CN113837888B - Method, device, equipment and storage medium for processing claim data - Google Patents
Method, device, equipment and storage medium for processing claim data Download PDFInfo
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- CN113837888B CN113837888B CN202111186690.0A CN202111186690A CN113837888B CN 113837888 B CN113837888 B CN 113837888B CN 202111186690 A CN202111186690 A CN 202111186690A CN 113837888 B CN113837888 B CN 113837888B
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q40/00—Finance; Insurance; Tax strategies; Processing of corporate or income taxes
- G06Q40/08—Insurance
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F16/00—Information retrieval; Database structures therefor; File system structures therefor
- G06F16/90—Details of database functions independent of the retrieved data types
- G06F16/903—Querying
- G06F16/9035—Filtering based on additional data, e.g. user or group profiles
Abstract
The application provides a method, a device, equipment and a storage medium for processing claim data, and relates to the technical field of data processing. The specific implementation scheme is as follows: determining an associated business object according to the acquired claim information to be processed; determining at least one corresponding rule service object according to the associated service object; screening the at least one rule service object based on the claim settlement history information corresponding to the at least one rule service object to obtain a screened rule service object; and summarizing the screened rule service objects to obtain the claim settlement result. According to the technology of the application, the automatic settlement of the special agreements can be realized, and the settlement speed is improved.
Description
Technical Field
The present application relates to the field of data processing technologies, and in particular, to a method, an apparatus, a device, and a storage medium for processing claim data.
Background
The insurance special agreement is also called special agreement, and is attached to a special agreement or term of an insurance policy through the common agreement of the applicant and the insurance company. It refers to other agreements made by the parties of the insurance contract outside the basic terms of the insurance policy, the content is the special agreement of the insurance person and the applicant on the content of the insurance contract, and the effectiveness of the special agreement is superior to the basic terms.
The special contract is a section of nonstandard pure text descriptive text, and the rule center can only support various basic clauses, if the special contract needs to be adapted, the existing rule engine needs to be developed for the second time or a new rule engine needs to be developed again, and the implementation difficulty is high. Therefore, at present, the claimant needs to read and understand each special contract in turn before claimant can execute claimant, so that the claimant process causes great inconvenience.
Disclosure of Invention
The embodiment of the application provides a method, a device, equipment and a storage medium for processing claim data, which are used for solving the problems of the related technology and have the following technical scheme:
in a first aspect, an embodiment of the present application provides a method for processing claim data, including:
determining an associated business object according to the acquired claim information to be processed;
determining at least one corresponding rule service object according to the associated service object;
screening the at least one rule service object based on the claim settlement history information corresponding to the at least one rule service object to obtain a screened rule service object;
and summarizing the screened rule service objects to obtain the claim settlement result.
In one embodiment, where a rule business object exists for multiple business types, at least one rule business object comprises a rule business object for multiple business types.
In one embodiment, where the service type of the rule service object includes multiple versions, at least one rule service object includes a rule service object under each version.
In one embodiment, filtering at least one rule service object based on claim history information corresponding to the at least one rule service object to obtain a filtered rule service object includes:
determining screening conditions based on the associated business objects;
and screening the at least one rule service object based on the claim settlement history information corresponding to the at least one rule service object and the screening condition to obtain the screened rule service object.
In one embodiment, filtering at least one rule service object based on claim history information corresponding to the at least one rule service object to obtain a filtered rule service object includes:
for each rule service object in the at least one rule service object, determining the rule service object as the filtered rule service object under the condition that the rule service object does not exceed the pay limit times.
In one embodiment, summarizing the rule service objects after screening to obtain the claim result, including:
and calculating the pay amount of the rule service object after screening according to a preset settlement rule to obtain a settlement result.
In a second aspect, an embodiment of the present application provides an apparatus for processing claim data, including:
the first determining module is used for determining an associated business object according to the acquired claim information to be processed;
the second determining module is used for determining at least one corresponding rule service object according to the associated service object;
the screening module is used for screening the at least one rule service object based on the claim settlement history information corresponding to the at least one rule service object to obtain a screened rule service object;
and the processing module is used for summarizing the screened rule business objects to obtain the claim settlement result.
In one embodiment, where a rule business object exists for multiple business types, at least one rule business object comprises a rule business object for multiple business types.
In one embodiment, where the service type of the rule service object includes multiple versions, at least one rule service object includes a rule service object under each version.
In one embodiment, the screening module is further configured to:
determining screening conditions based on the associated business objects;
and screening the at least one rule service object based on the claim settlement history information corresponding to the at least one rule service object and the screening condition to obtain the screened rule service object.
In one embodiment, the screening module is further configured to:
for each rule service object in the at least one rule service object, determining the rule service object as the filtered rule service object under the condition that the rule service object does not exceed the pay limit times.
In one embodiment, the processing module is further configured to: and calculating the pay amount of the rule service object after screening according to a preset settlement rule to obtain a settlement result.
In a third aspect, an embodiment of the present application provides an electronic device, including: memory and a processor. Wherein the memory and the processor are in communication with each other via an internal connection, the memory is configured to store instructions, the processor is configured to execute the instructions stored by the memory, and when the processor executes the instructions stored by the memory, the processor is configured to perform the method of any one of the embodiments of the above aspects.
In a fourth aspect, embodiments of the present application provide a computer readable storage medium storing a computer program, the method of any one of the above embodiments being performed when the computer program is run on a computer.
The advantages or beneficial effects in the technical scheme at least comprise:
the method comprises the steps of determining an associated business object according to acquired information of the claim to be processed, determining at least one rule business object according to the associated business object, screening the at least one rule business object based on the claim settlement history information corresponding to the associated business object, and collecting the screened rule business objects to obtain a claim settlement result, so that the problem that the claim settlement can be carried out after a person who settles the claim sequentially reads and understands each special appointment is solved, the automatic claim settlement of the special appointment is realized, the claim settlement speed is improved, and the user experience is further improved.
The foregoing summary is for the purpose of the specification only and is not intended to be limiting in any way. In addition to the illustrative aspects, embodiments, and features described above, further aspects, embodiments, and features of the present application will become apparent by reference to the drawings and the following detailed description.
Drawings
In the drawings, the same reference numerals refer to the same or similar parts or elements throughout the several views unless otherwise specified. The figures are not necessarily drawn to scale. It is appreciated that these drawings depict only some embodiments according to the disclosure and are not therefore to be considered limiting of its scope.
FIG. 1 is a flow chart of a method of claim data processing according to an embodiment of the application;
FIG. 2 is a schematic diagram of a new rule business object according to one embodiment of the application;
FIG. 3 is a schematic diagram of a configuration rule business object in accordance with one embodiment of the present application;
FIG. 4 is a schematic diagram of a configuration rule business object in accordance with an embodiment of the present application;
FIG. 5 is a schematic diagram of a configuration rule business object in accordance with an embodiment of the present application;
FIG. 6 is a schematic diagram of setting a payout limit number according to an embodiment of the present application;
FIG. 7 is a schematic diagram of a claim data processing apparatus according to an embodiment of the present application;
FIG. 8 is a block diagram of an electronic device for implementing the claim data processing method of an embodiment of the application.
Detailed Description
Hereinafter, only certain exemplary embodiments are briefly described. As will be recognized by those of skill in the pertinent art, the described embodiments may be modified in various different ways without departing from the spirit or scope of the present application. Accordingly, the drawings and description are to be regarded as illustrative in nature and not as restrictive.
FIG. 1 illustrates a flow chart of a method of claim data processing according to an embodiment of the application. As shown in fig. 1, the claim data processing method may include:
s101, determining an associated business object according to the acquired claim information to be processed;
s102, determining at least one corresponding rule service object according to the associated service object; wherein the rule business object comprises: at least one special contract;
s103, screening at least one rule service object based on claim settlement history information corresponding to the at least one rule service object to obtain a screened rule service object;
and S104, summarizing the screened rule business objects to obtain the claim settlement result.
Illustratively, the claim information to be processed may include: name of applicant, type of claim to be settled (such as inpatient fee, outpatient fee, etc.), total amount of fee. The general claim information to be processed is an invoice image uploaded by a user, and characters on the invoice image can be directly identified by the existing image identification method, so that information such as the name of an applicant, the type of the claim to be processed (such as hospitalized fee, outpatient fee and other fee types), the total amount of the fee and the like can be obtained. In this embodiment, after obtaining the information of the claim to be processed, whether the information of the claim to be processed exists is searched in the history information of the claim to be processed; if the information exists, the information of the claim to be processed is refused to be processed if the information of the claim to be processed is already processed; if the information does not exist, the information to be processed for the claims is not processed, and the claims processing is continued.
Illustratively, the associated business object may be an application scheme and/or liability information. It should be noted that, when rule service types are configured, it is necessary to select the associated service object as the application scheme and/or responsibility information. For example, when the associated business object is an insurance scheme, then its insurance scheme may be determined based on the name of the applicant obtained. When the associated business object is liability information, the associated business type, such as hospitalization benefits, comprehensive medical hospitalization, accidental injury medical treatment, sudden death, million medical hospitalization, comprehensive medical clinic (emergency) diagnosis, major illness, automobile accidental injury, special medicine, female fertility, accidental hospitalization benefits, employer mistakes, employer disability, employer extended 24 hours, non-medical liability type, supplementary medical hospitalization, supplementary medical clinic (emergency) diagnosis, etc., can be determined according to the acquired name of the applicant and the type of claim to be resolved.
Illustratively, in order to make the special conventions available directly in the rule center, a rule business object is created in the rule center that contains the special conventions of the individual applicant during the application process. The rule business object is provided with a template of special contract, and a worker can change the template according to the requirement of the applicant so as to generate the special contract of the applicant.
For another example, when the applicant needs to set some wind control rules and blacklist rules, a rule service object may be newly created in the rule service object (as shown in fig. 2), and may be named as a wind control rule and a blacklist rule, and relevant information of the rules is added.
In this embodiment, in the case where the associated service object is an application scheme, then a plurality of special conventions in the entire application scheme may be determined; in the case where the associated business object is responsibility information, then only the special commitments under the associated business type can be determined.
According to the technical scheme, the related service object is determined according to the acquired information of the claim to be processed, at least one rule service object is determined according to the related service object, and at least one rule service object is screened based on the history information of the claim corresponding to the related service object, so that the screened rule service objects are summarized to obtain the claim settlement result, the problem that the claim settlement can be carried out after the claim settlement personnel read and understand each specific appointment in sequence is avoided, the automatic claim settlement of the specific appointment is realized, the claim settlement speed is improved, and the user experience is further improved.
In one embodiment, where a rule business object exists for multiple business types, at least one rule business object comprises a rule business object for multiple business types.
In particular, as shown in FIGS. 3-4, when a worker configures a particular appointment for an applicant, multiple business-type terms may be added under a particular appointment, such as dentistry, dentistry (partial commitment), significant symptomatology, and the like. And sets fields under each term, such as a payoff limit, a payoff proportion, and the like. Then the information of the claim to be processed of the applicant is information related to the dentistry, and a plurality of dental related terms are determined. Thereby ensuring that all relevant terms in the special agreement are acquired, and further ensuring the accuracy of the claim settlement result.
In one embodiment, where the service type of the rule service object includes multiple versions, at least one rule service object includes a rule service object under each version.
Specifically, as shown in fig. 5, each specific contract may have multiple versions, and when adding terms of a certain service type, the versions of the terms also need to be determined. For example dental version 1, dental version 2.
Illustratively, when the applicant first makes an application of dental version 1. The second time the warranty is continued, the version is updated, this time the warranty is dental version 2. When the information of the claim to be processed is relevant to the dentistry, the terms of the dentistry version 1 and the dentistry version 2 are found out simultaneously. Thereby ensuring that all relevant clauses in the special agreement are acquired, and further ensuring the accuracy of the claim settlement result.
In one embodiment, filtering at least one rule service object based on claim history information corresponding to the at least one rule service object to obtain a filtered rule service object includes:
determining screening conditions based on the associated business objects;
and screening the at least one rule service object based on the claim settlement history information corresponding to the at least one rule service object and the screening condition to obtain the screened rule service object.
Illustratively, the screening conditions are determined according to the application scheme, such as the number of times of the restrictions on the payouts, the age of the applicant, and the like. For example, after the name of the applicant is obtained, the application scheme of the applicant may be directly obtained, the age of the applicant is determined, and whether the age of the applicant satisfies the age limit is determined, so that the special contract is screened. And then, the special conventions are further screened by combining the historical claim information, so that at least one special convention is screened from multiple dimensions, and the screened special convention is more accurate.
In this embodiment, the data of the rule business object, the association business object, may be spliced based on the blockchain query language (BQL, blockchain Query Language). And determining a plurality of screening conditions according to the spliced plurality of data. Different screening conditions can be selected according to different claim information to be processed.
In one embodiment, filtering at least one rule service object based on claim history information corresponding to the at least one rule service object to obtain a filtered rule service object includes:
for each rule service object in the at least one rule service object, determining the rule service object as the filtered rule service object under the condition that the rule service object does not exceed the pay limit times.
Specifically, as shown in fig. 6, the number of times of the pay limit and the pay ratio can also be customized when the service type is configured. The associated business object corresponding claim settlement history information can determine the historical claim payment times of the rule business object of the claim type in the claim settlement information to be processed. And screening out the rule business objects of which the historical odds do not exceed the odds limit number, thereby ensuring the accuracy of the odds settlement.
In one embodiment, summarizing the rule service objects after screening to obtain the claim result, including:
and calculating the pay amount of the rule service object after screening according to a preset settlement rule to obtain a settlement result.
Specifically, the rule is to collect the screened special conventions. For example, the amount that each special contract should be paid may be determined based on the field (i.e., the paylimit) of each special contract, and then the special contracts may be aggregated.
Fig. 7 shows a block diagram of a claim data processing apparatus according to an embodiment of the present application. As shown in fig. 7, the apparatus may include:
a first determining module 701, configured to determine an associated service object according to the obtained claim information to be processed;
a second determining module 702, configured to determine at least one rule service object according to the associated service object; wherein the rule business object comprises: at least one special contract;
a screening module 703, configured to screen at least one rule service object based on claim history information corresponding to the at least one rule service object, to obtain a screened rule service object;
and the processing module 704 is configured to aggregate the rule service objects after screening to obtain a claim result.
In one embodiment, where a rule business object exists for multiple business types, at least one rule business object comprises a rule business object for multiple business types.
In one embodiment, where the service type of the rule service object includes multiple versions, at least one rule service object includes a rule service object under each version.
In one embodiment, the screening module 703 is further configured to:
determining screening conditions based on the associated business objects;
and screening the at least one rule service object based on the claim settlement history information corresponding to the at least one rule service object and the screening condition to obtain the screened rule service object.
In one embodiment, the screening module 703 is further configured to:
for each rule service object in the at least one rule service object, determining the rule service object as the filtered rule service object under the condition that the rule service object does not exceed the pay limit times.
In one embodiment, the processing module 704 is further configured to: and calculating the pay amount of the rule service object after screening according to a preset settlement rule to obtain a settlement result.
In this way, the device of the embodiment of the application determines the associated business object according to the acquired information of the claim to be processed, determines at least one rule business object according to the associated business object, and screens the at least one rule business object based on the history information of the claim corresponding to the associated business object, thereby collecting the screened rule business object to obtain the claim settlement result, avoiding the problem that the claim settlement can be carried out only after the claim settlement personnel reads and understands each special contract in turn, realizing the automatic claim settlement of the special contract, improving the claim settlement speed and further improving the user experience.
The functions of each module in each device of the embodiments of the present application may be referred to the corresponding descriptions in the above methods, and are not described herein again.
Fig. 8 shows a block diagram of an electronic device according to an embodiment of the application. As shown in fig. 8, the electronic device includes: a memory 810 and a processor 820, the memory 810 storing a computer program executable on the processor 820. The processor 820, when executing the computer program, implements the claim data processing method in the above embodiment. The number of memory 810 and processors 820 may be one or more.
The electronic device further includes:
and the communication interface 830 is used for communicating with external devices and performing data interaction transmission.
If the memory 810, the processor 820, and the communication interface 830 are implemented independently, the memory 810, the processor 820, and the communication interface 830 may be connected to each other and perform communication with each other through buses. The bus may be an industry standard architecture (Industry Standard Architecture, ISA) bus, an external device interconnect (Peripheral Component Interconnect, PCI) bus, or an extended industry standard architecture (Extended Industry Standard Architecture, EISA) bus, among others. The bus may be classified as an address bus, a data bus, a control bus, etc. For ease of illustration, only one thick line is shown in fig. 8, but not only one bus or one type of bus.
Alternatively, in a specific implementation, if the memory 810, the processor 820, and the communication interface 830 are integrated on a chip, the memory 810, the processor 820, and the communication interface 830 may communicate with each other through internal interfaces.
The embodiment of the application provides a computer readable storage medium storing a computer program which, when executed by a processor, implements the method provided in the embodiment of the application.
The embodiment of the application also provides a chip, which comprises a processor and is used for calling the instructions stored in the memory from the memory and running the instructions stored in the memory, so that the communication equipment provided with the chip executes the method provided by the embodiment of the application.
The embodiment of the application also provides a chip, which comprises: the input interface, the output interface, the processor and the memory are connected through an internal connection path, the processor is used for executing codes in the memory, and when the codes are executed, the processor is used for executing the method provided by the application embodiment.
It should be appreciated that the processor may be a central processing unit (Central Processing Unit, CPU), but may also be other general purpose processors, digital signal processors (digital signal processing, DSP), application specific integrated circuits (application specific integrated circuit, ASIC), field programmable gate arrays (fieldprogrammablegate array, FPGA) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, or the like. A general purpose processor may be a microprocessor or any conventional processor or the like. It is noted that the processor may be a processor supporting an advanced reduced instruction set machine (advanced RISC machines, ARM) architecture.
Further, optionally, the memory may include a read-only memory and a random access memory, and may further include a nonvolatile random access memory. The memory may be volatile memory or nonvolatile memory, or may include both volatile and nonvolatile memory. The nonvolatile memory may include a read-only memory (ROM), a Programmable ROM (PROM), an Erasable PROM (EPROM), an electrically Erasable EPROM (EEPROM), or a flash memory, among others. Volatile memory can include random access memory (random access memory, RAM), which acts as external cache memory. By way of example, and not limitation, many forms of RAM are available. For example, static RAM (SRAM), dynamic RAM (dynamic random access memory, DRAM), synchronous DRAM (SDRAM), double data rate synchronous DRAM (DDR SDRAM), enhanced SDRAM (ESDRAM), synchronous DRAM (SLDRAM), and direct memory bus RAM (DR RAM).
In the above embodiments, it may be implemented in whole or in part by software, hardware, firmware, or any combination thereof. When implemented in software, may be implemented in whole or in part in the form of a computer program product. The computer program product includes one or more computer instructions. When the computer program instructions are loaded and executed on a computer, the processes or functions in accordance with the present application are fully or partially produced. The computer may be a general purpose computer, a special purpose computer, a computer network, or other programmable apparatus. Computer instructions may be stored in a computer-readable storage medium or transmitted from one computer-readable storage medium to another.
In the description of the present specification, a description referring to terms "one embodiment," "some embodiments," "examples," "specific examples," or "some examples," etc., means that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the present application. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples. Furthermore, the different embodiments or examples described in this specification and the features of the different embodiments or examples may be combined and combined by those skilled in the art without contradiction.
Furthermore, the terms "first," "second," and the like, are used for descriptive purposes only and are not to be construed as indicating or implying a relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defining "a first" or "a second" may explicitly or implicitly include at least one such feature. In the description of the present application, the meaning of "a plurality" is two or more, unless explicitly defined otherwise.
Any process or method description in a flowchart or otherwise described herein may be understood as representing modules, segments, or portions of code which include one or more executable instructions for implementing specific logical functions or steps of the process. And the scope of the preferred embodiments of the present application includes additional implementations in which functions may be performed in a substantially simultaneous manner or in an opposite order from that shown or discussed, including in accordance with the functions that are involved.
Logic and/or steps represented in the flowcharts or otherwise described herein, e.g., a ordered listing of executable instructions for implementing logical functions, can be embodied in any computer-readable medium for use by or in connection with an instruction execution system, apparatus, or device, such as a computer-based system, processor-containing system, or other system that can fetch the instructions from the instruction execution system, apparatus, or device and execute the instructions.
It is to be understood that portions of the present application may be implemented in hardware, software, firmware, or a combination thereof. In the above-described embodiments, the various steps or methods may be implemented in software or firmware stored in a memory and executed by a suitable instruction execution system. All or part of the steps of the methods of the embodiments described above may be performed by a program that, when executed, comprises one or a combination of the steps of the method embodiments, instructs the associated hardware to perform the method.
In addition, each functional unit in the embodiments of the present application may be integrated in one processing module, or each unit may exist alone physically, or two or more units may be integrated in one module. The integrated modules may be implemented in hardware or in software functional modules. The integrated modules described above, if implemented in the form of software functional modules and sold or used as a stand-alone product, may also be stored in a computer-readable storage medium. The storage medium may be a read-only memory, a magnetic or optical disk, or the like.
The foregoing is merely illustrative of the present application, and the present application is not limited thereto, and any person skilled in the art will readily recognize that various modifications and substitutions are possible within the scope of the present application. Therefore, the protection scope of the application is subject to the protection scope of the claims.
Claims (10)
1. A method of claim data processing, comprising:
determining an associated business object according to the acquired claim information to be processed;
determining at least one corresponding rule service object according to the associated service object; wherein the rule business object comprises: at least one special contract;
screening the at least one rule service object based on the claim settlement history information corresponding to the at least one rule service object to obtain a screened rule service object;
summarizing the screened rule business objects to obtain a claim settlement result;
wherein, in the case that the rule service object has a plurality of service types, the at least one rule service object includes rule service objects under the plurality of service types;
wherein, in case the service type of the rule service object comprises a plurality of versions, the at least one rule service object comprises a rule service object under each version.
2. The method of claim 1, wherein the screening the at least one rule service object based on the claim history information corresponding to the at least one rule service object to obtain a screened rule service object comprises:
determining screening conditions based on the associated business objects;
and screening the at least one rule service object based on the claim history information corresponding to the at least one rule service object and the screening condition to obtain a screened rule service object.
3. The method of claim 1, wherein the screening the at least one rule service object based on the claim history information corresponding to the at least one rule service object to obtain a screened rule service object comprises:
for each rule service object in the at least one rule service object, determining that the rule service object is a screened rule service object under the condition that the rule service object does not exceed the pay limit times.
4. The method of claim 1, wherein the summarizing the filtered rule business objects to obtain claim results comprises:
and calculating the pay amount of the rule service object after screening according to a preset settlement rule to obtain a settlement result.
5. A claim data processing apparatus, comprising:
the first determining module is used for determining an associated business object according to the acquired claim information to be processed;
the second determining module is used for determining at least one corresponding rule service object according to the associated service object; wherein the rule business object comprises: at least one special contract;
the screening module is used for screening the at least one rule service object based on the claim settlement history information corresponding to the at least one rule service object to obtain a screened rule service object;
the processing module is used for summarizing the screened rule service objects to obtain a claim settlement result;
wherein, in the case that the rule service object has a plurality of service types, the at least one rule service object includes rule service objects under the plurality of service types;
wherein, in case the service type of the rule service object comprises a plurality of versions, the at least one rule service object comprises a rule service object under each version.
6. The apparatus of claim 5, wherein the screening module is further configured to:
determining screening conditions based on the associated business objects;
and screening the at least one rule service object based on the claim history information corresponding to the at least one rule service object and the screening condition to obtain a screened rule service object.
7. The apparatus of claim 5, wherein the screening module is further configured to:
for each rule service object in the at least one rule service object, determining that the rule service object is a screened rule service object under the condition that the rule service object does not exceed the pay limit times.
8. The apparatus of claim 5, wherein the processing module is further configured to: and calculating the pay amount of the rule service object after screening according to a preset settlement rule to obtain a settlement result.
9. An electronic device, comprising: a processor and a memory in which instructions are stored, which instructions are loaded and executed by the processor to implement the method according to any one of claims 1 to 4.
10. A computer readable storage medium having stored therein a computer program which, when executed by a processor, implements the method of any of claims 1-4.
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Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9406085B1 (en) * | 2013-03-14 | 2016-08-02 | Consumerinfo.Com, Inc. | System and methods for credit dispute processing, resolution, and reporting |
| CN107705211A (en) * | 2017-11-10 | 2018-02-16 | 平安科技（深圳）有限公司 | A kind of adjustment method and apparatus of settlement of insurance claim case |
| WO2018177034A1 (en) * | 2017-03-30 | 2018-10-04 | 平安科技（深圳）有限公司 | Special agreement configuration method and system, terminal, and computer readable storage medium |
| CN109472706A (en) * | 2018-09-26 | 2019-03-15 | 平安健康保险股份有限公司 | Claims Resolution air control method, apparatus, computer equipment and storage medium |
| US10600105B1 (en) * | 2018-11-20 | 2020-03-24 | Rajiv Kumar | Interactive electronic assignment of services to providers based on custom criteria |
-
2021
- 2021-10-12 CN CN202111186690.0A patent/CN113837888B/en active Active
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9406085B1 (en) * | 2013-03-14 | 2016-08-02 | Consumerinfo.Com, Inc. | System and methods for credit dispute processing, resolution, and reporting |
| WO2018177034A1 (en) * | 2017-03-30 | 2018-10-04 | 平安科技（深圳）有限公司 | Special agreement configuration method and system, terminal, and computer readable storage medium |
| CN107705211A (en) * | 2017-11-10 | 2018-02-16 | 平安科技（深圳）有限公司 | A kind of adjustment method and apparatus of settlement of insurance claim case |
| CN109472706A (en) * | 2018-09-26 | 2019-03-15 | 平安健康保险股份有限公司 | Claims Resolution air control method, apparatus, computer equipment and storage medium |
| US10600105B1 (en) * | 2018-11-20 | 2020-03-24 | Rajiv Kumar | Interactive electronic assignment of services to providers based on custom criteria |
Non-Patent Citations (1)
| Title |
|---|
| 论违约可得利益损害赔偿的计算;李凤嫱等;中国优秀硕士学位论文全文数据库社会科学Ⅰ辑(第10期);G117-147 * |
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