CN114202434B - Claim settlement scheme generation method, device, equipment and medium based on priority algorithm - Google Patents
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Abstract
The invention relates to a data processing technology, and discloses a claim settlement scheme generation method based on a priority algorithm, which comprises the following steps: acquiring a claim settlement text of a user, and extracting all the claim settlement responsibilities in the claim settlement text according to a claim settlement responsibilities table; extracting corresponding responsibility attributes according to the claim responsibility; calculating to obtain the priority corresponding to each claim settlement responsibility according to the responsibility attribute corresponding to each claim settlement responsibility, and executing calculation on all the claim settlement responsibilities and the corresponding priorities by utilizing a pre-constructed priority algorithm to obtain various claim settlement combinations; and calculating according to each claim combination to obtain a claim settlement scheme, constructing a decision tree according to preset screening conditions, and screening by using the decision tree to obtain a target claim settlement scheme. In addition, the invention also relates to a blockchain technology, and claim text can be stored in nodes of the blockchain. The invention also provides a claim settlement scheme generating device based on the priority algorithm, electronic equipment and a storage medium. The invention can efficiently obtain the optimal claim settlement scheme.
Description
Technical Field
The present invention relates to the field of data processing technologies, and in particular, to a method and apparatus for generating a claim settlement scheme based on a priority algorithm, an electronic device, and a computer readable storage medium.
Background
In recent years, more and more people are paying attention to health, people are becoming aware of the necessity of unexpected health risks (abbreviated as "health risks"), and people buying health risks are climbing year by year. Because the health insurance policy has no limit on quantity and variety, some people can purchase a plurality of different health risks. Therefore, the problem of how to quickly select the optimal scheme for accurate claim settlement exists in the face of multiple policy customer groups.
The scheme adopted in the past for the problem of multi-policy claim settlement is generally to bring the lost amount into the policy and responsibility which have been decided for responsibility, automatically settle all the policies according to different responsibility attributes respectively, and then take out the policy with the highest claim amount as the final claim amount. The defects of the scheme are that: because of the existence of multiple claims, when screening and exhausting are performed according to the multiple claims, excessive calculation amount often occurs, so that the working time of the case is increased, and an ideal optimal claims scheme is difficult to obtain, so that the efficiency and accuracy of obtaining the claims scheme are low.
Disclosure of Invention
The invention provides a method and a device for generating a claim settlement scheme based on a priority algorithm and a computer readable storage medium, and mainly aims to solve the problem of low efficiency of obtaining an optimal claim settlement scheme.
In order to achieve the above object, the present invention provides a method for generating a claim settlement scheme based on a priority algorithm, including:
acquiring a claim settlement text of a user, and extracting all the claim settlement responsibilities in the claim settlement text according to a preset claim settlement responsibilities table;
Extracting corresponding responsibility attributes according to the claim responsibility;
Calculating to obtain the priority corresponding to each claim settlement responsibility according to the responsibility attribute corresponding to each claim settlement responsibility, and executing calculation on all the claim settlement responsibilities and the corresponding priorities by utilizing a pre-constructed priority algorithm to obtain various claim settlement combinations;
And calculating according to each claim combination to obtain a claim settlement scheme, constructing a decision tree according to preset screening conditions, and screening by using the decision tree to obtain a target claim settlement scheme.
Optionally, the extracting all the responsibilities of the claims in the claims text according to a preset claims responsibilities table includes:
Extracting a list label from a preset claim liability list as a list of claim liabilities to be settled as a target list;
And extracting the claim content in the target list from the claim text as the claim responsibility.
Optionally, the calculating, according to the responsibility attribute corresponding to each of the claims, the priority corresponding to each of the claims includes:
extracting attribute values corresponding to the responsibility attributes in all the claiming responsibilities;
And calculating the attribute values to obtain the priority corresponding to each claim settlement responsibility.
Optionally, the calculating, according to the responsibility attribute corresponding to each of the claims, the priority corresponding to each of the claims may further include:
Determining the ranking of the responsibility attributes by comparing the attribute values, and acquiring corresponding preset weights according to the ranking of the responsibility attributes;
calculating to obtain the score of each claim settlement responsibility according to the ranking of the responsibility attributes and the corresponding preset weight;
And determining the corresponding priority according to the score of each claim liability.
Optionally, the calculating the claim settlement scheme according to each claim settlement combination includes:
obtaining rated information in the claim settlement text and preset rules;
Calculating the rated information and the attribute value according to the rule and the claim combination to obtain the claim amount;
Matching corresponding rights and interests in the claim text according to the claim amount;
and taking the claim amount and the corresponding rights and interests as a claim settlement scheme.
Optionally, the calculating is performed on all the claims responsibilities and the corresponding priorities by using a pre-constructed priority algorithm, so as to obtain a plurality of claim combinations, including:
Setting nodes of the priority algorithm according to the priority corresponding to each claim settlement responsibility;
traversing all paths of the node by using the priority algorithm;
And obtaining a combination mode of all the claims responsibilities according to each path in all the paths.
Optionally, the acquiring the claim text of the user includes:
acquiring a storage path of the claim text;
compiling the storage path into path parameters, assigning a value to a preset data interface by using the path parameters, and calling the claim settlement text of the user in the claim settlement text by using the assigned data interface.
In order to solve the above problems, the present invention further provides a claim plan generating device based on a priority algorithm, the device comprising:
the system comprises an claim settlement responsibility acquisition module, a calculation module and a calculation module, wherein the claim settlement responsibility acquisition module is used for acquiring claim settlement texts of users and extracting all the claim settlement responsibilities in the claim settlement texts according to a preset claim settlement responsibility table;
the claim combination generation module is used for extracting corresponding responsibility attributes according to the claim responsibilities, calculating to obtain the priority corresponding to each claim responsibilities according to the responsibility attributes corresponding to each claim responsibilities, and calculating all claim responsibilities and the corresponding priorities by utilizing a pre-constructed priority algorithm to obtain various claim combinations;
And the target claim settlement scheme acquisition module is used for calculating and obtaining a claim settlement scheme according to each claim settlement combination, constructing a decision tree according to preset screening conditions and screening by utilizing the decision tree to obtain the target claim settlement scheme.
In order to solve the above-mentioned problems, the present invention also provides an electronic apparatus including:
At least one processor; and
A memory communicatively coupled to the at least one processor; wherein,
The memory stores a computer program executable by the at least one processor to enable the at least one processor to perform the priority algorithm-based claim plan generation method described above.
In order to solve the above-mentioned problems, the present invention also provides a computer-readable storage medium having stored therein at least one computer program that is executed by a processor in an electronic device to implement the above-mentioned priority algorithm-based claim settlement scheme generation method.
According to the embodiment of the invention, the responsibility attribute of the claimation responsibility is analyzed, so that the priority of the claimation responsibility is obtained, and then a better combination mode can be obtained rapidly without an exhaustion mode according to the priority and a priority algorithm, so that the accuracy of obtaining an optimal result can be further improved; the decision tree is used for further screening the claim settlement schemes of the claim settlement combination, so that the coincidence of the target claim settlement schemes and screening conditions is improved. Therefore, the method, the device, the electronic equipment and the computer readable storage medium for generating the claim settlement scheme based on the priority algorithm can solve the problem of low efficiency of obtaining the optimal claim settlement scheme.
Drawings
FIG. 1 is a flow chart of a method for generating a claim plan based on a priority algorithm according to an embodiment of the present invention;
FIG. 2 is a flow chart of calculating the priority corresponding to each claim responsibility according to an embodiment of the present invention;
FIG. 3 is a flow chart of obtaining multiple claim combinations according to an embodiment of the present invention;
FIG. 4 is a functional block diagram of an apparatus for generating claim solutions based on a priority algorithm according to an embodiment of the present invention;
fig. 5 is a schematic structural diagram of an electronic device for implementing the method for generating a claim plan based on a priority algorithm according to an embodiment of the present invention.
The achievement of the objects, functional features and advantages of the present invention will be further described with reference to the accompanying drawings, in conjunction with the embodiments.
Detailed Description
It should be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the scope of the invention.
The embodiment of the application provides a claim settlement scheme generation method based on a priority algorithm. The main execution body of the claim scheme generation method based on the priority algorithm comprises, but is not limited to, at least one of a server side, a terminal and the like which can be configured to execute the method provided by the embodiment of the application. In other words, the claim scheme generating method based on the priority algorithm may be performed by software or hardware installed in a terminal device or a server device, and the software may be a blockchain platform. The service end includes but is not limited to: a single server, a server cluster, a cloud server or a cloud server cluster, and the like. The server may be an independent server, or may be a cloud server that provides cloud services, cloud databases, cloud computing, cloud functions, cloud storage, network services, cloud communications, middleware services, domain name services, security services, content delivery networks (ContentDelivery Network, CDN), and basic cloud computing services such as big data and artificial intelligence platforms.
Referring to fig. 1, a flowchart of a method for generating a claim plan based on a priority algorithm according to an embodiment of the present invention is shown. In this embodiment, the method for generating a claim plan based on a priority algorithm includes:
S1, acquiring a claim settlement text of a user, and extracting all claim settlement responsibilities in the claim settlement text according to a preset claim settlement responsibilities table;
In the embodiment of the invention, the claim text corresponds to one user and can comprise a plurality of claim responsibilities. For example, the claim text is a medical claim, and then the medical claim may include a plurality of claim responsibilities, such as a disease clinic responsibilities and a disease hospitalization responsibilities, each of which has a respective claim settlement scheme.
In an embodiment of the present invention, the obtaining the claim text of the user includes:
acquiring a storage path of the claim text;
compiling the storage path into path parameters, assigning a value to a preset data interface by using the path parameters, and calling the claim settlement text of the user in the claim settlement text by using the assigned data interface.
In detail, the storage path may be uploaded in advance by a salesman, an administrator, or the like having a right to process the claim text.
Specifically, the storage path may be compiled into a path parameter by a preset compiler, and a preset data interface may be assigned by using the path parameter, and data under the storage path may be called by using the data interface, where the compiler includes, but is not limited to: microsoft Visual Studio, dev-C++, C++ Builder, emacs +GC.
In the embodiment of the present invention, the extracting all the liabilities of the text according to the preset liability of the claims includes:
Extracting a list label from a preset claim liability list as a list of claim liabilities to be settled as a target list;
And extracting the claim content in the target list from the claim text as the claim responsibility.
In the embodiment of the invention, the liability table is pre-generated according to the liability content owned by the liability text of the user, wherein the liability table comprises all liability of the liability text and all liability attributes corresponding to the liability.
For example, if the claim text of the user is a medical claim, then a different tag column is included in the claim liability table corresponding to the medical claim: a liability list, a liability attribute list, etc., wherein the liability list comprises all liability corresponding to the medical liability: disease outpatient service, disease hospitalization, etc.
S2, extracting corresponding responsibility attributes according to the claim settlement responsibility;
In the embodiment of the present invention, the responsibility attribute is a claim criterion included in the claim responsibility, for example: the amount of the claim, the proportion of the claim, etc.
In the embodiment of the invention, the responsibility attribute and the liability are associated and correspond to each other, the responsibility attribute and the liability can be mapped and stored in the liability table, and the corresponding responsibility attribute is extracted according to a certain liability.
For example, in the medical claim text, the claim liability list stores the disease clinic and the disease hospitalization, and the liability attribute list stores the liability attributes associated with the disease clinic and the disease hospitalization, and the liability attributes associated with the disease clinic and the disease hospitalization may include the claim free amount, the claim proportion, and the like.
S3, calculating to obtain the priority corresponding to each claim settlement responsibility according to the responsibility attribute corresponding to each claim settlement responsibility, and executing calculation on all claim settlement responsibilities and the corresponding priorities by using a pre-constructed priority algorithm to obtain various claim settlement combinations;
In the embodiment of the invention, when calculating the claim settlement scheme according to the claim settlement responsibility, the claim settlement responsibility is required to be combined in different manners, and the different claim settlement responsibility combinations are limited by responsibility attributes (such as the claim free amount, the claim payment proportion, the claim settlement limit and the like) or calculation rules, so that the calculated claim settlement schemes may be different, but for a large number of claim settlement schemes, all the combination manners cannot be exhausted and the calculation is performed respectively, so that the priority is required to be set for obtaining the ideal claim settlement scheme, the claim settlement is calculated by selecting the ranking combination manner with the prior priority after the ranking combination manner is calculated by using the identity priority algorithm, and the approximate ideal claim settlement scheme is obtained from the calculation result.
For example, if the optimal claim plan is the one that obtains the maximum amount, when the claim responsibilities are arranged and combined and calculated, if the calculated amount corresponding to each claim responsibilities is different according to the different responsibilities, analysis is required in combination with the responsibilities, and the claim responsibilities that obtain the larger calculated amount are set with higher priority so that the claim plan that obtains higher claim plan can be finally obtained, for example, the priority is determined according to the claim proportion, the claim proportion of claim responsibilities a is greater than the claim proportion of claim responsibilities B is greater than the claim proportion of claim responsibilities C, when the claim responsibilities are arranged and combined, the claim proportion a with greater claim proportion is first ensured to be located in front of the arrangement and combination, the arrangement and combination mode ABC, ACB, BAC, CAB is obtained, and if only two combination modes are obtained, the two combination modes are selected for the claim calculation.
In the embodiment of the invention, the responsibility attributes corresponding to different claimant responsibilities can comprise different claimant limits, claimant preferential and the like, so that analysis and calculation can be carried out according to the responsibility attributes corresponding to each claimant responsibilities, and the priority corresponding to the claimant responsibilities can be further determined.
In the embodiment of the present invention, the calculating, according to the responsibility attribute corresponding to each of the claims, the priority corresponding to each of the claims includes:
extracting attribute values corresponding to the responsibility attributes in all the claiming responsibilities;
And calculating the attribute values to obtain the priority corresponding to each claim settlement responsibility.
In the embodiment of the invention, the attribute value is associated with the responsibility attribute, and the attribute value and the responsibility attribute can be mapped and stored in the claim settlement responsibility table, and the corresponding attribute value is extracted according to a certain responsibility attribute.
For example, in the medical claim text, the disease clinic and the disease hospitalization are stored in a claim liability list, and liability attributes (claim free amount and claim rate) associated with the disease clinic and the disease hospitalization are stored in a liability attribute list, and among the liability attributes corresponding to the claim liability of the disease clinic: the value of the attribute corresponding to the claim-free amount can be 100 yuan, and the pay proportion is 0.5; among the responsibility attributes corresponding to the claim responsibility for hospitalization of diseases: the attribute value corresponding to the claim amount can be 200 yuan, the claim proportion is 0.2, the attribute value corresponding to the claim amount in the disease hospitalization is 2 times of the disease outpatient service, the attribute value corresponding to the claim proportion in the disease hospitalization is 0.4 times of the disease outpatient service, and the two endorsements are multiplied to obtain that the priority of the disease hospitalization is smaller than that of the disease outpatient service.
In another optional embodiment of the present invention, referring to fig. 2, the calculating, according to the responsibility attribute corresponding to each of the claims, the priority corresponding to each of the claims may further include:
s21, extracting attribute values corresponding to the responsibility attributes in all the claiming responsibilities;
s22, determining the ranking of the responsibility attributes by comparing the attribute values, and acquiring corresponding preset weights according to the ranking of the responsibility attributes;
s23, calculating to obtain the score of each claim settlement responsibility according to the ranking of the responsibility attributes and the corresponding preset weight;
s24, determining the corresponding priority according to the score of each claim settlement responsibility.
In the embodiment of the invention, the ranking of the responsibility attributes can be calculated by using the following weight algorithm to obtain the score of the responsibility of the claim settlement:
Wherein G is the score of the claim responsibility, n is the ranking total number, Q i is the ranking of the ith responsibility attribute, and P i is the preset weight corresponding to the ranking of the ith responsibility attribute.
For example, assuming that the liability is a, b, and c, which correspond to the liability attributes x and y, respectively, the ranking corresponding to the liability attribute x is a > c > b, the ranking corresponding to the liability attribute x is a < b < c, the preset weights corresponding to the ranking are 0.5, 0.4, and 0.2, and the scores corresponding to the liability is a, b, and c are 0.7, 0.6, and 0.9, respectively, by calculating the weight algorithm, so that the priority of the liability is a, b, and c is determined to be c > a > b.
In the embodiment of the invention, the priority algorithm is a traversing algorithm aiming at the graph and the tree, wherein each node can only access once, and all branch paths of each node are accessed in turn. And setting the liability settlement nodes according to the priorities through a priority algorithm, and accessing the liability settlement nodes according to the branch paths so as to obtain a liability settlement node combination mode conforming to the priorities.
In the embodiment of the present invention, referring to fig. 3, the calculating of all the claims responsibilities and the corresponding priorities by using the pre-constructed priority algorithm obtains a plurality of claim combinations, including:
s31, setting nodes of the priority algorithm according to the priority corresponding to each claim settlement responsibility;
S32, traversing all paths of the node by using the priority algorithm;
s33, obtaining a combination mode of all the claims according to each path in all the paths.
For example, assuming that the liability for the claims is a, b, c, and the priority thereof is c > a > b, the liability for the claim c is taken as the first node, and the liability for the claim a and b may be located at the secondary branch node below the first node.
In an alternative embodiment of the present invention, before the obtaining of the multiple claim combinations, the target claim combination is further extracted according to a preset screening requirement to extract the combination mode of all the claim responsibilities. For example, if the screening condition is to obtain 10 kinds of combination modes, extracting 10 kinds of combination modes from the combination modes of all the claims responsibilities as target combination modes; the screening condition is to obtain all combination modes of the claim liability b at the second position in the combination, and the combination mode of the claim liability b at the second position in the combination is extracted from the combination modes of all the claim liability as a target combination mode.
S4, calculating according to each claim combination to obtain a claim settlement scheme, constructing a decision tree according to preset screening conditions, and screening by using the decision tree to obtain a target claim settlement scheme.
In the embodiment of the invention, the claim settlement scheme comprises claim settlement amount or rights and interests, and the optimal claim settlement scheme is screened as a target result.
In an embodiment of the present invention, the calculating an claim settlement scheme according to each claim settlement combination includes:
obtaining rated information in the claim settlement text and preset rules;
Calculating the rated information and the attribute value according to the rule and the claim combination to obtain the claim amount;
Matching corresponding rights and interests in the claim text according to the claim amount;
and taking the claim amount and the corresponding rights and interests as a claim settlement scheme.
In the embodiment of the present invention, the rights and interests may be rights and interests equivalent to the rights and interests of the claims, for example, in the car claims, there are rights and interests: tires, maintenance services, etc.
In the embodiment of the invention, the decision tree is constructed according to the preset screening conditions, the preset decision function can be assigned by taking the screening conditions as parameters, and the decision tree is generated by taking the assigned decision function as the decision conditions;
illustratively, the decision function may be:
Wherein f (x) is the output value of the decision function, x is the parameter of the decision function, and g (y) is the input value of the decision function.
In detail, the following decision tree can be generated by assigning the parameter x of the decision function by using the filtering condition and using the assigned decision function as the decision condition:
when the input value g (y) of the decision tree is the same as the parameter x of the decision tree, the decision tree outputs a value f (x) =;
When the input to g (y) of the decision tree is different from the parameter x of the decision tree, the decision tree outputs a value f (x) =.
In the embodiment of the invention, the method for screening and obtaining the target claim settlement scheme by using the decision tree comprises the following steps:
One of the claims is selected from the claims to be input value one by one;
Inputting the input value into the decision tree to obtain an output result output by the decision tree, wherein the output result is that the input value is the same as the parameters of the decision tree or the input value is different from the parameters of the decision tree;
Counting the number of output results, which are output in the decision tree corresponding to each claim settlement scheme and have the same parameters as the decision tree, of the input values, and determining the claim settlement scheme corresponding to the calculation result meeting the preset condition as a target claim settlement scheme according to the number.
In the embodiment of the invention, the number of the output results, which are the same as the parameters of the decision tree, of the input values in the decision tree corresponding to the claim settlement schemes can be counted to judge which claim settlement scheme has higher consistency with the screening conditions.
In another alternative embodiment of the present invention, the target claim settlement scheme may be obtained through screening by setting a preset condition. For example, the preset condition may be that the amount of claims is maximum, or may be analyzed according to the needs of the user. For example, in the car claim project, if the preset condition is that the claim amount is maximum, directly selecting the claim amount value in the claim settlement scheme as the target claim settlement scheme; if the user demand is to obtain the maintenance service of the vehicle, selecting the claim settlement scheme containing the maintenance service from the claim settlement schemes as a target claim settlement scheme.
According to the embodiment of the invention, the responsibility attribute of the claimation responsibility is analyzed, so that the priority of the claimation responsibility is obtained, and then a better combination mode can be obtained rapidly without an exhaustion mode according to the priority and a priority algorithm, so that the accuracy of obtaining an optimal result can be further improved; the decision tree is used for further screening the claim settlement schemes of the claim settlement combination, so that the coincidence of the target claim settlement schemes and screening conditions is improved. Therefore, the claim settlement scheme generating method based on the priority algorithm can solve the problem of low efficiency of obtaining the optimal claim settlement scheme.
Fig. 4 is a functional block diagram of an apparatus for generating claim solutions based on a priority algorithm according to an embodiment of the present invention.
The claim plan generating apparatus 100 based on the priority algorithm of the present invention may be installed in an electronic device. The claim scheme generating device 100 based on the priority algorithm may include a portrait matching module 101, a first recommending module 102, a portrait perfecting module 103, a portrait screening module 104 and a second recommending module 105 according to the implemented functions. The module of the invention, which may also be referred to as a unit, refers to a series of computer program segments, which are stored in the memory of the electronic device, capable of being executed by the processor of the electronic device and of performing a fixed function.
In the present embodiment, the functions concerning the respective modules/units are as follows:
the claim settlement responsibility obtaining module 101 is configured to obtain claim settlement texts of users, and extract all the claim settlement responsibilities in the claim settlement texts according to a preset claim settlement responsibility table;
The claim combination generation module 102 is configured to extract corresponding responsibility attributes according to the claim responsibilities, calculate a priority corresponding to each claim responsibilities according to the responsibility attributes corresponding to each claim responsibilities, and calculate all claim responsibilities and the corresponding priorities by using a pre-constructed priority algorithm to obtain multiple claim combinations;
The target claim settlement scheme obtaining module 103 is configured to calculate and obtain a settlement scheme according to each claim settlement combination, construct a decision tree according to a preset screening condition, and screen and obtain a target claim settlement scheme by using the decision tree.
In detail, each module in the claim scheme generating device 100 based on the priority algorithm in the embodiment of the present invention adopts the same technical means as the claim scheme generating method based on the priority algorithm described in fig. 1 to 3, and can generate the same technical effects, which is not repeated here.
Fig. 5 is a schematic structural diagram of an electronic device for implementing a method for generating a claim plan based on a priority algorithm according to an embodiment of the present invention.
The electronic device 1 may comprise a processor 10, a memory 11, a communication bus 12 and a communication interface 13, and may further comprise a computer program stored in the memory 11 and executable on the processor 10, such as a claim settlement scheme generation program based on a priority algorithm.
The processor 10 may be formed by an integrated circuit in some embodiments, for example, a single packaged integrated circuit, or may be formed by a plurality of integrated circuits packaged with the same function or different functions, including one or more central processing units (Central Processing unit, CPU), microprocessors, digital processing chips, graphics processors, and combinations of various control chips. The processor 10 is a Control Unit (Control Unit) of the electronic device, connects respective components of the entire electronic device using various interfaces and lines, executes or executes programs or modules stored in the memory 11 (for example, executes a claim scheme generation program based on a priority algorithm, etc.), and invokes data stored in the memory 11 to perform various functions of the electronic device and process data.
The memory 11 includes at least one type of readable storage medium including flash memory, a removable hard disk, a multimedia card, a card type memory (e.g., SD or DX memory, etc.), a magnetic memory, a magnetic disk, an optical disk, etc. The memory 11 may in some embodiments be an internal storage unit of the electronic device, such as a mobile hard disk of the electronic device. The memory 11 may also be an external storage device of the electronic device in other embodiments, such as a plug-in mobile hard disk, a smart memory card (SMART MEDIA CARD, SMC), a Secure Digital (SD) card, a flash memory card (FLASH CARD) or the like, which are provided on the electronic device. Further, the memory 11 may also include both an internal storage unit and an external storage device of the electronic device. The memory 11 may be used not only for storing application software installed in an electronic device and various types of data, such as codes of a claim scheme generation program based on a priority algorithm, but also for temporarily storing data that has been output or is to be output.
The communication bus 12 may be a peripheral component interconnect standard (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. The bus is arranged to enable a connection communication between the memory 11 and at least one processor 10 etc.
The communication interface 13 is used for communication between the electronic device and other devices, including a network interface and a user interface. Optionally, the network interface may include a wired interface and/or a wireless interface (e.g., WI-FI interface, bluetooth interface, etc.), typically used to establish a communication connection between the electronic device and other electronic devices. The user interface may be a Display (Display), an input unit such as a Keyboard (Keyboard), or alternatively a standard wired interface, a wireless interface. Alternatively, in some embodiments, the display may be an LED display, a liquid crystal display, a touch-sensitive liquid crystal display, an OLED (Organic Light-Emitting Diode) touch, or the like. The display may also be referred to as a display screen or display unit, as appropriate, for displaying information processed in the electronic device and for displaying a visual user interface.
Fig. 5 shows only an electronic device with components, it being understood by a person skilled in the art that the structure shown in fig. 5 does not constitute a limitation of the electronic device 1, and may comprise fewer or more components than shown, or may combine certain components, or may be arranged in different components.
For example, although not shown, the electronic device may further include a power source (such as a battery) for supplying power to the respective components, and preferably, the power source may be logically connected to the at least one processor 10 through a power management device, so that functions of charge management, discharge management, power consumption management, and the like are implemented through the power management device. The power supply may also include one or more of any of a direct current or alternating current power supply, recharging device, power failure detection circuit, power converter or inverter, power status indicator, etc. The electronic device may further include various sensors, bluetooth modules, wi-Fi modules, etc., which are not described herein.
It should be understood that the embodiments described are for illustrative purposes only and are not limited to this configuration in the scope of the patent application.
The claim generation program based on the priority algorithm stored in the memory 11 in the electronic device 1 is a combination of a plurality of instructions, which when executed in the processor 10, can implement:
acquiring a claim settlement text of a user, and extracting all the claim settlement responsibilities in the claim settlement text according to a preset claim settlement responsibilities table;
Extracting corresponding responsibility attributes according to the claim responsibility;
Calculating to obtain the priority corresponding to each claim settlement responsibility according to the responsibility attribute corresponding to each claim settlement responsibility, and executing calculation on all the claim settlement responsibilities and the corresponding priorities by utilizing a pre-constructed priority algorithm to obtain various claim settlement combinations;
And calculating according to each claim combination to obtain a claim settlement scheme, constructing a decision tree according to preset screening conditions, and screening by using the decision tree to obtain a target claim settlement scheme.
In particular, the specific implementation method of the above instructions by the processor 10 may refer to the description of the relevant steps in the corresponding embodiment of the drawings, which is not repeated herein.
Further, the modules/units integrated in the electronic device 1 may be stored in a computer readable storage medium if implemented in the form of software functional units and sold or used as separate products. The computer readable storage medium may be volatile or nonvolatile. For example, the computer readable medium may include: any entity or device capable of carrying the computer program code, a recording medium, a U disk, a removable hard disk, a magnetic disk, an optical disk, a computer Memory, a Read-Only Memory (ROM).
The present invention also provides a computer readable storage medium storing a computer program which, when executed by a processor of an electronic device, can implement:
acquiring a claim settlement text of a user, and extracting all the claim settlement responsibilities in the claim settlement text according to a preset claim settlement responsibilities table;
Extracting corresponding responsibility attributes according to the claim responsibility;
Calculating to obtain the priority corresponding to each claim settlement responsibility according to the responsibility attribute corresponding to each claim settlement responsibility, and executing calculation on all the claim settlement responsibilities and the corresponding priorities by utilizing a pre-constructed priority algorithm to obtain various claim settlement combinations;
And calculating according to each claim combination to obtain a claim settlement scheme, constructing a decision tree according to preset screening conditions, and screening by using the decision tree to obtain a target claim settlement scheme.
In the several embodiments provided in the present invention, it should be understood that the disclosed apparatus, device and method may be implemented in other manners. For example, the above-described apparatus embodiments are merely illustrative, and for example, the division of the modules is merely a logical function division, and there may be other manners of division when actually implemented.
The modules described as separate components may or may not be physically separate, and components shown as modules may or may not be physical units, may be located in one place, or may be distributed over multiple network units. Some or all of the modules may be selected according to actual needs to achieve the purpose of the solution of this embodiment.
In addition, each functional module in the embodiments of the present invention may be integrated in one processing unit, or each unit may exist alone physically, or two or more units may be integrated in one unit. The integrated units can be realized in a form of hardware or a form of hardware and a form of software functional modules.
It will be evident to those skilled in the art that the invention is not limited to the details of the foregoing illustrative embodiments, and that the present invention may be embodied in other specific forms without departing from the spirit or essential characteristics thereof.
The present embodiments are, therefore, to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein. Any reference signs in the claims shall not be construed as limiting the claim concerned.
The blockchain is a novel application mode of computer technologies such as distributed data storage, point-to-point transmission, consensus mechanism, encryption algorithm and the like. The blockchain (Blockchain), essentially a de-centralized database, is a string of data blocks that are generated in association using cryptographic methods, each of which contains information from a batch of network transactions for verifying the validity (anti-counterfeit) of its information and generating the next block. The blockchain may include a blockchain underlying platform, a platform product services layer, an application services layer, and the like.
Furthermore, it is evident that the word "comprising" does not exclude other elements or steps, and that the singular does not exclude a plurality. A plurality of units or means recited in the system claims can also be implemented by means of software or hardware by means of one unit or means. The terms first, second, etc. are used to denote a name, but not any particular order.
Finally, it should be noted that the above-mentioned embodiments are merely for illustrating the technical solution of the present invention and not for limiting the same, and although the present invention has been described in detail with reference to the preferred embodiments, it should be understood by those skilled in the art that modifications and equivalents may be made to the technical solution of the present invention without departing from the spirit and scope of the technical solution of the present invention.
Claims (9)
1. A method for generating a claim settlement scheme based on a priority algorithm, the method comprising:
acquiring a claim settlement text of a user, and extracting all the claim settlement responsibilities in the claim settlement text according to a preset claim settlement responsibilities table;
Extracting corresponding responsibility attributes according to the claim responsibility;
Calculating to obtain a priority corresponding to each claim settlement responsibility according to a responsibility attribute corresponding to each claim settlement responsibility, and performing calculation on all claim settlement responsibilities and the corresponding priorities by using a pre-constructed priority algorithm to obtain various claim settlement combinations, wherein the priority algorithm is a traversing algorithm aiming at a graph and a tree, each node can only access once, and all branch paths of each node are accessed in sequence;
Calculating according to each claim combination to obtain a claim settlement scheme, constructing a decision tree according to preset screening conditions, and screening by using the decision tree to obtain a target claim settlement scheme;
Wherein, the calculating is performed on all the claims responsibilities and the corresponding priorities by using the pre-constructed priority algorithm to obtain a plurality of claims combinations, including: setting nodes of the priority algorithm according to the priority corresponding to each claim settlement responsibility; traversing all paths of the node by using the priority algorithm; and obtaining a combination mode of all the claims responsibilities according to each path in all the paths.
2. The method for generating claim solutions based on a priority algorithm according to claim 1, wherein the extracting all the responsibilities of the claim text according to a preset claim responsibilities table comprises:
Extracting a list label from a preset claim liability list as a list of claim liabilities to be settled as a target list;
And extracting the claim content in the target list from the claim text as the claim responsibility.
3. The method for generating claim solutions based on a priority algorithm according to claim 1, wherein the calculating the priority corresponding to each of the claim responsibilities according to the responsibilities attribute corresponding to each of the claim responsibilities includes:
extracting attribute values corresponding to the responsibility attributes in all the claiming responsibilities;
And calculating the attribute values to obtain the priority corresponding to each claim settlement responsibility.
4. The method for generating claim solutions based on a priority algorithm according to claim 1, wherein the calculating the priority corresponding to each of the claim responsibilities according to the responsibilities attribute corresponding to each of the claim responsibilities includes:
extracting attribute values corresponding to the responsibility attributes in all the claiming responsibilities;
Determining the ranking of the responsibility attributes by comparing the attribute values, and acquiring corresponding preset weights according to the ranking of the responsibility attributes;
calculating to obtain the score of each claim settlement responsibility according to the ranking of the responsibility attributes and the corresponding preset weight;
And determining the corresponding priority according to the score of each claim liability.
5. The method for generating claim solutions based on a priority algorithm according to claim 3, wherein the calculating the claim solution according to each of the claim combinations includes:
obtaining rated information in the claim settlement text and preset rules;
Calculating the rated information and the attribute value according to the rule and the claim combination to obtain the claim amount;
Matching corresponding rights and interests in the claim text according to the claim amount;
and taking the claim amount and the corresponding rights and interests as a claim settlement scheme.
6. The method for generating claim solutions based on a priority algorithm according to claim 1, wherein the step of obtaining claim text of a user includes:
acquiring a storage path of the claim text;
compiling the storage path into path parameters, assigning a value to a preset data interface by using the path parameters, and calling the claim settlement text of the user in the claim settlement text by using the assigned data interface.
7. A priority algorithm-based claim plan generation apparatus for implementing the priority algorithm-based claim plan generation method as claimed in any one of claims 1 to 6, characterized in that the apparatus comprises:
the system comprises an claim settlement responsibility acquisition module, a calculation module and a calculation module, wherein the claim settlement responsibility acquisition module is used for acquiring claim settlement texts of users and extracting all the claim settlement responsibilities in the claim settlement texts according to a preset claim settlement responsibility table;
the claim combination generation module is used for extracting corresponding responsibility attributes according to the claim responsibilities, calculating to obtain the priority corresponding to each claim responsibilities according to the responsibility attributes corresponding to each claim responsibilities, and calculating all claim responsibilities and the corresponding priorities by utilizing a pre-constructed priority algorithm to obtain various claim combinations;
And the target claim settlement scheme acquisition module is used for calculating and obtaining a claim settlement scheme according to each claim settlement combination, constructing a decision tree according to preset screening conditions and screening by utilizing the decision tree to obtain the target claim settlement scheme.
8. An electronic device, the electronic device comprising:
At least one processor; and
A memory communicatively coupled to the at least one processor; wherein,
The memory stores a computer program executable by the at least one processor to enable the at least one processor to perform the priority algorithm-based claim scheme generation method of any one of claims 1 to 6.
9. A computer-readable storage medium storing a computer program, wherein the computer program when executed by a processor implements the priority algorithm-based claim generation method of any one of claims 1 to 6.
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| CN109255013A (en) * | 2018-08-14 | 2019-01-22 | 平安医疗健康管理股份有限公司 | Claims Resolution decision-making technique, device, computer equipment and storage medium |
| CN109360110A (en) * | 2018-09-26 | 2019-02-19 | 平安健康保险股份有限公司 | Automatic adjustment method, apparatus, computer equipment and storage medium |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN109255013A (en) * | 2018-08-14 | 2019-01-22 | 平安医疗健康管理股份有限公司 | Claims Resolution decision-making technique, device, computer equipment and storage medium |
| CN109360110A (en) * | 2018-09-26 | 2019-02-19 | 平安健康保险股份有限公司 | Automatic adjustment method, apparatus, computer equipment and storage medium |
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