the national pharmacy, so that if the medical insurance card can be dispensed without a prescription anywhere, there is an effect that can facilitate the patient's convenience.

In the case of a patient or a company covered by a workplace medical insurance, not only the medical history of an employee can be accessed by accessing the operator's server, but also information about medical expenses or dispensing expenses stored in the Insurance Corporation server may be used for tax purposes in institutions such as the National Tax Service. There is also an effect that can be used for public interests.

Claims (7)

As a medical insurance management method related to national health insurance using the internet network, (a) receiving, by the operation server, information including a health insurance card number and a prescription from the hospital side (S26); (b) the operation server transmitting the prescription corresponding to the medical insurance card number to the pharmacy side (S28); And (C) the operation server transmits a payment order for the medical service fee payment request of the medical institution to the payment institution server (S32) National health insurance related medical insurance management method comprising a. The method of claim 1, Before step (c), The web server receives a request for approval of the medical service fee from the medical institution side, and transmits the approval to the medical institution side (S30). Further comprising, and transmitting the approval or not to the medical institution side (S30) (d) receiving, by the web server, information including a medical insurance card number, a medical service fee, and a medical service fee claim from the medical institution; (e) receiving, by the web server, the payment information of the patient stored in the DB server from the DB server (S46); (f) determining, by the web server, whether to approve a medical service fee claim requested by the medical institution side through the information received in steps (d) and (e) (S48); (S50) when the web server approves the medical expenses, as a result of the determination of the step (f) of the web server, the web server transmitting an approval message and an approval number for the medical service fee claim to the medical institution; The web server transmitting information including the medical insurance card number, the medical service fee amount and the medical service fee approval history to the operation server (S52); National health insurance related medical insurance management method comprising a. The method of claim 1, Step (c) is (g) receiving, by the operation server, information including a medical insurance card number, a medical service fee amount, and a medical service fee approval history from the medical institution; (h) receiving, by the operation server, information including a medical service fee amount of the patient corresponding to the medical insurance card number and medical service fee approval from the data server (S66); (i) the operation server determining whether or not the information including the medical service fee amount and the medical service fee approval details received by the steps (g) and (h) coincide; (S70) if the result of the determination of step (i) of the operation server, the operation server transmits a payment message for the medical service fee to the medical institution side; And The operation server transmitting a command regarding payment of the medical service fee to a payment institution server (S72); National health insurance related medical insurance management method comprising a. The method of claim 2 or 3, The medical service fee approval details, At least one of an authorization number and a billing authority National health insurance related medical insurance management method comprising a. For medical insurance management related to national health insurance using the internet network, (A) the operation server receives the information from the hospital side, including the health insurance card number and prescription; (B) the operation server transmits the prescription corresponding to the medical insurance card number to the pharmacy side; And (C) the operation server transmits a payment order for the medical service fee payment request of the medical institution to the payment institution server A computer-readable recording medium that records a program for performing the task. The method of claim 5, Prior to the above (C) function, The web server receives a request for approval of the medical service fee related to the prescription from the medical institution and transmits the approval to the medical institution. Further comprising, the function of transmitting the approval to the medical institution side (D) the web server receiving information from the medical institution, including a medical insurance card number, a medical service fee and a medical service fee claim; (E) a function of the web server receiving the deposit information of the patient stored in the DB server from the DB server; (F) a function of determining whether or not the web server approves the medical service fee claim requested by the medical institution through the information received by the function (D) and the function (E); As a result of the determination of the function (F) of the web server, when the web server approves the medical expenses, the web server transmitting the approval message and the approval number for the medical service fee claim to the medical institution; The web server transmits the information including the medical insurance card number, medical service fee amount and medical service fee approval details to the operation server A computer-readable recording medium that records a program for performing the task. The method of claim 5, The above (C) function (G) a function of receiving, by the operation server, information including a medical insurance card number, a medical service fee amount and medical service fee approval from the medical institution; (H) the operation server receives the information from the data server including the medical service fee amount of the patient corresponding to the medical insurance card number and the medical service fee approval details; (I) the operation server determining whether the information including the medical service fee amount and the medical service fee approval history received by the (G) function and (H) function match; A function of transmitting, by the operating server, a payment message for the medical service fee to the medical institution, if it matches, as a result of the determination of the function (I) of the operating server; And The operation server transmits a command regarding payment of the medical service fee to a payment institution server A computer-readable recording medium that records a program for performing the task.