CN106650208A - Cost analysis system and method of patient with medical insurance - Google Patents
Cost analysis system and method of patient with medical insurance Download PDFInfo
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- CN106650208A CN106650208A CN201610871094.9A CN201610871094A CN106650208A CN 106650208 A CN106650208 A CN 106650208A CN 201610871094 A CN201610871094 A CN 201610871094A CN 106650208 A CN106650208 A CN 106650208A
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Abstract
The invention discloses a cost analysis system and method of a patient with a medical insurance. The system comprises a computer system, an initialization module, a patient information entering module, a medical treatment cost generation module, a medical treatment cost judging module, and an above-quota early-warning module, wherein the initialization module is used for initializing various kinds of medical insurance disease varieties and department medical insurance quota information costs; the patient information entering module is used for recording the medical insurance, a disease variety, and treatment information of a patient; the medical treatment cost generation module is used for recording daily medical consumption information of the patient; the medical treatment cost judging module is used for judging whether the cost exceeds the medical insurance quota information cost or not; the early-warning module is used for sending out early-warning information when the quota is overfilled. According to the cost analysis system and method of the patient with the medical insurance, medical treatment costs including different drugs and different diagnosis and treatment projects aimed at different groups of patients can be distinguished, whether the costs are within a coverage area of the medical insurance or not is judged and calculation is conducted, reminding a doctor is conducted, and a reference is given to the doctor to make a prescription; meanwhile, the cost analysis system and method are high in accuracy, high in practicability, and strong in operability.
Description
Technical field
The present invention relates to medical technology management domain, the cost analysis system of particularly a kind of medical insurance patient and side
Method.
Background technology
Medical insurance refers to that by national legislation taking according to mandatory social insurance principle basic medical insurance should be by employment
Unit and worker individual pay in full amount on time.Medical insurance to by the people of threats collects medical guarantor in advance in the way of contract
It is dangerous to take, set up Medical Benefits Fund；When insurant is ill and go to medical institutions medical and after there is medical expense, by medical treatment guarantor
Dangerous mechanism gives certain economic compensation.
The personal account fund that the risk-pooling fund and personal special project that the funds of basic medical insurance is used by overall social planning is used
Composition.Individual's payment all puts personal account under, and unit payment puts personal account under by 30% or so, and remainder is set up and planned as a whole
Fund.
The basic medical insurance terms of payment：First, insurant will seek medical advice in basic medical insurance designated medical organization, purchase
Medicine, also can be by purchase medicine at prescription to fixed point retail pharmacies.Secondly, there is medical expense and have to comply with basic medical insurance.
Drug catalogue, diagnosis and treatment item, the scope of medical services facility standard and payment standard, could be by the funds of basic medical insurance by rule
Surely paid.3rd, the medical expense of scope is paid to meeting the funds of basic medical insurance, to distinguish and be belonging to risk-pooling fund
Pay scope and still fall within personal account payment scope.Belong to the medical expense of risk-pooling fund reimbursement scope, more than a negative standard
More than paid in proportion by risk-pooling fund, highest pay to medical insurance payment limit.
Medical insurance risk-pooling fund reimbursement mode：When at present medical insurance risk-pooling fund reimbursement mode is mainly patient and sees a doctor
Directly do not pay, mutually settled accounts by hospital and Medical Insurance Organizations.Due to Hospitals at Present medical cost management information system it is not complete
It is kind, lack the statistics to medical expense inside and outside medical insurance coverage so that lack during doctor's prescription to medical expense aspect
Reference, may cause the cost of medical insurance beyond pay limit, it is impossible to submit an expense account.
The content of the invention
It is an object of the invention to provide a kind of accuracy is high, practicality it is good for calculating the cost of medical insurance and have
The cost analysis system and method for the medical insurance patient of warning function.
In order to solve above-mentioned technical problem, what the present invention was realized in：A kind of cost analysis system of medical insurance patient
Unite, including computer system, initialization module, patient information typing module, medical expense generation module, medical expense judge mould
Block and excess warning module, the initialization module, patient information typing module, medical expense generation module, medical expense are sentenced
Disconnected module and excess warning module are connected respectively by electric signal with the computer system, and the initialization module, patient
Data Enter module, medical expense generation module, medical expense judge module and excess warning module are connected by electric signal sequence
Connect, wherein：
The initialization module is used to download medical insurance directory information, and initializes all kinds of medical insurance types, all kinds of
Disease and each section office's medical insurance quota information expense；
The patient information typing module is used for medical insurance, disease and the treatment information of typing patient；
The medical expense generation module is used for the daily Medical Consumption information of typing patient, then according to the medical treatment of patient
Produced expense is carried out full expense at one's own expense, part expense and classification of submitting an expense account entirely at one's own expense by insurance and treatment information, then
By part, at one's own expense expense is multiplied by the expense that reimbursement ratio obtains and is sued for peace with submitting an expense account entirely, draws patient medical insurance coverage
Interior expense summation；According to part expense and summation of submitting an expense account entirely at one's own expense, general expenses is calculated in conjunction with the disease of patient, given birth to
Into each several part medical expense summation；
The medical expense judge module is used to determine each several part payment for medical care summation of the generation and the medical insurance
Volume information charge is compared, and sees if fall out medical insurance quota information expense；
The warning module is used to send early warning letter when each several part expense summation exceeds medical insurance quota information expense
Breath；
The computer system is used to processing, analyze and preserving the initialization module, patient information typing module, medical treatment
The data message of expense generation module, medical expense judge module and excess warning module.
Preferably, the medical insurance quota information expense of each section office determines that situation is：If patient is transferred from one department to another by n time
X section office are gone to, then X section office medical insurance quota information expense=original volume × 0.6 of X section officen；If patient is not straight through transferring from one department to another
Tap into X section office, then X section office medical insurance quota information expense=original volume of X section office.
Preferably, generating each several part medical expense summation includes two kinds of situations：The first situation：When patient is common patient
When, calculate Laboratory Fee and bed takes each several part expense；If patient is Single diseases patient, each several part expense of disease in each list is calculated
With.
Preferably, Single diseases patient includes orthopaedics Single diseases, PCI Single diseases and artificial lens Single diseases, wherein orthopaedics list
The each several part expense of disease includes that artificial replacement's expense and bed take；The each several part expense of the PCI Single diseases includes heart
Frame expense and bed take；The each several part expense of the artificial lens Single diseases includes that artificial lens expense and bed take.
A kind of cost analysis method of medical insurance patient, including a kind of cost analysis system of described medical insurance patient
System, this method is comprised the following steps：
Initialization：Medical insurance directory information is downloaded, and initializes all kinds of medical insurance types, all kinds of diseases and each section
Room medical insurance quota information expense；
Patient information typing：The medical insurance of typing patient, disease and treatment information；
Medical expense is generated：The daily Medical Consumption information of typing patient, the then medical insurance according to patient and treatment
Produced expense is carried out full expense at one's own expense, part expense and classification of submitting an expense account entirely at one's own expense by information, then will partly at one's own expense
Expense is multiplied by the expense that reimbursement ratio obtains is sued for peace with submitting an expense account entirely, show that the expense in patient medical insurance coverage is total
With；According to part expense and summation of submitting an expense account entirely at one's own expense, general expenses is calculated in conjunction with the disease of patient, generate each several part and cure
Treatment expense summation；
Medical expense judges：The each several part payment for medical care summation of the generation is entered with the medical insurance quota information expense
Row compares, and sees if fall out medical insurance quota information expense；
Early warning is processed：Early warning information is sent when each several part expense summation exceeds medical insurance quota information expense.
Preferably, the medical insurance quota information expense of each section office determines that situation is：If patient is transferred from one department to another by n time
X section office are gone to, then X section office medical insurance quota information expense=original volume × 0.6 of X section officen；If patient is not straight through transferring from one department to another
Tap into X section office, then X section office medical insurance quota information expense=original volume of X section office.
Preferably, generating each several part medical expense summation includes two kinds of situations：The first situation：When patient is common patient
When, calculate Laboratory Fee and bed takes each several part expense；If patient is Single diseases patient, each several part expense of disease in each list is calculated
With.
Preferably, Single diseases patient includes orthopaedics Single diseases, PCI Single diseases and artificial lens Single diseases, wherein orthopaedics list
The each several part expense of disease includes that artificial replacement's expense and bed take；The each several part expense of the PCI Single diseases includes heart
Frame expense and bed take；The each several part expense of the artificial lens Single diseases includes that artificial lens expense and bed take.
The invention has the beneficial effects as follows：Computer system of the present invention, initialization module, patient information typing module, medical treatment
Expense point of the interaction of expense generation module, medical expense judge module and excess warning module for Bu Tong disease group patient
Analysis method can include that different medicines, different diagnosis and treatment items make a distinction to different medical expense, judge whether it belongs to medical treatment
Insurance coverage is interior and is calculated, and prompting is made to doctor, is that doctor's prescription makes reference.Accuracy of the present invention
Height, practicality is good, workable.
Description of the drawings
Fig. 1 is a kind of theory diagram of the cost analysis system of medical insurance patient of the invention.
Fig. 2 is a kind of operation step map of the cost analysis method of medical insurance patient of the invention.
Fig. 3 is a kind of Detailed operating procedures figure of the cost analysis method of medical insurance patient of the invention.
Fig. 4 is a kind of Detailed operating procedures figure of the cost analysis method of medical insurance patient of the invention.
Fig. 5 is a kind of Detailed operating procedures figure of the cost analysis method of medical insurance patient of the invention.
Fig. 6-8 is the statement of expense figure that patient produces in the present embodiment.
Fig. 9 is the cost analysis method and step figure that patient produces in the present embodiment.
Figure 10-14 is that patient's hospitalization cost collects inventory figure in the present embodiment.
Specific embodiment
As shown in figure 1, a kind of cost analysis system of medical insurance patient, including computer system, initialization module, disease
People's Data Enter module, medical expense generation module, medical expense judge module and excess warning module, the initialization mould
Block, patient information typing module, medical expense generation module, medical expense judge module and excess warning module pass through electric signal
Be connected with the computer system respectively, and the initialization module, patient information typing module, medical expense generation module,
Medical expense judge module and excess warning module are connected by electric signal sequence, wherein：
The initialization module is used to download medical insurance directory information, and initializes all kinds of medical insurance types, all kinds of
Disease and each section office's medical insurance quota information expense, the medical insurance directory information is the related medical that social security office specifies
Insurance information, each section office's medical insurance quota information expense is also concrete number depending on the medical insurance type according to patient
Depending on how many volumes will be according to the medical insurance type of patient and payment amount；
The patient information typing module is used for medical insurance, disease and the treatment information of typing patient, and these information are certainly
Have in hospital system after patient admission and record in detail；
The medical expense generation module is used for the daily Medical Consumption information of typing patient, then according to the medical treatment of patient
Produced expense is carried out full expense at one's own expense, part expense and classification of submitting an expense account entirely at one's own expense by insurance and treatment information, then
By part, at one's own expense expense is multiplied by the expense that reimbursement ratio obtains and is sued for peace with submitting an expense account entirely, draws patient medical insurance coverage
Interior expense summation T1, entirely at one's own expense part AutoSum obtains all-in charge T2 to patient；According to part expense and full reimbursement at one's own expense
Expense summation T1, in conjunction with the disease of patient general expenses is calculated, and generates each several part medical expense summation T3；
The medical expense judge module is used for each several part payment for medical care summation T3 of the generation and the medical insurance
Quota information expense is compared, and sees if fall out medical insurance quota information expense；
The warning module is used to send early warning when each several part expense summation T3 exceeds medical insurance quota information expense
Information；
The computer system is used to processing, analyze and preserving the initialization module, patient information typing module, medical treatment
The data message of expense generation module, medical expense judge module and excess warning module.
Specifically, the medical insurance quota information expense of each section office determines that situation is：If patient is transferred from one department to another by n time
X section office are gone to, then X section office medical insurance quota information expense=original volume × 0.6 of X section officen；If patient is not straight through transferring from one department to another
Tap into X section office, then X section office medical insurance quota information expense=original volume of X section office.
And generating each several part medical expense summation T3 includes two kinds of situations：The first situation：When patient is common patient,
Each several part medical expense summation T3 is that Laboratory Fee and bed take each several part expense summation；If patient is Single diseases patient, each portion
Point medical expense summation T3 is each several part expense summation for calculating disease in each list.Here Single diseases patient includes orthopaedics list disease
Kind, PCI Single diseases and artificial lens Single diseases, wherein each several part expense of orthopaedics Single diseases include artificial replacement's expense and bed
Take；The each several part expense of the PCI Single diseases includes that cardiac stent expense and bed take；Each portion of the artificial lens Single diseases
Expense is divided to include that artificial lens expense and bed take.
Described in a kind of as shown in Figure 2-5, cost analysis method of medical insurance patient, including claim 1-4 is any
A kind of cost analysis system of medical insurance patient, it is characterised in that this method is comprised the following steps：
Initialization：Medical insurance directory information is downloaded, and initializes all kinds of medical insurance types, all kinds of diseases and each section
Room medical insurance quota information expense；
Patient information typing：The medical insurance of typing patient, disease and treatment information；
Medical expense is generated：The daily Medical Consumption information of typing patient, the then medical insurance according to patient and treatment
Produced expense is carried out full expense at one's own expense, part expense and classification of submitting an expense account entirely at one's own expense by information, then will partly at one's own expense
Expense is multiplied by the expense that reimbursement ratio obtains is sued for peace with submitting an expense account entirely, show that the expense in patient medical insurance coverage is total
With；According to part expense and summation of submitting an expense account entirely at one's own expense, general expenses is calculated in conjunction with the disease of patient, generate each several part and cure
Treatment expense summation；
Medical expense judges：The each several part payment for medical care summation of the generation is entered with the medical insurance quota information expense
Row compares, and sees if fall out the expense of medical insurance quota information expense；
Early warning is processed：Early warning information is sent when each several part expense summation exceeds medical insurance quota information expense.
A certain concrete patient illustrates the present invention as a example by hospitalize and reimbursement：
As shown in figs 6-8, certain patient Chen Baoer produces the statement of expense during hospital and is listed as follows：
1) 0.9% sodium chloride injection (Dongguan)
2) 0.9% sodium chloride injection (Zhejiang)
3) 3L surgical membranes (city of Jiangxi 08 trick)
4) B levels double room
5) II levels nursing
6) cataract excusing from death emulsification enucleation+intraocular lens implantation
7) phenobarbital sodium injection
8) surface anesthesia
9) non-contact tonometer method or applanation tonometer method
10) compound sodium chloride injection (Shijiazhuang)
11) compound tropicamide eye drops (Changchun)
12) optical coherence tomography town and country (OCT)
13) intramuscular injection D
14) corneal topography inspection
15) corneal endothelium spectroscopy
16) keratometry
17) irrigation of lacrimal passage
18) slit lamp examination
19) funduscopy under slit-lamp
20) normal vision inspection
21) full diet
22) artificial lens (aspherical U.S.'s Baushe ＆ Lomb 12) Shandong good fortune is auspicious
23) IOL Power measurement
24) mydriasis
25) added using microscope
26) double room air-conditioning temperature-reducing takes
27) little dressing
28) adrenalin hydrochloride parenteral solution
29) eye-ground photography
30) disposable wearing bayonet (U.S. 08) Guangzhou is won happy
31) viscoelastic agent (its victory 06 of ophthalmically acceptable Shanghai)
32) it is hospitalized to have a thorough examination to take
33) syringe (high 06 province of prestige recruits)
34) Injection-use reptilase
As shown in figure 9, according to medical expense computational algorithm, the medical expense for being generated can be divided into individual complete at one's own expense, individual
Part is submitted an expense account at one's own expense and entirely in people part, calculates the expense in patient medical insurance coverage.Afterwards patient divided into again general
Common fault people or Single diseases patient, the patient Chen Baoer in the old precious present case of the patient in present case belongs to artificial lens Single diseases disease
People, its artificial crystal material is taken and individually calculate summation.
As shown in figures 10-14, from design schedule, it is 4800 yuan that the medical insurance of patient pays amount, produced doctor
It is 5952.36 yuan to treat medical expense in insurance coverage, 1152.36 yuan of excess.Additionally, the personal full amount of money at one's own expense is 1799 yuan, it is individual
At one's own expense the amount of money is 0 yuan for people part, and basic medical insurance pays the amount of money for oneself for 1488.09 yuan.And artificial lens Single diseases pay amount
For 1800 yuan, wherein paying the amount of money for oneself for 360 yuan, it is 1440 yuan to plan as a whole charged amount, and produced actual artificial lens Single diseases
Expense is 3584 yuan, and overages count the full amount of money at one's own expense.
Computer system of the present invention, initialization module, patient information typing module, medical expense generation module, payment for medical care
Can be to different doctors for the cost analysis method of Bu Tong disease group patient with the interaction of excess warning module with judge module
Treatment expense includes that different medicines, different diagnosis and treatment items make a distinction, and judges whether it belongs to and goes forward side by side in medical insurance coverage
Row is calculated, and prompting is made to doctor, is that doctor's prescription makes reference.Accuracy of the present invention is high, and practicality is good, operable
Property is strong.
The announcement and teaching of book according to the above description, those skilled in the art in the invention can also be to above-mentioned embodiment party
Formula is changed and changed.Therefore, specific embodiment disclosed and described above is the invention is not limited in, to the present invention's
Some modifications and changes should also be as falling into the scope of the claims of the present invention.Although additionally, used in this specification
Some specific terms, but these terms are merely for convenience of description, do not constitute any restriction to the present invention.
Claims (8)
1. a kind of cost analysis system of medical insurance patient, it is characterised in that including computer system, initialization module, disease
People's Data Enter module, medical expense generation module, medical expense judge module and excess warning module, the initialization mould
Block, patient information typing module, medical expense generation module, medical expense judge module and excess warning module pass through electric signal
Be connected with the computer system respectively, and the initialization module, patient information typing module, medical expense generation module,
Medical expense judge module and excess warning module are connected by electric signal sequence, wherein：
The initialization module is used to download medical insurance directory information, and initializes all kinds of medical insurance types, all kinds of diseases
With each section office's medical insurance quota information；
The patient information typing module is used for medical insurance, disease and the treatment information of typing patient；
The medical expense generation module is used for the daily Medical Consumption information of typing patient, then according to the medical insurance of patient
Produced expense is carried out into full expense at one's own expense, part expense and classification of submitting an expense account entirely at one's own expense with treatment information, then by part
At one's own expense expense is multiplied by the expense that reimbursement ratio obtains and is sued for peace with submitting an expense account entirely, draws the expense in patient medical insurance coverage
Use summation；According to part expense and summation of submitting an expense account entirely at one's own expense, in conjunction with the disease of patient general expenses, each portion of generation are calculated
Divide medical expense summation；
The medical expense judge module is used to believe each several part payment for medical care summation of the generation with medical insurance quota
Whether breath expense is compared, judge each several part payment for medical care summation beyond medical insurance quota information expense；
The warning module is used to send early warning information when each several part expense summation exceeds medical insurance quota information expense；
The computer system is used to processing, analyze and preserving the initialization module, patient information typing module, medical expense
The data message of generation module, medical expense judge module and excess warning module.
2. a kind of cost analysis system of medical insurance patient as claimed in claim 1, it is characterised in that the institute of each section office
State medical insurance quota information expense and determine that situation is：If patient is transferred from one department to another by n time goes to X section office, X section office medical insurance is determined
Original volume × 0.6 of volume information charge use=X section officen；If patient is not directly entered X section office through transferring from one department to another, X section office medical insurance
Quota information expense=original the volume of X section office.
3. a kind of cost analysis system of medical insurance patient as claimed in claim 1, it is characterised in that generate each several part doctor
Treatment expense summation includes two kinds of situations：The first situation：When patient is common patient, calculates Laboratory Fee and bed takes each several part
Expense；If patient is Single diseases patient, each several part expense of disease in each list is calculated.
4. a kind of cost analysis system of medical insurance patient as claimed in claim 3, it is characterised in that Single diseases patient wraps
Orthopaedics Single diseases, PCI Single diseases and artificial lens Single diseases are included, the wherein each several part expense of orthopaedics Single diseases includes artificial replacement
Expense and bed take；The each several part expense of the PCI Single diseases includes that cardiac stent expense and bed take；The artificial lens list
The each several part expense of disease includes that artificial lens expense and bed take.
5. a kind of a kind of arbitrarily described Medical Insurance Disease of cost analysis method of medical insurance patient, including claim 1-4
The cost analysis system of people, it is characterised in that this method is comprised the following steps：
Initialization：Medical insurance directory information is downloaded, and initializes all kinds of medical insurance types, all kinds of diseases and each section office doctor
Treat insurance quota information expense；
Patient information typing：The medical insurance of typing patient, disease and treatment information；
Medical expense is generated：The daily Medical Consumption information of typing patient, then according to the medical insurance and treatment information of patient
Produced expense is carried out into full expense at one's own expense, part expense and classification of submitting an expense account entirely at one's own expense, part expense at one's own expense is then incited somebody to action
It is multiplied by the expense that reimbursement ratio obtains to be sued for peace with submitting an expense account entirely, draws the expense summation in patient medical insurance coverage；
According to part expense and summation of submitting an expense account entirely at one's own expense, general expenses is calculated in conjunction with the disease of patient, generate each several part medical
Expense summation；
Medical expense judges：The each several part payment for medical care summation of the generation is compared with the medical insurance quota information expense
Compared with seeing if fall out medical insurance quota information expense；
Early warning is processed：Early warning information is sent when each several part expense summation exceeds medical insurance quota information expense.
6. a kind of cost analysis method of medical insurance patient as claimed in claim 5, it is characterised in that the institute of each section office
State medical insurance quota information expense and determine that situation is：If patient is transferred from one department to another by n time goes to X section office, X section office medical insurance is determined
Original volume × 0.6 of volume information charge use=X section officen；If patient is not directly entered X section office through transferring from one department to another, X section office medical insurance
Quota information expense=original the volume of X section office.
7. a kind of cost analysis method of medical insurance patient as claimed in claim 5, it is characterised in that generate each several part doctor
Treatment expense summation includes two kinds of situations：The first situation：When patient is common patient, calculates Laboratory Fee and bed takes each several part
Expense；If patient is Single diseases patient, each several part expense of disease in each list is calculated.
8. a kind of cost analysis method of medical insurance patient as claimed in claim 7, it is characterised in that Single diseases patient wraps
Orthopaedics Single diseases, PCI Single diseases and artificial lens Single diseases are included, the wherein each several part expense of orthopaedics Single diseases includes artificial replacement
Expense and bed take；The each several part expense of the PCI Single diseases includes that cardiac stent expense and bed take；The artificial lens list
The each several part expense of disease includes that artificial lens expense and bed take.
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| CN201610871094.9A CN106650208B (en) | 2016-09-30 | 2016-09-30 | A kind of cost analysis system and method for medical insurance patient |
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| CN201610871094.9A CN106650208B (en) | 2016-09-30 | 2016-09-30 | A kind of cost analysis system and method for medical insurance patient |
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| CN106650208B CN106650208B (en) | 2019-11-12 |
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Cited By (10)
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|---|---|---|---|---|
| CN109472519A (en) * | 2018-12-13 | 2019-03-15 | 湖南德雅曼达科技有限公司 | A method of building hospital infection control measure Cost benefit assessment model |
| CN109545308A (en) * | 2018-10-22 | 2019-03-29 | 平安医疗健康管理股份有限公司 | The exceeded method for early warning of prescriptions of traditional Chinese medicine drug expenditure and device based on data processing |
| CN109615544A (en) * | 2018-12-13 | 2019-04-12 | 平安医疗健康管理股份有限公司 | Submit an expense account processing method, device, terminal and computer readable storage medium |
| CN109636649A (en) * | 2018-12-13 | 2019-04-16 | 平安医疗健康管理股份有限公司 | Monitoring method, monitoring service end and the storage medium of medical expense exception |
| CN109741193A (en) * | 2018-12-14 | 2019-05-10 | 新博卓畅技术（北京）有限公司 | A kind of medical insurance Single diseases control charge system and method |
| CN109741195A (en) * | 2018-12-27 | 2019-05-10 | 泰康保险集团股份有限公司 | Medical insurance data processing method, system, equipment and storage medium based on disease |
| CN109767338A (en) * | 2018-11-30 | 2019-05-17 | 平安科技（深圳）有限公司 | Processing method, device, equipment and the readable storage medium storing program for executing of enterogastritis reimbursement process |
| CN110033311A (en) * | 2019-03-13 | 2019-07-19 | 武汉金豆医疗数据科技有限公司 | A kind of disease score value payment methods and system |
| WO2020082794A1 (en) * | 2018-10-22 | 2020-04-30 | 平安医疗健康管理股份有限公司 | Method and device for over-standard warning of chinese medicine prescription drug costs based on data processing |
| CN113658653A (en) * | 2021-08-20 | 2021-11-16 | 挂号网（杭州）科技有限公司 | Diagnosis and treatment information processing method, device and equipment |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2006068407A1 (en) * | 2004-12-24 | 2006-06-29 | Kwang-Yul Jung | Financial stabilization system of national health insurance |
| US20070061172A1 (en) * | 2005-09-12 | 2007-03-15 | Lanzalotti John A | Health care financing |
| CN102194042A (en) * | 2010-03-18 | 2011-09-21 | 上海飞象信息技术有限公司 | Method for managing medicinal insurance information of urban residents |
| CN104008449A (en) * | 2014-05-27 | 2014-08-27 | 乔岭梅 | System for managing hospitalized patients with medical insurance |
| CN104834755A (en) * | 2015-06-01 | 2015-08-12 | 山大地纬软件股份有限公司 | Predicated data monitoring system for medical benefits fund and method of predicated data monitoring system |
-
2016
- 2016-09-30 CN CN201610871094.9A patent/CN106650208B/en not_active Expired - Fee Related
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2006068407A1 (en) * | 2004-12-24 | 2006-06-29 | Kwang-Yul Jung | Financial stabilization system of national health insurance |
| US20070061172A1 (en) * | 2005-09-12 | 2007-03-15 | Lanzalotti John A | Health care financing |
| CN102194042A (en) * | 2010-03-18 | 2011-09-21 | 上海飞象信息技术有限公司 | Method for managing medicinal insurance information of urban residents |
| CN104008449A (en) * | 2014-05-27 | 2014-08-27 | 乔岭梅 | System for managing hospitalized patients with medical insurance |
| CN104834755A (en) * | 2015-06-01 | 2015-08-12 | 山大地纬软件股份有限公司 | Predicated data monitoring system for medical benefits fund and method of predicated data monitoring system |
Non-Patent Citations (2)
| Title |
|---|
| 淳欣迪: "医疗保险系统医院端接口系统的设计与实现", 《中国优秀硕士学位论文全文数据库（信息科技辑）》 * |
| 陈琳等: "医疗保险患者住院医疗费用支付结构与影响因素分析", 《医学研究生学报》 * |
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| CN109636649A (en) * | 2018-12-13 | 2019-04-16 | 平安医疗健康管理股份有限公司 | Monitoring method, monitoring service end and the storage medium of medical expense exception |
| CN109741193A (en) * | 2018-12-14 | 2019-05-10 | 新博卓畅技术（北京）有限公司 | A kind of medical insurance Single diseases control charge system and method |
| CN109741195A (en) * | 2018-12-27 | 2019-05-10 | 泰康保险集团股份有限公司 | Medical insurance data processing method, system, equipment and storage medium based on disease |
| CN110033311A (en) * | 2019-03-13 | 2019-07-19 | 武汉金豆医疗数据科技有限公司 | A kind of disease score value payment methods and system |
| CN113658653A (en) * | 2021-08-20 | 2021-11-16 | 挂号网（杭州）科技有限公司 | Diagnosis and treatment information processing method, device and equipment |
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