CN107993053A - Data of settling a claim checking method, device, computer equipment and storage medium - Google Patents
Data of settling a claim checking method, device, computer equipment and storage medium Download PDFInfo
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- CN107993053A CN107993053A CN201711240867.4A CN201711240867A CN107993053A CN 107993053 A CN107993053 A CN 107993053A CN 201711240867 A CN201711240867 A CN 201711240867A CN 107993053 A CN107993053 A CN 107993053A
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q10/00—Administration; Management
- G06Q10/10—Office automation; Time management
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q40/00—Finance; Insurance; Tax strategies; Processing of corporate or income taxes
- G06Q40/08—Insurance
Abstract
The present invention relates to one kind Claims Resolution data checking method, device, computer equipment and storage medium, this method includes receiving Claims Resolution data examination ＆ verification request, and Claims Resolution data examination ＆ verification request carries pending Claims Resolution data；Pending Claims Resolution data are inputted into responsibility chain, the multiple Claims Resolution data auditing rules arranged according to preset rules are set on responsibility chain；Current Claims Resolution data auditing rule that pending Claims Resolution data are inputted into responsibility chain simultaneously performs；When currently Claims Resolution data auditing rule performs completion, judge whether pending Claims Resolution data need to enter next Claims Resolution data auditing rule；If pending Claims Resolution data need not enter next Claims Resolution data auditing rule, according to the auditing result of the pending Claims Resolution data of implementing result output of current Claims Resolution data auditing rule.Above-mentioned Claims Resolution data checking method, device, computer equipment and storage medium, introduce responsibility chain to be audited to pending Claims Resolution data, logicality is strong, not error-prone.
Description
Technical field
The present invention relates to field of computer technology, is set more particularly to one kind Claims Resolution data checking method, device, computer
Standby and storage medium.
Background technology
Currently for the Claims Resolution case submitted without material in kind, i.e., case of settling a claim on line is reasonable to ensure to compensate, and avoids protecting
Danger fraud is, it is necessary to which insurance company carries out air control work.Since air control job category enriches, closed between various types of rule set systems
System is complicated.Only be in conventional art by those rule set systems be associated storage, when there are it is pending settle a claim data when, then need
All rule set systems are traveled through, choose goal rule set system, time-consuming, and easily error.
The content of the invention
Based on this, it is necessary in view of the above-mentioned problems, provide a kind of Claims Resolution data checking method, device, computer equipment and
Storage medium.
One kind Claims Resolution data checking method, the described method includes：
Claims Resolution data examination ＆ verification request is received, the Claims Resolution data examination ＆ verification request carries pending Claims Resolution data；
The pending Claims Resolution data are inputted into responsibility chain；Set on the responsibility chain according to preset rules arrangement
Multiple Claims Resolution data auditing rules；
Current Claims Resolution data auditing rule that the pending Claims Resolution data are inputted into the responsibility chain simultaneously performs；
When the current Claims Resolution data auditing rule, which performs, to be completed, judge the pending data of settling a claim whether need into
Enter next Claims Resolution data auditing rule；
If the pending Claims Resolution data need not enter next Claims Resolution data auditing rule, according to the current Claims Resolution
The auditing result of the implementing result output pending Claims Resolution data of data auditing rule.
In one of the embodiments, the method further includes：
If judging, the pending Claims Resolution data need to enter next Claims Resolution data auditing rule, will by reflex mechanism
The pending Claims Resolution data are back to the responsibility chain；The pending Claims Resolution data are inputted to next Claims Resolution data examination ＆ verification
In rule and perform, until judge the pending Claims Resolution data need not enter it is next settle a claim data auditing rule when, then root
The implementing result of last the Claims Resolution data auditing rule entered according to pending Claims Resolution data and the pending Claims Resolution
Data export auditing result.
In one of the embodiments, the Claims Resolution data examination ＆ verification request also carries guarantor corresponding with the Claims Resolution data
Single mark；
The step of the current Claims Resolution data auditing rule pending Claims Resolution data inputted into the responsibility chain
Suddenly, including：
Obtain and the corresponding configuration rule of declaration form mark；
The execution sequence of the Claims Resolution data auditing rule is obtained according to the configuration rule；
According to the execution sequence of the Claims Resolution data auditing rule, the pending Claims Resolution data are inputted to the responsibility
Current Claims Resolution data auditing rule in chain.
In one of the embodiments, the current Claims Resolution data auditing rule is reference rule；
The current Claims Resolution data auditing rule that the pending Claims Resolution data are inputted into the responsibility chain is simultaneously held
Capable step, including：
The pending Claims Resolution data are inputted to the reference rule in the responsibility chain；
Judge whether to need to inquire about collage-credit data according to the pending Claims Resolution data；
When the pending Claims Resolution data need to inquire about collage-credit data, then start asynchronous thread inquiry collage-credit data；
When the asynchronous thread at least returns to a collage-credit data, then the collage-credit data is inputted to the reference and advised
In then and perform.
In one of the embodiments, the method further includes：
When the asynchronous thread does not return to collage-credit data, then the pending Claims Resolution data are returned by reflex mechanism
To the responsibility chain, and judge whether the pending Claims Resolution data need to enter next Claims Resolution data auditing rule；
If the pending Claims Resolution data need to enter next Claims Resolution data auditing rule, by the pending Claims Resolution number
Into next Claims Resolution data auditing rule and performed according to input, until the pending Claims Resolution data no longer need to enter next reason
When paying for data auditing rule, then the execution knot of last the Claims Resolution data auditing rule entered according to pending Claims Resolution data
Fruit and the pending Claims Resolution data output auditing result.
In one of the embodiments, the method further includes：
When the pending Claims Resolution data need not inquire about collage-credit data, then judged according to the pending Claims Resolution data
Whether reference rule execution condition is met；
When meeting the reference rule execution condition, then perform the reference according to the pending Claims Resolution data and advise
Then.
One kind Claims Resolution data examination ＆ verification device, described device include：
Receiving module, for receiving Claims Resolution data examination ＆ verification request, the Claims Resolution data examination ＆ verification request carries pending reason
Pay for data；
Input module, for inputting the pending Claims Resolution data into responsibility chain；On the responsibility chain set according to
Multiple Claims Resolution data auditing rules of preset rules arrangement；
Execution module, for the pending Claims Resolution data to be inputted to the current Claims Resolution data examination ＆ verification into the responsibility chain
Rule simultaneously performs；
Judgment module, for when the current Claims Resolution data auditing rule performs completion, judging the pending Claims Resolution
Whether data need to enter next Claims Resolution data auditing rule；
Output module, if next Claims Resolution data auditing rule, root need not be entered for the pending Claims Resolution data
According to the auditing result of the implementing result output of the current Claims Resolution data auditing rule pending Claims Resolution data.
In one of the embodiments, if the output module is additionally operable to judge that the pending Claims Resolution data need to enter
Next Claims Resolution data auditing rule, then be back to the responsibility chain by reflex mechanism by the pending Claims Resolution data；By institute
State pending Claims Resolution data to input into next Claims Resolution data auditing rule and perform, until judging the pending Claims Resolution data
Need not enter it is next Claims Resolution data auditing rule when, then according to it is pending Claims Resolution data entered last Claims Resolution number
Implementing result and the pending Claims Resolution data output auditing result according to auditing rule.
A kind of computer equipment, including memory, processor and storage can be run on a memory and on a processor
Computer program, the processor realizes the step in above-mentioned any one the method when performing the computer program.
A kind of computer-readable recording medium, is stored thereon with computer program, which is executed by processor
Step in Shi Shixian any of the above-described the methods.
Above-mentioned Claims Resolution data checking method, device, computer equipment and storage medium, by the way that pending Claims Resolution data are defeated
Enter responsibility chain, the Claims Resolution data auditing rule in responsibility chain is performed, due to each Claims Resolution data auditing rule in responsibility chain
Arranged independently of each other and in sequence, therefore pending Claims Resolution data only need to transmit on responsibility chain in sequence, when need
When performing auditing rule, then into the auditing rule, when that need not perform, then continuing next auditing rule, logicality is strong,
It is not error-prone.
Brief description of the drawings
Fig. 1 is the applied environment figure of the Claims Resolution data checking method in an embodiment；
Fig. 2 is the flow chart of the Claims Resolution data checking method in an embodiment；
Fig. 3 is the schematic diagram of the responsibility chain in an embodiment；
Fig. 4 is the execution flow chart of reference rule in an embodiment；
Fig. 5 is the schematic diagram of the Claims Resolution data examination ＆ verification device in an embodiment；
Fig. 6 is the structure diagram of the computer equipment in an embodiment.
Embodiment
In order to make the purpose , technical scheme and advantage of the present invention be clearer, with reference to the accompanying drawings and embodiments, it is right
The present invention is further elaborated.It should be appreciated that specific embodiment described herein is used only for explaining the present invention, and
It is not used in the restriction present invention.
Describe in detail according to an embodiment of the invention before, it should be noted that, the embodiment described essentially consist in
Data of settling a claim checking method, device, computer equipment and the step of storage medium correlation and the combination of system component.Therefore, institute
Belong to system component and method and step is showed in position by ordinary symbol in the accompanying drawings, and only show
The details related with understanding the embodiment of the present invention, so as not to because for have benefited from those of ordinary skill in the art of the present invention and
Those obvious details of speech have obscured the disclosure.
Herein, such as left and right, upper and lower, front and rear, first and second etc relational terms are used merely to area
Divide an entity or action and another entity or action, and not necessarily require or imply and is between this entity or action any
Actual this relation or order.Term " comprising ", "comprising" or any other variant are intended to non-exclusive inclusion, by
This make it that including the process of a series of elements, method, article or equipment not only includes these key elements, but also comprising not bright
The other element really listed, or be elements inherent to such a process, method, article, or device.
Refering to Fig. 1, Fig. 1 is the applied environment figure of the Claims Resolution data checking method in an embodiment, including several ends
End and server, terminal can be user terminal, such as the equipment such as the mobile phone of user, computer, car-mounted terminal, user can pass through
Terminal uploads Claims Resolution data, and then terminal transmits the Claims Resolution data to server, in order to which server is to the Claims Resolution number
According to being audited.Terminal can carry out preliminary verification before data of settling a claim are sent to Claims Resolution data, and be compressed and encrypt,
To ensure the security of data transfer and convenience.
Referring to Fig. 2, in one of the embodiments, there is provided one kind Claims Resolution data checking method, the present embodiment is with the party
Method is applied to the server in above-mentioned Fig. 1 to illustrate.Operation has Claims Resolution data review procedure on the server, passes through the reason
Data review procedure is paid for implement data checking method of settling a claim.This method specifically comprises the following steps：
S202：Claims Resolution data examination ＆ verification request is received, Claims Resolution data examination ＆ verification request carries pending Claims Resolution data.
Specifically, Claims Resolution data are the information of being in danger etc. of people's offer of being in danger, wherein can include date that dangerous situation occurs, existing
Field situation photo, expense photo etc..Claims Resolution data examination ＆ verification request is then the request on the examination ＆ verification of those Claims Resolution data, is usually
By user after terminal uploads or input those Claims Resolution data, terminal please according to those Claims Resolution data generation Claims Resolution data examination ＆ verifications
Ask, then send those Claims Resolution data and Claims Resolution data examination ＆ verification request to server together.
S204：Pending Claims Resolution data are inputted into responsibility chain, are set on responsibility chain according to the more of preset rules arrangement
A Claims Resolution data auditing rule.
Specifically, responsibility chain is a kind of behavior pattern of object.In responsibility chain, many objects are by each object to it
The reference of the player whose turn comes next and connect to form a chain.Request is transmitted on this chain, at some object decision on chain
Manage this request.The client for sending this request is not aware that this request of which object final process on chain, this causes
System dynamically can reorganize and distribute responsibility in the case where not influencing client.Pending reason is received in server
It is due to setting the multiple Claims Resolution data auditing rules arranged according to preset rules on responsibility chain, this is pending after paying for data
Core Claims Resolution data are inputted into responsibility chain, to be audited to the pending Claims Resolution data.
S206：Current Claims Resolution data auditing rule that pending Claims Resolution data are inputted into responsibility chain simultaneously performs.
Claims Resolution data auditing rule can include multiple rule, such as lowest limit rule, air control rule and reference rule etc., when
Preceding Claims Resolution data auditing rule can be one of them in lowest limit rule, air control rule or reference rule.
Specifically, multiple Claims Resolution data auditing rules are provided with responsibility chain, when pending Claims Resolution data are inputted to responsibility
When on chain, then according to the order of multiple Claims Resolution data auditing rules on responsibility chain, each Claims Resolution data examination ＆ verification rule are sequentially entered
In then and perform, to obtain the implementing result of current Claims Resolution data auditing rule.
S208：When currently Claims Resolution data auditing rule performs completion, judge whether pending Claims Resolution data need to enter
Next Claims Resolution data auditing rule.
Specifically, when server detects that current Claims Resolution data auditing rule performs completion, then pending Claims Resolution is judged
Whether data need to enter next Claims Resolution data auditing rule, which can be with responsibility chain
It is adjacent or non-conterminous with current Claims Resolution data auditing rule, such as next Claims Resolution data auditing rule can be with current Claims Resolution
Separately some Claims Resolution data auditing rules, next Claims Resolution data auditing rule can be located at Claims Resolution number to data auditing rule
After or before auditing rule, it is not limited herein.Wherein judge whether pending Claims Resolution data need to enter next Claims Resolution
Data auditing rule can be sentenced according to the mark of the default Claims Resolution data auditing rule for needing to perform, such as title etc.
It is disconnected.
S210：If pending Claims Resolution data need not enter next Claims Resolution data auditing rule, according to current Claims Resolution number
According to the auditing result of the pending Claims Resolution data of implementing result output of auditing rule.
Specifically, when server judges that pending Claims Resolution data need not enter next Claims Resolution data auditing rule,
The auditing result of pending Claims Resolution data is then directly exported according to the implementing result of current Claims Resolution data auditing rule, without
The implementing result of other Claims Resolution data auditing rules is needed to refer to, this is because system is when design, if pending
Data of settling a claim then can directly be refused to settle a claim or manually audited there are problem, and no longer need to continue other to hold
Capable Claims Resolution data auditing rule, it is possible to reduce the pressure of system, only auditing result is refusal Claims Resolutions or are manually audited
When, server just can be according to the examination ＆ verification knot of the pending Claims Resolution data of implementing result output of current Claims Resolution data auditing rule
Fruit, otherwise server then may proceed to input pending Claims Resolution data to next Claims Resolution data auditing rule, until all need
The Claims Resolution data auditing rule of execution performs completion, i.e., when no longer needing to enter the Claims Resolution data auditing rule on responsibility chain, then
Claims Resolution processing is carried out according to Claims Resolution data.
Above-mentioned Claims Resolution data checking method, by the way that pending Claims Resolution data are inputted responsibility chain, performs the reason in responsibility chain
Data auditing rule is paid for, since each Claims Resolution data auditing rule in responsibility chain is separate and is arranged in sequence
Row, therefore pending Claims Resolution data only need to transmit on responsibility chain in sequence, when needing to perform auditing rule, then entering should
Auditing rule, when that need not perform, then continues next auditing rule, logicality is strong, not error-prone.
In one of the embodiments, the above method can also include：If judging, pending Claims Resolution data are needed under entering
One Claims Resolution data auditing rule, then be back to responsibility chain by reflex mechanism by pending Claims Resolution data；By pending Claims Resolution number
Into next Claims Resolution data auditing rule and performed according to input, until judging that pending Claims Resolution data need not enter next Claims Resolution
During data auditing rule, then the implementing result of last the Claims Resolution data auditing rule entered according to pending Claims Resolution data
And it is pending Claims Resolution data output auditing result according to.
Specifically, reflex mechanism is audited by next Claims Resolution data that pending Claims Resolution data are back on responsibility chain
The mode of rule, its class in being programmed by java are realized.
, then can be by anti-when server judges that pending Claims Resolution data need to enter next Claims Resolution data auditing rule
Penetrate mechanism pending Claims Resolution data are back on responsibility chain, will input to the pending Claims Resolution in Claims Resolution data auditing rule
Data are back on responsibility chain.Pending Claims Resolution data are simultaneously inputted into next Claims Resolution data auditing rule and held by server
OK, until when pending Claims Resolution data need not enter the Claims Resolution data auditing rule on responsibility chain, then according to described pending
Data of settling a claim output auditing result.Wherein pending Claims Resolution data need not enter the Claims Resolution data auditing rule bag on responsibility chain
Containing two kinds of situations, a kind of may determine that and pending Claims Resolution data according to the implementing result of current Claims Resolution data auditing rule
For corresponding auditing result to refuse to pay or continuing manual examination and verification, another is all Claims Resolutions of pending Claims Resolution data required input
The equal executed of data auditing rule is completed, then can be directly according to pending Claims Resolution data output when there is both of these case
Auditing result.
Citing signal, sets on responsibility chain when there is 3 Claims Resolution data auditing rules, i.e., the lowest limit is regular, air control is regular and
Reference rule, pending Claims Resolution data are first applied to lowest limit rule and obtain the first implementing result, if wherein pending Claims Resolution
Data fit lowest limit rule, i.e., in pending data of settling a claim there may be form not pair or lack data when, then basis
First implementing result, which directly generates, refuses to pay or the auditing result of manual examination and verification；If pending Claims Resolution data do not meet lowest limit rule
Then, i.e., pending Claims Resolution data format is correctly also complete, i.e., pending Claims Resolution data need to perform next auditing rule, such as wind
Claims Resolution data then, are then reflected back responsibility chain, and continue to execute air control rule by regulatory control by reflex mechanism；Performing air control rule
When obtain the second implementing result, if pending Claims Resolution data fit air control rule, i.e., in pending data of settling a claim there may be
During the data of fraud, then directly refused to pay or the auditing result of manual examination and verification according to the generation of the second implementing result, if pending reason
Pay for data and do not meet air control rule, i.e., pending Claims Resolution data are entirely real data, and pending Claims Resolution data need to perform
Next auditing rule, such as reference rule, and last rule on responsibility chain, due to three Claims Resolution data auditing rules
It is carried out completing, so next Claims Resolution data auditing rule need not be entered, therefore pending Claims Resolution data is inputted to reference
The 3rd implementing result is obtained in rule, if pending Claims Resolution data fit reference rule, can directly perform according to the 3rd
As a result auditing result, such as automatic Claims Resolution are generated with pending Claims Resolution data；If pending Claims Resolution data do not meet reference rule
Then, then can directly be refused to pay or the auditing result of manual examination and verification according to the generation of the 3rd implementing result.In this embodiment, the lowest limit is advised
Then, the order of air control rule and reference rule can change, and can also replace with other auditing rules that may be present, herein
It is not particularly limited.
In above-described embodiment, server judge it is pending Claims Resolution data also need to enter it is next Claims Resolution data examination ＆ verification rule
When then, then pending Claims Resolution data are returned to by responsibility chain by reflex mechanism, to perform next Claims Resolution data auditing rule, behaviour
Make simply, it is convenient.
In one of the embodiments, data of settling a claim examination ＆ verification request also carries declaration form corresponding with Claims Resolution data and identifies.
The step of so as to which pending Claims Resolution data to be inputted to the current Claims Resolution data auditing rule into responsibility chain, i.e. step S206 can be with
Including：Obtain and the corresponding configuration rule of declaration form mark；The execution sequence of Claims Resolution data auditing rule is obtained according to configuration rule；
According to the execution sequence of Claims Resolution data auditing rule, the current Claims Resolution data that pending Claims Resolution data are inputted into responsibility chain are examined
In core rule.
Specifically, declaration form mark refers to it can is uniquely by the mark of the declaration form, it can be the number of policy of declaration form, or protects
The content on predeterminated position in odd numbers, for example, can by the type of former definite policies of number of policy, be production danger,
Life insurance or other insurance kinds, then the remaining several definite policies further according to number of policy are which insurance kinds under specific production nearly, from
And configuration rule corresponding with the insurance kind can be obtained according to the insurance kind, i.e., whether need perform the lowest limit rule, air control rule and
Reference rule etc..This, which gets configuration rule, includes the execution sequence of multiple auditing rules and auditing rule, so as to
Pending Claims Resolution data are inputted into corresponding auditing rule according to the execution sequence of auditing rule, it can be examined in this prior
After the completion of core rule performs, pending Claims Resolution data are back on responsibility chain by reflex mechanism, further according to the auditing rule
Execution sequence and the auditing rule on responsibility chain order by it is pending Claims Resolution data input into next auditing rule.Ginseng
Fig. 3 is read, Fig. 3 is the schematic diagram of the responsibility chain in an embodiment, including 4 auditing rules, is respectively auditing rule A, examines
Core rule B, auditing rule C, auditing rule D, it is assumed that the execution sequence of the auditing rule of current pending Claims Resolution data is examination ＆ verification
Regular C, auditing rule A and auditing rule D, then first input pending Claims Resolution data to auditing rule C, in auditing rule
After C has been performed, then pending Claims Resolution data are back on responsibility chain by reflex mechanism, be further continued for pending Claims Resolution data
Auditing rule D is transmitted to, and according to execution sequence, auditing rule D will not be entered, then continued pending Claims Resolution data transfer extremely
Auditing rule A, according to execution sequence, pending Claims Resolution data transfer to auditing rule A and is performed, when holding for auditing rule A
After the completion of row, then continue to determine whether to need to perform other auditing rules, continuing through reflex mechanism if necessary will be pending
Core Claims Resolution data are back on responsibility chain, are then proceeded to according to execution sequence, until no longer needing to perform the examination ＆ verification on responsibility chain
Rule.
In above-described embodiment, according to the execution for taking configuration rule corresponding with declaration form mark to obtain Claims Resolution data auditing rule
Sequentially；According to the execution sequence of Claims Resolution data auditing rule, pending Claims Resolution data are inputted to current Claims Resolution data examination ＆ verification rule
In then, it is ensured that the examination ＆ verification of pending Claims Resolution data is comprehensive, improves review efficiency and the execution accuracy of examination ＆ verification.
In one of the embodiments, referring to Fig. 4, Fig. 4 is the execution flow chart of reference rule in an embodiment, wherein when
When preceding Claims Resolution data auditing rule is that reference is regular；The current Claims Resolution data that pending Claims Resolution data are inputted into responsibility chain are examined
Core is regular and the step of execution, i.e., step S206 can include：Pending Claims Resolution data are inputted to the reference in responsibility chain and are advised
Then.Judge whether to need to inquire about collage-credit data according to pending Claims Resolution data.When pending Claims Resolution data need to inquire about reference number
According to when, then start asynchronous thread inquiry collage-credit data.When asynchronous thread at least returns to a collage-credit data, then by collage-credit data
Input is into reference rule and performs.
Specifically, when currently Claims Resolution data auditing rule is regular for reference, the total of reference rule is judged in responsibility chain
Whether switch opens, i.e., whether reference rule can be used, if reference rule is available, server can be by pending Claims Resolution number
According to input into reference rule, if reference rule is unavailable, it can be continued to judge next Claims Resolution data according to configuration rule
Whether auditing rule can use.Under the premise of reference rule is available, judge whether to meet inquiry sign according to pending Claims Resolution data
The condition of letter, if meeting the condition of inquiry reference, starts asynchronous thread inquiry collage-credit data.Wherein according to pending Claims Resolution
Data judge whether to meet that the condition of inquiry reference can judge whether to lack in pending Claims Resolution data to perform reference rule
Data, for example whether lack bank loan data, fixed assets data etc., it is to ensure current thread to start asynchronous thread
It can continue down, when asynchronous thread returns message, then the data in the message that can be returned according to asynchronous thread are held
Row reference rule.Wherein asynchronous thread inquiry reference the step of can be the credit website outside inquiry to obtain with currently settling a claim
The credit of the corresponding claims adjuster of data, such as docked with Alipay, bank etc., and by the user identifier in data of settling a claim come into
Row inquiry, wherein user identifier can be the ID card No. of user, passport number etc..
In this embodiment, reference is inquired about by asynchronous thread, does not disturb the normal work of former thread, and ensure that sign
The integrality of letter data, improves the accuracy rate of Claims Resolution data examination ＆ verification.
In one of the embodiments, can also include with continued reference to Fig. 4, this method：When asynchronous thread does not return to reference
During data, then pending Claims Resolution data are back to by responsibility chain by reflex mechanism, and judge whether pending Claims Resolution data need
To enter next Claims Resolution data auditing rule；If pending Claims Resolution data need to enter next Claims Resolution data auditing rule, will
It is pending Claims Resolution data input to it is next Claims Resolution data auditing rule in and perform, until it is pending Claims Resolution data no longer need into
Enter it is next Claims Resolution data auditing rule when, then according to it is pending Claims Resolution data entered last Claims Resolution data auditing rule
Implementing result and it is pending Claims Resolution data output auditing result.
Specifically, when asynchronous thread does not return to collage-credit data, i.e., the collage-credit data to the corresponding claims adjuster of Claims Resolution data
It is imperfect, the condition for performing reference rule is not met, therefore pending Claims Resolution data are back to by server by reflex mechanism
In responsibility chain, so as to continue to judge whether pending Claims Resolution data also need to carry out next Claims Resolution data auditing rule, such as
Fruit needs, then continues to input next Claims Resolution data auditing rule, if need not if according to Claims Resolution data output auditing result.
In above-described embodiment, when asynchronous thread does not return to collage-credit data, then current pending Claims Resolution data, which are not met, holds
The rule of row reference, therefore pending Claims Resolution data can be back to responsibility chain by server by reflex mechanism, in order to treat
The next step processing of examination ＆ verification Claims Resolution data, ensure that continuing with for data.
In one of the embodiments, can also include please continue to refer to Fig. 4, this method：Data are settled a claim when pending not
When needing to inquire about collage-credit data, then judge whether to meet reference rule execution condition according to pending Claims Resolution data；When satisfaction is levied
During letter rule execution condition, then reference rule is performed according to pending Claims Resolution data.
Specifically, when pending Claims Resolution data need not inquire about collage-credit data, then pending Claims Resolution data be may determine that
Whether reference can be performed, if it can, include required all collage-credit datas in i.e. pending Claims Resolution data, then direct basis
Pending Claims Resolution data perform reference rule.And it may determine that during reference rule is performed and perform whether reference rule goes out
Pending Claims Resolution data if error, are back to responsibility chain, and continue to determine whether to need to enter by mistake by reflex mechanism
In data auditing rule of once settling a claim.If do not malfunctioned, judge whether directly to settle a claim, if cannot directly manage
To pay for, i.e. for auditing result to refuse to pay or need manual examination and verification, then server is audited to application terminal sends charge-back information, or to people
Work audit terminal sends the request of manual examination and verification.If it can settle a claim at present or directly, and case is that batch application request is examined
Core, then determine whether last request for performing reference rule asynchronous task.In addition, audited in server to application
Terminal sends charge-back information, or after sending the request of manual examination and verification to manual examination and verification terminal, can also determine whether last
It is a to perform the request of reference rule asynchronous task, if it is, judging whether to need to perform next Claims Resolution data auditing rule, such as
Fruit needs, then continues pending Claims Resolution data being back to responsibility chain, if it is not required, then being made according to pending Claims Resolution data
The decision whether settled a claim, to promote the circulation of case.
In above-described embodiment, when inquiry reference is unsatisfactory for, it can directly judge whether to meet to perform reference rule,
Reference judgement is carried out so as to the initial data in pending Claims Resolution data, it is not necessary to the other reference numbers of inquiry
According to the saving time.
It should be understood that although each step in Fig. 2,4 flow chart is shown successively according to the instruction of arrow,
These steps are not that the inevitable order according to arrow instruction performs successively.Unless expressly state otherwise herein, these steps
The not stringent order limitation of execution, these steps can perform in other order.Moreover, at least one in Fig. 2,4
Part steps can include more sub-steps, and either these sub-steps of multiple stages or stage are not necessarily in synchronization
Perform completion, but can perform different at the time of, the execution sequence in these sub-steps or stage is also not necessarily successively
Carry out, but can either the sub-step of other steps or at least a portion in stage be in turn or alternately with other steps
Perform.
Refering to Fig. 5, Fig. 5 is the schematic diagram of the Claims Resolution data examination ＆ verification device in an embodiment, which includes：
Receiving module 100, for receiving Claims Resolution data examination ＆ verification request, Claims Resolution data examination ＆ verification request carries pending Claims Resolution
Data.
Input module 200, for inputting pending Claims Resolution data into responsibility chain；Set on responsibility chain according to default rule
The multiple Claims Resolution data auditing rules then arranged.
Execution module 300, for pending Claims Resolution data to be inputted to the current Claims Resolution data auditing rule into responsibility chain
And perform.
Judgment module 400, in currently Claims Resolution data auditing rule execution completion, judging that pending Claims Resolution data are
It is no to need to enter next Claims Resolution data auditing rule.
Output module 500, if next Claims Resolution data auditing rule, basis need not be entered for pending Claims Resolution data
The auditing result of the pending Claims Resolution data of implementing result output of current Claims Resolution data auditing rule.
In one of the embodiments, if output module can be also used for judging that pending Claims Resolution data are needed into next
Claims Resolution data auditing rule, then be back to responsibility chain by reflex mechanism by pending Claims Resolution data；By pending Claims Resolution data
Input is into next Claims Resolution data auditing rule and performs, until judging that pending Claims Resolution data need not enter next Claims Resolution number
During according to auditing rule, then according to it is pending Claims Resolution data entered last Claims Resolution data auditing rule implementing result with
And pending Claims Resolution data output auditing result.
In one of the embodiments, data of settling a claim examination ＆ verification request also carries declaration form corresponding with Claims Resolution data and identifies.
Execution module can include：
Configuration rule acquiring unit, for obtaining and the corresponding configuration rule of declaration form mark.
Execution sequence acquiring unit, for obtaining the execution sequence of Claims Resolution data auditing rule according to configuration rule.
Execution unit, for the execution sequence according to Claims Resolution data auditing rule, pending Claims Resolution data are inputted to duty
Appoint the current Claims Resolution data auditing rule in chain.
In one of the embodiments, currently Claims Resolution data auditing rule is reference rule；
Execution module can include：
Input unit, for inputting pending Claims Resolution data to the reference rule in responsibility chain.
Query unit, for judging whether to need to inquire about collage-credit data according to pending Claims Resolution data；When pending Claims Resolution
When data need to inquire about collage-credit data, then start asynchronous thread inquiry collage-credit data；When asynchronous thread at least returns to a reference
During data, then collage-credit data is inputted into reference rule and performed.
In one of the embodiments, query unit can be also used for when asynchronous thread does not return to collage-credit data, then leading to
Cross reflex mechanism and pending Claims Resolution data are back to responsibility chain, and judge whether pending Claims Resolution data need to enter next reason
Pay for data auditing rule.
If output module, which can be also used for pending Claims Resolution data, to be needed to enter next Claims Resolution data auditing rule, will treat
Examination ＆ verification Claims Resolution data are inputted into next Claims Resolution data auditing rule and performed, until under pending Claims Resolution data need not enter
One Claims Resolution data auditing rule when, then according to it is pending Claims Resolution data it is pending Claims Resolution data entered last Claims Resolution number
Implementing result and pending Claims Resolution data output auditing result according to auditing rule.
In one of the embodiments, device can also include：Reference execution module, for settling a claim data not when pending
When needing to inquire about collage-credit data, then judge whether to meet reference rule execution condition according to pending Claims Resolution data；When satisfaction is levied
During letter rule execution condition, then reference rule is performed according to pending Claims Resolution data.
Specific limit on Claims Resolution data examination ＆ verification device may refer to above for Claims Resolution data examination ＆ verification login method
Restriction, details are not described herein.Modules in above-mentioned Claims Resolution data examination ＆ verification device can be fully or partially through software, hardware
And combinations thereof realize.Above-mentioned each module can in the form of hardware be embedded in or independently of in the processor in computer equipment,
It can in a software form be stored in the memory in computer equipment, above modules pair are performed in order to which processor calls
The operation answered.The processor can be central processing unit (CPU), microprocessor, microcontroller etc..Above-mentioned Claims Resolution data examination ＆ verification dress
A kind of form of computer program that can be implemented as is put, computer program can be run on server as shown in Figure 1.
In one embodiment, there is provided a kind of computer equipment, the computer equipment can be servers, its internal junction
Composition can be as shown in Figure 6.The computer equipment include by system bus connection processor, memory, network interface and
Database.Wherein, the processor of the computer equipment is used to provide calculating and control ability.The memory bag of the computer equipment
Include non-volatile memory medium, built-in storage.The non-volatile memory medium is stored with operating system, computer program and data
Storehouse.The built-in storage provides environment for the operating system in non-volatile memory medium and the operation of computer program.The calculating
The network interface of machine equipment is used to communicate by network connection with exterior terminal.When the computer program is executed by processor with
Realize a kind of Claims Resolution data checking method.
Wherein, following steps are realized during processor executive program：Claims Resolution data examination ＆ verification request is received, Claims Resolution data examination ＆ verification please
Ask and carry pending Claims Resolution data；Pending Claims Resolution data are inputted into responsibility chain；Set on responsibility chain according to default rule
The multiple Claims Resolution data auditing rules then arranged；Pending Claims Resolution data are inputted to the current Claims Resolution data examination ＆ verification into responsibility chain
Rule simultaneously performs；When currently Claims Resolution data auditing rule performs completion, judge whether pending Claims Resolution data are needed under entering
One Claims Resolution data auditing rule；If pending Claims Resolution data need not enter next Claims Resolution data auditing rule, according to current
The auditing result of the pending Claims Resolution data of implementing result output for data auditing rule of settling a claim.
In one of the embodiments, following steps can also be realized during processor executive program：If judge pending reason
Paying for data needs to enter next Claims Resolution data auditing rule, then pending Claims Resolution data is back to responsibility by reflex mechanism
Chain；Pending Claims Resolution data are inputted into next Claims Resolution data auditing rule and performed, until pending Claims Resolution data are no longer
When needing to enter next Claims Resolution data auditing rule, then entered according to the pending pending Claims Resolution data of Claims Resolution data last
One Claims Resolution data auditing rule implementing result and it is pending Claims Resolution data output auditing result.
In one of the embodiments, data of settling a claim examination ＆ verification request also carries declaration form corresponding with Claims Resolution data and identifies.
That is also realized during processor executive program inputs pending Claims Resolution data the current Claims Resolution data auditing rule into responsibility chain
The step of can include：Obtain and the corresponding configuration rule of declaration form mark；Claims Resolution data auditing rule is obtained according to configuration rule
Execution sequence；According to the execution sequence of Claims Resolution data auditing rule, pending Claims Resolution data are inputted into working as into responsibility chain
In preceding Claims Resolution data auditing rule.
In one of the embodiments, currently Claims Resolution data auditing rule is reference rule.During processor executive program also
The current Claims Resolution data auditing rule for inputting pending Claims Resolution data into responsibility chain realized and the step of performing can wrap
Include：Pending Claims Resolution data are inputted to the reference rule in responsibility chain；Judge whether that needs are looked into according to pending Claims Resolution data
Ask collage-credit data；When pending Claims Resolution data need to inquire about collage-credit data, then start asynchronous thread inquiry collage-credit data；When different
When step thread at least returns to a collage-credit data, then collage-credit data is inputted into reference rule and performed.
In one of the embodiments, following steps can also be realized during processor executive program：When asynchronous thread does not return
When returning collage-credit data, then pending Claims Resolution data are back to by responsibility chain by reflex mechanism, and judge pending Claims Resolution data
Whether need to enter next Claims Resolution data auditing rule；If pending Claims Resolution data need to enter next Claims Resolution data examination ＆ verification rule
Then, then pending Claims Resolution data are inputted into next Claims Resolution data auditing rule and performed, until pending Claims Resolution data are not
When needing to enter next Claims Resolution data auditing rule again, then entered most according to the pending pending Claims Resolution data of Claims Resolution data
The implementing result of the latter Claims Resolution data auditing rule and pending Claims Resolution data output auditing result.
In one of the embodiments, following steps can also be realized during processor executive program：When pending Claims Resolution number
During according to collage-credit data need not be inquired about, then judge whether to meet reference rule execution condition according to pending Claims Resolution data；When full
During sufficient reference rule execution condition, then reference rule is performed according to pending Claims Resolution data.
The above-mentioned restriction for computer equipment may refer to limit above for the specific of Claims Resolution data checking method,
Details are not described herein.
It will be understood by those skilled in the art that structure shown in Fig. 6, only part knot relevant with application scheme
The block diagram of structure, does not form the restriction for the computer equipment being applied thereon to application scheme, specific computer equipment
It can include, than more or fewer components shown in figure, either combining some components or arranging with different components.
Please continue to refer to Fig. 6, a kind of computer-readable recording medium is also provided, is stored thereon with computer program, such as Fig. 6
Shown in non-volatile memory medium, wherein, which realizes following steps when being executed by processor：Claims Resolution data are received to examine
Core is asked, and Claims Resolution data examination ＆ verification request carries pending Claims Resolution data；Pending Claims Resolution data are inputted into responsibility chain；Duty
Appoint the multiple Claims Resolution data auditing rules for setting on chain and arranging according to preset rules；Pending Claims Resolution data are inputted to responsibility chain
In current Claims Resolution data auditing rule and perform；When currently Claims Resolution data auditing rule performs completion, pending reason is judged
Pay for whether data need to enter next Claims Resolution data auditing rule；If pending Claims Resolution data need not enter next Claims Resolution data
Auditing rule, then according to the auditing result of the pending Claims Resolution data of implementing result output of current Claims Resolution data auditing rule.
In one of the embodiments, following steps can also be realized when which is executed by processor：If judge pending
Core Claims Resolution data need to enter next Claims Resolution data auditing rule, then pending Claims Resolution data are back to duty by reflex mechanism
Appoint chain；Pending Claims Resolution data are inputted into next Claims Resolution data auditing rule and performed, until pending Claims Resolution data are not
When needing to enter next Claims Resolution data auditing rule again, then entered most according to the pending pending Claims Resolution data of Claims Resolution data
The implementing result of the latter Claims Resolution data auditing rule and pending Claims Resolution data output auditing result.
In one of the embodiments, data of settling a claim examination ＆ verification request also carries declaration form corresponding with Claims Resolution data and identifies.
Pending Claims Resolution data are inputted to the step of the current Claims Resolution data auditing rule into responsibility chain when the program is executed by processor
Suddenly can include：Obtain and the corresponding configuration rule of declaration form mark；Holding for Claims Resolution data auditing rule is obtained according to configuration rule
Row order；According to the execution sequence of Claims Resolution data auditing rule, pending Claims Resolution data are inputted to the current reason into responsibility chain
Pay in data auditing rule.
In one of the embodiments, currently Claims Resolution data auditing rule is reference rule.The program is executed by processor
When the current Claims Resolution data auditing rule for inputting pending Claims Resolution data into responsibility chain also realized and the step of performing can
With including：Pending Claims Resolution data are inputted to the reference rule in responsibility chain；Judge whether need according to pending Claims Resolution data
Inquire about collage-credit data；When pending Claims Resolution data need to inquire about collage-credit data, then start asynchronous thread inquiry collage-credit data；
When asynchronous thread at least returns to a collage-credit data, then collage-credit data is inputted into reference rule and performed.
In one of the embodiments, following steps can also be realized when which is executed by processor：Work as asynchronous thread
When not returning to collage-credit data, then pending Claims Resolution data are back to by responsibility chain by reflex mechanism, and judge pending Claims Resolution
Whether data need to enter next Claims Resolution data auditing rule；If pending Claims Resolution data need to enter next Claims Resolution data examination ＆ verification
Rule, then input pending Claims Resolution data into next Claims Resolution data auditing rule and perform, until pending Claims Resolution data
When no longer needing to enter next Claims Resolution data auditing rule, then entered according to the pending pending Claims Resolution data of Claims Resolution data
The implementing result of last Claims Resolution data auditing rule and pending Claims Resolution data output auditing result.
In one of the embodiments, following steps can also be realized when which is executed by processor：When pending reason
When collage-credit data need not be inquired about by paying for data, then judge whether to meet reference rule execution condition according to pending Claims Resolution data；
When meeting reference rule execution condition, then reference rule is performed according to pending Claims Resolution data.
The above-mentioned restriction for computer-readable recording medium may refer to above for Claims Resolution data checking method
Specific to limit, details are not described herein.
One of ordinary skill in the art will appreciate that realize all or part of flow in above-described embodiment method, being can be with
Relevant hardware is instructed to complete by computer program, the program can be stored in a non-volatile computer and can be read
In storage medium, the program is upon execution, it may include such as the flow of the embodiment of above-mentioned each method.Wherein, the storage is situated between
Matter can be magnetic disc, CD, read-only memory (Read-Only Memory, ROM) etc..
Each technical characteristic of embodiment described above can be combined arbitrarily, to make description succinct, not to above-mentioned reality
Apply all possible combination of each technical characteristic in example to be all described, as long as however, the combination of these technical characteristics is not deposited
In contradiction, the scope that this specification is recorded all is considered to be.
Embodiment described above only expresses the several embodiments of the present invention, its description is more specific and detailed, but simultaneously
Cannot therefore it be construed as limiting the scope of the patent.It should be pointed out that come for those of ordinary skill in the art
Say, without departing from the inventive concept of the premise, various modifications and improvements can be made, these belong to the protection of the present invention
Scope.Therefore, the protection domain of patent of the present invention should be determined by the appended claims.
Claims (10)
1. one kind Claims Resolution data checking method, it is characterised in that the described method includes：
Claims Resolution data examination ＆ verification request is received, the Claims Resolution data examination ＆ verification request carries pending Claims Resolution data；
The pending Claims Resolution data are inputted into responsibility chain；Set on the responsibility chain according to the multiple of preset rules arrangement
Claims Resolution data auditing rule；
Current Claims Resolution data auditing rule that the pending Claims Resolution data are inputted into the responsibility chain simultaneously performs；
When the current Claims Resolution data auditing rule, which performs, to be completed, judge whether the pending Claims Resolution data are needed under entering
One Claims Resolution data auditing rule；
If the pending Claims Resolution data need not enter next Claims Resolution data auditing rule, according to the current Claims Resolution data
The auditing result of the implementing result output pending Claims Resolution data of auditing rule.
2. according to the method described in claim 1, it is characterized in that, the method further includes：
If judging, the pending Claims Resolution data need to enter next Claims Resolution data auditing rule, by reflex mechanism by described in
Pending Claims Resolution data are back to the responsibility chain；The pending Claims Resolution data are inputted to next Claims Resolution data auditing rule
In and perform, until judge it is described it is pending Claims Resolution data need not enter it is next Claims Resolution data auditing rule when, then basis treat
The implementing result and the pending Claims Resolution data for last Claims Resolution data auditing rule that examination ＆ verification Claims Resolution data are entered
Export auditing result.
3. method according to claim 1 or 2, it is characterised in that the Claims Resolution data examination ＆ verification request also carries and institute
State the corresponding declaration form mark of Claims Resolution data；
The described the step of pending Claims Resolution data are inputted into the current Claims Resolution data auditing rule into the responsibility chain, bag
Include：
Obtain and the corresponding configuration rule of declaration form mark；
The execution sequence of the Claims Resolution data auditing rule is obtained according to the configuration rule；
According to the execution sequence of the Claims Resolution data auditing rule, the pending Claims Resolution data are inputted into the responsibility chain
Current Claims Resolution data auditing rule.
4. according to the method described in claim 1, it is characterized in that, the current Claims Resolution data auditing rule is reference rule；
It is described by the pending Claims Resolution data current Claims Resolution data auditing rule inputted into the responsibility chain and to perform
Step, including：
The pending Claims Resolution data are inputted to the reference rule in the responsibility chain；
Judge whether to need to inquire about collage-credit data according to the pending Claims Resolution data；
When the pending Claims Resolution data need to inquire about collage-credit data, then start asynchronous thread inquiry collage-credit data；
When the asynchronous thread at least returns to a collage-credit data, then the collage-credit data is inputted into the reference rule
And perform.
5. according to the method described in claim 4, it is characterized in that, the method further includes：
When the asynchronous thread does not return to collage-credit data, then the pending Claims Resolution data are back to by institute by reflex mechanism
Responsibility chain is stated, and judges whether the pending Claims Resolution data need to enter next Claims Resolution data auditing rule；
It is if the pending Claims Resolution data need to enter next Claims Resolution data auditing rule, the pending Claims Resolution data are defeated
Enter into next Claims Resolution data auditing rule and perform, until the pending Claims Resolution data no longer need to enter next Claims Resolution number
During according to auditing rule, then according to it is pending Claims Resolution data entered last Claims Resolution data auditing rule implementing result with
And the pending Claims Resolution data output auditing result.
6. according to the method described in claim 4, it is characterized in that, the method further includes：
When the pending Claims Resolution data need not inquire about collage-credit data, then judged whether according to the pending Claims Resolution data
Meet reference rule execution condition；
When meeting the reference rule execution condition, then the reference rule is performed according to the pending Claims Resolution data.
7. one kind Claims Resolution data examination ＆ verification device, it is characterised in that described device includes：
Receiving module, for receiving Claims Resolution data examination ＆ verification request, the Claims Resolution data examination ＆ verification request carries pending Claims Resolution number
According to；
Input module, for inputting the pending Claims Resolution data into responsibility chain；Set on the responsibility chain according to default
Multiple Claims Resolution data auditing rules of regular array；
Execution module, for the pending Claims Resolution data to be inputted to the current Claims Resolution data auditing rule into the responsibility chain
And perform；
Judgment module, for when the current Claims Resolution data auditing rule performs completion, judging the pending Claims Resolution data
Whether need to enter next Claims Resolution data auditing rule；
Output module, if next Claims Resolution data auditing rule need not be entered for the pending Claims Resolution data, according to institute
State the auditing result of the implementing result output pending Claims Resolution data of current Claims Resolution data auditing rule.
8. device according to claim 7, it is characterised in that if the output module is additionally operable to judge the pending reason
Paying for data needs to enter next Claims Resolution data auditing rule, then the pending Claims Resolution data is back to institute by reflex mechanism
State responsibility chain；The pending Claims Resolution data are inputted into next Claims Resolution data auditing rule and performed, until described in judging
When pending Claims Resolution data need not enter next Claims Resolution data auditing rule, then entered according to pending Claims Resolution data
The implementing result of last Claims Resolution data auditing rule and the pending Claims Resolution data output auditing result.
9. a kind of computer equipment, including memory, processor and storage can be run on a memory and on a processor
Computer program, it is characterised in that the processor is realized any one in claim 1 to 6 when performing the computer program
Step in item the method.
10. a kind of computer-readable recording medium, is stored thereon with computer program, it is characterised in that the computer program quilt
Processor realizes the step in any one of claim 1 to 6 the method when performing.
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| CN201711240867.4A CN107993053B (en) | 2017-11-30 | 2017-11-30 | Claims data auditing method and device, computer equipment and storage medium |
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