CN109118374A - The method, apparatus and server of online application Claims Resolution - Google Patents
The method, apparatus and server of online application Claims Resolution Download PDFInfo
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- CN109118374A CN109118374A CN201810905407.7A CN201810905407A CN109118374A CN 109118374 A CN109118374 A CN 109118374A CN 201810905407 A CN201810905407 A CN 201810905407A CN 109118374 A CN109118374 A CN 109118374A
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- 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
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Abstract
The present invention provides the method, apparatus and server of a kind of online application Claims Resolution, this method comprises: extracting the identity information of user from log-in instruction when receiving the log-in instruction of user by login interface；When the Claims Resolution application for receiving user is requested, the identity information of user is sent to Claims Resolution application and requests corresponding medical system；The medical voucher of the electronics that the identity information that reception target medical system is directed to user returns, and electronics is gone to a doctor into voucher by presetting displaying showing interface to user；When receiving confirmation instruction of the user for the medical voucher of electronics, the identity information of user is associated with the medical voucher of electronics and is sent to target quotient's insurance system；The Claims Resolution of identity information and electronics medical voucher return of the target quotient insurance system for user is received as a result, and Claims Resolution result is supplied to user by default result display interface.The present invention can be improved user and apply for the efficiency of Claims Resolution, and reduce the Claims Resolution risk of Shang Bao company to a certain extent.
Description
Technical field
The present invention relates to internet areas, more particularly, to the method, apparatus and server of a kind of online application Claims Resolution.
Background technique
With the development of network technology, the business insurances such as commercial medical insurance are also gradually realized and are handled on line, user
It can be with online application declaration form and inquiry Claims Resolution progress.But due to Shang Bao company not with the system intercommunication of medical institutions,
User needs medical medical institutions to obtain papery and goes to a doctor voucher when handling Claims Resolution business, then by papery it is medical with
Card gives the related service department of Shang Bao company.This Claims Resolution mode efficiency is lower, greatly reduces the Claims Resolution experience of user,
And because before voucher that papery is gone to a doctor submits to Shang Bao company, user's voucher that can go to a doctor to papery is modified, institute
The authenticity that the medical data of papery can not be judged with Shang Bao company, increases the Claims Resolution risk of Shang Bao company.
Summary of the invention
In view of this, the purpose of the present invention is to provide the method, apparatus and server of a kind of online application Claims Resolution, it can
It realizes online acquisition and submits medical voucher, improve the Claims Resolution efficiency of the insured, and reduce the Claims Resolution risk of Shang Bao company.
To achieve the goals above, technical solution used in the embodiment of the present invention is as follows:
In a first aspect, the embodiment of the invention provides the methods of online application Claims Resolution, this method comprises: when by logging in boundary
When face receives the log-in instruction of user, the identity information of user is extracted from log-in instruction；Wherein, log-in instruction carries useful
The identity information at family；When the Claims Resolution application for receiving user is requested, the identity information of user is sent to Claims Resolution application request
Corresponding medical system；Wherein, Claims Resolution application request carries target medical system information and target quotient's insurance system information；It receives
The medical voucher of the electronics that the identity information that target medical system is directed to user returns, and electronics is gone to a doctor into voucher by presetting displaying
Showing interface is to user；When receiving confirmation instruction of the user for the medical voucher of electronics, by the identity information and electricity of user
The medical voucher association of son is sent to target quotient's insurance system；The identity information and electronics that target quotient insurance system is received for user are medical
The Claims Resolution that voucher returns is as a result, and be supplied to user for Claims Resolution result by default result display interface.
With reference to first aspect, the embodiment of the invention provides the first possible embodiments of first aspect, wherein on
State method further include: provide a user quotient's insurance system list, user is prompted to select the target insured from quotient's insurance system list
Quotient's insurance system；When receiving target quotient's insurance system of user's selection, inquiry request is initiated to target quotient's insurance system；Wherein, it looks into
Ask the identity information that request carries user；Receive the policy information for the user that target quotient insurance system is returned for inquiry request；
By the policy information of user and the identity information associated storage of user in specified region.
With reference to first aspect, the embodiment of the invention provides second of possible embodiments of first aspect, wherein on
State method further include: when the Claims Resolution progress queries for receiving user are requested, carry user's to the transmission of target quotient's insurance system
The inquiry request of identity information；It receives target quotient insurance system and is directed to the Claims Resolution progress that inquiry request issues, and Claims Resolution progress is led to
It crosses default progress display interface and shows user.
With reference to first aspect, the embodiment of the invention provides the third possible embodiments of first aspect, wherein on
State method further include: whether the existing electronic material for checking that user uploads for Claims Resolution application request is complete；If not, determining
User's electronic material to be supplemented, and prompt information is initiated by supplement circle's user oriented, it is to be supplemented to prompt user to upload
Electronic material；When receiving the electronic material wait supplement that user uploads for prompt information, the electronic material of user is beaten
Packet is sent to target quotient's insurance system, so that target quotient insurance system accepts Claims Resolution application request based on the electronic material of user
Or rejection processing.
With reference to first aspect, the embodiment of the invention provides the 4th kind of possible embodiments of first aspect, wherein on
State method further include: on-line consulting channel is provided for user, so that user is communicated by on-line consulting channel with associate people.
Second aspect, the embodiment of the invention provides a kind of devices of online application Claims Resolution, which includes: identity information
Extraction module, for extracting the identity of user from log-in instruction when receiving the log-in instruction of user by login interface
Information；Wherein, log-in instruction carries the identity information of user；Identity information sending module, for when the reason for receiving user
When paying for application request, the identity information of user is sent to Claims Resolution application and requests corresponding medical system；Wherein, Claims Resolution is asked
It asks and carries target medical system information and target quotient's insurance system information；Voucher display module, for receiving target medical system
For the medical voucher of electronics that the identity information of user returns, and electronics is gone to a doctor into voucher by presetting displaying showing interface to use
Family；Voucher sending module, for when receive user for electronics go to a doctor voucher confirmation instruction when, by the identity information of user
It is associated with electronics voucher of going to a doctor and is sent to target quotient's insurance system；Claims Resolution result display module, for receiving target quotient's insurance system needle
Identity information and electronics to user go to a doctor Claims Resolution that voucher returns as a result, and will settle a claim result by default result display interface
It is supplied to user.
In conjunction with second aspect, the embodiment of the invention provides the first possible embodiments of second aspect, wherein on
State device further include: cue module prompts user to select from quotient's insurance system list for providing a user quotient's insurance system list
The target quotient's insurance system insured；Quotient protect enquiry module, for when receive user selection target quotient's insurance system when, to target
Quotient's insurance system initiates inquiry request；Wherein, inquiry request carries the identity information of the user；Declaration form receiving module, is used for
Receive the policy information for the user that target quotient insurance system is returned for inquiry request；Memory module, for believing the declaration form of user
The identity information associated storage of breath and user are in specified region.
In conjunction with second aspect, the embodiment of the invention provides second of possible embodiments of second aspect, wherein on
State device further include: progress queries module, for when receive user Claims Resolution progress queries request when, to target quotient's insurance system
Send the inquiry request for carrying the identity information of user；Progress display module, for receiving target quotient's insurance system for inquiry
The Claims Resolution progress issued is requested, and Claims Resolution progress is showed into user by default progress display interface.
The third aspect, the embodiment of the invention provides a kind of server, which includes memory and processor, is deposited
Reservoir, which is used to store, supports processor to execute described in the 4th kind of possible any one of embodiment of the first aspect to first aspect
The program of method, processor are configurable for executing the program stored in memory.
Fourth aspect, the embodiment of the invention provides a kind of computer storage mediums, for being stored as first aspect to
Computer software instructions used in any one of 4th kind of possible embodiment of one side the method.
The embodiment of the present invention bring it is following the utility model has the advantages that
The method, apparatus and server of a kind of online application Claims Resolution provided in an embodiment of the present invention, when receiving user's
When log-in instruction, the identity information of user is extracted from log-in instruction, if receiving the Claims Resolution application request of user, will be used
The identity information at family is sent to medical system corresponding with Claims Resolution application request, and receives medical system for subscriber identity information
The electronics of return is gone to a doctor voucher, user confirm electronics go to a doctor voucher it is errorless after, electronics is gone to a doctor voucher and subscriber identity information
It is sent to target quotient's insurance system together, receives and displaying target quotient's insurance system is directed to the Claims Resolution result that above- mentioned information return.This hair
It is bright to improve the efficiency that user applies for Claims Resolution by way of online application Claims Resolution, and be by medical treatment because of the medical voucher of electronics
What system directly provided, so ensure that the authenticity of medical voucher to a certain extent, reduce the Claims Resolution wind of Shang Bao company
Danger.
Other feature and advantage of the disclosure will illustrate in the following description, alternatively, Partial Feature and advantage can be with
Deduce from specification or unambiguously determine, or by implement the disclosure above-mentioned technology it can be learnt that.
To enable the above objects, features and advantages of the present invention to be clearer and more comprehensible, preferred embodiment is cited below particularly, and cooperate
Appended attached drawing, is described in detail below.
Detailed description of the invention
It, below will be to specific in order to illustrate more clearly of the specific embodiment of the invention or technical solution in the prior art
Embodiment or attached drawing needed to be used in the description of the prior art be briefly described, it should be apparent that, it is described below
Attached drawing is some embodiments of the present invention, for those of ordinary skill in the art, before not making the creative labor
It puts, is also possible to obtain other drawings based on these drawings.
Fig. 1 shows a kind of flow chart of online application Claims Resolution method provided by the embodiment of the present invention；
Fig. 2 shows the flow charts of the Claims Resolution method of another kind online application provided by the embodiment of the present invention；
Fig. 3 shows a kind of structural block diagram of online application Claims Resolution device provided by the embodiment of the present invention；
Fig. 4 shows a kind of structural schematic diagram of server provided by the embodiment of the present invention.
Specific embodiment
In order to make the object, technical scheme and advantages of the embodiment of the invention clearer, below in conjunction with attached drawing to the present invention
Technical solution be clearly and completely described, it is clear that described embodiments are some of the embodiments of the present invention, rather than
Whole embodiments.Based on the embodiments of the present invention, those of ordinary skill in the art are not making creative work premise
Under every other embodiment obtained, shall fall within the protection scope of the present invention.
Reason is being handled at the system intercommunication of commercial medical insurance and unrealized Shang Bao company and medical institutions at present, quotient warranty family
When compensation business, medical medical institutions are needed to obtain the medical voucher of papery, then give the relevant departments of Shang Bao company.It is based on
This, a kind of method, apparatus and server of online application Claims Resolution provided by the invention can be realized Shang Bao company and medical institutions
System intercommunication, improve the efficiency that user applies for Claims Resolution, simultaneously as medical voucher is directly provided by medical system, institute
To guarantee the authenticity of medical voucher to a certain extent.
To be settled a claim to a kind of online application disclosed in the embodiment of the present invention first convenient for understanding the present embodiment
Method describes in detail, and a kind of flow chart of online application Claims Resolution method shown in Figure 1, this method includes following step
It is rapid:
Step S102 extracts user's when receiving the log-in instruction of user by login interface from log-in instruction
Identity information.
Because login interface needs to fill in the essential informations such as the account of user, password, carried in log-in instruction
There is the identity information of the user.
If user uses for the first time, registration service can be provided a user, user can choose cell-phone number registration, mailbox
Registration or third party's account log in, and user is prompted to fill in corresponding information, such as the pet name, password, registration cell-phone number or note
The information such as volume mailbox prompt user to agree to the specification for needing to abide by using online Claims Resolution application after the completion of registration information is filled in,
Complete registration.Subsequent user can choose the details that user is filled in into the user management page, such as identity card certificate
Number, the information such as identity card front and back sides photo.In view of declaration form functions such as application of binding and settle a claim need that user's is true, detailed
Thin information, so will be unable to use these functions not when the user management page fills in details in user.Preferably, it uses
When details are not filled at family, the information of the functions such as the binding of browsing declaration form and Claims Resolution application can be opened to user, if user
These functions are desirable for, user is reresented and fills in details.
The identity information of user is sent to Claims Resolution application when the Claims Resolution application for receiving user is requested by step S104
Request corresponding medical system.
Wherein, Claims Resolution application request can be sent by " key Claims Resolution " button.It should be understood that user is settling a claim
Before application, certain medical institutions is arrived and have gone to a doctor, while being stored with the body of the user in the medical system of the medical institutions
Part information and diagnosis records corresponding with the subscriber identity information, so target medical department should be carried in Claims Resolution application request
Information of uniting makes the medical treatment of medical medical institutions so that the identity information of user to be sent to the medical system of medical medical institutions
System can return to diagnosis records for identity information.
In addition, Claims Resolution application is the application proposed on the basis of having bound declaration form, because declaration form is mentioned by Shang Bao company
User is supplied, so the corresponding quotient's insurance system of Shang Bao company can be carried in Claims Resolution application request when carrying out Claims Resolution application
Information.
Preferably, after user clicks " key Claims Resolution " button, the medical medical institutions of selection that the user can be prompted, and to
User provides medical institutions' alternate list, if not having the letter of the medical medical institutions of user in medical institutions' alternate list
Breath, then user will be unable to carry out Claims Resolution application；If gone to a doctor the letter of medical institutions in medical institutions' alternate list containing user
The identity information of user, then is sent to the medical system of medical medical institutions by breath.
For example, user A uses the Claims Resolution platform constructed based on the above method, after filling in corresponding information, select on the platform
The declaration form C for selecting and being bundled with Shang Bao company B, after a period of time, user A in Bing Qu medical institutions D because going to a doctor, medical institutions at this time
The identity information and diagnosis records of user A will be stored in the medical system of D.User A just logs in the platform and selects declaration form C
Application Claims Resolution clicks " key Claims Resolution " button and then selects medical medical institutions D according to medical institutions' alternate list, if therapeutic machine
There is no the information of medical institutions D in structure alternate list, then user will be unable to settle a claim by declaration form C；If medical institutions are alternative
Information containing medical institutions D in list.The identity information of user A is then sent to the medical system of medical institutions D.
Step S106 receives the medical voucher of electronics that target medical system is returned for the identity information of user, and will be electric
The medical voucher of son shows showing interface to user by default.
Wherein, the medical voucher of electronics may include case, medical certificate, examine audit report and medical treatment clearing invoice etc. medical
Voucher.In addition, receiving medical medical institutions pair because certain factors lead to the situation of the medical voucher mistake of electronics in order to prevent
The medical system answered is gone to a doctor for the electronics that subscriber identity information is sent after voucher, by it is default show interface by electronics it is medical with
Card shows user, and determines whether the medical voucher of the electronics is correct by user, to guarantee the accuracy of the medical voucher of electronics.Together
The medical voucher of Shi Yinwei electronics is directly transmitted by the medical system for medical institutions of going to a doctor, can be to avoid some users to medical
Voucher is faked and the malfeasance of insurance fraud, reduces the Claims Resolution risk of Shang Bao company.
Preferably, it can show that interface provides " determination " and " error feedback " button default, if the user determine that above-mentioned
The medical voucher of electronics is errorless, then clicks " determination " button, carries out next step operation；If user deposits the medical voucher of above-mentioned electronics
In query, then " error feedback " button can be clicked, online feedback interface will be jumped to automatically at this time, user can be by online
Feedback interface is fed back to related technical personnel.Furthermore it is possible to online feedback interface provide service calls, by phone into
Row feedback.
Step S108, when receiving user for electronics and going to a doctor the confirmation instruction of voucher, by the identity information of user and
The medical voucher association of electronics is sent to target quotient's insurance system.
Specifically, user confirm electronics go to a doctor voucher it is errorless after, can click default " determination " button for showing interface into
Row confirmation.When receiving confirmation instruction of the user for the medical voucher of above-mentioned electronics, just by the identity information of user and electronics
Medical voucher is sent to quotient's insurance system of the corresponding Shang Bao company of declaration form together.For example, user A confirmation electronics go to a doctor voucher without
Accidentally, and " determination " button is clicked, after receiving " determination " instruction, the identity information of user A and the medical voucher of electronics is closed
Connection is sent to quotient's insurance system of the corresponding Shang Bao company B of declaration form C.
Step S110 receives the Claims Resolution knot that target quotient insurance system is returned for the medical voucher of identity information and electronics of user
Fruit, and Claims Resolution result is supplied to by user by default result display interface.
Quotient's insurance system of Shang Bao company is gone to a doctor in the identity information and electronics for receiving user after voucher, is started judgement and is used instead
Whether family reaches Claims Resolution standard, and obtains judging result.When receiving the judging result of quotient's insurance system return, by judging result
It shows in default result display interface, is browsed for user.Wherein, Claims Resolution standard select according to user declaration form difference and not
Together, if Claims Resolution standard is not achieved in user, quotient's insurance system is not bound by the Claims Resolution application, and returns and accept failure；If user
Reach Claims Resolution standard, then quotient's insurance system accepts the Claims Resolution application, and returns and accept success.
Preferably, failure is accepted if returned, " inquiry " button can be provided in default result display interface, so as to user
Inquiry application can be sent to quotient's insurance system by " inquiry " button, so that the return of quotient's insurance system accepts failure cause.This can be with
Facilitate user to learn the reason of Claims Resolution application is accepted unsuccessfully, improves the usage experience of user.
A kind of method of online application Claims Resolution provided in an embodiment of the present invention, when receiving the log-in instruction of user, from
The identity information of user is extracted in log-in instruction, if the Claims Resolution application request of user is received, by the identity information of user
It is sent to medical system corresponding with Claims Resolution application request, and receives medical system and is directed to the electronics of subscriber identity information return just
Examine voucher, user confirm electronics go to a doctor voucher it is errorless after, electronics is gone to a doctor into voucher and subscriber identity information is sent to mesh together
Quotient's insurance system is marked, receives and displaying target quotient's insurance system is directed to the Claims Resolution result that above- mentioned information return.The present invention passes through online Shen
The mode that please be settled a claim improves the efficiency that user applies for Claims Resolution, and voucher is directly provided by medical system because electronics is gone to a doctor
, so ensure that the authenticity of medical voucher to a certain extent, reduce the Claims Resolution risk of Shang Bao company.
Further, the embodiment of the present invention also provides a kind of function of online declaration form binding, can provide a user quotient guarantor
System list prompts user to select the target quotient's insurance system insured from quotient's insurance system list.In view of user may be more
Jia Shangbao company insures, so provider's insurance system list, so that user selects the Shang Bao company insured, and
The service provided using the Shang Bao company.Preferably, the quotient that do not insure can also be set and protect company list, it can be provided a user
His Shang Bao company information, provides the user with more fully quotient breath information-preserving.
When receiving target quotient's insurance system of user's selection, inquiry request is initiated to target quotient's insurance system.Wherein, it inquires
Request carries the identity information of user.After the Shang Bao company that user's selection has been insured, protected to the quotient of target Shang Bao company
System sends inquiry request, so that target quotient's insurance system returns to the policy information that user insures in the Shang Bao company.In addition, with
It, can be with displaying target Shang Bao company information, so that user understands the related letter of the Shang Bao company after the selection target quotient's insurance system of family
Breath.In another embodiment, it if user protects company list selection target Shang Bao company in the quotient that do not insure, is protected to the quotient public
Quotient's insurance system of department sends inquiry request, so that quotient's insurance system returns to the declaration form service that the Shang Bao company can provide.
After target quotient's insurance system returns to policy information for inquiry request, receives target quotient insurance system and be directed to inquiry request
The policy information of the user of return.If user protects company list selection target quotient's insurance system in the quotient that insured, target quotient is protected
What system returned is the declaration form that user has bound.Furthermore it is possible to provide " new declaration form " button, " new declaration form " is pressed when the user clicks
When button, inquiry request is sent to target quotient's insurance system, target quotient's insurance system is made to return to other declaration form contents of the Shang Bao company, with
Just other declaration forms that user provides the Shang Bao company understand.If user protects company list selection target in the quotient that do not insure
Quotient's insurance system, then what target quotient insurance system returned is all declaration form contents that the Shang Bao company provides, and is selected so that user browses
Policy information.
It, can be by user's after completing corresponding operation of insuring if the declaration form that user's selection is not insured is insured
Policy information and the identity information associated storage of user, can be when user browse and insured policy information, directly in specified region
It connects and reads policy information out of specified region, without thinking target quotient's insurance system transmission inquiry request.
Further, the embodiment of the present invention also provides a kind of function of online query Claims Resolution progress, when receiving user's
When progress queries of settling a claim request, the inquiry request for carrying the identity information of user is sent to target quotient's insurance system.Wherein, it inquires
Request may include the identity information of user and the Claims Resolution policy information of user, and target quotient insurance system is according to the identity information of user
It is inquired with Claims Resolution policy information and returns to corresponding Claims Resolution progress.The reason that inquiry request issues is directed to when receiving target quotient insurance system
After compensation progress, Claims Resolution progress is showed into user by default progress display interface, so that user learns the Claims Resolution currently settled a claim
Progress.
Preferably, a kind of material supplementary functions can be provided, if user user during applying for Claims Resolution needs to electricity
The medical voucher material that perhaps other information is supplemented or system judges that user provides of son is not complete, can pass through material
Expect that supplementary functions supplement required electronic material.Judge that user provides material incomplete situation for system, can take as follows
Mode.
Whether complete first check for the existing electronic material that user uploads for Claims Resolution application request.If it is determined that user
The material of offer is not complete, determines user's electronic material to be supplemented, and initiate prompt information by supplement circle's user oriented, with
Prompt user uploads electronic material to be supplemented.User supplements electronic material for prompt information, when receiving user for mentioning
When showing the electronic material wait supplement that information uploads, the electronic material of user is transmitted to target quotient's insurance system, so that mesh
Mark quotient's insurance system is accepted based on the electronic material of user to Claims Resolution application request or rejection is handled.Wherein, above-mentioned wait mend
The electronic material filled can be the electronic edition or photograph of the materials such as death certificate, traffic accident responsibility protocol or residence booklet
Piece.
Further, the embodiment of the present invention also provides on-line consulting channel, on-line consulting channel is provided for user, to use
Family is communicated by on-line consulting channel with associate people, and details clearer understanding of the user to not knowing on declaration form is conducive to.
In addition, logical on-line consulting passes through, user can also be facilitated to timely feedback error message etc..
Referring to fig. 2, the flow chart of another online application Claims Resolution method is shown, this method is applied flat in online Claims Resolution
Platform.
User is firstly the need of the online declaration form binding of progress.User enters declaration form binding interface by platform of settling a claim online and selects
The Shang Bao company insured is selected, after the Shang Bao company insured when the user clicks, transaction interface is protected to the quotient to have insured by quotient
Quotient's insurance system of guarantor company initiates inquiry transaction, and quotient's insurance system executes query actions and returns to query result, flat by settling a claim online
Platform judges comprising how many declaration forms in query result, if in query result only including a declaration form, directly executes binding and protects
Single movement simultaneously shows that declaration form binding is completed to user, if including a plurality of declaration form in query result, shows to user above-mentioned
A plurality of declaration form is selected the declaration form bound by user, after the completion of user's selection, is executed binding movement and is shown to user
Show that declaration form binding is completed.
It, can be in the Claims Resolution Shen on Claims Resolution platform online if user needs to carry out Claims Resolution application after medical institutions are medical
It please interface progress relevant operation.User selects declaration form and clicks " key Claims Resolution " button, and online platform of settling a claim is traded by hospital
Interface initiates inquiry transaction to medical medical institutions, and the medical system of medical medical institutions executes query actions and returns to inquiry knot
Fruit, by settling a claim online, platform shows query result.If Claims Resolution platform judges that user's material is not complete online at this time, user is prompted to mend
Material is filled, after other electronic materials or photo needed for having supplemented Claims Resolution application in user, online platform of settling a claim is protected by quotient
Transaction interface initiates Claims Resolution application transaction to quotient's insurance system of Shang Bao company, and quotient's insurance system accepts or rejects according to material decision
The Claims Resolution application, and result will be accepted and be back to online Claims Resolution platform, Claims Resolution application is shown to user by settling a claim platform online
Accept result.
If the Claims Resolution application of user accepts success, when user needs to inquire Claims Resolution progress, Claims Resolution can be entered
Progress queries interface.The Claims Resolution record that user's selection has been applied protects transaction interface by quotient from platform of settling a claim online and protects system to quotient
System sends inquiry transaction, and quotient's insurance system executes query actions and returns to query result, and by settling a claim online, platform receives query result
And user is showed to browse.
A kind of method of online application Claims Resolution provided in an embodiment of the present invention, can provide a user online declaration form binding function
It can, settle a claim online and apply for function and online Claims Resolution progress queries function, user is facilitated to complete the sequence of operations settled a claim online.This
Invention improves the efficiency that user applies for Claims Resolution in such a way that online application is settled a claim, and voucher is by curing because electronics is gone to a doctor
Treatment system directly provides, so ensure that the authenticity of medical voucher to a certain extent, reduces the Claims Resolution of Shang Bao company
Risk.
On the basis of aforementioned online application Claims Resolution method, a kind of knot of online application Claims Resolution device shown in Figure 3
Structure block diagram, the device comprise the following modules:
Identity information extraction module 302, for being stepped on from described when receiving the log-in instruction of user by login interface
The identity information of user is extracted in record instruction；Wherein, the log-in instruction carries the identity information of user；
Identity information sending module 304, for when receive user Claims Resolution application request when, by the identity information of user
It is sent to Claims Resolution application and requests corresponding medical system；Wherein, Claims Resolution application request carries target medical system information and mesh
Mark quotient's insurance system information；
Voucher display module 306, it is medical for receiving the electronics that target medical system is returned for the identity information of user
Voucher, and electronics is gone to a doctor into voucher by presetting displaying showing interface to user；
Voucher sending module 308, for when receive user for electronics go to a doctor voucher confirmation instruction when, by user's
Identity information is associated with the medical voucher of electronics and is sent to target quotient's insurance system；
Claims Resolution result display module 310, it is medical for the identity information and electronics of user for receiving target quotient's insurance system
The Claims Resolution that voucher returns is as a result, and be supplied to user for Claims Resolution result by default result display interface.
Further, above-mentioned apparatus can be also used for realizing that online declaration form binding function, the device include cue module, use
In providing a user quotient's insurance system list, user is prompted to select the target quotient's insurance system insured from quotient's insurance system list；Quotient
Enquiry module is protected, for initiating inquiry request to target quotient's insurance system when receiving target quotient's insurance system of user's selection；Its
In, inquiry request carries the identity information of user；Declaration form receiving module, for receiving target quotient's insurance system for inquiry request
The policy information of the user of return；Memory module, for by the identity information associated storage of the policy information of user and user in
Specified region.
Further, above-mentioned apparatus can be also used for realizing online query Claims Resolution progress function, which includes that progress is looked into
Module is ask, for sending the body for carrying user to target quotient's insurance system when the Claims Resolution progress queries for receiving user are requested
The inquiry request of part information；Progress display module is directed to the Claims Resolution progress that inquiry request issues for receiving target quotient's insurance system,
And Claims Resolution progress is showed into user by default progress display interface.
The device of a kind of online application Claims Resolution provided in an embodiment of the present invention, when identity information extraction module receives user
Log-in instruction when, from log-in instruction extract user identity information, if receive user Claims Resolution application request, by
The identity information of user is sent medical system corresponding with Claims Resolution application request by identity information sending module, and receives medical treatment
System is gone to a doctor voucher for the electronics that subscriber identity information returns, and electronics voucher of going to a doctor is showed use by voucher display module
Family browsing, user confirm electronics go to a doctor voucher it is errorless after, go to a doctor voucher and user identity of electronics is believed by voucher sending module
Breath is sent to target quotient's insurance system together, is received by Claims Resolution result display module and displaying target quotient's insurance system is directed to above-mentioned letter
Cease the Claims Resolution result returned.The present invention is in such a way that online application is settled a claim, the efficiency of raising user's application Claims Resolution, and because
The medical voucher of electronics is directly provided by medical system, so ensure that the authenticity of medical voucher to a certain extent, is dropped
The Claims Resolution risk of Di Liaoshangbao company.
The technical effect of the device of above-mentioned online application Claims Resolution provided by the embodiment of the present disclosure, realization principle and generation
Identical with preceding method embodiment, to briefly describe, above-mentioned apparatus embodiment part does not refer to place, can refer to preceding method reality
Apply corresponding contents in example.
The equipment is a kind of server, specifically, the server includes processor and storage device；It is stored on storage device
There is computer program, computer program executes the described in any item of embodiment as described above when being run by the processor
Method.
Fig. 4 is a kind of structural schematic diagram of server provided in an embodiment of the present invention, which includes: processor
40, memory 41, bus 42 and communication interface 43, the processor 40, communication interface 43 and memory 41 are connected by bus 42
It connects；Processor 40 is for executing the executable module stored in memory 41, such as computer program.
Wherein, memory 41 may include high-speed random access memory (RAM, Random Access Memory),
It may further include non-labile memory (non-volatile memory), for example, at least a magnetic disk storage.By extremely
A few communication interface 43 (can be wired or wireless) is realized logical between the system network element and at least one other network element
Letter connection, can be used internet, wide area network, local network, Metropolitan Area Network (MAN) etc..
Bus 42 can be isa bus, pci bus or eisa bus etc..The bus can be divided into address bus, data
Bus, control bus etc..Only to be indicated with a four-headed arrow convenient for indicating, in Fig. 4, it is not intended that an only bus or
A type of bus.
Wherein, memory 41 is for storing program, and the processor 40 executes the journey after receiving and executing instruction
Sequence, method performed by the device that the stream process that aforementioned any embodiment of the embodiment of the present invention discloses defines can be applied to handle
In device 40, or realized by processor 40.
Processor 40 may be a kind of IC chip, the processing capacity with signal.During realization, above-mentioned side
Each step of method can be completed by the integrated logic circuit of the hardware in processor 40 or the instruction of software form.Above-mentioned
Processor 40 can be general processor, including central processing unit (Central Processing Unit, abbreviation CPU), network
Processor (Network Processor, abbreviation NP) etc.；It can also be digital signal processor (Digital Signal
Processing, abbreviation DSP), specific integrated circuit (Application Specific Integrated Circuit, referred to as
ASIC), ready-made programmable gate array (Field-Programmable Gate Array, abbreviation FPGA) or other are programmable
Logical device, discrete gate or transistor logic, discrete hardware components.It may be implemented or execute in the embodiment of the present invention
Disclosed each method, step and logic diagram.General processor can be microprocessor or the processor is also possible to appoint
What conventional processor etc..The step of method in conjunction with disclosed in the embodiment of the present invention, can be embodied directly in hardware decoding processing
Device executes completion, or in decoding processor hardware and software module combination execute completion.Software module can be located at
Machine memory, flash memory, read-only memory, programmable read only memory or electrically erasable programmable memory, register etc. are originally
In the storage medium of field maturation.The storage medium is located at memory 41, and processor 40 reads the information in memory 41, in conjunction with
Its hardware completes the step of above method.
The method, apparatus of the Claims Resolution of online application provided by the embodiment of the present invention and the computer program product of server,
Computer readable storage medium including storing the executable non-volatile program code of processor, computer-readable storage medium
It is stored with computer program in matter, previous methods side as described in the examples is executed when which is run by processor
Method, specific implementation can be found in embodiment of the method, and details are not described herein.
It is apparent to those skilled in the art that for convenience and simplicity of description, the system of foregoing description
Specific work process, can be with reference to the corresponding process in previous embodiment, and details are not described herein.
The method, apparatus of the Claims Resolution of online application provided by the embodiment of the present invention and the computer program product of server,
Computer readable storage medium including storing the executable non-volatile program code of processor, said program code include
Instruction can be used for executing previous methods method as described in the examples, specific implementation can be found in embodiment of the method, herein no longer
It repeats.
It is apparent to those skilled in the art that for convenience and simplicity of description, the device of foregoing description
Specific work process, can be with reference to the corresponding process in previous embodiment, and details are not described herein.
The computer program product of readable storage medium storing program for executing provided by the embodiment of the present invention, including storing program code
Computer readable storage medium, the instruction that said program code includes can be used for executing previous methods side as described in the examples
Method, specific implementation can be found in embodiment of the method, and details are not described herein.
It, can be with if the function is realized in the form of SFU software functional unit and when sold or used as an independent product
It is stored in a computer readable storage medium.Based on this understanding, technical solution of the present invention is substantially in other words
The part of the part that contributes to existing technology or the technical solution can be embodied in the form of software products, the meter
Calculation machine software product is stored in a storage medium, including some instructions are used so that a computer equipment (can be a
People's computer, server or network equipment etc.) it performs all or part of the steps of the method described in the various embodiments of the present invention.
And storage medium above-mentioned includes: that USB flash disk, mobile hard disk, read-only memory (ROM, Read-Only Memory), arbitrary access are deposited
The various media that can store program code such as reservoir (RAM, Random Access Memory), magnetic or disk.
Finally, it should be noted that embodiment described above, only a specific embodiment of the invention, to illustrate the present invention
Technical solution, rather than its limitations, scope of protection of the present invention is not limited thereto, although with reference to the foregoing embodiments to this hair
It is bright to be described in detail, those skilled in the art should understand that: anyone skilled in the art
In the technical scope disclosed by the present invention, it can still modify to technical solution documented by previous embodiment or can be light
It is readily conceivable that variation or equivalent replacement of some of the technical features；And these modifications, variation or replacement, do not make
The essence of corresponding technical solution is detached from the spirit and scope of technical solution of the embodiment of the present invention, should all cover in protection of the invention
Within the scope of.Therefore, protection scope of the present invention should be based on the protection scope of the described claims.
Claims (10)
1. a kind of method of online application Claims Resolution, which is characterized in that the described method includes:
When receiving the log-in instruction of user by login interface, the identity information of user is extracted from the log-in instruction；
Wherein, the log-in instruction carries the identity information of user；
When the Claims Resolution application for receiving user is requested, the identity information of the user is sent to the Claims Resolution application request pair
The medical system answered；Wherein, the Claims Resolution application request carries target medical system information and target quotient's insurance system information；
It receives the electronics that the target medical system is returned for the identity information of the user to go to a doctor voucher, and by the electronics
Medical voucher shows showing interface to the user by default；
When receiving confirmation instruction of the user for the medical voucher of the electronics, by the identity information of the user and institute
It states the medical voucher association of electronics and is sent to target quotient's insurance system；
Receive the Claims Resolution knot that the target quotient insurance system is returned for the identity information of the user and the medical voucher of the electronics
Fruit, and the Claims Resolution result is supplied to by the user by default result display interface.
2. the method according to claim 1, wherein the method also includes:
To the user provider insurance system list, the user is prompted to select the mesh insured from quotient's insurance system list
Mark quotient's insurance system；
When receiving target quotient's insurance system of user's selection, inquiry request is initiated to the target quotient insurance system；Wherein,
The inquiry request carries the identity information of the user；
Receive the policy information for the user that the target quotient insurance system is returned for the inquiry request；
By the policy information of the user and the identity information associated storage of the user in specified region.
3. the method according to claim 1, wherein the method also includes:
When the Claims Resolution progress queries for receiving the user are requested, the user is carried to target quotient insurance system transmission
Identity information inquiry request；
It receives the target quotient insurance system and is directed to the Claims Resolution progress that the inquiry request issues, and the Claims Resolution progress is passed through in advance
If progress display interface shows the user.
4. the method according to claim 1, wherein the method also includes:
Whether the existing electronic material for checking that the user uploads for the Claims Resolution application request is complete；
If not, determining user electronic material to be supplemented, and prompt information is initiated to the user by supplement interface,
To prompt the user to upload the electronic material to be supplemented；
When receiving the electronic material wait supplement that the user uploads for the prompt information, by the user's
Electronic material is transmitted to the target quotient insurance system, so that electronic material of the target quotient insurance system based on the user is to institute
It states Claims Resolution and applies for that request is accepted or rejection is handled.
5. the method according to claim 1, wherein the method also includes:
On-line consulting channel is provided for the user, so that the user is logical by the on-line consulting channel and associate people
Letter.
6. a kind of device of online application Claims Resolution, which is characterized in that described device includes:
Identity information extraction module, for when receiving the log-in instruction of user by login interface, from the log-in instruction
The middle identity information for extracting user；Wherein, the log-in instruction carries the identity information of user；
Identity information sending module, for when the Claims Resolution application for receiving user is requested, the identity information of the user to be sent out
It send to Claims Resolution application and requests corresponding medical system；Wherein, the Claims Resolution application request carries target medical system letter
Breath and target quotient insurance system information；
Voucher display module, it is medical for receiving the electronics that the target medical system is returned for the identity information of the user
Voucher, and the electronics is gone to a doctor into voucher by presetting displaying showing interface to the user；
Voucher sending module will be described for when receiving the user for the electronics and going to a doctor the confirmation instruction of voucher
The identity information of user is associated with the medical voucher of the electronics and is sent to target quotient's insurance system；
Claims Resolution result display module, the identity information and the electronics for being directed to the user for receiving the target quotient insurance system
The Claims Resolution that medical voucher returns is as a result, and be supplied to the user for the Claims Resolution result by default result display interface.
7. device according to claim 6, which is characterized in that described device further include:
Cue module, for prompting the user from quotient's insurance system list to the user provider insurance system list
Select the target quotient's insurance system insured；
Quotient protects enquiry module, for when receiving target quotient's insurance system of user selection, to the target quotient insurance system
Initiate inquiry request；Wherein, the inquiry request carries the identity information of the user；
Declaration form receiving module, for receiving the declaration form for the user that the target quotient insurance system is returned for the inquiry request
Information；
Memory module, for by the identity information associated storage of the policy information of the user and the user in specified region.
8. device according to claim 6, which is characterized in that described device further include:
Progress queries module, for when receive the user Claims Resolution progress queries request when, to the target quotient insurance system
Send the inquiry request for carrying the identity information of the user；
Progress display module is directed to the Claims Resolution progress that the inquiry request issues for receiving the target quotient insurance system, and will
The Claims Resolution progress shows the user by default progress display interface.
9. a kind of server, which is characterized in that the server includes memory and processor, and the memory is for storing
Processor perform claim is supported to require the program of any one of 1 to 5 the method, the processor is configured to described for executing
The program stored in memory.
10. a kind of computer storage medium, which is characterized in that for being stored as used in any one of claim 1 to 5 the method
Computer software instructions.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810905407.7A CN109118374A (en) | 2018-08-09 | 2018-08-09 | The method, apparatus and server of online application Claims Resolution |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810905407.7A CN109118374A (en) | 2018-08-09 | 2018-08-09 | The method, apparatus and server of online application Claims Resolution |
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| Publication Number | Publication Date |
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| CN109118374A true CN109118374A (en) | 2019-01-01 |
Family
ID=64853135
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| CN201810905407.7A Pending CN109118374A (en) | 2018-08-09 | 2018-08-09 | The method, apparatus and server of online application Claims Resolution |
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| CN109857797A (en) * | 2019-01-17 | 2019-06-07 | 杭州趣链科技有限公司 | A kind of medical insurance health Claims Resolution system based on block chain |
| CN110349035A (en) * | 2019-05-30 | 2019-10-18 | 阿里巴巴集团控股有限公司 | Transaction processing system and method |
| CN110610430A (en) * | 2019-08-13 | 2019-12-24 | 平安医疗健康管理股份有限公司 | Bill information processing method, device, computer equipment and storage medium |
| CN111461899A (en) * | 2020-02-29 | 2020-07-28 | 万达信息股份有限公司 | Quick claim settlement system and method for business insurance and cloud business insurance platform |
| CN111553798A (en) * | 2020-03-31 | 2020-08-18 | 万达信息股份有限公司 | System and method for direct claims of merchant and insurance |
| CN111553797A (en) * | 2020-03-31 | 2020-08-18 | 万达信息股份有限公司 | Quick underwriting system and method for business insurance and cloud business insurance platform |
| WO2020207084A1 (en) * | 2019-04-10 | 2020-10-15 | 创新先进技术有限公司 | Payment complaint method, device, server, and readable storage medium |
| US10963888B2 (en) | 2019-04-10 | 2021-03-30 | Advanced New Technologies Co., Ltd. | Payment complaint method, device, server and readable storage medium |
| WO2022133625A1 (en) * | 2020-12-21 | 2022-06-30 | 京东方科技集团股份有限公司 | Insurance claim material acquisition method, service server and system |
| CN115022396A (en) * | 2022-06-07 | 2022-09-06 | 支付宝(杭州)信息技术有限公司 | Content pushing method and device and server |
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