CN109559821A - Rheumatic heart valve disease authentication method and relevant device based on data processing - Google Patents

Rheumatic heart valve disease authentication method and relevant device based on data processing Download PDF

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Publication number
CN109559821A
CN109559821A CN201811266166.2A CN201811266166A CN109559821A CN 109559821 A CN109559821 A CN 109559821A CN 201811266166 A CN201811266166 A CN 201811266166A CN 109559821 A CN109559821 A CN 109559821A
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China
Prior art keywords
disease
heart valve
rheumatic heart
authentication
valve disease
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CN201811266166.2A
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Chinese (zh)
Inventor
王以泉
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Ping An Medical and Healthcare Management Co Ltd
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Ping An Medical and Healthcare Management Co Ltd
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Priority to CN201811266166.2A priority Critical patent/CN109559821A/en
Publication of CN109559821A publication Critical patent/CN109559821A/en
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    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00Administration; Management
    • G06Q10/10Office automation; Time management
    • G06Q10/103Workflow collaboration or project management
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION 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
    • G06Q40/00Finance; Insurance; Tax strategies; Processing of corporate or income taxes
    • G06Q40/08Insurance
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00ICT specially adapted for the handling or processing of medical images
    • G16H30/20ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

The embodiment of the invention discloses a kind of rheumatic heart valve disease authentication method and relevant device based on data processing, the described method includes: receiving the certification request that insured user is directed to rheumatic heart valve disease, the authentication data of insured user's needle rheumatic heart valve disease is carried in the certification request.Further, server can detecte authentication data authentication item whether corresponding with default rheumatic heart valve disease certification rule and match, and matched authentication item is determined as target authentication project, and then count the quantity of target authentication project, if the quantity that statistics obtains target authentication project is greater than preset quantity threshold value, then determination passes through the certification of the rheumatic heart valve disease of insured user, and the reimbursement instruction of rheumatic heart valve disease is sent to the third-party platform that communication connection has been established.Using the present invention, be conducive to the authentication efficiency for improving rheumatic heart valve disease.

Description

Rheumatic heart valve disease authentication method and relevant device based on data processing
Technical field
The present invention relates to field of computer technology more particularly to a kind of rheumatic heart valve disease based on data processing to recognize Card method and relevant device.
Background technique
Currently, generally using mutual authentication when the rheumatic heart valve disease to insured people carries out qualification certification, manually The mode of certification is relatively complicated.For social insurance work personnel, the mode of mutual authentication can increase the work load of itself and And efficiency is lower.For insured people, the mode of mutual authentication generally requires insured people and the long period is waited to handle the rheumatism Property valvulopathy authentication credential.
Summary of the invention
The rheumatic heart valve disease authentication method and correlation that the embodiment of the invention provides a kind of based on data processing are set It is standby, the authentication efficiency of rheumatic heart valve disease can be improved.
In a first aspect, the embodiment of the invention provides a kind of rheumatic heart valve disease authenticating party based on data processing Method, this method are applied to server, this method comprises:
The certification request that insured user is directed to rheumatic heart valve disease is received, carries the ginseng in the certification request Warranty family is directed to the authentication data of the rheumatic heart valve disease;
Authentication data authentication item whether corresponding with default rheumatic heart valve disease certification rule is detected to match, And matched authentication item is determined as target authentication project, the default rheumatic heart valve disease certification rule is corresponding with one A or multiple authentication items;
The quantity of the target authentication project is counted, if the quantity that statistics obtains the target authentication project is greater than present count Measure threshold value, it is determined that pass through to the certification of the rheumatic heart valve disease of the insured user, and to communication link has been established The third-party platform connect sends the reimbursement instruction of the rheumatic heart valve disease, and the reimbursement instruction is used to indicate the third Fang Pingtai is that the cost of medical service of the rheumatic heart valve disease of the insured user is submitted an expense account.
In one embodiment, the certification request is that the insured user is flat by the third party that communication connection has been established What platform was sent, server determines the certification of the rheumatic heart valve disease of the insured user is passed through after, can be with In pre-set one or more of corresponding weighted index of authentication item, the target authentication item is determined The corresponding target weight index of mesh;Calculate the disease index that the user corresponds to rheumatic heart valve disease, the disease index For the sum of all target weight indexes determined;According to the disease index, determine that the insured user corresponds to wind The target disease grade of moist valvulopathy.In this case, described to be sent to the third-party platform that communication connection has been established The specific embodiment of the reimbursement instruction of the rheumatic heart valve disease are as follows: Xiang Suoshu third-party platform is sent and the target The reimbursement of disease ratings match instructs the goal gradient to be used to indicate the server and sends to the third-party platform and institute The reimbursement instruction of disease ratings match is stated, in order to which the third-party platform is according to the corresponding reimbursement ratio pair of the disease grade The cost of medical service of the rheumatic heart valve disease is submitted an expense account.
In one embodiment, the user information of the insured user is carried in the certification request, server determines After the insured user corresponds to the disease grade of rheumatic heart valve disease out, it can also generate and the disease ratings match Disease label, the disease label is for identifying the disease grade that the insured user corresponds to rheumatic heart valve disease;From The user information of the insured user is obtained in the certification request, and the disease label is deposited with the user information correlation Storage is into database.
In one embodiment, the user information of the insured user, server detection are carried in the certification request The authentication data whether with before the certification rule corresponding authentication item matching of default rheumatic heart valve disease, can also be from Obtain the user information of the insured user in the certification request, and according to the user information to the third that connection has been established Fang Pingtai obtains the history disease Claims Resolution record of the insured user, and the history disease Claims Resolution record indicates the insured use The type of family history Claims Resolution disease;Whether the type for detecting the type of the insured user's history Claims Resolution disease is less than default type Threshold value;If the type of the type of the insured user's history Claims Resolution disease is less than the default type threshold value, the inspection is triggered The step of whether authentication data authenticates regular corresponding authentication item matching with default rheumatic heart valve disease surveyed.
In one embodiment, the certification request is that the insured user is flat by the third party that communication connection has been established What platform was sent, the information of the third-party platform is carried in the certification request, whether server detects the authentication data Before authentication item matching corresponding with default rheumatic heart valve disease certification rule, it can also be obtained from the certification request Take the information of the third-party platform, and according to the information of the third-party platform, detect the third-party platform whether in advance If third-party platform is identical;If it is detected that the third-party platform is identical as the default third-party platform, the inspection is triggered The step of whether authentication data authenticates regular corresponding authentication item matching with default rheumatic heart valve disease surveyed.
In one embodiment, the user information of the insured user, server detection are carried in the certification request Before authentication data authentication item matching whether corresponding with default rheumatic heart valve disease certification rule, it can also work as When receiving the certification request of the insured user for the rheumatic heart valve disease, obtained from the certification request The user information of the insured user is taken, and exports the first prompt information, first prompt information is described insured for prompting User inputs biological information;Receive the biological information of the insured user input, and from the preset data Obtained in library with the matched target biometric sample information of the user information, and by the target biometric sample information It is compared with the biological information;If comparison obtains the target biometric sample information and the biological characteristic is believed Breath matching then triggers detection authentication data certification whether corresponding with default rheumatic heart valve disease certification rule The step of project matches.
In one embodiment, after the quantity of target authentication project described in server statistics, if statistics obtains the mesh The quantity for marking authentication item is less than or equal to preset quantity threshold value, then exports the second prompt information, second prompt information For prompting insured user's input and the matched target disease detection data of the authentication item;Receive the target disease Detection data, and determined according to the target disease detection data to the rheumatic heart valve disease of the insured user Certification passes through.
Second aspect, the embodiment of the invention provides a kind of, and the rheumatic heart valve disease based on data processing authenticates dress It sets, being somebody's turn to do the rheumatic heart valve disease authentication device based on data processing includes the list for executing the method for above-mentioned first aspect Member.
The third aspect, the embodiment of the invention provides a kind of server, which includes processor, network interface and deposits Reservoir, the processor, network interface and memory are connected with each other, wherein control of the network interface by the processor For messaging, the memory is used to store the computer program for supporting server to execute the above method, the computer Program includes program instruction, and the processor is configured for calling described program instruction, the method for executing above-mentioned first aspect.
Fourth aspect, the embodiment of the invention provides a kind of computer readable storage medium, the computer-readable storage Media storage has computer program, and the computer program includes program instruction, and described program instructs when being executed by a processor The method for making the processor execute above-mentioned first aspect.
In the embodiment of the present invention, server can receive the certification request that insured user is directed to rheumatic heart valve disease, The authentication data of insured user's needle rheumatic heart valve disease is carried in the certification request.Further, server can be examined Survey whether authentication data matches with the corresponding authentication item of default rheumatic heart valve disease certification rule, and by matched certification Project is determined as target authentication project, and then counts the quantity of target authentication project, if statistics obtains the number of target authentication project Amount is greater than preset quantity threshold value, it is determined that passes through to the certification of the rheumatic heart valve disease of insured user, and logical to having been established The third-party platform of letter connection sends the reimbursement instruction of rheumatic heart valve disease, in order to which third-party platform refers to according to the reimbursement The cost of medical service of the rheumatic heart valve disease for insured user is enabled to submit an expense account.Using the present invention, be conducive to improve rheumatic The authentication efficiency of valvulopathy.
Detailed description of the invention
Technical solution in order to illustrate the embodiments of the present invention more clearly, below will be to needed in embodiment description Attached drawing is briefly described, it should be apparent that, drawings in the following description are some embodiments of the invention, general for this field For logical technical staff, without creative efforts, it is also possible to obtain other drawings based on these drawings.
Fig. 1 is that a kind of structure of rheumatic heart valve disease Verification System based on data processing of the embodiment of the present invention is shown It is intended to;
Fig. 2 is a kind of stream of rheumatic heart valve disease authentication method based on data processing provided in an embodiment of the present invention Journey schematic diagram;
Fig. 3 is another rheumatic heart valve disease authentication method based on data processing provided in an embodiment of the present invention Flow diagram;
Fig. 4 is a kind of showing for rheumatic heart valve disease authentication device based on data processing provided in an embodiment of the present invention Meaning property block diagram;
Fig. 5 is a kind of schematic block diagram of server provided in an embodiment of the present invention.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete Site preparation description, it is clear that described embodiments are some of the embodiments of the present invention, instead of all the embodiments.Based on this hair Embodiment in bright, every other implementation obtained by those of ordinary skill in the art without making creative efforts Example, shall fall within the protection scope of the present invention.
It referring to Figure 1, is that a kind of applicable rheumatic heart valve disease based on data processing of the embodiment of the present invention is recognized The structural schematic diagram of card system, the rheumatic heart valve disease Verification System can be used for whether having the rheumatic heart to insured user The qualification of dirty valvular heart disease is authenticated.As shown in Figure 1, the rheumatic heart valve disease Verification System may include 101 He of server Server 102.Wherein, which can be the corresponding server of rheumatic heart valve disease authentication platform, can be used for The related service of rheumatic heart valve disease certification is provided.The server 102 can be the corresponding server of medical insurance platform, can be with For providing the related service of medical insurance business, such as the reimbursement of rheumatic heart valve disease certification cost of medical service.Wherein, above-mentioned rheumatism Property valvulopathy authentication platform can provide interface for the medical insurance platform call namely server 101 and server 102 between Data interaction can be carried out in such a way that interface calls.
In one embodiment, insured user can submit rheumatic heart valve disease certification request by medical insurance platform, After medical insurance platform corresponding server 102 receives the rheumatic heart valve disease certification request of the insured user, tune can be passed through The certification request of the rheumatic heart valve disease rheumatic heart valve disease authentication platform is sent to corresponding interface to correspond to Server 101.Further, server 101 receives the insured user of the transmission of server 102 for rheumatic heart valve After the certification request of disease, it can detecte whether the authentication data carried in certification request authenticates with default rheumatic heart valve disease The corresponding authentication item matching of rule, and matched authentication item is determined as target authentication project.Further, server 101 can count the quantity of target authentication project, if the quantity that statistics obtains target authentication project is greater than preset quantity threshold value, Determination passes through the certification of the rheumatic heart valve disease of insured user, and sends wind to the corresponding server 102 of medical insurance platform The reimbursement of moist valvulopathy instructs, in order to which medical insurance platform is the rheumatic heart valve of insured user according to reimbursement instruction The cost of medical service of film disease is submitted an expense account.
Referring to fig. 2, Fig. 2 is a kind of rheumatic heart valve disease certification based on data processing provided in an embodiment of the present invention The flow diagram of method, this method are applied to server, as shown, should the rheumatic heart valve disease based on data processing Authentication method can include:
201, server receives the certification request that insured user is directed to rheumatic heart valve disease, carries in the certification request There is insured user to be directed to the authentication data of rheumatic heart valve disease.
Wherein, above-mentioned server can be the corresponding server of rheumatic heart valve disease authentication platform, the server with Third platform is previously created communication connection, which may be, for example, medical insurance platform.In one embodiment, when insured User carries out before the medical insurance reimbursement of rheumatic heart valve disease, it is thus necessary to determine that the rheumatic heart valve disease of insured user Certification passes through, and the reimbursement instruction of rheumatic heart valve disease is sent to the third-party platform that communication connection has been established.This feelings Under condition, insured user can submit the qualification certification data for itself being used for rheumatic heart valve disease certification by medical insurance platform, And submit the certification request for carrying the rheumatic heart valve disease of the qualification certification data.Further, medical insurance platform receives To after the certification request, the certification request for carrying the rheumatic heart valve disease of the qualification certification data can be sent to wind The corresponding server of moist valvulopathy authentication platform.Further, server is received for rheumatic heart valve disease Certification request after, can therefrom get the qualification certification data for rheumatic heart valve disease that insured user submits.
202, server detection authentication data authentication items whether corresponding with default rheumatic heart valve disease certification rule Mesh matching, and matched authentication item is determined as target authentication project, the default rheumatic heart valve disease certification rule is right There should be one or more authentication item.
In one embodiment, above-mentioned default rheumatic heart valve disease certification rule is corresponding with one or more certification Project, one or more assessing terms, wherein the corresponding assessing terms of each authentication item.In this case, server It can detecte whether authentication data meets any assessing terms in one or more assessing terms, if meeting any evaluation item Part, it is determined that corresponding with any assessing terms of the satisfaction authentication item of detection authentication data matches, and then by the satisfaction The corresponding authentication item of any assessing terms is determined as target authentication project.
Illustratively, rheumatic heart valve disease certification rule is preset as shown in table 1, wherein the corresponding ultrasonic electrocardio of E column Figure 01, ultrasound electrocardiogram 02, echocardiogram 03 and echocardiogram 04 are that rheumatic heart valve disease certification rule is right The authentication item answered;Valvular stenosis caused by mitral stenosis is the corresponding assessing terms of ultrasound electrocardiogram 01, valve thickens or pass It closes and is not all the corresponding assessing terms of ultrasound electrocardiogram 02, valve merges caused valvular stenosis or incompetence is echocardiogram Valvular stenosis caused by 03 corresponding assessing terms, valvular adhesion or incompetence are the corresponding assessing terms of echocardiogram 04, This 1 be preset quantity threshold value.In this case, server parses authentication data, and ultrasound electrocardiogram is detected from authentication data Corresponding detection data, the detection data show that the mitral stenosis of insured user and valve thicken caused valvular stenosis or closing It is incomplete, then it can determine that the authentication data is matched with authentication item ultrasound electrocardiogram 01 and ultrasound electrocardiogram 02, and will be matched Ultrasound electrocardiogram 01 and ultrasound electrocardiogram 02 are determined as target authentication project.
Table 1
203, the quantity of server statistics target authentication project is preset if the quantity that statistics obtains target authentication project is greater than Amount threshold, it is determined that the certification of the rheumatic heart valve disease of insured user is passed through, and to having been established the of communication connection Tripartite's platform sends the reimbursement instruction of rheumatic heart valve disease, and it is insured user that reimbursement instruction, which is used to indicate third-party platform, The cost of medical service of rheumatic heart valve disease submitted an expense account.
Illustratively, preset quantity threshold value is 1, and as shown in table 1, server executes rheumatic heart valve disease certification rule Ultrasound electrocardiogram 01 and ultrasound electrocardiogram 02 are determined as target authentication project by step 202.In this case, server can unite The quantity for counting out target authentication project is 2, and determines that the quantity 2 of the target authentication project is greater than preset quantity threshold value 1, Jin Erke The certification of the rheumatic heart valve disease of insured user is passed through with determination, and is sent out to the third-party platform that communication connection has been established The reimbursement of rheumatic heart valve disease is sent to instruct.It further, can be according to this after third-party platform receives reimbursement instruction Reimbursement instruction identification goes out to pass through the certification of the rheumatic heart valve disease of insured user, and then is the rheumatic of the insured user The cost of medical service of valvulopathy is submitted an expense account.
In one embodiment, developer can be arranged different rheumatic heart valve diseases for different regions and recognize Card rule (i.e. default rheumatic heart valve disease certification rule).Example property, server can pre-establish each default rheumatism Property valvulopathy certification rule) with the one-to-one correspondence of each region, which can be as shown in table 2.
Table 2
Region The certification rule of rheumatic heart valve disease
Shenzhen Certification rule 01
Guangzhou Certification rule 02
Shanghai Certification rule 03
Zhejiang Certification rule 04
In one embodiment, the user information of insured user is also carried in above-mentioned qualification certification request.Server can To determine that ground is handled in the medical insurance of insured user according to the user information, and then according to each rheumatic heart valve pre-established The one-to-one relationship of the certification rule and each region of disease determines that the corresponding target rheumatism of ground affiliated area is handled in the medical insurance Property valvulopathy certification rule, and then subsequent step 202 is executed using target rheumatic heart valve disease certification rule ~step 203.
In one embodiment, after the quantity of server statistics target authentication project, if statistics obtains target authentication item Purpose quantity is less than or equal to preset quantity threshold value, then exports the second prompt information, and second prompt information is for prompting ginseng The input of warranty family and the matched target disease detection data of authentication item.Further, server can receive target disease inspection Measured data, and the certification of the rheumatic heart valve disease of insured user is passed through according to the determination of target disease detection data.
Illustratively, rheumatic heart valve disease certification rule is preset as shown in table 1, including 4 authentication items are respectively Ultrasound electrocardiogram 01, ultrasound electrocardiogram 02, echocardiogram 03 and echocardiogram 04, the target authentication that server is determined Project is echocardiogram 03, and preset quantity threshold value is 1.In this case, it is 1 that server statistics target, which recognizes the quantity of project, Statistics obtains the target and recognizes the quantity 1 of project no more than preset quantity threshold value, and exports the second prompt information, prompts user's input The corresponding disease detection data of any K authentication item of 4 authentication items, which is greater than preset quantity threshold value, and is less than or waits In 4 (sums of authentication authorization and accounting project), target disease detection data at this time is ultrasound electrocardiogram 01, ultrasound electrocardiogram 02, ultrasound The corresponding disease detection data of any K authentication item (are matched with authentication item in cardiogram 03 and echocardiogram 04 Target disease detection data).
In the embodiment of the present invention, server receives the certification request that insured user is directed to rheumatic heart valve disease, this is recognized The authentication data that insured user is directed to rheumatic heart valve disease is carried in card request.Further, server detection certification Data authentication item whether corresponding with default rheumatic heart valve disease certification rule matches, and matched authentication item is true It is set to target authentication project, and then counts the quantity of target authentication project, if the quantity that statistics obtains target authentication project is greater than Preset quantity threshold value, it is determined that the certification of the rheumatic heart valve disease of insured user is passed through, and is communicated to connect to having been established Third-party platform send rheumatic heart valve disease reimbursement instruction, in order to third-party platform according to the reimbursement instruction for ginseng The cost of medical service of the rheumatic heart valve disease at warranty family is submitted an expense account.Using the present invention, be conducive to improve rheumatic heart valve The authentication efficiency of film disease.
It is that another rheumatic heart valve disease based on data processing provided in an embodiment of the present invention is recognized referring to Fig. 3, Fig. 3 The flow diagram of card method, this method are applied to server, as shown, should the rheumatic heart valve based on data processing Sick authentication method can include:
301, server receives the certification for rheumatic heart valve disease that insured user is sent by third-party platform It requests, the authentication data that insured user is directed to rheumatic heart valve disease is carried in the certification request.
302, server detection authentication data authentication items whether corresponding with default rheumatic heart valve disease certification rule Mesh matching, and matched authentication item is determined as target authentication project, the default rheumatic heart valve disease certification rule is right There should be one or more authentication item.
303, the quantity of server statistics target authentication project is preset if the quantity that statistics obtains target authentication project is greater than Amount threshold, it is determined that the certification of the rheumatic heart valve disease of insured user is passed through.
In one embodiment, the user information of insured user is carried in above-mentioned certification request, server executes step Before the authentication item matching whether corresponding with default rheumatic heart valve disease certification rule of 302 detection authentication datas, may be used also To obtain the user information of insured user from certification request, and obtained according to user information to the third-party platform that connection has been established It takes the history disease of insured user to settle a claim to record, history disease Claims Resolution record indicates the class of insured user's history Claims Resolution disease Type.Further, whether the type that server can detecte the type of insured user's history Claims Resolution disease is less than default type threshold Value triggers if the type of the type of the insured user's history Claims Resolution disease is less than default type threshold value and executes step 302.
In one embodiment, after server identification history disease Claims Resolution record, when identification obtains insured user's history When the type of the disease type of Claims Resolution is more than or equal to default type threshold value, blacklist label can be generated, the blacklist mark Label are insurance fraud user for identifying the insured user.Further, server can be by the blacklist label and user information It is sent to third-party platform, in order to which third-party platform is according to blacklist label, determines that the insured user is insurance fraud user.
In one embodiment, the information of third-party platform is also carried in above-mentioned certification request, server executes step Before the authentication item matching whether corresponding with default rheumatic heart valve disease certification rule of 302 detection authentication datas, may be used also To obtain the information of third-party platform from certification request, and according to the information of third-party platform, detecting the third-party platform is It is no identical as default third-party platform, if it is detected that the third-party platform is identical as default third-party platform, triggers and execute step Rapid 302.
Wherein, the information of above-mentioned third platform may include IP address, ID number etc..In one embodiment, developer It can be pre-configured with one or more specified third-party platform (i.e. default third-party platform), and by this one or more The information storage of default third-party platform is in the database.In this case, server receives insured user and passes through third party After the certification request for rheumatic heart valve disease that platform is sent, the letter of third-party platform can be obtained from certification request Breath, and the information of the third-party platform and the information of each default third platform are compared, if comparison obtains the third The information of platform is identical as any one default information of third platform, it is determined that the safety verification of the third-party platform passed through, And then it triggers and executes step 302.
In one embodiment, the user information of insured user is carried in above-mentioned certification request, server executes step Before the authentication item matching whether corresponding with default rheumatic heart valve disease certification rule of 302 detection authentication datas, may be used also To obtain insured user's from certification request when receiving certification request of the insured user for rheumatic heart valve disease User information, and the first prompt information is exported, first prompt information is for prompting insured user to input biological information.Into One step, server can receive the biological information of insured user's input, and obtains from presetting database and believe with user Matched target biometric sample information is ceased, and target biometric sample information is compared with biological information, If comparison obtains target biometric sample information and biometric information matches, triggers and execute step 302.
Wherein, which can be the finger print information of insured user, and facial image, iris information etc. can be only The information of the one insured user identity of identification.In one embodiment, above-mentioned biological information is facial image, the user information Including user identifier (such as identification card number), the corresponding facial image sample of each user identifier is previously stored in server (i.e. biometric sample information).In this case, server receives insured user and is directed to by what third-party platform was sent After the certification request of rheumatic heart valve disease, prompt information can be exported to third-party platform, insured user is prompted to input people Face image.After insured user checks the prompt information, facial image can be inputted by third-party platform, and by the facial image It is forwarded to server.Further, server can obtain the user identifier of insured user from certification request, and in the database Target facial image sample corresponding with the user identifier is found, and the target facial image sample and insured user is current The facial image of input carries out similarity comparison, if comparison obtains similarity between the two and is more than or equal to default similarity Threshold value, it is determined that target facial image sample is matched with insured user facial image currently entered, and then is triggered and executed step 302。
304, server is determined in the pre-set corresponding weighted index of one or more authentication item The corresponding target weight index of target authentication project.
305, server calculates the disease index that user corresponds to rheumatic heart valve disease, which determines The sum of all target weight indexes.
In one embodiment, presetting rheumatic heart valve disease certification rule includes N number of authentication item, which is greater than 0 Integer, corresponding weighted index can be arranged to each authentication item in N number of authentication item in developer.It is exemplary Ground, N 4, this 4 authentication items are respectively ultrasound electrocardiogram 01, ultrasound electrocardiogram 02, echocardiogram 03 and ultrasonic cardiography Figure 04, this 4 corresponding weighted index of authentication item are respectively a, b, c, d, and target authentication project is ultrasound electrocardiogram 01 With ultrasound electrocardiogram 02.In this case, server can be by the corresponding weighted index a of ultrasound electrocardiogram 01 and ultrasound electrocardiogram 02 corresponding weighted index b is determined as target weight index, and calculates the sum of weighted index a and weighted index b (a+b), by this (a+b) it is determined as disease index P namely disease index P=(a+b).
306, server determines that insured user corresponds to the target disease etc. of rheumatic heart valve disease according to disease index Grade, and send the reimbursement with target disease ratings match to third-party platform and instruct, in order to which third-party platform is according to the reimbursement Instruction identification goes out the target disease grade that insured user corresponds to rheumatic heart valve disease, and corresponding according to the target disease grade Reimbursement ratio the cost of medical service of rheumatic heart valve disease is submitted an expense account.
In one embodiment, server is provided with the corresponding relationship 1 of disease index P Yu disease grade in advance, exemplary Ground, the corresponding relationship 1 can be as shown in table 3-1.In this case, after server determines the disease index P of insured user, The corresponding target disease of disease index P can be determined according to the corresponding relationship of the disease index P and disease grade that pre-establish Sick grade, and the reimbursement generated with the target disease ratings match instructs, and then sends reimbursement instruction to third-party platform.
Table 3-1
Disease index P Disease grade
P1 Disease grade 1
P2 Disease grade 2
Further, third-party platform is pre-established with disease grade and submits an expense account the corresponding relationship 2 of ratio, the corresponding relationship 2 for example can be as shown in table 3-2.In this case, after third-party platform receives reimbursement instruction, can be referred to according to the reimbursement Order identifies that insured user corresponds to the target disease grade of rheumatic heart valve disease, and according to the corresponding relationship 2 pre-established Determine the corresponding reimbursement ratio of target disease grade, and then according to the reimbursement ratio to insured user's rheumatic heart valve disease Cost of medical service submitted an expense account.
Table 3-2
Reimbursement ratio Disease grade
Ratio 1 Disease grade 1
Ratio 2 Disease grade 2
In one embodiment, the corresponding relationship 2 of above-mentioned disease grade and reimbursement ratio can be establishes in server side 's.In this case, server determines that insured user corresponds to the target disease of rheumatic heart valve disease according to disease index After grade, further it can determine that the target of target disease grade submits an expense account ratio according to corresponding relationship 2, and generate and target disease The reimbursement of sick ratings match instructs, and reimbursement instruction is used to indicate third-party platform according to target reimbursement ratio to insured user's wind The cost of medical service of moist valvulopathy is submitted an expense account.
In one embodiment, the user information of insured user is carried in above-mentioned certification request, server is determined to join After warranty family corresponds to the target disease grade of rheumatic heart valve disease, the disease with target disease ratings match can also be generated Sick label, the disease label is for identifying the target disease grade that insured user corresponds to rheumatic heart valve disease.Into one Step ground, server can obtain the user information of insured user from certification request, and the disease label and user information are closed Connection is stored into database.In this case, the third-party platform that connection is established with server can be obtained to the server to be somebody's turn to do When user information, it can determine that insured user corresponds to the rheumatic heart according to the disease label stored with the user information correlation The target disease grade of dirty valvular heart disease.
In one embodiment, server can also obtain insured from the certification request for rheumatic heart valve disease The user information of user, and the history disease information of insured user is obtained according to user information, and then parse history disease information, To determine whether user suffers from the related diseases of rheumatic heart valve disease, when server determines the user with rheumatic heart valve When the related diseases of film disease, default rheumatic heart valve disease certification rule can be adjusted according to default adjustable strategies, into And adjusted default rheumatic heart valve disease certification rule is used to determine whether the rheumatic heart valve to insured user The certification of disease passes through.
In one embodiment, which can be right for default rheumatic heart valve disease certification rule The preset quantity threshold value answered is adjusted (namely being adjusted to default rheumatic heart valve disease certification rule).It is exemplary Ground, presetting initial preset amount threshold indicated by rheumatic heart valve disease certification rule is 2, then, server executes default Result after adjustable strategies are adjusted the initial preset amount threshold 2 can be, by initial preset amount threshold by 2 adjustment For specified adjustment threshold value 1, which is that developer is pre-set.
In one embodiment, the medical insurance card information of insured user, the corresponding data of server are carried in certification request The drug information of the drug (hereinafter referred to as default medicine) for the treatment of rheumatic heart valve disease, the drug information are previously stored in library Such as medicine name (minirin, danazol), the medical insurance card information may include medical insurance card mark (such as medical insurance card number), clothes Business device can be identified according to the medical insurance card to be obtained in advance to the third-party platform (management system of such as fixed hospital) for establishing connection If the medical insurance card identifies corresponding record of writing a prescription (record of writing a prescription of user i.e. in preset time range) in time range.Further Ground, server can parse the record of writing a prescription, and determine in the record of writing a prescription with the presence or absence of pre-stored above-mentioned pre- in database If medicine, and if it exists, then determine the drug including treatment rheumatic heart valve disease in the record of writing a prescription, and then according to default adjustment Rule is adjusted default rheumatic heart valve disease certification rule, in order to which server uses adjusted default rheumatic Valvulopathy certification rule determines whether that the certification of the rheumatic heart valve disease to insured user passes through.
Wherein, which can be for present count corresponding to default rheumatic heart valve disease certification rule Amount threshold value is adjusted (namely being adjusted to default rheumatic heart valve disease certification rule).Illustratively, rheumatism is preset Property valvulopathy certification rule indicated by initial preset amount threshold be 2, then, server executes default adjustable strategies to this Result after initial preset amount threshold 2 is adjusted can be that initial preset amount threshold is adjusted to specified adjustment threshold by 2 Value 1, which is that developer is pre-set.Specifically how to adjust, it can be by developer according to country Rheumatic heart valve disease Valuation Standard or the rheumatic heart valve disease Valuation Standard of each department are configured.
In one embodiment, server can also obtain insured from the certification request for rheumatic heart valve disease The user information of user, and settled a claim and recorded to the history disease that third-party platform obtains user according to user information, the history disease Pathology pays for the quantity that record indicates the disease of user's history Claims Resolution.Further, server identification history disease Claims Resolution record, If the quantity that identification obtains the disease of user's history Claims Resolution is more than or equal to default disease amount threshold, according to default adjustment Rule is adjusted default rheumatic heart valve disease certification rule, and then uses adjusted default rheumatic heart valve Disease certification rule determines whether that the certification of the rheumatic heart valve disease to insured user passes through.
In one embodiment, which can be right for default rheumatic heart valve disease certification rule The preset quantity threshold value answered is adjusted (namely being adjusted to default rheumatic heart valve disease certification rule), such as will be pre- If amount threshold is adjusted to specified adjustment threshold value.Wherein, specify the size of adjustment threshold value can be with above-mentioned default disease quantity threshold The size of value is associated.Default disease amount threshold is larger, then the size of corresponding specified adjustment threshold value is also larger.Example Such as, presetting disease amount threshold is 3, specifies adjustment threshold value 1;Default disease amount threshold is 5, and specifying adjustment threshold value is 2.
In the embodiment of the present invention, server can receive insured user and be directed to the rheumatic heart by what third-party platform was sent The certification request of dirty valvular heart disease carries the authentication data that insured user is directed to rheumatic heart valve disease in the certification request. Further, server detection authentication data authentication item whether corresponding with default rheumatic heart valve disease certification rule Match, and matched authentication item is determined as target authentication project, and then count the quantity of target authentication project, if statistics obtains The quantity of target authentication project is greater than preset quantity threshold value, it is determined that logical to the certification of the rheumatic heart valve disease of insured user It crosses.Further, server is determined in the pre-set corresponding weighted index of one or more authentication item The corresponding target weight index of target authentication project, and the disease index that user corresponds to rheumatic heart valve disease is calculated, in turn According to disease index, determine that insured user corresponds to the target disease grade of rheumatic heart valve disease, and to third-party platform The reimbursement with target disease ratings match is sent to instruct.Using the present invention, be conducive to the certification for improving rheumatic heart valve disease Efficiency.
The rheumatic heart valve disease authentication device based on data processing that the embodiment of the invention also provides a kind of.The device Including the unit for executing method described in earlier figures 2 or Fig. 3.It specifically, referring to fig. 4, is that the embodiment of the present invention provides The rheumatic heart valve disease authentication device based on data processing schematic block diagram.The wind based on data processing of the present embodiment Moist valvulopathy authentication device includes:
Receiving unit 40, the certification request for being directed to rheumatic heart valve disease for receiving insured user, the certification are asked The authentication data that the insured user is directed to the rheumatic heart valve disease is carried in asking;
Processing unit 41, it is whether corresponding with default rheumatic heart valve disease certification rule for detecting the authentication data Authentication item matching, and matched authentication item is determined as target authentication project, the default rheumatic heart valve disease Certification rule is corresponding with one or more authentication item;
The processing unit 41 is also used to count the quantity of the target authentication project, if statistics obtains the target and recognizes The quantity of card project is greater than preset quantity threshold value, it is determined that the certification to the rheumatic heart valve disease of the insured user Pass through;
Transmission unit 42, for sending the rheumatic heart valve disease to the third-party platform that communication connection has been established Reimbursement instruction, the reimbursement instruction are used to indicate the rheumatic heart valve that the third-party platform is the insured user The cost of medical service of disease is submitted an expense account.
In one embodiment, the certification request is that the insured user is flat by the third party that communication connection has been established What platform was sent, processing unit 41 is also used in pre-set one or more of corresponding weights of authentication item In index, the corresponding target weight index of the target authentication project is determined;It calculates the user and corresponds to rheumatic heart valve The disease index of film disease, the disease index are the sum of all target weight indexes determined;Referred to according to the disease Number, determines that the insured user corresponds to the target disease grade of rheumatic heart valve disease;The transmission unit 43, is also used to Send to the third-party platform and instructed with the reimbursement of the target disease ratings match, in order to the third-party platform according to The corresponding reimbursement ratio of the disease grade submits an expense account the cost of medical service of the rheumatic heart valve disease.
In one embodiment, the user information of the insured user is carried in the certification request, processing unit 41, It is also used to generate the disease label with the disease ratings match, the disease label corresponds to wind for identifying the insured user The disease grade of moist valvulopathy;The user information of the insured user is obtained from the certification request, and will be described Disease label and the user information correlation are stored into database.
In one embodiment, the user information of the insured user is carried in the certification request, processing unit 41, It is also used to obtain the user information of the insured user from the certification request, and according to the user information to the company of having been established The third-party platform connect obtains the history disease Claims Resolution record of the insured user, and the history disease Claims Resolution record indicates institute State the type of insured user's history Claims Resolution disease;Whether the type for detecting the type of the insured user's history Claims Resolution disease is less than Default type threshold value;If the type of the type of the insured user's history Claims Resolution disease is less than the default type threshold value, touch It is matched to send out detection authentication data authentication item whether corresponding with default rheumatic heart valve disease certification rule described Step.
In one embodiment, the certification request is that the insured user is flat by the third party that communication connection has been established What platform was sent, the information of the third-party platform is carried in the certification request, processing unit 41 is also used to from the certification The information of the third-party platform is obtained in request, and according to the information of the third-party platform, detects the third-party platform It is whether identical as default third-party platform;If it is detected that the third-party platform is identical as the default third-party platform, touch It is matched to send out detection authentication data authentication item whether corresponding with default rheumatic heart valve disease certification rule described Step.
In one embodiment, the user information of the insured user is carried in the certification request, processing unit 41, Be also used to when receive the insured user be directed to the rheumatic heart valve disease the certification request when, from the certification The user information of the insured user is obtained in request, and exports the first prompt information, and first prompt information is for prompting The insured user inputs biological information;Receive the biological information of the insured user input, and from described Obtained in presetting database with the matched target biometric sample information of the user information, and by the target biometric Sample information is compared with the biological information;If comparison obtains the target biometric sample information and the life Whether right with default rheumatic heart valve disease certification rule the matching of object characteristic information then triggers the detection authentication data The step of authentication item matching answered.
In one embodiment, processing unit 41 obtain the quantity of the target authentication project and are less than if being also used to count Or be equal to preset quantity threshold value, then the second prompt information is exported, second prompt information is for prompting the insured user Input and the matched target disease detection data of the authentication item;The target disease detection data is received, and according to described The determination of target disease detection data passes through the certification of the rheumatic heart valve disease of the insured user.
It should be noted that the described rheumatic heart valve disease based on data processing of the embodiment of the present invention authenticates dress The function for each functional unit set can method specific implementation according to fig. 2 or in embodiment of the method described in Fig. 3, it is specific real Existing process is referred to the associated description of the embodiment of the method for Fig. 2 or Fig. 3, and details are not described herein again.
In the embodiment of the present invention, receiving unit 40 receives the certification request that insured user is directed to rheumatic heart valve disease, The authentication data that insured user is directed to rheumatic heart valve disease is carried in the certification request.Further, processing unit 41 It detects authentication data authentication item whether corresponding with default rheumatic heart valve disease certification rule to match, and recognizes matched Card project is determined as target authentication project, and then counts the quantity of target authentication project, if statistics obtains target authentication project Quantity is greater than preset quantity threshold value, it is determined that passes through to the certification of the rheumatic heart valve disease of insured user, and passes through transmission Unit 42 sends the reimbursement instruction of rheumatic heart valve disease to the third-party platform that communication connection has been established.Using the present invention, Be conducive to improve the authentication efficiency of rheumatic heart valve disease.
Fig. 5 is referred to, Fig. 5 is a kind of schematic block diagram of server provided in an embodiment of the present invention, as shown in figure 5, should Server includes processor 501, memory 502 and network interface 503.Above-mentioned processor 501, memory 502 and network interface 503 can be connected by bus or other modes, in Fig. 5 shown in the embodiment of the present invention for being connected by bus.Wherein, net Network interface 503 is used for messaging by the control of the processor, and memory 502 is for storing computer program, the calculating Machine program includes program instruction, and processor 501 is used to execute the program instruction of the storage of memory 502.Wherein, 501 quilt of processor It is configured to call described program instruction execution: insured user is received for rheumatic heart valve disease by network interface 503 Certification request, the certification number that the insured user is directed to the rheumatic heart valve disease is carried in the certification request According to;It detects authentication data authentication item whether corresponding with default rheumatic heart valve disease certification rule to match, and will Matched authentication item is determined as target authentication project, the default rheumatic heart valve disease certification rule be corresponding with one or The multiple authentication items of person;The quantity of the target authentication project is counted, if the quantity that statistics obtains the target authentication project is big In preset quantity threshold value, it is determined that pass through to the certification of the rheumatic heart valve disease of the insured user, and pass through net Network interface 503 sends the reimbursement instruction of the rheumatic heart valve disease to the third-party platform that communication connection has been established, described Reimbursement instruction is used to indicate the cost of medical service for the rheumatic heart valve disease that the third-party platform is the insured user It is submitted an expense account.
In one embodiment, the certification request is that the insured user is flat by the third party that communication connection has been established What platform was sent, processor 501 is also used to refer in pre-set one or more of corresponding weights of authentication item In number, the corresponding target weight index of the target authentication project is determined;It calculates the user and corresponds to rheumatic heart valve The disease index of disease, the disease index is the sum of all target weight indexes determined;According to the disease index, Determine that the insured user corresponds to the target disease grade of rheumatic heart valve disease, and to the third-party platform send with The reimbursement of the target disease ratings match instructs, in order to which the third-party platform is according to the described and target disease grade Matched reimbursement instruction identification goes out the target disease grade that the insured user corresponds to rheumatic heart valve disease, and according to The corresponding reimbursement ratio of the target disease grade submits an expense account the cost of medical service of the rheumatic heart valve disease.
In one embodiment, the user information of the insured user is carried in the certification request, processor 501, It is also used to generate the disease label with the disease ratings match, the disease label corresponds to wind for identifying the insured user The disease grade of moist valvulopathy;The user information of the insured user is obtained from the certification request, and will be described Disease label and the user information correlation are stored into database.
In one embodiment, the user information of the insured user is carried in the certification request, processor 501, It is also used to obtain the user information of the insured user from the certification request, and according to the user information to the company of having been established The third-party platform connect obtains the history disease Claims Resolution record of the insured user, and the history disease Claims Resolution record indicates institute State the type of insured user's history Claims Resolution disease;Whether the type for detecting the type of the insured user's history Claims Resolution disease is less than Default type threshold value;If the type of the type of the insured user's history Claims Resolution disease is less than the default type threshold value, touch It is matched to send out detection authentication data authentication item whether corresponding with default rheumatic heart valve disease certification rule described Step.
In one embodiment, the certification request is that the insured user is flat by the third party that communication connection has been established What platform was sent, the information of the third-party platform is carried in the certification request, processor 501 is also used to from the certification The information of the third-party platform is obtained in request, and according to the information of the third-party platform, detects the third-party platform It is whether identical as default third-party platform;If it is detected that the third-party platform is identical as the default third-party platform, touch It is matched to send out detection authentication data authentication item whether corresponding with default rheumatic heart valve disease certification rule described Step.
In one embodiment, the user information of the insured user is carried in the certification request, processor 501, Be also used to when receive the insured user be directed to the rheumatic heart valve disease the certification request when, from the certification The user information of the insured user is obtained in request, and exports the first prompt information, and first prompt information is for prompting The insured user inputs biological information;Receive the biological information of the insured user input, and from described Obtained in presetting database with the matched target biometric sample information of the user information, and by the target biometric Sample information is compared with the biological information;If comparison obtains the target biometric sample information and the life Whether right with default rheumatic heart valve disease certification rule the matching of object characteristic information then triggers the detection authentication data The step of authentication item matching answered.
In one embodiment, processor 501, if be also used to count obtain the target authentication project quantity be less than or Person is equal to preset quantity threshold value, then exports the second prompt information, second prompt information is for prompting the insured user defeated Enter and the matched target disease detection data of the authentication item;The target disease detection data is received, and according to the mesh Mark disease detection data determination passes through the certification of the rheumatic heart valve disease of the insured user.
It should be appreciated that in embodiments of the present invention, alleged processor 501 can be central processing unit (Central Processing Unit, CPU), which can also be other general processors, digital signal processor (Digital Signal Processor, DSP), specific integrated circuit (Application Specific Integrated Circuit, ASIC), ready-made programmable gate array (Field-Programmable Gate Array, FPGA) or other programmable logic Device, discrete gate or transistor logic, discrete hardware components etc..General processor can be microprocessor or this at Reason device is also possible to any conventional processor etc..
The memory 502 may include read-only memory and random access memory, and to processor 501 provide instruction and Data.The a part of of memory 502 can also include nonvolatile RAM.For example, memory 502 can also be deposited Store up the information of device type.
In the specific implementation, processor 501 described in the embodiment of the present invention, memory 502 and network interface 503 can be held Implementation described in embodiment of the method described in row Fig. 2 or Fig. 3 provided in an embodiment of the present invention, also can be performed the present invention The implementation of rheumatic heart valve disease authentication device based on data processing described in embodiment, details are not described herein.
A kind of computer readable storage medium, the computer-readable storage medium are provided in another embodiment of the invention Matter is stored with computer program, and the computer program includes program instruction, and described program instructs realization when being executed by processor: The certification request that insured user is directed to rheumatic heart valve disease is received, carries insured user's needle in the certification request To the authentication data of the rheumatic heart valve disease;Detect whether the authentication data recognizes with default rheumatic heart valve disease The corresponding authentication item matching of card rule, and matched authentication item is determined as target authentication project, the default rheumatic Valvulopathy certification rule is corresponding with one or more authentication item;The quantity of the target authentication project is counted, if system The quantity that meter obtains the target authentication project is greater than preset quantity threshold value, it is determined that the rheumatic of the insured user The certification of valvulopathy passes through, and sends the rheumatic heart valve disease to the third-party platform that communication connection has been established Reimbursement instruction, the reimbursement instruction are used to indicate the rheumatic heart valve that the third-party platform is the insured user The cost of medical service of disease is submitted an expense account.
The computer readable storage medium can be the internal storage unit of server described in aforementioned any embodiment, Such as the hard disk or memory of server.The external storage that the computer readable storage medium is also possible to the server is set Plug-in type hard disk that is standby, such as being equipped on the server, intelligent memory card (Smart Media Card, SMC), secure digital (Secure Digital, SD) card, flash card (Flash Card) etc..Further, the computer readable storage medium is also Can both including the server internal storage unit and also including External memory equipment.The computer readable storage medium is used Other programs and data needed for storing the computer program and the server.The computer readable storage medium It can be also used for temporarily storing the data that has exported or will export.
Those of ordinary skill in the art will appreciate that realizing all or part of the process in above-described embodiment method, being can be with Relevant hardware is instructed to complete by computer program, the program can be stored in a computer-readable storage medium In, the program is when being executed, it may include such as the process of the embodiment of above-mentioned each method.Wherein, the storage medium can be magnetic Dish, CD, read-only memory (Read-Only Memory, ROM) or random access memory (Random Access Memory, RAM) etc..
Above disclosed is only section Example of the invention, cannot limit the right of the present invention with this certainly Range, those skilled in the art can understand all or part of the processes for realizing the above embodiment, and according to right of the present invention Equivalent variations made by it is required that, still belongs to the scope covered by the invention.

Claims (10)

1. a kind of rheumatic heart valve disease authentication method based on data processing, which is characterized in that the method is applied to clothes Business device include:
The certification request that insured user is directed to rheumatic heart valve disease is received, carries the insured use in the certification request Family is directed to the authentication data of the rheumatic heart valve disease;
It detects authentication data authentication item whether corresponding with default rheumatic heart valve disease certification rule to match, and will Matched authentication item is determined as target authentication project, the default rheumatic heart valve disease certification rule be corresponding with one or The multiple authentication items of person;
The quantity of the target authentication project is counted, if the quantity that statistics obtains the target authentication project is greater than preset quantity threshold Value, it is determined that the certification of the rheumatic heart valve disease of the insured user is passed through, and to communication connection has been established Third-party platform sends the reimbursement instruction of the rheumatic heart valve disease, and it is flat that the reimbursement instruction is used to indicate the third party Platform is that the cost of medical service of the rheumatic heart valve disease of the insured user is submitted an expense account.
2. the method according to claim 1, wherein the certification request is the insured user by having been established What the third-party platform of communication connection was sent, certification of the determination to the rheumatic heart valve disease of the insured user By later, the method also includes:
In pre-set one or more of corresponding weighted index of authentication item, determine that the target is recognized The corresponding target weight index of card project;
Calculate the disease index that the user corresponds to the rheumatic heart valve disease, the disease index be determine it is all The sum of described target weight index;
According to the disease index, determine that the insured user corresponds to the target disease etc. of the rheumatic heart valve disease Grade;
Wherein, the reimbursement instruction that the rheumatic heart valve disease is sent to the third-party platform that communication connection has been established, Include:
It sends the reimbursement with the target disease ratings match to the third-party platform to instruct, in order to the third-party platform Go out the corresponding rheumatic heart valve of the insured user according to the reimbursement instruction identification with the target disease ratings match The target disease grade of disease, and according to the corresponding reimbursement ratio of the target disease grade to the rheumatic heart valve The cost of medical service of disease is submitted an expense account.
3. according to the method described in claim 2, it is characterized in that, carrying the use of the insured user in the certification request Family information, it is described determine the target disease grade that the insured user corresponds to the rheumatic heart valve disease after, it is described Method further include:
The disease label with the target disease ratings match is generated, the disease label is corresponding for identifying the insured user The target disease grade of the rheumatic heart valve disease;
Obtain the user information of the insured user from the certification request, and by the disease label and the user information Associated storage is into database.
4. the method according to claim 1, wherein carrying the use of the insured user in the certification request Family information, it is described to detect authentication data authentication item whether corresponding with default rheumatic heart valve disease certification rule With before, the method also includes:
Obtain the user information of the insured user from the certification request, and according to the user information to connection has been established Third-party platform obtain the history disease Claims Resolution record of the insured user, history disease Claims Resolution record indicates described The type of insured user's history Claims Resolution disease;
Whether the type for detecting the type of the insured user's history Claims Resolution disease is less than default type threshold value;If the insured use The type of the type of family history Claims Resolution disease is less than the default type threshold value, then whether triggers the detection authentication data The step of regular corresponding authentication item matches is authenticated with default rheumatic heart valve disease.
5. the method according to claim 1, wherein the certification request is the insured user by having been established What the third-party platform of communication connection was sent, the information of the third-party platform, the detection are carried in the certification request Before authentication data authentication item matching whether corresponding with default rheumatic heart valve disease certification rule, the method Further include:
The information of the third-party platform is obtained from the certification request, and according to the information of the third-party platform, detection Whether the third-party platform is identical as default third-party platform;
If it is detected that the third-party platform is identical as the default third-party platform, the detection authentication data is triggered The step of whether authenticating regular corresponding authentication item matching with default rheumatic heart valve disease.
6. method according to claim 1-5, which is characterized in that carried in the certification request described insured The user information of user, whether the detection authentication data is corresponding with default rheumatic heart valve disease certification rule to be recognized Before the matching of card project, the method also includes:
When receiving the certification request of the insured user for the rheumatic heart valve disease, asked from the certification The middle user information for obtaining the insured user is sought, and exports the first prompt information, first prompt information is for prompting institute It states insured user and inputs biological information;
The biological information of insured user's input is received, and is obtained and the user from the presetting database The target biometric sample information of information matches, and by the target biometric sample information and the biological information It compares;
If comparison obtains the target biometric sample information and the biometric information matches, the detection institute is triggered The step of whether authentication data authenticates regular corresponding authentication item matching with default rheumatic heart valve disease stated.
7. the method according to claim 1, wherein after the quantity of the statistics target authentication project, The method also includes:
If the quantity that statistics obtains the target authentication project is less than or equal to preset quantity threshold value, output the second prompt letter Breath, second prompt information is for prompting insured user's input and the matched target disease testing number of the authentication item According to;
The target disease detection data is received, and the institute to the insured user is determined according to the target disease detection data The certification for stating rheumatic heart valve disease passes through.
8. a kind of rheumatic heart valve disease authentication device based on data processing characterized by comprising
Receiving unit, the certification request for being directed to rheumatic heart valve disease for receiving insured user, takes in the certification request The authentication data of the rheumatic heart valve disease is directed to the insured user;
Processing unit, for detecting authentication data certification whether corresponding with default rheumatic heart valve disease certification rule Project matching, and matched authentication item is determined as target authentication project, the default rheumatic heart valve disease certification rule Then it is corresponding with one or more authentication item;
The processing unit is also used to count the quantity of the target authentication project, if statistics obtains the target authentication project Quantity be greater than preset quantity threshold value, it is determined that the certification of the rheumatic heart valve disease of the insured user is passed through, And the reimbursement instruction of the rheumatic heart valve disease is sent to the third-party platform that communication connection has been established, the reimbursement instruction The cost of medical service for being used to indicate the rheumatic heart valve disease that the third-party platform is the insured user is submitted an expense account.
9. a kind of server, which is characterized in that including processor and memory, the processor is mutually interconnected with the memory It connects, wherein the memory is for storing computer program, and the computer program includes program instruction, the processor quilt It is configured to call described program instruction, executes the method according to claim 1 to 7.
10. a kind of computer readable storage medium, which is characterized in that the computer-readable recording medium storage has computer journey Sequence, the computer program include program instruction, and described program instruction executes the processor such as The described in any item methods of claim 1-7.
CN201811266166.2A 2018-10-27 2018-10-27 Rheumatic heart valve disease authentication method and relevant device based on data processing Pending CN109559821A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110782987A (en) * 2019-10-30 2020-02-11 泰康保险集团股份有限公司 Medical data evaluation processing method and device, storage medium and electronic equipment
CN110827991A (en) * 2019-11-04 2020-02-21 泰康保险集团股份有限公司 Disease identification data processing method, device, storage medium and electronic equipment
CN116934503A (en) * 2023-08-01 2023-10-24 佳木斯大学 Intelligent authentication method and system for cerebral hemorrhage qualification

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102332143A (en) * 2011-07-22 2012-01-25 大连亿创天地科技发展有限公司 Method and system for verification and claim of on-line insurance claim settlement
WO2014105565A1 (en) * 2012-12-27 2014-07-03 Elwha Llc Estimating fees and costs incurred by a patient receiving a healthcare service
CN104182824A (en) * 2014-08-08 2014-12-03 平安养老保险股份有限公司 Rule checking system and rule checking method for recognizing medical insurance reimbursement violations
CN106530166A (en) * 2016-08-31 2017-03-22 中国人民解放军总医院第附属医院 Hospital medical insurance expense nonpayment prevention auxiliary management information system and nonpayment prevention method
CN108154443A (en) * 2017-07-18 2018-06-12 邹鑫洋 A kind of medical treatment medical insurance data processing equipment and method

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102332143A (en) * 2011-07-22 2012-01-25 大连亿创天地科技发展有限公司 Method and system for verification and claim of on-line insurance claim settlement
WO2014105565A1 (en) * 2012-12-27 2014-07-03 Elwha Llc Estimating fees and costs incurred by a patient receiving a healthcare service
CN104182824A (en) * 2014-08-08 2014-12-03 平安养老保险股份有限公司 Rule checking system and rule checking method for recognizing medical insurance reimbursement violations
CN106530166A (en) * 2016-08-31 2017-03-22 中国人民解放军总医院第附属医院 Hospital medical insurance expense nonpayment prevention auxiliary management information system and nonpayment prevention method
CN108154443A (en) * 2017-07-18 2018-06-12 邹鑫洋 A kind of medical treatment medical insurance data processing equipment and method

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110782987A (en) * 2019-10-30 2020-02-11 泰康保险集团股份有限公司 Medical data evaluation processing method and device, storage medium and electronic equipment
CN110827991A (en) * 2019-11-04 2020-02-21 泰康保险集团股份有限公司 Disease identification data processing method, device, storage medium and electronic equipment
CN116934503A (en) * 2023-08-01 2023-10-24 佳木斯大学 Intelligent authentication method and system for cerebral hemorrhage qualification
CN116934503B (en) * 2023-08-01 2024-04-26 佳木斯大学 Intelligent authentication method and system for cerebral hemorrhage qualification

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