CN112200688A - Urban policy insurance application and distribution platform - Google Patents

Urban policy insurance application and distribution platform Download PDF

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Publication number
CN112200688A
CN112200688A CN202011182224.0A CN202011182224A CN112200688A CN 112200688 A CN112200688 A CN 112200688A CN 202011182224 A CN202011182224 A CN 202011182224A CN 112200688 A CN112200688 A CN 112200688A
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insurance
unit
module
user
application
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CN202011182224.0A
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陆伟青
陈良
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Shanghai Health Magnesium Technology Co ltd
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Shanghai Health Magnesium Technology Co ltd
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Priority to CN202011182224.0A priority Critical patent/CN112200688A/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
    • G06Q40/00Finance; Insurance; Tax strategies; Processing of corporate or income taxes
    • G06Q40/08Insurance
    • 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
    • G06Q30/00Commerce
    • G06Q30/02Marketing; Price estimation or determination; Fundraising
    • G06Q30/0207Discounts or incentives, e.g. coupons or rebates

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  • Accounting & Taxation (AREA)
  • Finance (AREA)
  • Engineering & Computer Science (AREA)
  • Strategic Management (AREA)
  • Development Economics (AREA)
  • Theoretical Computer Science (AREA)
  • Marketing (AREA)
  • Physics & Mathematics (AREA)
  • General Business, Economics & Management (AREA)
  • General Physics & Mathematics (AREA)
  • Economics (AREA)
  • Technology Law (AREA)
  • Entrepreneurship & Innovation (AREA)
  • Game Theory and Decision Science (AREA)
  • Financial Or Insurance-Related Operations Such As Payment And Settlement (AREA)

Abstract

The invention belongs to the technical field of insurance application equipment, and particularly discloses an urban policy insurance application and distribution platform which comprises a one-stop platform, wherein the one-stop platform comprises a policy insurance system, the policy insurance system comprises a mobile terminal and a PC terminal, the mobile terminal is based on WeChat public numbers, the mobile terminal comprises an application and claim settlement system, the PC terminal comprises a background management system, the application and claim settlement system comprises a personal insurance participation module, a fortune dismantling module, a service center module, a live broadcast consultation module, an enterprise insurance participation reservation module and a claim settlement module, and the background management system comprises an order processing module, a manual processing module and a data storage module. The invention has low cost and short time consumption, is convenient for users to apply insurance claim settlement operation and has strong practicability.

Description

Urban policy insurance application and distribution platform
Technical Field
The invention relates to the related field of insurance application equipment, in particular to a city policy insurance application and distribution platform.
Background
Most information of some current insurance platforms is disclosed inadequately, there are more unreasonable parts in the contract, and the user is guaranteed simply, and it is difficult to settle the claim, designs a city policy insurance application and distribution platform now and solves insurance company's information asymmetry problem, reduces the patient and purchases the medicine risk, improves insurance company to patient data acquisition's accuracy for follow-up patient enjoys and directly benefits the service and becomes possible, produces inseparabler connection with the patient, finally forms reciprocal success.
Disclosure of Invention
The invention aims to provide a platform for urban policy insurance application and distribution, which aims to solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme: the utility model provides a city policy insurance application and distribution platform, includes a station formula platform, a station formula platform includes the policy insurance system, the policy insurance system is including removing end and PC end, it uses little letter public number as the basis to remove the end, it includes the application and insurance claim settlement system to remove the end, the PC end includes backstage management system, the application and insurance claim settlement system includes the individual module of participating in insurance, tears fortune bag module, service center module, live consultation module, enterprise's participation and insurance reservation module and claim settlement module open, backstage management system includes order processing module, manual processing module and data storage module.
Preferably, the personal insurance participation module comprises a registration login unit, an insurance participation information unit and an insurance participation application unit, the registration login unit is used for user registration login, the insurance participation information unit is used for displaying information such as project introduction and notice of products, and the insurance participation application unit is used for filling basic data of insurance participants by users and submitting the basic data for payment to complete insurance participation operation.
Preferably, the blessing bag detaching module comprises a blessing bag detaching unit and a sharing unit, the blessing bag detaching unit is used for the user to draw rewards such as benefits, and the sharing unit is used for the user to share the benefits with friends to obtain the blessing bag detaching qualification.
Preferably, the service center module comprises a participation and protection query unit, a question answering unit and a discount participation and protection unit, the participation and protection query unit is used for checking the progress of insurance purchase of the user and the history of insurance purchase of the user, the question answering unit is used for displaying health service, an claim settlement process and common questions which can be existed in the user, and the discount participation and protection unit is used for inviting friends to obtain more participation and protection amounts by the user.
Preferably, the live broadcast consultation module comprises a live broadcast explanation unit and an interactive answer unit, the live broadcast explanation unit is used for a user to watch the guarantee content of live broadcast insurance-learning and the activity welfare, and the interactive answer unit is used for the user to communicate with customer service or a main broadcast.
Preferably, the enterprise insurance participation reservation module ensures that the user can input an enterprise name, a contact person, a contact phone number and a recommender through an enterprise insurance participation reservation entrance to reserve insurance participation in advance.
Preferably, the claim settlement module comprises a material submitting unit, a filing auditing unit and an reimbursement unit, wherein the material submitting unit is used for a user to submit correct claim settlement materials, the filing auditing unit is used for an insurance company to audit the materials, and the reimbursement unit is used for the insurance company to issue drugs or reimburse the users afterwards.
Preferably, the order processing module is used for auditing, processing, inducing and classifying user orders by an insurance company, the manual processing module is used for answering questions of the insurance company and withdrawing orders, and the data storage module is used for storing relevant insurance application data of the user.
Preferably, the method comprises the following steps:
s1, insuring operation:
(1) registering and logging in by a user, clicking the insurance to be invested, and filling insurance information to be purchased;
(2) the user fills in the information of the insured person, clicks to immediately apply the insurance, verifies the information of the insured person, clicks to submit after passing;
(3) entering a cash register page for payment;
(4) when the enterprise deposits insurance, the enterprise logs in and registers, fills in insurance information data, and submits payment;
s2, a withdrawal flow:
(1) applying for removing the order through a telephone or on line;
(2) when the phone withdraws the order, checking and returning the fee according to the order information to finish the order withdrawal; when the on-line application for removing the order is carried out, the order is changed according to the order state and the execution of the fee refund is initiated to complete the order removal;
(3) the toll is returned through WeChat or Payment account number on the original way;
s3, disassembling the blessing bag:
the corresponding good fortune bags can be obtained, after the good fortune bags are obtained, lottery drawing can be carried out through the good fortune bag opening inlets to exchange claims prizes, and after the users successfully purchase the good fortune bags or share the good fortune bags with friends, the good fortune bags can be obtained after the friends successfully purchase insurance;
s4, claim settlement flow:
(1) the insured submits a payment application and prompts the user to submit claim settlement materials after the verification is passed;
(2) verifying the claim settlement materials of the insured, and issuing the medicines after the verification is passed;
(3) preparing to submit relevant materials for subsequent medication applications of the insured life by a user;
(4) and issuing the medicine after the verification is passed.
Compared with the prior art, the invention has the beneficial effects that:
the invention belongs to the technical field of insurance application equipment, and particularly discloses an urban policy insurance application and distribution platform, which enriches the insurance market of China by designing innovative insurance products, and greatly improves the use convenience of patients and doctors on the basis of WeChat public numbers, thereby ensuring the risks faced by residents in many aspects; the urban policy insurance application and insurance distribution platform is connected with each urban insurance company, national pharmacy and drug purchasers, provides a professional, safe and efficient drug direct payment management system for insurance drug users, realizes the efficient integration of online and offline services, and contributes to assisting patients to solve self-payment medical payment problems through financial insurance means and helping the patients to manage medical payment more efficiently.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a flow chart of a personal participation arrangement of the present invention;
FIG. 3 is a flow diagram of a withdrawal flow of the present invention;
FIG. 4 is a claim settlement flow chart of the present invention;
in the figure: 1. a one-stop platform; 2. a policy risk system; 3. a mobile terminal; 4. a PC terminal; 5. a warranty claim application system; 6. a background management system; 7. a personal participation and protection module; 8. disassembling a blessing bag module; 9. a service center module; 10. a live broadcast consultation module; 11. an enterprise participation reservation module; 12. a claims settlement module; 13. an order processing module; 14. a manual processing module; 15. a data storage module; 16. a registration login unit; 17. a participation and protection information unit; 18. a participation insurance application unit; 19. disassembling the blessing bag unit; 20. a sharing unit; 21. a participation and protection inquiry unit; 22. a question answering unit; 23. a discount participation and protection unit; 24. a live broadcasting explanation unit; 25. an interactive answering unit; 26. a material submission unit; 27. a plan auditing unit; 28. a reimbursement unit.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
In the description of the present invention, it should be noted that the terms "vertical", "upper", "lower", "horizontal", and the like indicate orientations or positional relationships based on those shown in the drawings, and are only for convenience of describing the present invention and simplifying the description, but do not indicate or imply that the referred device or element must have a specific orientation, be constructed in a specific orientation, and be operated, and thus, should not be construed as limiting the present invention.
In the description of the present invention, it should also be noted that, unless otherwise explicitly specified or limited, the terms "disposed," "mounted," "connected," and "connected" are to be construed broadly and may, for example, be fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.
Referring to fig. 1-4, the present invention provides a technical solution: the utility model provides a city policy insurance application and distribution platform, includes one-stop platform 1, one-stop platform 1 includes policy insurance system 2, policy insurance system 2 includes removes end 3 and PC end 4, remove end 3 and use little letter public number as the basis, remove end 3 including applying the insurance claim system 5, PC end 4 includes backstage management system 6, apply the insurance claim system 5 and include that personal participates in the insurance module 7, tears fortune bag module 8, service center module 9, live broadcast consultation module 10, enterprise participates in the insurance reservation module 11 and claims settlement module 12, backstage management system 6 includes order processing module 13, manual processing module 14 and data storage module 15.
Further, the personal insurance participation module 7 comprises a registration login unit 16, an insurance participation information unit 17 and an insurance participation application unit 18, wherein the registration login unit 16 is used for user registration login, the insurance participation information unit 17 is used for displaying information such as item introduction and attention points of products, and the insurance participation application unit 18 is used for filling basic information of insurance participants by a user and submitting the basic information for payment to complete insurance participation operation.
Further, the blessing bag detaching module 8 comprises a blessing bag detaching unit 19 and a sharing unit 20, wherein the blessing bag detaching unit 19 is used for users to draw rewards such as benefits, and the sharing unit 20 is used for users to share the blessing bags to friends to obtain the blessing bag detaching qualification.
Further, the service center module 9 includes an insurance inquiry unit 21, a question answering unit 22 and a discount insurance participating unit 23, the insurance inquiry unit 21 is used for checking progress of insurance purchase of the user and history records of insurance purchase of the user, the question answering unit 22 is used for displaying health services, claim settlement processes and common questions which can exist for the user, and the discount insurance participating unit 23 is used for inviting the user to friends to obtain more insurance quotations.
Further, the live broadcast consultation module 10 includes a live broadcast explaining unit 24 and an interactive answering unit 25, the live broadcast explaining unit 24 is used for users to watch the guarantee contents of live broadcast insurance-learning and the activity welfare, and the interactive answering unit 25 is used for users to communicate with customer service or main broadcasting.
Further, the enterprise insurance participation reservation module 11 ensures that the user can input an enterprise name, a contact person, a contact phone, a recommender and advance the reservation participation through the enterprise insurance participation reservation entrance.
Further, the claim settlement module 12 includes a material submitting unit 26, a filing auditing unit 27, and an reimbursement unit 28, where the material submitting unit 26 is used for the user to submit correct claim settlement materials, the filing auditing unit 27 is used for the insurance company to audit the materials, and the reimbursement unit 28 is used for the insurance company to issue drugs or reimburse the user afterwards.
Further, the order processing module 13 is used for auditing, processing, and classifying user orders by an insurance company, the manual processing module 14 is used for answering and removing customer questions by the insurance company, and the data storage module 15 is used for storing insurance application related data of users.
Further, the method comprises the following steps:
s1, insuring operation:
(1) registering and logging in by a user, clicking the insurance to be invested, and filling insurance information to be purchased;
(2) the user fills in the information of the insured person, clicks to immediately apply the insurance, verifies the information of the insured person, clicks to submit after passing;
(3) entering a cash register page for payment;
(4) when the enterprise deposits insurance, the enterprise logs in and registers, fills in insurance information data, and submits payment;
s2, a withdrawal flow:
(1) applying for removing the order through a telephone or on line;
(2) when the phone withdraws the order, checking and returning the fee according to the order information to finish the order withdrawal; when the on-line application for removing the order is carried out, the order is changed according to the order state and the execution of the fee refund is initiated to complete the order removal;
(3) the toll is returned through WeChat or Payment account number on the original way;
s3, disassembling the blessing bag:
the corresponding good fortune bags can be obtained, after the good fortune bags are obtained, lottery drawing can be carried out through the good fortune bag opening inlets to exchange claims prizes, and after the users successfully purchase the good fortune bags or share the good fortune bags with friends, the good fortune bags can be obtained after the friends successfully purchase insurance;
s4, claim settlement flow:
(1) the insured submits a payment application which can be applied by dialing a telephone or by the public number of the insurance company, and the insured life prompts a user to submit claim settlement materials after the verification is passed;
(2) verifying the claim settlement materials of the insured, and issuing the medicines after the verification is passed;
(3) preparing to submit relevant materials for subsequent medication applications of the insured life by a user;
(4) and issuing the medicine after the verification is passed.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (9)

1. The utility model provides a city policy insurance application and distribution platform which characterized in that: including one-stop platform (1), one-stop platform (1) includes policy insurance system (2), policy insurance system (2) are including removing end (3) and PC end (4), remove end (3) and use little letter public number as the basis, remove end (3) including insuring claims settlement system (5), PC end (4) include backstage management system (6), insuring claims settlement system (5) include personal participation module (7), tear open fortune bag module (8), service center module (9), live broadcast consultation module (10), enterprise participate in insurance reservation module (11) and claim settlement module (12), backstage management system (6) include order processing module (13), manual handling module (14) and data storage module (15).
2. The urban policy insurance application and distribution platform according to claim 1, wherein: the personal insurance participating module (7) comprises a registration login unit (16), an insurance participating information unit (17) and an insurance participating application unit (18), wherein the registration login unit (16) is used for registering and logging in a user, the insurance participating information unit (17) is used for displaying information such as project introduction, notice and the like of a product, and the insurance participating application unit (18) is used for filling basic information of an insurance participating person by the user and submitting the basic information for payment to complete insurance participating operation.
3. The urban policy insurance application and distribution platform according to claim 1, wherein: the blessing bag detaching module (8) comprises a blessing bag detaching unit (19) and a sharing unit (20), the blessing bag detaching unit (19) is used for users to draw rewards such as preferential offers, and the sharing unit (20) is used for users to share the rewards for friends to obtain the qualification of detaching the blessing bags.
4. The urban policy insurance application and distribution platform according to claim 1, wherein: the service center module (9) comprises a insurance reference query unit (21), a question answering unit (22) and a discount insurance reference unit (23), wherein the insurance reference query unit (21) is used for checking progress of insurance purchase of a user and history records of insurance purchase of the user, the question answering unit (22) is used for displaying health services, an claim settlement process and common questions which can exist for the user, and the discount insurance reference unit (23) is used for inviting friends to obtain more insurance lines.
5. The urban policy insurance application and distribution platform according to claim 1, wherein: the live broadcast consultation module (10) comprises a live broadcast explanation unit (24) and an interactive answer unit (25), the live broadcast explanation unit (24) is used for a user to watch live broadcast insurance contents and activity benefits, and the interactive answer unit (25) is used for the user to communicate with customer service or a main broadcast.
6. The urban policy insurance application and distribution platform according to claim 1, wherein: the enterprise insurance participation reservation module (11) ensures that a user can input an enterprise name, a contact person, a contact phone, a recommending person and reserve insurance participation in advance through an enterprise insurance participation reservation entrance.
7. The urban policy insurance application and distribution platform according to claim 1, wherein: the claim settlement module (12) comprises a material submitting unit (26), a filing auditing unit (27) and a reimbursement unit (28), wherein the material submitting unit (26) is used for submitting correct claim settlement materials for users, the filing auditing unit (27) is used for auditing the materials by insurance companies, and the reimbursement unit (28) is used for issuing medicines or reimbursing the users afterwards by the insurance companies.
8. The urban policy insurance application and distribution platform according to claim 1, wherein: the order processing module (13) is used for auditing, processing, inducing and classifying user orders by an insurance company, the manual processing module (14) is used for answering and withdrawing orders of clients by the insurance company, and the data storage module (15) is used for storing insurance application related data of users.
9. The use method of the city policy insurance application and distribution platform according to any one of claims 1 to 8, comprising the following steps:
s1, insuring operation:
(1) registering and logging in by a user, clicking the insurance to be invested, and filling insurance information to be purchased;
(2) the user fills in the information of the insured person, clicks to immediately apply the insurance, verifies the information of the insured person, clicks to submit after passing;
(3) entering a cash register page for payment;
(4) when the enterprise deposits insurance, the enterprise logs in and registers, fills in insurance information data, and submits payment;
s2, a withdrawal flow:
(1) applying for removing the order through a telephone or on line;
(2) when the phone withdraws the order, checking and returning the fee according to the order information to finish the order withdrawal; when the on-line application for removing the order is carried out, the order is changed according to the order state and the execution of the fee refund is initiated to complete the order removal;
(3) the toll is returned through WeChat or Payment account number on the original way;
s3, disassembling the blessing bag:
the corresponding good fortune bags can be obtained, after the good fortune bags are obtained, lottery drawing can be carried out through the good fortune bag opening inlets to exchange claims prizes, and after the users successfully purchase the good fortune bags or share the good fortune bags with friends, the good fortune bags can be obtained after the friends successfully purchase insurance;
s4, claim settlement flow:
(1) the insured submits a payment application and prompts the user to submit claim settlement materials after the verification is passed;
(2) verifying the claim settlement materials of the insured, and issuing the medicines after the verification is passed;
(3) preparing to submit relevant materials for subsequent medication applications of the insured life by a user;
(4) and issuing the medicine after the verification is passed.
CN202011182224.0A 2020-10-29 2020-10-29 Urban policy insurance application and distribution platform Pending CN112200688A (en)

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Application Number Priority Date Filing Date Title
CN202011182224.0A CN112200688A (en) 2020-10-29 2020-10-29 Urban policy insurance application and distribution platform

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Application Number Priority Date Filing Date Title
CN202011182224.0A CN112200688A (en) 2020-10-29 2020-10-29 Urban policy insurance application and distribution platform

Publications (1)

Publication Number Publication Date
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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107909487A (en) * 2017-11-10 2018-04-13 平安科技(深圳)有限公司 Claims Resolution method, apparatus and system based on medical insurance
CN108960786A (en) * 2018-07-18 2018-12-07 朱岳天幸 A kind of line is insured comprehensive service platform
CN110223183A (en) * 2019-05-20 2019-09-10 保多多保险经纪有限公司 Intelligent safety device, method and system
CN110969534A (en) * 2018-09-30 2020-04-07 上海笛乐护斯健康科技有限公司 Intelligent health management and life safety insurance system and implementation method thereof
CN111091471A (en) * 2019-11-25 2020-05-01 泰康保险集团股份有限公司 Insurance claim settlement method, device, equipment and storage medium

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107909487A (en) * 2017-11-10 2018-04-13 平安科技(深圳)有限公司 Claims Resolution method, apparatus and system based on medical insurance
CN108960786A (en) * 2018-07-18 2018-12-07 朱岳天幸 A kind of line is insured comprehensive service platform
CN110969534A (en) * 2018-09-30 2020-04-07 上海笛乐护斯健康科技有限公司 Intelligent health management and life safety insurance system and implementation method thereof
CN110223183A (en) * 2019-05-20 2019-09-10 保多多保险经纪有限公司 Intelligent safety device, method and system
CN111091471A (en) * 2019-11-25 2020-05-01 泰康保险集团股份有限公司 Insurance claim settlement method, device, equipment and storage medium

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