CN112184232A - Medical expense account checking method, device, equipment and storage medium - Google Patents
Medical expense account checking method, device, equipment and storage medium Download PDFInfo
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- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
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- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
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Abstract
The embodiment provides a medical expense reconciliation method, a device, equipment and a storage medium, which are used for obtaining first bill information of a first time point of a medical information system; determining first bill information of the first time point as an in-doubt order; when second bill information of the mobile payer is received, the suspicious order is checked with the second bill information; when the suspicion order corresponds to the second bill information, marking the suspicion order as a tie account; when the in-doubt order does not correspond to the second bill information, marking the in-doubt order as an error; unnecessary financial data need not let financial staff reprocess, has improved the automation mechanized operation to financial data, uses manpower sparingly resource, improves reconciliation efficiency.
Description
Technical Field
The invention relates to the technical field of computers, in particular to a medical expense reconciliation method, a medical expense reconciliation device, equipment and a storage medium.
Background
With the rise of mobile payments, more and more hospital transaction scenarios or transaction portals will use mobile payments.
And mobile payment providers such as WeChat and Payment treasures need to pay back to the hospital and provide a statement every day. On the other hand, the financial staff in the Hospital checks the bill provided by HIS (medical Information System) against the bill of the mobile payment provider, but the two may generate some financial data difference due to the influence of factors such as the HIS in the network or the Hospital, and the financial staff needs to check and process the financial data difference.
In the prior art, the bill of the HIS and the statement of the mobile payment provider can be automatically read, the individual checking is carried out through the order number and the amount of money, then the difference result of the financial data is output, in the prior art, the difference result of the financial data is not the real fund difference, the data processing amount of financial personnel is increased, the automatic operation of the financial data is not facilitated to be improved, the human resources are wasted, the manual accounting cost is high, and the statement checking efficiency is low.
Disclosure of Invention
In view of the above, the present embodiments are proposed to provide a medical expense reconciliation method, a medical expense reconciliation apparatus, a device and a storage medium that overcome the above problems or at least partially solve the above problems.
In order to solve the above problem, the present embodiment discloses a method for reconciling medical expenses, which includes:
acquiring first bill information of a first time point of a medical information system;
determining first bill information of the first time point as an in-doubt order;
when second bill information of the mobile payer is received, the suspicious order is checked with the second bill information;
when the suspicion order corresponds to the second bill information, marking the suspicion order as a tie account;
and when the in-doubt order does not correspond to the second bill information, marking the in-doubt order as an error.
Preferably, the determining the first billing information of the first time point as the in-doubt order includes:
when the first bill information is not level, determining the first bill information at the first time point as the in-doubt order.
Preferably, the first time point is within 30 minutes of daily before morning zero.
Preferably, the second billing information of the mobile payer includes second billing information of a second time point; the second time point is within 30 minutes of each day before and after morning zero.
Preferably, the second billing information of the mobile payer includes long information and short information; the long information comprises first order information, and the short information comprises second order information; the method further comprises the following steps:
matching the first order information with the second order information;
and when the first order information is matched with the second order information, marking the corresponding long money information and short money information as tie account.
Preferably, the second billing information of the mobile payer includes refund information; the method further comprises the following steps:
obtaining refund information at a third time point and second bill information at a fourth time point;
matching the refund information at the third time point with the second bill information at the fourth time point;
and when the refund information is matched with the second bill information, marking the refund record as a refund tie account.
The embodiment also discloses a reconciliation device for medical expenses, which comprises:
the first obtaining module is used for obtaining first bill information of a first time point of the medical information system;
the determining module is used for determining the first bill information of the first time point as a suspicious order;
the checking module is used for checking the suspicious order and second bill information when the second bill information of the mobile payer is received;
the first marking module is used for marking the in-doubt order as a tie account when the in-doubt order corresponds to the second bill information;
and the second marking module is used for marking the in-doubt order as an error when the in-doubt order does not correspond to the second bill information.
Preferably, the determining module comprises:
and the determining submodule is used for determining the first bill information at the first time point as the in-doubt order when the first bill information is not level.
The embodiment also discloses a computer device, which comprises a memory and a processor, wherein the memory stores a computer program, and the processor is characterized in that the processor implements the steps of the medical expense reconciliation method according to any one of the above items when executing the computer program.
The embodiment also discloses a computer readable storage medium, on which a computer program is stored, wherein the computer program is used for realizing the steps of the medical expense reconciliation method of any one of the above items when being executed by a processor.
The present embodiment includes the following advantages:
in the embodiment, first bill information of a first time point of a medical information system is obtained; determining first bill information of the first time point as an in-doubt order; when second bill information of the mobile payer is received, the suspicious order is checked with the second bill information; when the suspicion order corresponds to the second bill information, marking the suspicion order as a tie account; when the in-doubt order does not correspond to the second bill information, marking the in-doubt order as an error; unnecessary financial data need not let financial staff reprocess, has improved the automation mechanized operation to financial data, uses manpower sparingly resource, improves reconciliation efficiency.
Drawings
In order to more clearly illustrate the technical solution of the present embodiment, the drawings needed to be used in the description of the embodiment will be briefly introduced below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings based on the drawings without creative efforts
FIG. 1 is a flowchart illustrating steps of an embodiment of a method for reconciling medical costs according to an embodiment of the present invention;
FIG. 2 is a schematic flowchart of a tie-out marking step according to the present embodiment;
FIG. 3 is a flowchart illustrating a refund tie-out marking step according to the present embodiment;
FIG. 4 is a block diagram of an embodiment of a medical expense reconciliation apparatus according to the present embodiment;
FIG. 5 is an internal block diagram of a computer device of an embodiment.
Detailed Description
In order to make the technical problems, technical solutions and advantageous effects solved by the present embodiment more clearly apparent, the present embodiment is further described in detail below with reference to the accompanying drawings and the embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
One of the core ideas of this embodiment lies in screening the critical alternate financial data of the first day and the next day, obtains real fund difference, if there is corresponding financial data the first day with the next day, can discern it as tie account, need not financial staff's retreatment again, has improved the automation mechanized operation to financial data, saves manpower resources, improves reconciliation efficiency.
Referring to fig. 1, a flowchart illustrating steps of an embodiment of a reconciliation method for medical expenses according to the present embodiment is shown, which may specifically include the following steps:
step 101, acquiring first bill information of a first time point of a medical information system;
in this embodiment, the medical information system refers to a computer network system inside a hospital, which has multiple functions, including management of drugs and collection amounts, and correspondingly, the external collection party is generally a mobile payment party, such as WeChat payment, Payment, cloud flash payment, POS (Point of Sale) payment, and the like.
Specifically, firstly, a bill of the medical information system can be obtained, the bill can include bill information at any time point, and the bill information is the receivable amount of the medicine or diagnosis and treatment service charge; specifically, first bill information at a first time point in the bill may also be included; wherein the first time point is within 30 minutes before and after morning zero each day; or any time before or after zero every morning, such as 1 minute or 2 minutes before or after zero, which is not limited in this embodiment.
For example, a medical information system of a certain hospital may generate bill information, where the bill information includes an HIS order number, an HIS amount, a bill date, an order time, an order number of the hospital, a payment channel, a payment serial number, a payment time, a total payment amount, a remark, and the like, which is not limited in this embodiment.
As shown in table 1, showing the first billing information of a medical information system, the first time point is 2019-12-1523: 59: 55;
TABLE 1 first billing information of medical information System
Step 102, determining the first bill information of the first time point as a suspicious order;
further, when the first bill information of the first time point is identified, determining the first bill information of the first time point as the in-doubt order; i.e. the first billing information at the first point in time is marked. Practically applied to this embodiment, the in-doubt order refers to an order to be processed.
In a preferred embodiment, the determining the first billing information of the first time point as the in-doubt order includes: when the first bill information is not level, determining the first bill information at the first time point as an in-doubt order; that is, when the first billing information is not flat in the current day's transaction data, it can be confirmed as a suspicious order.
Step 103, when second bill information of the mobile payer is received, the suspicious order is checked with the second bill information;
further, in this embodiment, in addition to the billing information of the medical information system, the second billing information of the mobile payer may be obtained, and the suspicious order and the second billing information are checked, that is, compared, for example, the amount of money or the order number of the suspicious order are compared.
For example, when the bill information of the WeChat payment is received, the bill information of the medical information system is compared with the bill information of the WeChat payment to obtain a comparison result.
Notably, the second billing information includes a second time point, the first time point being within 30 minutes before morning zero; and the second time point was within 30 minutes of each day before and after morning zero.
The second bill information of the mobile payer may include a transaction channel, a channel order number, a channel original payment order number, a merchant order number, an order time, an order amount, a commission fee, an order type, an order mark, and the like, which is not limited in this embodiment.
As shown in table 2, a second billing information of a mobile payer is shown, and the time point of the second billing information is 2019-12-1600: 00: 43;
TABLE 2 second billing information for mobile payer
Step 104, when the in-doubt order corresponds to the second bill information, marking the in-doubt order as a tie account;
in practical application to this embodiment, when the suspicious order corresponds to the second billing information, the suspicious order is marked as a tie account.
That is, when the channel order number and the amount of the in-doubt order correspond to the channel order number and the amount of the second bill information, the in-doubt order can be marked as a tie account.
For example, as shown in tables 1 and 2, the hospital order number in the medical information system in table 1 is ZY030002121302, the total payment amount is 121.98 yuan, and the payment time is 2019-12-1523: 59: 55; in Table 2, the merchant bill number is ZY030002121302, the order amount is 121.98 yuan, and the order time is 2019-12-1600: 00: 43;
and when the table 1 shows that the order with the hospital order number of ZY030002121302 is an in-doubt order, the order number, the amount and the payment time of the in-doubt order correspond to the order number, the amount and the order time of the order with the merchant order number of ZY030002121302 in the table 2, the in-doubt order is marked as a tie account, financial staff does not need to re-check and check, the difference of financial data is manually eliminated, the automatic operation aiming at the financial data is improved, the human resources are saved, and the account checking efficiency is improved.
It should be noted that the payment time and the order time are over the day, for example, the payment time is within 1 minute before morning, and the order time is within 1 minute after morning, both the payment time and the order time are regarded as corresponding times, and if the first time point is within 30 minutes before the morning zero point of each day, the second time point is within 30 minutes before and after the morning zero point of each day.
Step 105, when the in-doubt order does not correspond to the second bill information, marking the in-doubt order as an error.
Specifically, when the in-doubt order does not correspond to the second bill information, that is, when the order number, the amount and the payment time in the order with the hospital order number of ZY030002121302 in table 1 do not correspond to any information of the order number, the amount and the order time in the order with the merchant order number of ZY030002121302 in table 2, the in-doubt order is marked as an error.
For example, the amount in Table 1 is 96.9, while the amount in Table 2 is 121.98 dollars; or the payment time in table 1 is 2019-12-1523: 59:55 and the order time is 2019-12-1814: 00: 43; the in-doubt order cannot be marked as a tie account; because the amount or time does not correspond, further verification by financial personnel is required to mark it as an error.
In the embodiment, first bill information of a first time point of a medical information system is obtained; determining first bill information of the first time point as an in-doubt order; when second bill information of the mobile payer is received, the suspicious order is checked with the second bill information; when the suspicion order corresponds to the second bill information, marking the suspicion order as a tie account; when the in-doubt order does not correspond to the second bill information, marking the in-doubt order as an error; unnecessary financial data need not let financial staff reprocess, has improved the automation mechanized operation to financial data, uses manpower sparingly resource, improves reconciliation efficiency.
In a preferred embodiment, the first time point is within 30 minutes of each day before and after morning zero; the second billing information of the mobile payer includes second billing information of a second time point; the second time point is within 30 minutes of each day before and after morning zero.
In a preferred embodiment, referring to fig. 2, a flow chart of a tie-out marking step of the embodiment is shown, and the second bill information of the mobile payer comprises long information and short information; the long information comprises first order information, and the short information comprises second order information; the method further comprises the steps of:
step S21, matching the first order information and the second order information;
step S22, when the first order information and the second order information match, marking the long payment information and the short payment information as tie account.
For example, due to the communication between the mobile payer (such as WeChat) and the bank, after the user pays successfully, the WeChat immediately sends a request for canceling the transaction to the bank. Thus, there are two transactions in the bill, one payment is successful and one payment is unsuccessful. This transaction is not recorded in the medical information system, so that the financial staff can see a long amount of information and a short amount of information.
When the amount of money and the order number of the first order information correspond to the amount of money and the order number of the second order information, the long information and the short information are marked as a tie account, financial staff do not need to process repeated financial data, automatic operation aiming at the financial data is improved, human resources are saved, and account checking efficiency is improved.
In a preferred embodiment, referring to fig. 3, there is shown a flow chart of a refund tie-out marking step of the present embodiment, the second billing information of the mobile payer includes refund information; the method further comprises the steps of:
step S31, refund information at a third time point and second bill information at a fourth time point are obtained;
step S32, matching the refund information at the third time point with the second bill information at the fourth time point;
and step S33, when the refund information is matched with the second bill information, the refund record is marked as a refund tie account.
In practical application, the second bill information includes refund information, such as refund information of WeChat, and the refund information of the third time point and the second bill information of the fourth time point are obtained; matching the two; when the two match, the refund record is marked as a refund tie.
The second billing information may be a record information of the hospital medical system. Specifically, the user repeatedly pays due to the hospital medical system, in such a case, the financial staff is required to check and refund, but the refund of the financial staff is carried out by the background of the mobile payer, so that the refund of the financial staff becomes short money the next day; when the hospital medical system has the record (namely the second bill information), the refund information is compared with the second bill information, and if the refund information is matched with the second bill information, the refund record can be marked as a tie account, so that the efficiency of financial data processing is improved.
To enable those skilled in the art to better understand the present embodiment, the following description is given by way of a specific example:
for example, D is the date of the reconciliation day; d-1 is the date of the day before the account is checked.
Step 1, starting D-day account checking;
step 2, reading a payment channel D-1 reconciliation file;
step 3, reading a reconciliation file of the HIS system D-1;
step 4, reading all transaction data of payment completion time in the HIS system within a date and time range set by the system;
step 5, extracting transaction data in a date-time range, and inquiring whether corresponding transactions exist in the reconciliation file of the payment channel D-1 according to the payment order number, the transaction type and the transaction amount;
step 6, judging whether the account is leveled or not;
step 7, if the account is leveled, marking as leveled, and reading the next piece of data;
step 8, if the account is not leveled, marking the transaction as a suspicion order; in another embodiment, orders within 30 minutes before morning zero may also be determined as in-doubt orders; whether the reimbursement is leveled or not does not need to be judged;
step 9, reading the in-doubt order list of the D-1 day, and checking the account of the payment channel of the D day one by one; in another embodiment, if all the orders within 30 minutes before the zero point of morning every day are determined as in-doubt orders, the payment channel reconciliation files of D-1 day and D day need to be reconciled with the in-doubt orders; the payment channel reconciliation file of day D can be data in 30 minutes after the zero point of the morning of the day; the payment channel reconciliation file of the D-1 day can be data in 30 minutes before the zero point of the next morning; the payment channel reconciliation files of D-1 day and D day are data of 30 minutes before and after zero in the morning every day;
step 10, inquiring whether corresponding transaction exists in a payment channel reconciliation file according to the payment order number, the transaction type and the transaction amount;
step 11, judging whether the account is leveled or not;
step 12, if the account is leveled, marking the account as 'leveling-in doubt transferring leveling', and reading the next piece of data;
and step 13, if the accounts are not leveled, marking the difference as the difference of 'long money difference', 'short money difference' or 'amount error' and the like according to the difference type. Financial staff is not required to go to recheck and check again, the difference of financial data is manually eliminated, the automatic operation for the financial data is improved, the human resources are saved, and the account checking efficiency is improved.
In another specific example, on the basis of the above, the processing payment channel can also automatically correct the transaction difference;
step 14, reading a payment channel reconciliation file;
step 15, traversing the account checking file, and finding out a repeated record of the payment order number;
step 16, traversing the repeated record of the payment order number;
step 17, screening the number of the payment order number is 2, one transaction is a payment, one transaction is a refund, and the two transactions have the same transaction amount;
and 18, marking the transaction reconciliation result as 'level-channel hedging'.
Further, handling the repeated payments by the user for hospital system reasons requires financial checks and refunds. However, after the financial staff refund through the WeChat and Payment back office, the refund is not recorded by the HIS system and the refund in the next day becomes a short refund (actually, the refund is not a short refund).
The system can UNICOM believe a little and pay treasured, provides the refund function and gives financial staff, and when initiating the refund, the system can note this long refund to when checking account the next day, with its mark long refund tie-out. So that the ledger seen by the fiscal staff is flat.
Selecting a money transaction to be refunded; the system initiates the long refund and saves the refund order number into the D day long refund record table; and D +1, when checking accounts, checking accounts of the data in the D-day long money record table and the channel, and marking the data as balance.
Step 19, refund starting;
step 20, selecting a long-money transaction to be refunded;
step 21, calling a refund interface of the payment channel, and storing a refund order number into a long refund record table of the D-day account checking system after the refund is successful;
and step 22, refund completion.
In another specific example, different refund information may also be matched with the second billing information for the transaction, also developed on the basis of the above;
step 23, starting D-day account checking;
step 24, reading a payment channel D-1 reconciliation file;
step 25, reading a long-money record refund table of the account checking system D-1;
26, reading data in the daily long-money record refund table of the account checking system D-1 one by one;
step 27, inquiring whether corresponding transaction exists in a payment channel reconciliation file according to the refund order number and the refund amount;
step 28, judging whether the account is leveled or not;
step 29, if the account is leveled, marking as 'leveling-platform long refund', and reading the next piece of data;
and step 30, if the accounts are not leveled, marking the difference as long money difference, short money difference, money amount error and the like according to the difference types.
It should be noted that, for simplicity of description, the method embodiments are described as a series of acts or combination of acts, but those skilled in the art should understand that the present embodiment is not limited by the order of acts described, as some steps may be performed in other orders or simultaneously according to the present embodiment. Further, those skilled in the art will appreciate that the embodiments described in the specification are presently preferred and that no particular act is required to implement the embodiments.
Referring to fig. 4, a block diagram of an embodiment of a reconciliation apparatus for medical expenses according to the present embodiment is shown, and may specifically include the following modules:
the first obtaining module 301 is configured to obtain first billing information of a first time point of the medical information system;
a determining module 302, configured to determine the first billing information at the first time point as an in-doubt order;
a checking module 303, configured to, when second bill information of the mobile payer is received, check the suspicious order with the second bill information;
a first marking module 304, configured to mark the in-doubt order as a tie account when the in-doubt order corresponds to the second bill information;
a second marking module 305, configured to mark the suspicious order as an error if the suspicious order does not correspond to the second billing information.
Preferably, the determining module comprises:
and the determining submodule is used for determining the first bill information at the first time point as the in-doubt order when the first bill information is not level.
Preferably, the first time point is within 30 minutes of daily before morning zero.
Preferably, the second billing information of the mobile payer includes second billing information of a second time point; the second time point is within 30 minutes of each day before and after morning zero.
Preferably, the second billing information of the mobile payer includes long information and short information; the long information comprises first order information, and the short information comprises second order information; the device further comprises:
the first matching module is used for matching the first order information with the second order information;
and the third marking module is used for marking the corresponding long-money information and short-money information as a tie account when the first order information is matched with the second order information.
Preferably, the second billing information of the mobile payer includes refund information; the device further comprises:
the second acquisition module is used for acquiring refund information at a third time point and second bill information at a fourth time point;
the second matching module is used for matching the refund information at the third time point with the second bill information at the fourth time point;
and the fourth marking module is used for marking the refund record as a refund tie account when the refund information is matched with the second bill information.
For the specific definition of the medical expense reconciliation device, reference may be made to the above definition of the medical expense reconciliation method, which is not described herein again. The modules in the medical expense reconciliation device can be completely or partially realized by software, hardware and a combination thereof. The modules can be embedded in a hardware form or independent from a processor in the computer device, and can also be stored in a memory in the computer device in a software form, so that the processor can call and execute operations corresponding to the modules.
The medical expense reconciliation device can be used for executing the medical expense reconciliation method provided by any of the embodiments, and has corresponding functions and beneficial effects.
In one embodiment, a computer device is provided, which may be a terminal, and its internal structure diagram may be as shown in fig. 5. 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 comprises a nonvolatile 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 an operating system and computer programs in the non-volatile storage medium. 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 operation maintenance. 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, a key, a track ball or a touch pad arranged on the shell of the computer equipment, an external keyboard, a touch pad or a mouse and the like.
Those skilled in the art will appreciate that the architecture shown in fig. 5 is merely a block diagram of some of the structures associated with the disclosed aspects and is not intended to limit the computing devices to which the disclosed aspects apply, as particular computing devices may include more or less components than those shown, or may combine certain components, or have a different arrangement of components.
In one embodiment, a computer device is provided, comprising a memory in which a computer program is stored and a processor which, when executing the computer program, implements the steps as shown in fig. 1 to 3.
In one embodiment, a computer-readable storage medium is provided, on which a computer program is stored, which computer program, when executed by a processor, implements the steps as shown in fig. 1-3.
The embodiments in the present specification are described in a progressive manner, each embodiment focuses on differences from other embodiments, and the same and similar parts among the embodiments are referred to each other.
As will be appreciated by one skilled in the art, embodiments of the present embodiments may be provided as methods, apparatus, or computer program products. Accordingly, the present embodiments may take the form of an entirely hardware embodiment, an entirely software embodiment or an embodiment combining software and hardware aspects. Furthermore, the present embodiments may take the form of a computer program product embodied on one or more computer-usable storage media (including, but not limited to, disk storage, CD-ROM, optical storage, and the like) having computer-usable program code embodied therein.
The present embodiments are described with reference to flowchart illustrations and/or block diagrams of methods, terminal devices (systems), and computer program products according to the present embodiments. It will be understood that each flow and/or block of the flow diagrams and/or block diagrams, and combinations of flows and/or blocks in the flow diagrams and/or block diagrams, can be implemented by computer program instructions. These computer program instructions may be provided to a processor of a general purpose computer, special purpose computer, embedded processor, or other programmable data processing terminal to produce a machine, such that the instructions, which execute via the processor of the computer or other programmable data processing terminal, create means for implementing the functions specified in the flowchart flow or flows and/or block diagram block or blocks.
These computer program instructions may also be stored in a computer-readable memory that can direct a computer or other programmable data processing terminal to function in a particular manner, such that the instructions stored in the computer-readable memory produce an article of manufacture including instruction means which implement the function specified in the flowchart flow or flows and/or block diagram block or blocks.
These computer program instructions may also be loaded onto a computer or other programmable data processing terminal to cause a series of operational steps to be performed on the computer or other programmable terminal to produce a computer implemented process such that the instructions which execute on the computer or other programmable terminal provide steps for implementing the functions specified in the flowchart flow or flows and/or block diagram block or blocks.
While preferred embodiments of the present embodiments have been described, additional variations and modifications in those embodiments may occur to those skilled in the art once they learn of the basic inventive concepts. Therefore, it is intended that the appended claims be interpreted as including the preferred embodiment and all changes and modifications that fall within the scope of the present embodiment.
Finally, it should also be noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or terminal that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or terminal. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other like elements in a process, method, article, or terminal that comprises the element.
The method for checking medical expenses, the device for checking medical expenses, the equipment and the storage medium provided by the invention are described in detail, specific examples are applied in the text to explain the principle and the implementation mode of the invention, and the description of the examples is only used for helping to understand the method and the core idea of the invention; meanwhile, for a person skilled in the art, according to the idea of the present invention, there may be variations in the specific embodiments and the application scope, and in summary, the content of the present specification should not be construed as a limitation to the present invention.
Claims (10)
1. A method for reconciling medical expenses, comprising:
acquiring first bill information of a first time point of a medical information system;
determining first bill information of the first time point as an in-doubt order;
when second bill information of the mobile payer is received, the suspicious order is checked with the second bill information;
when the suspicion order corresponds to the second bill information, marking the suspicion order as a tie account;
and when the in-doubt order does not correspond to the second bill information, marking the in-doubt order as an error.
2. The method of claim 1, wherein determining the first billing information for the first point in time as an in-doubt order comprises:
when the first bill information is not level, determining the first bill information at the first time point as the in-doubt order.
3. The method of claim 1, wherein the first time point is within 30 minutes of daily before morning zero.
4. The method of claim 1 or 2 or 3, wherein the second billing information of the mobile payer includes second billing information at a second point in time; the second time point is within 30 minutes of each day before and after morning zero.
5. The method of claim 1, wherein the second billing information of the mobile payer includes long information and short information; the long information comprises first order information, and the short information comprises second order information; the method further comprises the following steps:
matching the first order information with the second order information;
and when the first order information is matched with the second order information, marking the corresponding long money information and short money information as tie account.
6. The method of claim 1 or 5, wherein the second billing information of the mobile payer includes refund information; the method further comprises the following steps:
obtaining refund information at a third time point and second bill information at a fourth time point;
matching the refund information at the third time point with the second bill information at the fourth time point;
and when the refund information is matched with the second bill information, marking the refund record as a refund tie account.
7. A reconciliation apparatus for medical expenses, comprising:
the first obtaining module is used for obtaining first bill information of a first time point of the medical information system;
the determining module is used for determining the first bill information of the first time point as a suspicious order;
the checking module is used for checking the suspicious order and second bill information when the second bill information of the mobile payer is received;
the first marking module is used for marking the in-doubt order as a tie account when the in-doubt order corresponds to the second bill information;
and the second marking module is used for marking the in-doubt order as an error when the in-doubt order does not correspond to the second bill information.
8. The apparatus of claim 7, wherein the determining module comprises:
and the determining submodule is used for determining the first bill information at the first time point as the in-doubt order when the first bill information is not level.
9. A computer arrangement comprising a memory and a processor, the memory storing a computer program, characterized in that the processor, when executing the computer program, carries out the steps of the method of reconciling medical costs according to any one of claims 1 to 6.
10. A computer-readable storage medium, on which a computer program is stored which, when being executed by a processor, carries out the steps of the method for reconciling medical costs according to one of claims 1 to 6.
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| CN202010042873.4A CN112184232A (en) | 2020-01-15 | 2020-01-15 | Medical expense account checking method, device, equipment and storage medium |
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| CN202010042873.4A CN112184232A (en) | 2020-01-15 | 2020-01-15 | Medical expense account checking method, device, equipment and storage medium |
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