CN109542923B - Nuclear protection method, device, computer equipment and storage medium - Google Patents
Nuclear protection method, device, computer equipment and storage medium Download PDFInfo
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- CN109542923B CN109542923B CN201811401422.4A CN201811401422A CN109542923B CN 109542923 B CN109542923 B CN 109542923B CN 201811401422 A CN201811401422 A CN 201811401422A CN 109542923 B CN109542923 B CN 109542923B
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Abstract
The application relates to a method, a device, a computer device and a storage medium for nuclear protection. The method comprises the following steps: receiving a nuclear protection request sent by a user terminal, wherein the nuclear protection request carries an applicant identifier; acquiring a corresponding first medical insurance record from a medical insurance server according to the applicant identifier; extracting a field to be input into an applicant scoring model from the first medical insurance record; marking the extracted fields, and inputting the marked fields into the applicant scoring model to obtain a first applicant score; and acquiring a first underwriting condition corresponding to the first applicant score, and transmitting the acquired first underwriting condition to the user terminal. The method can improve the verification accuracy.
Description
Technical Field
The present disclosure relates to the field of computer technologies, and in particular, to a method and apparatus for protecting a core, a computer device, and a storage medium.
Background
In insurance products, underwriting is the first threshold for the entire product. The insurance company screens customers meeting insurance product requirements through the underwriting.
However, most of the conventional verification methods are to fill out a questionnaire by a user, wherein the questionnaire mainly relates to the past health condition of the user, and then a verification person obtains the corresponding maintenance condition of the user through the health condition, so that the verification process is completed, but the correctness of the result of the questionnaire is difficult to ensure, so that the deviation of the setting of the maintenance condition is caused.
Disclosure of Invention
In view of the above, it is necessary to provide a verification method, device, computer apparatus, and storage medium capable of improving verification accuracy.
A method of underwriting, the method comprising:
receiving a nuclear protection request sent by a user terminal, wherein the nuclear protection request carries an applicant identifier;
acquiring a corresponding first medical insurance record from a medical insurance server according to the applicant identifier;
extracting a field to be input into an applicant scoring model from the first medical insurance record;
marking the extracted fields, and inputting the marked fields into the applicant scoring model to obtain a first applicant score;
and acquiring a first underwriting condition corresponding to the first applicant score, and transmitting the acquired first underwriting condition to the user terminal.
In one embodiment, the fields of the tag include at least a name field, a gender field, an age field, a disease field, and a medication field.
In one embodiment, the marking the extracted field includes:
matching the extracted disease field with a first standard field in a standard disease grouping library to obtain a corresponding first group of the disease field, and matching the extracted medication field with a second standard field in a standard medicine grouping library to obtain a corresponding second group of the medication field;
and marking the disease field through the first packet obtained through matching, and marking the medication field through the second packet obtained through matching.
In one embodiment, the method further comprises:
acquiring the insuring ending time of an applicant, and sending a insuring delay notice to a user terminal when the difference value between the insuring ending time and the current time is smaller than a first preset value;
receiving an insurance request corresponding to the insurance notification returned by the user terminal, wherein the insurance request carries an insurance applicant identifier;
acquiring a second medical insurance record of the insurance period of the applicant from a medical insurance server according to the insurance applicant identifier;
Obtaining a second applicant score according to the second medical insurance record;
and acquiring a second underwriting condition corresponding to the second applicant score, and transmitting the acquired second underwriting condition to the user terminal.
In one embodiment, the generating manner of the applicant scoring model includes:
acquiring training data, wherein the training data comprises a third medical insurance record of the first historical year and costs of the second historical year;
marking a training field in the third medical insurance record to obtain a training variable value;
acquiring an initial weight corresponding to the training variable value, and calculating according to the initial weight and the training variable value to obtain a comprehensive evaluation value;
establishing a linear relationship between the comprehensive evaluation value and the cost of the second historical year by adjusting the initial weight;
and generating the applicant scoring model according to the adjusted initial weight.
In one embodiment, before the marking the training field in the third medical insurance record to obtain the training variable value, the method further includes:
selecting a fourth medical insurance record with only different initial fields from the third medical insurance record;
calculating a significance level for the initial field based on the fourth medical insurance record and the corresponding cost of the second historical year;
When the significance level is less than a second preset value, the initial field is marked as a training field.
In one embodiment, the computing the saliency level of the initial field from the fourth medical insurance record and the corresponding costs of the second historical year includes:
calculating to obtain t-test statistics according to the fourth medical insurance record and the corresponding cost of the second historical year;
and inquiring from a t-bounded value table according to the statistic to obtain the significance level corresponding to the initial field.
A underwriting apparatus, the apparatus comprising:
the first receiving module is used for receiving a nuclear protection request sent by the user terminal, wherein the nuclear protection request carries an applicant identifier;
the first acquisition module is used for acquiring a corresponding first medical insurance record from the medical insurance server according to the applicant identifier;
the extraction module is used for extracting fields to be input into the applicant scoring model from the first medical insurance record;
the model calculation module is used for marking the extracted fields and inputting the marked fields into the applicant scoring model to obtain a first applicant score;
and the sending module is used for acquiring the first underwriting condition corresponding to the first applicant score and sending the acquired first underwriting condition to the user terminal.
A computer device comprising a memory storing a computer program and a processor implementing the steps of any one of the methods described above when the processor executes the computer program.
A computer readable storage medium having stored thereon a computer program which, when executed by a processor, implements the steps of the method of any of the preceding claims.
According to the method, the device, the computer equipment and the storage medium for the nuclear insurance, after the nuclear insurance request sent by the user terminal is received, the first medical insurance record corresponding to the nuclear insurance request can be obtained, so that the corresponding field can be extracted from the first medical insurance record, the corresponding field is input into the scoring model of the applicant, the scoring of the first applicant can be obtained, the corresponding first underwriting condition can be obtained according to the scoring of the first applicant, and the user questionnaire is not relied only, so that the underwriting condition is more accurate.
Drawings
FIG. 1 is an application scenario diagram of a underwriting method in one embodiment;
FIG. 2 is a flow diagram of a method of underwriting in one embodiment;
FIG. 3 is a flow chart illustrating the renewing step in one embodiment;
FIG. 4 is a flowchart of a method for generating a scoring model for an applicant in one embodiment;
FIG. 5 is a block diagram of a device for underwriting in one embodiment;
fig. 6 is an internal structural diagram of a computer device in one embodiment.
Detailed Description
In order to make the objects, technical solutions and advantages of the present application more apparent, the present application will be further described in detail with reference to the accompanying drawings and examples. It should be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the present application.
The method for checking and protecting can be applied to an application environment shown in figure 1. The system comprises a user terminal, a medical insurance server, a core insurance terminal, a medical insurance terminal and a network, wherein the core insurance terminal is communicated with the user terminal through the network, and the core insurance terminal is also communicated with the medical insurance server through the network. Specifically, the user fills in basic information of the user at the user terminal, the user terminal generates a warranty request according to the basic information filled in by the user and sends the warranty request to the warranty terminal, the warranty terminal obtains a corresponding first warranty record from a warranty server according to an applicant identifier in the warranty request, then extracts a field to be input into an applicant scoring model from the first warranty record, inputs the extracted field into the applicant scoring model to obtain a first applicant score, obtains a corresponding first underwriting condition according to the first applicant score, and sends the obtained first underwriting condition to the user terminal, so that the corresponding first underwriting condition can be obtained according to the applicant's warranty record, and the user questionnaire is not relied only, so that the underwriting condition is more accurate. The core protection terminal and the user terminal can be, but not limited to, various personal computers, notebook computers, smart phones, tablet computers and portable wearable devices, and the medical protection server can be implemented by an independent server or a server cluster formed by a plurality of servers.
In one embodiment, as shown in fig. 2, a method for underwriting is provided, and the method is applied to the underwriting terminal in fig. 1 for explanation, and includes the following steps:
s202: and receiving a verification request sent by the user terminal, wherein the verification request carries the applicant identifier.
Specifically, the warranty request is generated by the user terminal according to the basic information of the user filled in by the user, and the basic information of the user can include the name, age, identification card number and the like of the user. The applicant identifier refers to an identifier that can uniquely identify and distinguish a user from other users, typically an identification card number of the user.
In practical application, a user can browse insurance services provided by an insurer through a user terminal, select insurance services which want to be insured, input corresponding user basic information according to requirements of the selected insurance services, and click a insurance submitting button, so that the user terminal can generate a corresponding insurance request according to the user basic information input by the user, and send the generated insurance request to the insurance terminal. Alternatively, the user terminal may first send the underwriting request to the distribution server, and the distribution server distributes the underwriting request to the corresponding underwriting terminal according to the applicant identifier in the underwriting request, for example, distributes the underwriting request to the underwriting terminal that has processed the underwriting request of the user.
S204: and acquiring a corresponding first medical insurance record from the medical insurance server according to the insurance applicant identifier.
Specifically, after receiving the request of the nuclear insurance, the nuclear insurance terminal sends the identifier of the applicant to the medical insurance server, so that the medical insurance server can select a corresponding first medical insurance record according to the identifier of the applicant, and then the first medical insurance record is returned to the nuclear insurance terminal. Optionally, the core protection terminal may send the basic information sent by the user terminal to the medical protection server, where the medical protection server screens according to the multiple fields, so that accuracy of acquiring the first medical protection record may be improved.
S206: fields to be input to the applicant scoring model are extracted from the first medical insurance record.
Specifically, the field to be input to the applicant scoring model is a field selected to be input to the applicant scoring model when the applicant scoring model is generated, and the field to be input to the applicant scoring model at least includes a name field, a gender field, an age field, a disease field, and a medication field.
After the first medical insurance record is obtained, the underwriting terminal can select a corresponding field from the first medical insurance record according to a preset field to be input into the grading model of the applicant. Optionally, the corresponding field may be selected by fuzzy matching, for example, the field in the first medical insurance record may be fuzzy matched with the field to be input to the applicant scoring model, and only the successfully matched field may be extracted.
S208: and marking the extracted fields, and inputting the marked fields into the applicant scoring model to obtain a first applicant score.
Specifically, the fields of the tag include at least a name field, a gender field, an age field, a disease field, and a medication field. The applicant scoring model is a model which is obtained through pre-training and can quantify medical insurance records of the applicant, and the specific generation process can be seen below.
After extracting the fields, the verification terminal marks the extracted fields to obtain variables, so that the marked fields, namely corresponding variables, are input into an applicant scoring model to obtain corresponding first applicant scoring, specifically, the weight and the field score corresponding to the marked fields are firstly obtained in the applicant scoring model, namely, the corresponding weight and the field score are obtained according to the marks of the marked fields, the cost of the user is obtained by weighting according to the field score and the weight, the average value of all the cost of the user in the next application period is estimated, and the first applicant scoring is obtained according to the cost of the user and the average value of all the cost of the user, wherein the next application period can refer to the next year.
The average value of all the user costs of the next guarantee period may be obtained according to the average value of all the user costs in each guarantee period, that is, the average value of all the user costs in each guarantee period is obtained in advance, and then the average value of the growth rate is calculated according to the average values, so that the average value of all the user costs of the next guarantee period is calculated according to the average value of the growth rate and the average value of all the user costs of the current guarantee period corresponding to the applicant, for example, the average value of all the user costs of the next year is calculated.
S210: and acquiring a first underwriting condition corresponding to the first applicant score, and transmitting the acquired first underwriting condition to the user terminal.
Specifically, after the first applicant score is obtained through calculation of the applicant score model, the first applicant score can be calculated according to the corresponding relation between the preset applicant score and the underwriting condition, the first underwriting condition can be the applicant underwriting cost and the like, and after the first underwriting condition is obtained, the first underwriting condition is fed back to the user terminal by the underwriting terminal, so that the user terminal can display the underwriting condition for the user to view, and the application can be promoted as soon as possible.
Wherein the corresponding relation between the preset applicant score and the underwriting condition can be stored in a form of a table, the applicant score segments are set, therefore, only if the first applicant score is judged to be located in a preset applicant score segment, the corresponding underwriting condition of the segment is directly obtained as the corresponding first underwriting condition.
According to the method for underwriting, after the underwriting request sent by the user terminal is received, the first medical insurance record corresponding to the underwriting request can be obtained, so that the corresponding field can be extracted from the first medical insurance record, the corresponding field is input into the underwriting person scoring model, the first underwriting person score can be obtained, the corresponding first underwriting condition can be obtained according to the first underwriting person score, and the user questionnaire is not relied on any more, so that the underwriting condition is more accurate.
In one embodiment, the extracted field is marked, that is, the step S208 may include: matching the extracted disease field with a first standard field in a standard disease grouping library to obtain a corresponding first grouping of the disease field, and matching the extracted medication field with a second standard field in a standard medicine grouping library to obtain a corresponding second grouping of the medication field; the disease field is marked by the first packet obtained by matching, and the medication field is marked by the second packet obtained by matching.
Specifically, the extracted fields include a disease field and a medication field, wherein the disease field refers to a field that indicates a disease name in the first medical record, and the medication field refers to a field that indicates a medication name in the first medical record. The standard disease grouping library is a disease library containing all standard disease names generated according to international disease classification (International Classification of Diseases, ICD), and the standard drug grouping library is a drug library containing all drug names produced according to national authoritative drug classification library.
The method comprises the steps that a nuclear insurance terminal matches a disease field extracted from a first medical insurance record with a first standard field in a standard disease grouping library to obtain a first grouping corresponding to the disease field, matches a medication field extracted from the first medical insurance record with a second standard field in the standard medicine grouping library to obtain a second grouping corresponding to the medication field, and marks the disease field and the medication field through the first grouping and the second grouping respectively. The applicant scoring model may thus derive weights and field scores corresponding to the disease field and the medication field from the first and second groupings.
Alternatively, the matching of the disease field in the extracted first medical record with the standard disease grouping library and the matching of the medication field in the extracted first medical record with the standard drug grouping library may be performed in a fuzzy matching manner. And when the matching is unsuccessful, manual intervention can be introduced, and a mapping library is generated according to the result of the manual intervention. Therefore, when the next matching is unsuccessful, the matching can be performed in the mapping library, and when the matching of the mapping library fails, the manual intervention is introduced, so that the matching efficiency is improved.
In the above embodiment, since there may be an irregular description of the fields in the medical record, and in order to adapt to the input of the model, the extracted fields may be first marked, so that the corresponding first applicant score may be calculated according to the marked standard groups, i.e., the first group and the second group, thereby improving the calculation efficiency and accuracy.
In one embodiment, referring to fig. 3, fig. 3 is a flowchart illustrating a renewing step in one embodiment, the renewing step may include:
s302: and acquiring the insuring ending time of the applicant, and sending a insuring delay notice to the user terminal when the difference value between the insuring ending time and the current time is smaller than a first preset value.
Specifically, the end time of the application refers to the expiration time of the last application period of the application by the applicant, for example, the last application period is 1 year, and the end time of the application is the time point obtained by adding the last application effective day to the time of one year, namely, the end time of the application by the applicant. The first preset value is a threshold automatically set by the insurer, which is typically 1 week or one month, etc., and the insurer can automatically adjust the threshold according to the actual underwriting time.
In practical application, when the difference between the end time of the application and the system time of the current underwriting terminal is smaller than a first preset value, the underwriting terminal can send an underwriting notification to the user. The warranty notification is generated by the warranty terminal and comprises a notice of the warranty ending time, and is used for notifying the applicant that the warranty period of the current warranty will expire and determining whether the applicant needs to renew or not according to the reply of the applicant.
S304: and receiving an insurance request corresponding to the insurance notification returned by the user terminal, wherein the insurance request carries the insurance applicant identifier.
Specifically, the warranty request is a request generated by the user terminal and used for confirming that warranty is needed, the warranty request carries an applicant identifier, and specific limitation of the applicant identifier can be seen from the above and is not repeated here.
In practical application, after the user terminal receives the warranty notification, the user terminal displays the warranty notification so as to be convenient for the applicant to check, for example, the user terminal can be firstly displayed in a prompt box in a thumbnail display mode, for example, only the 'insurance name + warranty notification' is displayed, and when the applicant opens the prompt box, the applicant is shown to check the warranty notification, and the warranty request of the applicant is received or the warranty request is refused; when judging that the applicant does not open the prompt box for viewing, but directly ignores the content in the prompt box, the content of the prompt box is sent again, so that the omission of the delay notification caused by misoperation of the user can be prevented. When the content applicant of the prompt box sent again does not look over, the applicant is marked with a delay for the reservation first until the applicant does not perform the renewing operation until the current guarantee period expires, and the insurance period is considered to be ended.
S306: and acquiring a second medical insurance record of the insurance applying period of the insurance applying person from the medical insurance server according to the insurance applying person identification.
Specifically, the core protection terminal may acquire a second medical protection record of the applicant during the application period from the medical protection server according to the applicant identifier, for example, after receiving the application request, the core protection terminal sends the applicant identifier to the medical protection server, so that the medical protection server may select a corresponding second medical protection record according to the applicant identifier and the application period, and then return the second medical protection record to the core protection terminal.
S308: and obtaining a second applicant score according to the second medical insurance record.
Specifically, the underwriting terminal firstly extracts fields to be input into the applicant scoring model from the second medical insurance record, then marks the extracted fields, and inputs the marked fields into the applicant scoring model to obtain a second applicant score.
In practical application, the fields to be input to the applicant scoring model are fields selected to be input to the applicant scoring model when the applicant scoring model is generated, and the fields to be input to the applicant scoring model at least comprise a name field, a gender field, an age field, a disease field and a medication field. The fields of the tag include at least a name field, a gender field, an age field, a disease field, and a medication field. The applicant scoring model is a model which is obtained through pre-training and can quantify medical insurance records of the applicant, and the specific generation process can be seen below.
After the second medical insurance record is obtained, the underwriting terminal can select a corresponding field from the second medical insurance record according to a preset field to be input into the grading model of the applicant. Optionally, the corresponding field may be selected by fuzzy matching, for example, the field in the second medical insurance record may be fuzzy matched with the field to be input to the applicant scoring model, and only the successfully matched field may be extracted.
After extracting the fields, the verification terminal marks the extracted fields to obtain variables, so that the marked fields, namely corresponding variables, are input into an applicant scoring model to obtain corresponding second applicant scoring, specifically, the weight and the field score corresponding to the marked fields are firstly obtained in the applicant scoring model, namely, the corresponding weight and the field score are obtained according to the marks of the marked fields, the cost of the user is obtained by weighting according to the field score and the weight, the average value of all the costs of the user in the next application period is estimated, and the second applicant scoring is obtained according to the average value of the costs of the user and the costs of all the users, wherein the next application period can refer to the next year.
The average value of all the user costs of the next guarantee period may be obtained according to the average value of all the user costs in each guarantee period, that is, the average value of all the user costs in each guarantee period is obtained in advance, and then the average value of the growth rate is calculated according to the average values, so that the average value of all the user costs of the next guarantee period is calculated according to the average value of the growth rate and the average value of all the user costs of the current guarantee period corresponding to the applicant, for example, the average value of all the user costs of the next year is calculated.
S310: and acquiring a second underwriting condition corresponding to the second applicant score, and transmitting the acquired second underwriting condition to the user terminal.
Specifically, after the second applicant score is obtained through calculation of the applicant score model, the second applicant score can be obtained through calculation according to the corresponding relation between the preset applicant score and the underwriting condition, the second underwriting condition can be the applicant underwriting cost and the like, and after the second underwriting condition is obtained, the second underwriting condition is fed back to the user terminal by the aid of the underwriting terminal, so that the user terminal can display the underwriting condition for a user to check, and the application can be promoted as soon as possible.
In the above embodiment, when the difference between the end time of the application and the current time is smaller than the first preset value, the user is prompted to conduct delay, so that the user can confirm the delay, the user does not need to input any information again, the underwriting terminal can directly acquire the corresponding second medical insurance record from the medical insurance server, so that the corresponding field can be extracted from the second medical insurance record, the corresponding field is input into the applicant scoring model, the second applicant score can be obtained, the corresponding second underwriting condition can be obtained according to the second applicant score, and the user questionnaire is not relied on any more, so that the underwriting condition is more accurate.
In one embodiment, referring to fig. 4, fig. 4 is a flowchart illustrating a method for generating an applicant scoring model in an embodiment, where the method for generating an applicant scoring model may include:
s402: training data is obtained, the training data including a third medical insurance record of the first historical year and costs of the second historical year.
Specifically, the training data refers to data of histories about medical records, including third medical records of a first historic year and costs of a second historic year, wherein the second historic year may be a year subsequent to the first historic year, wherein the third medical records of a user of the first historic year correspond to costs of the user of the second historic year. For convenience, the training data herein is described in terms of the last year's medical record and the last year's medical costs for each user.
S404: and marking a training field in the third medical insurance record to obtain a training variable value.
Specifically, the training field in the third medical insurance record is marked to obtain a training variable value, and the training field in the third medical insurance record is classified to obtain the training variable value. The training fields may include a name field, a gender field, an age field, a disease field, and a medication field.
The step of marking the training fields to obtain training variable values may be to match a disease field with a first standard field in a standard disease packet library to obtain a corresponding third packet of the disease field, and match the extracted medication field with a second standard field in a standard drug packet library to obtain a corresponding fourth packet of the medication field; and marking the disease field through the third group obtained by matching to obtain a disease training variable value, and marking the medication field through the fourth group obtained by matching to obtain a medication training variable value. The marks of age, gender and the like can be classified according to preset classification logic to obtain corresponding variable values.
S406: and obtaining an initial weight corresponding to the training variable value, and calculating according to the initial weight and the training variable value to obtain a comprehensive evaluation value.
Specifically, the initial weight is randomly configured in advance, and the weight may be any number from 0 to 1. Each training variable value corresponds to an initial weight value, and a comprehensive evaluation value can be obtained according to the initial weight value and the training variable value, for example, the comprehensive evaluation value is a weighted average value obtained according to each training variable value and the corresponding initial weight value.
S408: and establishing a linear relation between the comprehensive evaluation value and the cost of the second historical year by adjusting the initial weight.
Specifically, the obtained comprehensive evaluation value and the cost of the second historical year are plotted on a coordinate axis to obtain a scatter diagram corresponding to the cost-comprehensive evaluation value, and the cost-comprehensive evaluation value of the initial weight is adjusted to form a linear relationship, namely, a linear regression model is established.
S410: and generating a scoring model of the applicant according to the adjusted initial weight.
Specifically, a scoring model of the applicant is generated according to the adjusted initial weight, that is, the adjusted initial weight is obtained according to the constructed thread regression model, a linear relationship between the comprehensive evaluation value and the cost of the second historical year is established according to the adjusted initial weight, for example, y=ax+bz+cm+dn, where a, b, c, d is a coefficient, x, z, m, n is a training variable, where the training variable is only shown with 4 variables in the model, but it can be known from the above description that the training variables in the model are not limited to 4.
Optionally, after obtaining the thread regression model, the adjusted initial weight may be normalized, that is, the target weight may be obtained by dividing the adjusted initial weight by the ratio of the average value of the annual spending and the average value of the previous annual spending. And replacing the adjusted initial weight in the established model by the target weight to obtain a final model.
In the above embodiment, the obtained training data includes the third medical insurance record of the first historical year and the cost of the second historical year, the training variable value is obtained according to the training data, and the corresponding comprehensive evaluation value is obtained according to the training variable value and the initial weight value, and the linear relationship between the comprehensive evaluation value and the cost of the second historical year is established by adjusting the initial weight value, so that the applicant scoring model is established and related to the medical records, and the verification is performed through the applicant scoring model, so that the accuracy of the verification can be improved.
In one embodiment, before marking the training field in the third medical insurance record to obtain the training variable value, that is, before step S404, the method may further include: selecting a fourth medical insurance record with different initial fields from the third medical insurance record; calculating a significance level of the initial field based on the fourth medical insurance record and the corresponding cost of the second historical year; when the significance level is less than the second preset value, the initial field is marked as a training field.
Specifically, the initial field refers to a field to be judged whether or not it is a training field, and the training field refers to a field for training a model, which is the same as the above field to be input to the applicant scoring model. The second preset value is a threshold value for determining whether the initial field is a significant field, which may typically take a value of 0.05.
For example, when it is required to determine whether the medication field is a training field, a fourth medical record having only a medication field different is selected first, then the saliency level of the initial field is calculated according to the fourth medical record and the corresponding cost of the second historical year, then the relation between the saliency level and the second preset value is determined, and when the saliency level is lower than the second preset value, the initial field is marked as the training field, namely, marked as the saliency field. In this way, all fields in the medical insurance record are judged to obtain the training field.
In the above embodiment, by calculating the significance level of the initial field according to the fourth medical insurance record and the corresponding cost of the second historical year, deleting the field with low significance level, the calculation amount of the model can be reduced, and the initial weights corresponding to the age field, the gender field, the disease field and the medication field are configured to be comprehensively evaluated, and only the initial weights of significant variables are configured, but non-significant variables are directly deleted, so that the processing amount of data is reduced.
In one embodiment, calculating the significance level of the initial field from the fourth medical insurance record and the corresponding costs of the second historical year may include: calculating to obtain t test statistics according to the fourth medical insurance record and the corresponding cost of the second historical year; and inquiring from the t-bounded value table according to the statistic to obtain the significance level corresponding to the initial field.
Specifically, a fourth medical insurance record with only different initial fields is selected from the third medical insurance record, and then a t test statistic of the costs of the initial fields and the second historical year is calculated according to the selected fourth medical insurance record, wherein the specific formula is as follows:
wherein the degree of freedom v=n-1,
is the average value of the costs of the second historical year corresponding to the fourth medical insurance record, mu 0 The average value of the costs of the second historical year (i.e. the average value corresponding to all the histories) is known, S is the standard deviation of the costs of the second historical year corresponding to the selected fourth medical insurance record, n is the number of the selected fourth medical insurance records, wherein the significance level is selected to be 0.05, the t value is calculated according to the formula, then the p value is obtained by searching a t boundary value table shown in the following table according to the calculated t value, namely the significance level value, when the p value is smaller than 0.05, the initial field is represented as a significant variable, and otherwise, the initial field is a non-significant variable.
TABLE 1t boundary value table
In the above embodiment, the significance level of the initial field is determined by t-test, so that the result is more accurate.
It should be understood that, although the steps in the flowcharts of fig. 2-4 are shown in order as indicated by the arrows, these steps are not necessarily performed in order as indicated by the arrows. The steps are not strictly limited to the order of execution unless explicitly recited herein, and the steps may be executed in other orders. Moreover, at least some of the steps in fig. 2-4 may include multiple sub-steps or stages that are not necessarily performed at the same time, but may be performed at different times, nor do the order in which the sub-steps or stages are performed necessarily occur sequentially, but may be performed alternately or alternately with at least a portion of the sub-steps or stages of other steps or steps.
In one embodiment, as shown in fig. 5, there is provided a underwriting apparatus comprising: a first receiving module 100, a first obtaining module 200, an extracting module 300, a model calculating module 400 and a first transmitting module 500, wherein:
the first receiving module 100 is configured to receive a warranty request sent by a user terminal, where the warranty request carries an applicant identifier.
The first obtaining module 200 is configured to obtain, according to the applicant identifier, a corresponding first medical insurance record from the medical insurance server.
The extraction module 300 is configured to extract, from the first medical insurance record, a field to be input into the applicant scoring model.
The model calculation module 400 is configured to mark the extracted field, and input the marked field into the applicant scoring model to obtain a first applicant score.
The first sending module 500 is configured to obtain a first underwriting condition corresponding to the first applicant score, and send the obtained first underwriting condition to the user terminal.
In one embodiment, the fields of the tag include at least a name field, a gender field, an age field, a disease field, and a medication field.
In one embodiment, the model calculation module 400 may include:
the matching unit is used for matching the extracted disease field with a first standard field in the standard disease grouping library to obtain a corresponding first grouping of the disease field, and matching the extracted medication field with a second standard field in the standard medicine grouping library to obtain a corresponding second grouping of the medication field.
And the marking unit is used for marking the disease field through the first packet obtained by matching and marking the medication field through the second packet obtained by matching.
In one embodiment, the apparatus may further include:
the second sending module is used for obtaining the application end time of the applicant, and sending a delay notice to the user terminal when the difference value between the application end time and the current time is smaller than a first preset value.
And the second receiving module is used for receiving an insurance request corresponding to the insurance notification returned by the user terminal, wherein the insurance request carries the insurance applicant identifier.
And the second acquisition module is used for acquiring a second medical insurance record of the insurance applying period of the insurance applying person from the medical insurance server according to the insurance applying person identification.
And the score acquisition module is used for obtaining the score of the second applicant according to the second medical insurance record.
And the third sending module is used for acquiring the second underwriting condition corresponding to the second applicant score and sending the acquired second underwriting condition to the user terminal.
In one embodiment, the apparatus may further include:
and the third acquisition module is used for acquiring training data, wherein the training data comprises a third medical insurance record of the first historical year and the cost of the second historical year.
And the first marking module is used for marking the training field in the third medical insurance record to obtain a training variable value.
And the comprehensive evaluation value calculation module is used for acquiring the initial weight corresponding to the training variable value and calculating to obtain the comprehensive evaluation value according to the initial weight and the training variable value.
And the establishing module is used for establishing the linear relation between the comprehensive evaluation value and the cost of the second historical year by adjusting the initial weight.
And the model generation module is used for generating a scoring model of the applicant according to the adjusted initial weight.
In one embodiment, the apparatus may further include:
and the selecting module is used for selecting a fourth medical insurance record with different initial fields from the third medical insurance record.
And the significance level calculating module is used for calculating the significance level of the initial field according to the fourth medical insurance record and the corresponding cost of the second historical year.
And the second marking module is used for marking the initial field as a training field when the significance level is smaller than a second preset value.
In one embodiment, the significance level calculation module may comprise:
and the statistic calculation unit is used for calculating t-test statistic according to the fourth medical insurance record and the corresponding cost of the second historical year.
And the searching unit is used for inquiring the significance level corresponding to the initial field from the t-bounded value table according to the statistic.
For specific limitations of the underwriting apparatus, reference is made to the above limitations of the underwriting method, and no further description is given here. The modules in the above-described underwriting apparatus may be implemented in whole or in part by software, hardware, or a combination thereof. The above modules may be embedded in hardware or may be independent of a processor in the computer device, or may be stored in software in a memory in the computer device, so that the processor may call and execute operations corresponding to the above modules.
In one embodiment, a computer device is provided, which may be a terminal, and the internal structure of which may be as shown in fig. 6. The computer device includes a processor, a memory, a network interface, a display screen, and an input device connected by a system bus. Wherein the processor of the computer device is configured to provide computing and control capabilities. The memory of the computer device includes a non-volatile storage medium and an internal memory. The non-volatile storage medium stores an operating system and a computer program. The internal memory provides an environment for the operation of the operating system and computer programs in the non-volatile storage media. The network interface of the computer device is used for communicating with an external terminal through a network connection. The computer program is executed by a processor to implement a method of underwriting. The display screen of the computer equipment can be a liquid crystal display screen or an electronic ink display screen, and the input device of the computer equipment can be a touch layer covered on the display screen, can also be keys, a track ball or a touch pad arranged on the shell of the computer equipment, and can also be an external keyboard, a touch pad or a mouse and the like.
It will be appreciated by those skilled in the art that the structure shown in fig. 6 is merely a block diagram of some of the structures associated with the present application and is not limiting of the computer device to which the present application may be applied, and that a particular computer device may include more or fewer components than shown, or may combine certain components, or have a different arrangement of components.
In one embodiment, a computer device is provided comprising a memory storing a computer program and a processor that when executing the computer program performs the steps of: receiving a verification request sent by a user terminal, wherein the verification request carries an applicant identifier; acquiring a corresponding first medical insurance record from a medical insurance server according to the identifier of the applicant; extracting a field to be input into a scoring model of an applicant from a first medical insurance record; marking the extracted fields, and inputting the marked fields into a scoring model of the applicant to obtain a first applicant score; and acquiring a first underwriting condition corresponding to the first applicant score, and transmitting the acquired first underwriting condition to the user terminal.
In one embodiment, the fields of the tag that are involved in the execution of the computer program by the processor include at least a name field, a gender field, an age field, a disease field, and a medication field.
In one embodiment, marking the extracted fields implemented when the processor executes the computer program may include: matching the extracted disease field with a first standard field in a standard disease grouping library to obtain a corresponding first grouping of the disease field, and matching the extracted medication field with a second standard field in a standard medicine grouping library to obtain a corresponding second grouping of the medication field; the disease field is marked by the first packet obtained by matching, and the medication field is marked by the second packet obtained by matching.
In one embodiment, the processor when executing the computer program further performs the steps of: acquiring the insuring ending time of the insuring person, and sending a insuring delay notice to the user terminal when the difference value between the insuring ending time and the current time is smaller than a first preset value; receiving an insurance request corresponding to the insurance notification returned by the user terminal, wherein the insurance request carries an applicant identifier; acquiring a second medical insurance record of the insurance period of the applicant from the medical insurance server according to the insurance applicant identifier; obtaining a second applicant score according to the second medical insurance record; and acquiring a second underwriting condition corresponding to the second applicant score, and transmitting the acquired second underwriting condition to the user terminal.
In one embodiment, the manner in which the applicant scoring model is generated as it relates to the execution of the computer program by the processor comprises: acquiring training data, wherein the training data comprises a third medical insurance record of the first historical year and costs of the second historical year; marking a training field in the third medical insurance record to obtain a training variable value; acquiring an initial weight corresponding to the training variable value, and calculating according to the initial weight and the training variable value to obtain a comprehensive evaluation value; establishing a linear relation between the comprehensive evaluation value and the cost of the second historical year by adjusting the initial weight; and generating a scoring model of the applicant according to the adjusted initial weight.
In one embodiment, before marking the training field in the third medical insurance record to obtain the training variable value, the processor when executing the computer program may further include: selecting a fourth medical insurance record with different initial fields from the third medical insurance record; calculating a significance level of the initial field based on the fourth medical insurance record and the corresponding cost of the second historical year; when the significance level is less than the second preset value, the initial field is marked as a training field.
In one embodiment, calculating the significance level of the initial field from the fourth medical insurance record and the corresponding costs of the second historical year, as implemented when the processor executes the computer program, may include: calculating to obtain t test statistics according to the fourth medical insurance record and the corresponding cost of the second historical year; and inquiring from the t-bounded value table according to the statistic to obtain the significance level corresponding to the initial field.
In one embodiment, a computer readable storage medium is provided having a computer program stored thereon, which when executed by a processor, performs the steps of: receiving a verification request sent by a user terminal, wherein the verification request carries an applicant identifier; acquiring a corresponding first medical insurance record from a medical insurance server according to the identifier of the applicant; extracting a field to be input into a scoring model of an applicant from a first medical insurance record; marking the extracted fields, and inputting the marked fields into a scoring model of the applicant to obtain a first applicant score; and acquiring a first underwriting condition corresponding to the first applicant score, and transmitting the acquired first underwriting condition to the user terminal.
In one embodiment, the fields of the tag that are involved when the computer program is executed by the processor include at least a name field, a gender field, an age field, a disease field, and a medication field.
In one embodiment, the tagging of the extracted fields, which is implemented when the computer program is executed by a processor, may comprise: matching the extracted disease field with a first standard field in a standard disease grouping library to obtain a corresponding first grouping of the disease field, and matching the extracted medication field with a second standard field in a standard medicine grouping library to obtain a corresponding second grouping of the medication field; the disease field is marked by the first packet obtained by matching, and the medication field is marked by the second packet obtained by matching.
In one embodiment, the computer program when executed by the processor further performs the steps of: acquiring the insuring ending time of the insuring person, and sending a insuring delay notice to the user terminal when the difference value between the insuring ending time and the current time is smaller than a first preset value; receiving an insurance request corresponding to the insurance notification returned by the user terminal, wherein the insurance request carries an applicant identifier; acquiring a second medical insurance record of the insurance period of the applicant from the medical insurance server according to the insurance applicant identifier; obtaining a second applicant score according to the second medical insurance record; and acquiring a second underwriting condition corresponding to the second applicant score, and transmitting the acquired second underwriting condition to the user terminal.
In one embodiment, the manner in which the applicant scoring model is generated as it relates to when the computer program is executed by the processor comprises: acquiring training data, wherein the training data comprises a third medical insurance record of the first historical year and costs of the second historical year; marking a training field in the third medical insurance record to obtain a training variable value; acquiring an initial weight corresponding to the training variable value, and calculating according to the initial weight and the training variable value to obtain a comprehensive evaluation value; establishing a linear relation between the comprehensive evaluation value and the cost of the second historical year by adjusting the initial weight; and generating a scoring model of the applicant according to the adjusted initial weight.
In one embodiment, before marking the training field in the third medical insurance record to obtain the training variable value, the implementation of the computer program when executed by the processor may further include: selecting a fourth medical insurance record with different initial fields from the third medical insurance record; calculating a significance level of the initial field based on the fourth medical insurance record and the corresponding cost of the second historical year; when the significance level is less than the second preset value, the initial field is marked as a training field.
In one embodiment, computing the significance level of the initial field based on the fourth medical insurance record and the corresponding costs of the second historical year, as implemented when the computer program is executed by the processor, may include: calculating to obtain t test statistics according to the fourth medical insurance record and the corresponding cost of the second historical year; and inquiring from the t-bounded value table according to the statistic to obtain the significance level corresponding to the initial field.
Those skilled in the art will appreciate that implementing all or part of the above described methods may be accomplished by way of a computer program stored on a non-transitory computer readable storage medium, which when executed, may comprise the steps of the embodiments of the methods described above. Any reference to memory, storage, database, or other medium used in the various embodiments provided herein may include non-volatile and/or volatile memory. The nonvolatile memory can include Read Only Memory (ROM), programmable ROM (PROM), electrically Programmable ROM (EPROM), electrically Erasable Programmable ROM (EEPROM), or flash memory. Volatile memory can include Random Access Memory (RAM) or external cache memory. By way of illustration and not limitation, RAM is available in a variety of forms such as Static RAM (SRAM), dynamic RAM (DRAM), synchronous DRAM (SDRAM), double Data Rate SDRAM (DDRSDRAM), enhanced SDRAM (ESDRAM), synchronous Link DRAM (SLDRAM), memory bus direct RAM (RDRAM), direct memory bus dynamic RAM (DRDRAM), and memory bus dynamic RAM (RDRAM), among others.
The technical features of the above embodiments may be arbitrarily combined, and all possible combinations of the technical features in the above embodiments are not described for brevity of description, however, as long as there is no contradiction between the combinations of the technical features, they should be considered as the scope of the description.
The above examples merely represent a few embodiments of the present application, which are described in more detail and are not to be construed as limiting the scope of the invention. It should be noted that it would be apparent to those skilled in the art that various modifications and improvements could be made without departing from the spirit of the present application, which would be within the scope of the present application. Accordingly, the scope of protection of the present application is to be determined by the claims appended hereto.
Claims (10)
1. A method of underwriting, the method comprising:
receiving a nuclear protection request sent by a user terminal, wherein the nuclear protection request carries an applicant identifier;
acquiring a corresponding first medical insurance record from a medical insurance server according to the applicant identifier;
extracting a field to be input into an applicant scoring model from the first medical insurance record;
marking the extracted fields, and inputting the marked fields into the applicant scoring model to obtain a first applicant score;
Acquiring a first underwriting condition corresponding to the first applicant score, and transmitting the acquired first underwriting condition to the user terminal;
the generation mode of the scoring model of the applicant comprises the following steps:
acquiring training data, wherein the training data comprises a third medical insurance record of the first historical year and costs of the second historical year;
marking a training field in the third medical insurance record to obtain a training variable value;
acquiring an initial weight corresponding to the training variable value, and calculating according to the initial weight and the training variable value to obtain a comprehensive evaluation value;
establishing a linear relationship between the comprehensive evaluation value and the cost of the second historical year by adjusting the initial weight;
and generating the applicant scoring model according to the adjusted initial weight.
2. The method of claim 1, wherein the fields of the tag include at least a name field, a gender field, an age field, a disease field, and a medication field.
3. The method of claim 2, wherein the tagging the extracted field comprises:
matching the extracted disease field with a first standard field in a standard disease grouping library to obtain a corresponding first group of the disease field, and matching the extracted medication field with a second standard field in a standard medicine grouping library to obtain a corresponding second group of the medication field;
And marking the disease field through the first packet obtained through matching, and marking the medication field through the second packet obtained through matching.
4. The method according to claim 2, wherein the method further comprises:
acquiring the insuring ending time of an applicant, and sending a insuring delay notice to a user terminal when the difference value between the insuring ending time and the current time is smaller than a first preset value;
receiving an insurance request corresponding to the insurance notification returned by the user terminal, wherein the insurance request carries an insurance applicant identifier;
acquiring a second medical insurance record of the insurance period of the applicant from a medical insurance server according to the insurance applicant identifier;
obtaining a second applicant score according to the second medical insurance record;
and acquiring a second underwriting condition corresponding to the second applicant score, and transmitting the acquired second underwriting condition to the user terminal.
5. The method of claim 1, wherein before marking the training field in the third medical insurance record to obtain the training variable value, further comprising:
selecting a fourth medical insurance record with only different initial fields from the third medical insurance record;
Calculating a significance level for the initial field based on the fourth medical insurance record and the corresponding cost of the second historical year;
when the significance level is less than a second preset value, the initial field is marked as a training field.
6. The method of claim 5, wherein said calculating a significance level of said initial field from said fourth medical insurance record and corresponding costs of said second historical year comprises:
calculating to obtain t-test statistics according to the fourth medical insurance record and the corresponding cost of the second historical year;
and inquiring from a t-bounded value table according to the statistic to obtain the significance level corresponding to the initial field.
7. A underwriting apparatus, the apparatus comprising:
the first receiving module is used for receiving a nuclear protection request sent by the user terminal, wherein the nuclear protection request carries an applicant identifier;
the first acquisition module is used for acquiring a corresponding first medical insurance record from the medical insurance server according to the applicant identifier;
the extraction module is used for extracting fields to be input into the applicant scoring model from the first medical insurance record;
the model calculation module is used for marking the extracted fields and inputting the marked fields into the applicant scoring model to obtain a first applicant score;
The first sending module is used for obtaining a first underwriting condition corresponding to the first applicant score and sending the obtained first underwriting condition to the user terminal;
wherein, the generating device of the applicant scoring model comprises:
a third acquisition module for acquiring training data including a third medical insurance record of the first historical year and a cost of the second historical year;
the first marking module is used for marking the training field in the third medical insurance record to obtain a training variable value;
the comprehensive evaluation value calculation module is used for obtaining an initial weight corresponding to the training variable value and calculating to obtain a comprehensive evaluation value according to the initial weight and the training variable value;
the establishing module is used for establishing a linear relation between the comprehensive evaluation value and the cost of the second historical year by adjusting the initial weight;
and the model generation module is used for generating the applicant scoring model according to the adjusted initial weight.
8. The apparatus of claim 7, wherein the model calculation module comprises:
the matching unit is used for matching the extracted disease field with a first standard field in a standard disease grouping library to obtain a corresponding first grouping of the disease field, and matching the extracted medication field with a second standard field in a standard medicine grouping library to obtain a corresponding second grouping of the medication field;
The marking unit is used for marking the disease field through the first packet obtained by matching, and marking the medication field through the second packet obtained by matching.
9. A computer device comprising a memory and a processor, the memory storing a computer program, characterized in that the processor implements the steps of the method of any of claims 1 to 6 when the computer program is executed.
10. A computer readable storage medium, on which a computer program is stored, characterized in that the computer program, when being executed by a processor, implements the steps of the method of any of claims 1 to 6.
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| 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 |
| CN111709327B (en) * | 2020-05-29 | 2023-06-27 | 中国人民财产保险股份有限公司 | Fuzzy matching method and device based on OCR (optical character recognition) |
| CN112381655A (en) * | 2020-11-06 | 2021-02-19 | 中国人寿保险股份有限公司 | Method and device for detecting inverse selection application |
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