CN114283016A - Medical reimbursement business processing method, device, system and storage medium - Google Patents
Medical reimbursement business processing method, device, system and storage medium Download PDFInfo
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- CN114283016A CN114283016A CN202111592885.5A CN202111592885A CN114283016A CN 114283016 A CN114283016 A CN 114283016A CN 202111592885 A CN202111592885 A CN 202111592885A CN 114283016 A CN114283016 A CN 114283016A
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Abstract
The invention provides a medical reimbursement service processing method, a device, a system and a storage medium, the method provided by the invention relates to the technical field of intelligent medical treatment, the method is applied to a reimbursement terminal and comprises the following steps: receiving a medical reimbursement request sent by a user terminal, obtaining a target medical consultation certificate according to the medical reimbursement request, and obtaining target medical reimbursement information corresponding to the target medical consultation certificate from the alliance block chain; and decrypting the target medical reimbursement information according to the preset key to obtain the plain target medical service information, and performing medical reimbursement service processing according to the target medical service information. According to the medical reimbursement business processing method provided by the invention, medical reimbursement verification is carried out by using the medical reimbursement information and the visit certificate stored in the alliance block chain, so that the efficiency of medical reimbursement business processing is improved.
Description
Technical Field
The invention relates to the technical field of intelligent medical treatment, in particular to a medical reimbursement service processing method, a medical reimbursement service processing device, a medical reimbursement service processing system and a storage medium.
Background
The residents transact supplementary medical insurance in the insurance institution, and after the residents visit the hospital, the materials of the visits need to be submitted to an insurance company for secondary reimbursement.
At present, in the process of visiting a doctor, residents store paper certificates such as paper visiting examination reports, paper prescription documents and paper payment documents during visiting a doctor, after the doctor visits the doctor, the paper certificates are manually submitted to an insurance company business worker, or all the paper certificates are submitted by taking a picture, and the insurance company business worker checks the legality and validity of the paper certificates and then carries out medical insurance reimbursement business processing.
However, in the existing method, the process of checking the paper certificate by the insurance staff is complicated, and the insurance staff needs to manually check and check all information contained in the paper certificate, so that the efficiency of processing the medical insurance reimbursement business is low.
Disclosure of Invention
The invention provides a medical reimbursement business processing method, a device, a system and a storage medium, which are used for medical reimbursement verification through medical reimbursement information and visit vouchers stored in an alliance block chain, and improve the efficiency of medical reimbursement business processing.
In a first aspect, the present invention provides a medical reimbursement service processing method, applied to a reimbursement terminal, including:
receiving a medical reimbursement request sent by a user terminal, wherein the medical reimbursement request is generated by the user terminal according to a visit certificate sent by a server, the visit certificate is obtained by performing hash operation on medical service information by the server and is uplink-stored in an alliance block chain, the alliance block chain also stores medical reimbursement information corresponding to the visit certificate, the medical reimbursement information is encrypted by the server and is uplink-stored in the alliance block chain, and the medical service information is generated by the medical terminal according to the visit information of the user and is sent to the server;
obtaining a target medical consultation certificate according to the medical reimbursement request, and obtaining target medical reimbursement information corresponding to the target medical consultation certificate from a block chain of the alliance;
and decrypting the target medical reimbursement information according to a preset key to obtain the plain target medical service information, and performing medical reimbursement service processing according to the target medical service information.
In one possible design, before the receiving the medical reimbursement request sent by the user terminal, the method further includes:
and receiving the visit voucher sent by the server, and storing the time information of the received visit voucher and the corresponding visit voucher into a database.
In one possible design, the medical reimbursement request further includes medical reimbursement time information;
correspondingly, the obtaining a target medical consultation certificate according to the medical reimbursement request and obtaining target medical reimbursement information corresponding to the target medical consultation certificate from a block chain of alliances includes:
and obtaining a target medical consultation certificate according to the medical consultation request, if the target medical consultation information corresponding to the target medical consultation certificate is failed to be obtained from the alliance block chain, obtaining medical consultation time information carried in the medical consultation request, and obtaining the target medical consultation certificate corresponding to the medical consultation time information from the database.
In one possible design, the medical service information includes medical visit information and medical cost information.
In a second aspect, the present invention provides a method for processing a medical reimbursement service, which is applied to a server, and includes:
receiving medical service information sent by a medical terminal, wherein the medical service information is generated by the medical terminal according to the visit information of a user;
encrypting the medical service information to obtain medical reimbursement information, performing hash operation on the medical service information to obtain a visit certificate, and performing uplink storage on the medical reimbursement information and the visit certificate to an alliance block chain;
and sending the visit certificate to a user terminal so that the user terminal generates a medical reimbursement request according to the visit certificate and sends the medical reimbursement request to a reimbursement terminal, so that the reimbursement terminal acquires target medical reimbursement information corresponding to the target visit certificate carried in the medical reimbursement request from an alliance block chain, decrypts the target medical reimbursement information to obtain medical service information, and performs medical reimbursement service processing according to the medical service information.
In one possible design, after the sending the visit certificate to the user terminal, the method further includes:
and sending the visit voucher to a reimbursement terminal, so that the reimbursement terminal stores the time information for receiving the visit voucher and the corresponding visit voucher into a database.
In one possible design, before the receiving the medical service information sent by the medical terminal, the method further includes:
receiving an identity identifier and biological identification information sent by a medical terminal, wherein the identity identifier is a social security card identifier or an identity card identifier;
and if the identity authentication is judged to be successful according to the identity identification and the biological identification information, generating an authentication success identification and sending the authentication success identification to the medical terminal so that the medical terminal responds to the authentication success identification and generates medical service information according to the visit information of the user.
In one possible design, the biometric information includes at least one of a face image, a fingerprint image, and an iris image.
In a third aspect, the present invention provides a medical reimbursement service processing system, including: the system comprises a user terminal, a medical terminal, a reimbursement terminal and at least one server;
the medical terminal is used for generating medical service information according to the visit information of the user and sending the medical service information to the server;
the server is used for encrypting the medical service information to obtain medical reimbursement information, performing hash operation on the medical service information to obtain a visit certificate, performing uplink storage on the medical reimbursement information and the visit certificate to an alliance block chain, and sending the visit certificate to the user terminal;
the user terminal is further used for generating a medical reimbursement request according to the visit certificate and sending the medical reimbursement request to the reimbursement terminal;
the reimbursement terminal is used for acquiring the target medical consultation certificate carried in the medical reimbursement request, acquiring target medical reimbursement information corresponding to the target medical consultation certificate from the alliance block chain, decrypting the target medical reimbursement information according to a preset key to obtain plain text target medical service information, and performing medical reimbursement service processing according to the target medical service information.
In a fourth aspect, the present invention provides a medical reimbursement service processing apparatus, applied to a reimbursement terminal, including:
the system comprises a receiving module, a receiving module and a processing module, wherein the receiving module is used for receiving a medical reimbursement request sent by a user terminal, the medical reimbursement request is generated by the user terminal according to a visit certificate sent by a server, the visit certificate is obtained by carrying out hash operation on medical service information by the server and is uplink-stored in an alliance block chain, the alliance block chain also stores medical reimbursement information corresponding to the visit certificate, the medical reimbursement information is encrypted by the server and is uplink-stored in the alliance block chain, and the medical service information is generated by the medical terminal according to the visit information of the user and is sent to the server;
the acquisition module is used for acquiring a target medical consultation certificate according to the medical reimbursement request and acquiring target medical reimbursement information corresponding to the target medical consultation certificate from a block chain of the alliance;
and the service processing module is used for decrypting the target medical reimbursement information according to a preset secret key to obtain the plain target medical service information and performing medical reimbursement service processing according to the target medical service information.
In a fifth aspect, the present invention provides a medical reimbursement service processing apparatus, applied to a server, including:
the receiving module is used for receiving medical service information sent by a medical terminal, wherein the medical service information is generated by the medical terminal according to the treatment information of a user;
the storage module is used for encrypting the medical service information to obtain medical reimbursement information, performing hash operation on the medical service information to obtain a visit certificate, and performing uplink storage on the medical reimbursement information and the visit certificate to an alliance block chain;
and the sending module is used for sending the visit certificate to a user terminal so that the user terminal generates a medical reimbursement request according to the visit certificate and sends the medical reimbursement request to a reimbursement terminal, so that the reimbursement terminal acquires target medical reimbursement information corresponding to the target visit certificate carried in the medical reimbursement request from an alliance block chain, decrypts the target medical reimbursement information to obtain medical service information and performs medical reimbursement service processing according to the medical service information.
In a sixth aspect, the present invention provides an electronic device, comprising: at least one processor and memory;
the memory stores computer-executable instructions;
the at least one processor executing the computer-executable instructions stored by the memory causes the at least one processor to perform the method of healthcare reimbursement services processing as set forth in the first aspect above and in various possible designs of the first aspect.
In a seventh aspect, the present invention provides a server, including: at least one processor and memory;
the memory stores computer-executable instructions;
the at least one processor executes the computer-executable instructions stored by the memory to cause the at least one processor to perform the method of healthcare reimbursement services processing as set forth in the second aspect above and in various possible designs of the second aspect.
In an eighth aspect, the present invention provides a computer storage medium, which stores computer executable instructions, and when a processor executes the computer executable instructions, the method for processing medical reimbursement services according to the above first aspect and various possible designs of the first aspect, or the second aspect and various possible designs of the second aspect is implemented.
In a ninth aspect, the present invention provides a computer program product comprising a computer program which, when executed by a processor, implements the method for handling healthcare reimbursement services as set forth in the first and various possible designs of the first aspect, or the second and various possible designs of the second aspect.
According to the medical reimbursement service processing method, device, system and storage medium provided by the invention, the medical reimbursement information and the visit certificate are obtained by the server through the medical service information sent by the medical terminal, and are linked and stored in the alliance block chain, so that the reimbursement terminal obtains the target visit certificate from the medical reimbursement request sent by the user terminal, and obtains the target medical reimbursement information corresponding to the target visit certificate from the alliance block chain, and the reimbursement terminal directly performs medical reimbursement verification according to the target medical reimbursement information stored in the alliance block chain, thereby improving the efficiency of medical reimbursement service processing.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings needed to be used in the description of the embodiments or the prior art will be briefly introduced below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts.
Fig. 1 is a schematic structural diagram of a medical reimbursement service processing system provided by an embodiment of the present invention;
fig. 2 is a first flowchart of a medical reimbursement service processing method according to an embodiment of the present invention;
FIG. 3 is a block chain memory diagram of a Mercker root according to an embodiment of the present invention;
fig. 4 is a flowchart illustrating a second medical reimbursement service processing method according to an embodiment of the present invention;
fig. 5 is a third schematic flow chart of a medical reimbursement service processing method according to an embodiment of the present invention;
fig. 6 is a third schematic flow chart of a medical reimbursement service processing method according to an embodiment of the present invention;
fig. 7 is a schematic structural diagram of a medical reimbursement service processing apparatus according to an embodiment of the present invention;
fig. 8 is a schematic structural diagram of a medical reimbursement service processing apparatus according to an embodiment of the present invention;
fig. 9 is a schematic diagram of a hardware structure of an electronic device according to an embodiment of the present invention;
fig. 10 is a schematic diagram of a hardware structure of a server according to an embodiment of the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, 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 some, but not all, embodiments of the present invention. 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 technical scheme of the disclosure, the collection, storage, use, processing, transmission, provision, disclosure and other processing of the personal information of the related user are all in accordance with the regulations of related laws and regulations and do not violate the good customs of the public order.
At present, in the process of seeing a doctor, paper certificates such as paper examination reports, paper prescription documents and paper payment documents during seeing a doctor are stored, and after seeing a doctor, the paper certificates are manually submitted to an insurance company waiter to carry out secondary supplementary medical insurance reimbursement, or all the paper certificates are submitted to carry out secondary reimbursement by taking a picture. The process of checking the paper certificate by the insurance officer is complicated, and the insurance officer needs to manually check and check all information contained in the paper certificate, so that the efficiency of processing the medical insurance reimbursement business is low.
In order to solve the above technical problem, the embodiment of the present invention proposes the following technical solutions: the medical reimbursement information and the visit certificate are obtained by the aid of the medical service information sent by the medical terminal through the setting server, and are linked and stored in the alliance block chain, so that the reimbursement terminal obtains the target visit certificate from the medical reimbursement request sent by the user terminal, and obtains the target medical reimbursement information corresponding to the target visit certificate from the alliance block chain, the reimbursement terminal directly performs medical reimbursement verification according to the target medical reimbursement information stored in the alliance block chain, and efficiency of medical reimbursement service processing is improved. The following examples are given for illustrative purposes.
Fig. 1 is a schematic structural diagram of a medical reimbursement service processing system according to an embodiment of the present invention. As shown in fig. 1, the medical reimbursement service processing system provided by the embodiment of the present invention includes a user terminal 101, a medical terminal 102, an reimbursement terminal 103, and a server 104. Illustratively, the user terminal 101, the medical terminal 102, the reimbursement terminal 103 and the server 104 are respectively in data transmission via a communication network.
Illustratively, the medical terminal 102 is a mobile terminal device or a computer device of a hospital, and provides a medical service such as registration, payment and generation of a medical report for a user. The servers 104 are exemplarily nodes of a federation blockchain network, and the number of the servers 104 is not limited in the embodiment of the present invention. Illustratively, the reimbursement terminal 103 is a mobile terminal device or a computer device of an insurance agency, and is used for performing medical insurance reimbursement business processing. Illustratively, the user terminal 101 may be a mobile terminal device or a computer device, and an application terminal for performing medical insurance reimbursement business processing and a client for managing the medical information are installed in the user terminal 101.
Illustratively, in the embodiment of the present invention, the medical terminal 102 inputs the visit information of the user and generates medical service information, and sends the medical service information to the server 104, the server 104 encrypts the medical service information to obtain medical reimbursement information and performs hash operation on the medical service information to obtain a visit certificate, and stores the medical reimbursement information and the visit certificate in the federation block chain in an uplink manner, and sends the visit certificate to the user terminal 101, the user terminal 101 generates a medical reimbursement request according to the visit certificate, and sends the medical reimbursement request to the reimbursement terminal 103, the reimbursement terminal 103 obtains a target visit certificate carried in the medical reimbursement request, and obtains target medical reimbursement information corresponding to the target visit certificate from the federation block chain, decrypts the target medical reimbursement information according to a preset key to obtain the target medical service information in a plain text, and processing medical reimbursement business according to the target medical business information.
Fig. 2 is a schematic flow chart of a medical reimbursement service processing method according to an embodiment of the present invention, where an execution main body of the embodiment may be a reimbursement terminal in the medical reimbursement service processing system shown in fig. 1, and the embodiment is not limited herein. As shown in fig. 2, the method includes:
s201: receiving a medical reimbursement request sent by a user terminal, wherein the medical reimbursement request is generated by the user terminal according to a visit certificate sent by a server, the visit certificate is obtained by performing hash operation on medical service information by the server and is uplinked and stored in an alliance block chain, the alliance block chain also stores medical reimbursement information corresponding to the visit certificate, the medical reimbursement information is encrypted by the server and is uplinked and stored in the alliance block chain, and the medical service information is generated by the medical terminal according to the visit information of the user and is sent to the server.
In the embodiment of the invention, the medical service information is generated by the medical terminal according to the visit information of the user and comprises all information of the user visiting the hospital. Illustratively, when a user registers in a hospital, the medical terminal inputs registration information of the user; when a user visits a clinic, the medical terminal inputs a diagnosis result and a prescription of the user; after the user pays, the medical terminal inputs the payment information of the user; after the user completes the medical examination, the medical terminal also enters an examination report of the user. Illustratively, the medical service information includes medical treatment information including registration information, diagnosis results, prescriptions and examination reports of the user, and medical cost information. The medical expense information comprises the medical insurance payment amount, the self-payment amount and the detailed payment medicine list of the treatment of the user.
In the embodiment of the invention, the medical terminal sends the medical treatment information to the server, and the server performs hash operation on the medical service information to obtain the treatment certificate, namely the treatment certificate is a hash value obtained by performing hash operation on the medical service information. And then encrypting the medical service information to obtain medical reimbursement information. Illustratively, after receiving the latest medical service information, the server performs a hash operation on the medical service information to obtain the latest visit certificate, and encrypts the medical service information to obtain medical reimbursement information. And then carrying out Hash operation according to the current diagnosis certificate in the block chain and the current diagnosis certificate to obtain the Merkel root Hash value. Fig. 3 is a schematic diagram of merkel root block chain storage according to an embodiment of the present invention. Specifically, as shown in fig. 3, in the alliance-link network provided by the server of the present invention, the medical reimbursement information stored in each node is encrypted by the server. The hash value of the medical service information stored in each block is calculated, every two hash values are subjected to hash calculation, and the process is repeated continuously until the top-most Mercker root hash value is formed. By computing the mercker root hash value, indexing can be performed using a binary tree to quickly locate a given block chain and also quickly determine which health reimbursement information storage block has an error.
In the embodiment of the invention, the user can obtain the diagnosis certificate sent by the server through the client managing the diagnosis information, can also generate the medical reimbursement request at the application terminal for medical insurance reimbursement business processing according to the diagnosis certificate, and sends the medical reimbursement request to the reimbursement terminal through the communication network.
S202: and obtaining a target medical consultation certificate according to the medical reimbursement request, and obtaining target medical reimbursement information corresponding to the target medical consultation certificate from the alliance block chain.
In the embodiment of the invention, the server, the medical terminal and the reimbursement terminal are all nodes of an alliance block chain, and the server, the medical terminal and the reimbursement terminal realize cross-industry and department information sharing and verification of the diagnosis certificate and the target medical reimbursement information through a mechanism workload certification POW (POW) consensus mechanism. The reimbursement terminal analyzes the medical reimbursement request to obtain the corresponding target medical attendance certificate of the user during reimbursement, and obtains the target medical reimbursement information corresponding to the target medical attendance certificate from the alliance block chain.
S203: and decrypting the target medical reimbursement information according to the preset key to obtain the plain target medical service information, and performing medical reimbursement service processing according to the target medical service information.
In the embodiment of the invention, the server encrypts the medical service information and the reimbursement terminal decrypts the target medical reimbursement information by using the same set of secret key. Illustratively, the reimbursement terminal decrypts the target medical reimbursement information according to a preset key to obtain the plain text target medical service information, and performs settlement processing on the medical insurance reimbursement of the user according to registration information, diagnosis results, prescriptions, inspection reports, medical insurance payment amount of the treatment, self-payment amount and payment medicine detailed lists of the user, which are contained in the target medical service information. Illustratively, the reimbursement terminal also sends the result of the claim to the user terminal.
In the medical reimbursement service processing method provided by this embodiment, the setting server obtains the medical reimbursement information and the visit certificate according to the medical service information sent by the medical terminal, and links and stores the medical reimbursement information and the visit certificate to the alliance block chain, so that the reimbursement terminal obtains the target visit certificate from the medical reimbursement request sent by the user terminal, and obtains the target medical reimbursement information corresponding to the target visit certificate from the alliance block chain, so that the reimbursement terminal directly performs medical reimbursement verification according to the target medical reimbursement information stored in the alliance block chain, and the efficiency of medical reimbursement service processing is improved.
Fig. 4 is a schematic flow chart of a medical reimbursement service processing method according to an embodiment of the present invention. On the basis of the embodiment of fig. 2, before receiving the medical reimbursement request sent by the user terminal in S201, another implementation method of the medical reimbursement service processing provided by the embodiment of the present invention is as follows:
s401: and receiving the visit voucher sent by the server, and storing the time information of the visit voucher and the corresponding visit voucher into a database.
In the embodiment of the invention, the reimbursement terminal can also receive and store the visit voucher sent by the server, and store the time information of the received visit voucher and the corresponding visit voucher into the database, so that the reimbursement terminal and the server keep the consistency of the visit voucher, and the reimbursement terminal can obtain the target medical reimbursement information by using the time information corresponding to the visit voucher stored in the database.
S402: and receiving a medical reimbursement request sent by the user terminal, wherein the medical reimbursement request is generated by the user terminal according to the visit certificate sent by the server, and the medical reimbursement request also comprises medical reimbursement time information.
In the embodiment of the invention, when the medical reimbursement certificate registered in the medical reimbursement request submitted by the user is wrong, the medical reimbursement time information can be determined according to the payment time in the transaction client or the client managing the medical reimbursement information, and the medical reimbursement request is generated by submitting the medical reimbursement time information and the medical reimbursement certificate.
S403: and obtaining a target medical examination certificate according to the medical reimbursement request, if the target medical reimbursement information corresponding to the target medical examination certificate is failed to be obtained from the alliance block chain, obtaining the medical reimbursement time information carried in the medical reimbursement request, and obtaining the target medical examination certificate corresponding to the medical reimbursement time information from the database.
In the embodiment of the present invention, the medical reimbursement request is analyzed to obtain the target visit voucher, but if the target medical reimbursement information corresponding to the target visit voucher is not obtained from the federation block chain, that is, the visit voucher identical to the target visit voucher cannot be found in the federation block chain, an error may occur in the visit voucher submitted by the user, at this time, the medical reimbursement request may be analyzed to obtain the medical reimbursement time information, and the corresponding target visit voucher is obtained from the database through the medical reimbursement time information.
S404: and decrypting the target medical reimbursement information according to the preset key to obtain the plain target medical service information, and performing medical reimbursement service processing according to the target medical service information.
This step is consistent with the method and effect implemented in S203 in the embodiment of fig. 2, and is not described herein again.
According to the medical reimbursement service processing method provided by the embodiment, the medical reimbursement time information is added in the medical reimbursement request, and when the visit certificate which is the same as the target visit certificate cannot be found in the alliance block chain, the corresponding target visit certificate is obtained from the database through the medical reimbursement time information, so that the efficiency of medical insurance reimbursement service processing is ensured.
Fig. 5 is a third schematic flow chart of a medical reimbursement service processing method according to an embodiment of the present invention, where an execution main body of the embodiment may be a server in the medical reimbursement service processing system shown in fig. 1, and the embodiment is not limited herein. As shown in fig. 5, the method includes:
s501: and receiving medical service information sent by the medical terminal, wherein the medical service information is generated by the medical terminal according to the visit information of the user.
S502: encrypting the medical service information to obtain medical reimbursement information, performing hash operation on the medical service information to obtain a visit certificate, and performing uplink storage on the medical reimbursement information and the visit certificate to the alliance block chain.
S503: and sending the visit certificate to a user terminal so that the user terminal generates a medical reimbursement request according to the visit certificate and sends the medical reimbursement request to a reimbursement terminal, so that the reimbursement terminal acquires target medical reimbursement information corresponding to the target visit certificate carried in the medical reimbursement request from the alliance block chain, decrypts the target medical reimbursement information to obtain medical service information, and performs medical reimbursement service processing according to the medical service information.
The methods implemented in S501 to S503 are the same as the methods implemented in S201 to S203 in the embodiment of fig. 2, and the effects are not described herein again.
Fig. 6 is a third schematic flow chart of a medical reimbursement service processing method according to an embodiment of the present invention. The medical reimbursement service processing method provided by the embodiment is as follows:
s601: the server receives the identity identification and the biological identification information sent by the medical terminal, wherein the identity identification is a social security card identification or an identity card identification.
In the embodiment of the invention, in order to avoid the situation that the doctor cares about using the medical insurance card, the identity of the patient can be confirmed by utilizing the biological identification information. Illustratively, the medical terminal obtains the identity and the biological identification information of the user when the medical terminal provides registration service for the user. Illustratively, the identity is a social security card identity or an identity card identity. Illustratively, the biometric information includes at least one of a face image, a fingerprint image, and an iris image. Specifically, a device for acquiring biometric information is also provided in the medical terminal. The facial image of the user can be collected according to the shooting equipment, the fingerprint image of the user can be collected according to the fingerprint identification equipment, and the iris image of the user can be collected according to the eye identification equipment.
S602: and if the server judges that the identity authentication is successful according to the identity identification and the biological identification information, generating an authentication success identification and sending the authentication success identification to the medical terminal.
In the embodiment of the invention, the identity identification and the biological identification information of all medical insurance registered users are prestored in the server. And if the server judges that the identity authentication is successful according to the identity identification and the biological identification information, generating an authentication success identification and sending the authentication success identification to the medical terminal.
S603: and the medical terminal responds to the authentication success identifier to generate medical service information according to the visit information of the user, and sends the medical service information to the server.
In the embodiment of the invention, when the medical terminal receives the authentication success identification returned by the server, the medical terminal can confirm that the user who sees a doctor is the user himself, generates the medical service information according to the medical information of the user, and sends the medical service information to the server.
S604: the server encrypts the medical service information to obtain medical reimbursement information, performs hash operation on the medical service information to obtain a visit certificate, and uplinks and stores the medical reimbursement information and the visit certificate to the alliance block chain.
S605: the server sends the consultation certificate to the user terminal.
S606: and the user terminal generates a medical reimbursement request according to the visit certificate and sends the medical reimbursement request to the reimbursement terminal.
S607: the reimbursement terminal acquires the target medical consultation certificate carried in the medical reimbursement request, acquires target medical reimbursement information corresponding to the target medical consultation certificate from the alliance block chain, decrypts the target medical reimbursement information according to a preset secret key to obtain plain text target medical service information, and performs medical reimbursement service processing according to the target medical service information.
The method implemented in S603 to S607 is the same as the method implemented in S201 to S203 in the embodiment of fig. 2, and the effect is not described herein again.
According to the medical reimbursement service processing method provided by the embodiment, the identity of the user to be treated is identified by using the identity identification and the biological identification information, the user to be treated is confirmed to be the registered medical insurance user, and the condition that the medical insurance card is falsely used for treating the medical doctor is avoided.
Fig. 7 is a schematic structural diagram of a medical reimbursement service processing apparatus according to an embodiment of the present invention. As shown in fig. 7, the medical reimbursement service processing apparatus 70 includes: a receiving module 701, an obtaining module 702 and a service processing module 703.
A receiving module 701, configured to receive a medical reimbursement request sent by a user terminal, where the medical reimbursement request is generated by the user terminal according to a visit certificate sent by a server, the visit certificate is obtained by performing hash operation on medical service information by the server and is uplink-stored in an alliance block chain, the alliance block chain further stores medical reimbursement information corresponding to the visit certificate, the medical reimbursement information is encrypted by the server and uplink-stored in the alliance block chain, and the medical service information is generated by the medical terminal according to the visit information of the user and is sent to the server;
an obtaining module 702, configured to obtain a target medical consultation certificate according to the medical reimbursement request, and obtain target medical reimbursement information corresponding to the target medical consultation certificate from a federation blockchain;
the service processing module 703 is configured to decrypt the target medical reimbursement information according to a preset key to obtain plaintext target medical service information, and perform medical reimbursement service processing according to the target medical service information.
In a possible implementation manner, the medical reimbursement service processing apparatus 70 further includes a storage module, configured to receive the visit certificate sent by the server, and store the time information of the received visit certificate and the corresponding visit certificate in the database.
In a possible implementation manner, the obtaining module 702 is specifically configured to obtain the target medical attendance certificate according to the medical reimbursement request, obtain medical reimbursement time information carried in the medical reimbursement request if obtaining target medical reimbursement information corresponding to the target medical attendance certificate from the federation blockchain fails, and obtain the target medical attendance certificate corresponding to the medical reimbursement time information from the database.
Fig. 8 is a schematic structural diagram of a medical reimbursement service processing apparatus according to an embodiment of the present invention. As shown in fig. 8, the medical reimbursement service processing apparatus 80 includes: a receiving module 801, a storage module 802, and a sending module 803.
A receiving module 801, configured to receive medical service information sent by a medical terminal, where the medical service information is generated by the medical terminal according to visit information of a user;
a storage module 802, configured to encrypt the medical service information to obtain medical reimbursement information, perform hash operation on the medical service information to obtain a visit certificate, and uplink-store the medical reimbursement information and the visit certificate to an alliance block chain;
a sending module 803, configured to send the visit certificate to a user terminal, so that the user terminal generates a medical reimbursement request according to the visit certificate and sends the medical reimbursement request to a reimbursement terminal, so that the reimbursement terminal obtains, from an alliance block chain, target medical reimbursement information corresponding to a target visit certificate carried in the medical reimbursement request, decrypts the target medical reimbursement information to obtain medical service information, and performs medical reimbursement service processing according to the medical service information.
In a possible implementation manner, the obtaining module 802 is further configured to send the visit certificate to a reimbursement terminal, so that the reimbursement terminal stores the time information of receiving the visit certificate and the corresponding visit certificate in a database.
In a possible implementation manner, the medical reimbursement service processing apparatus 80 further includes an authentication module, configured to receive an identity identifier and biometric information sent by the medical terminal, where the identity identifier is a social security card identifier or an identity card identifier; and if the identity authentication is judged to be successful according to the identity identification and the biological identification information, generating an authentication success identification and sending the authentication success identification to the medical terminal so that the medical terminal responds to the authentication success identification and generates medical service information according to the visit information of the user.
The apparatus provided in this embodiment may be used to implement the technical solutions of the above method embodiments, and the implementation principles and technical effects are similar, which are not described herein again.
Fig. 9 is a schematic diagram of a hardware structure of an electronic device according to an embodiment of the present invention. As shown in fig. 9, the electronic apparatus of the present embodiment includes: a processor 901 and a memory 902; wherein
A memory 902 for storing computer-executable instructions;
a processor 901, configured to execute computer-executable instructions stored in the memory, to implement the steps performed by the reimbursement terminal in the above embodiments. Reference may be made in particular to the description relating to the method embodiments described above.
Alternatively, the memory 902 may be separate or integrated with the processor 901.
When the memory 902 is provided separately, the electronic device further comprises a bus 903 for connecting the memory 902 and the processor 901.
Fig. 10 is a schematic diagram of a hardware structure of a server according to an embodiment of the present invention. As shown in fig. 10, the server of the present embodiment includes: a processor 1001 and a memory 1002; wherein
A memory 1002 for storing computer-executable instructions;
the processor 1001 is configured to execute the computer executable instructions stored in the memory to implement the steps performed by the server in the above embodiments. Reference may be made in particular to the description relating to the method embodiments described above.
Alternatively, the memory 1002 may be separate or integrated with the processor 1001.
When the memory 1002 is provided separately, the server further includes a bus 1003 for connecting the memory 1002 and the processor 1001.
The embodiment of the invention also provides a computer storage medium, wherein the computer storage medium stores computer execution instructions, and when a processor executes the computer execution instructions, the medical reimbursement service processing method is realized.
An embodiment of the present invention further provides a computer program product, which includes a computer program, and when the computer program is executed by a processor, the method for processing medical reimbursement services as described above is implemented. An embodiment of the present invention further provides a computer program product, which includes a computer program, and when the computer program is executed by a processor, the method for processing medical reimbursement services as described above is implemented.
In the embodiments provided in the present invention, it should be understood that the disclosed apparatus and method may be implemented in other ways. For example, the above-described device embodiments are merely illustrative, and for example, the division of the modules is only one logical division, and other divisions may be realized in practice, for example, a plurality of modules may be combined or integrated into another system, or some features may be omitted, or not executed. In addition, the shown or discussed mutual coupling or direct coupling or communication connection may be an indirect coupling or communication connection through some interfaces, devices or modules, and may be in an electrical, mechanical or other form.
The modules described as separate parts may or may not be physically separate, and parts displayed as modules may or may not be physical units, may be located in one place, or may be distributed on a plurality of network units. Some or all of the modules may be selected according to actual needs to implement the solution of the present embodiment.
In addition, functional modules in the embodiments of the present invention may be integrated into one processing unit, or each module may exist alone physically, or two or more modules are integrated into one unit. The unit formed by the modules can be realized in a hardware form, and can also be realized in a form of hardware and a software functional unit.
The integrated module implemented in the form of a software functional module may be stored in a computer-readable storage medium. The software functional module is stored in a storage medium and includes several instructions for causing a computer device (which may be a personal computer, a server, or a network device) or a processor to execute some steps of the methods described in the embodiments of the present application.
It should be understood that the Processor may be a Central Processing Unit (CPU), other general purpose Processor, a Digital Signal Processor (DSP), an Application Specific Integrated Circuit (ASIC), etc. A general purpose processor may be a microprocessor or the processor may be any conventional processor or the like. The steps of a method disclosed in connection with the present invention may be embodied directly in a hardware processor, or in a combination of the hardware and software modules within the processor.
The memory may comprise a high-speed RAM memory, and may further comprise a non-volatile storage NVM, such as at least one disk memory, and may also be a usb disk, a removable hard disk, a read-only memory, a magnetic or optical disk, etc.
The bus may be an Industry Standard Architecture (ISA) bus, a Peripheral Component Interconnect (PCI) bus, an Extended ISA (Extended Industry Standard Architecture) bus, or the like. The bus may be divided into an address bus, a data bus, a control bus, etc. For ease of illustration, the buses in the figures of the present application are not limited to only one bus or one type of bus.
The storage medium may be implemented by any type or combination of volatile or non-volatile memory devices, such as Static Random Access Memory (SRAM), electrically erasable programmable read-only memory (EEPROM), erasable programmable read-only memory (EPROM), programmable read-only memory (PROM), read-only memory (ROM), magnetic memory, flash memory, magnetic or optical disks. A storage media may be any available media that can be accessed by a general purpose or special purpose computer.
An exemplary storage medium is coupled to the processor such the processor can read information from, and write information to, the storage medium. Of course, the storage medium may also be integral to the processor. The processor and the storage medium may reside in an Application Specific Integrated Circuits (ASIC). Of course, the processor and the storage medium may reside as discrete components in an electronic device or host device.
Those of ordinary skill in the art will understand that: all or a portion of the steps of implementing the above-described method embodiments may be performed by hardware associated with program instructions. The program may be stored in a computer-readable storage medium. When executed, the program performs steps comprising the method embodiments described above; and the aforementioned storage medium includes: various media that can store program codes, such as ROM, RAM, magnetic or optical disks.
Finally, it should be noted that: the above embodiments are only used to illustrate the technical solution of the present invention, and not to limit the same; while the invention has been described in detail and with reference to the foregoing embodiments, it will be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; and the modifications or the substitutions do not make the essence of the corresponding technical solutions depart from the scope of the technical solutions of the embodiments of the present invention.
Claims (15)
1. A medical reimbursement service processing method is applied to a reimbursement terminal and comprises the following steps:
receiving a medical reimbursement request sent by a user terminal, wherein the medical reimbursement request is generated by the user terminal according to a visit certificate sent by a server, the visit certificate is obtained by performing hash operation on medical service information by the server and is uplink-stored in an alliance block chain, the alliance block chain also stores medical reimbursement information corresponding to the visit certificate, the medical reimbursement information is encrypted by the server and is uplink-stored in the alliance block chain, and the medical service information is generated by the medical terminal according to the visit information of the user and is sent to the server;
obtaining a target medical consultation certificate according to the medical reimbursement request, and obtaining target medical reimbursement information corresponding to the target medical consultation certificate from a block chain of the alliance;
and decrypting the target medical reimbursement information according to a preset key to obtain the plain target medical service information, and performing medical reimbursement service processing according to the target medical service information.
2. The method according to claim 1, further comprising, before the receiving the medical reimbursement request sent by the user terminal:
and receiving the visit voucher sent by the server, and storing the time information of the received visit voucher and the corresponding visit voucher into a database.
3. The method of claim 2, wherein the medical reimbursement request further includes medical reimbursement time information;
correspondingly, the obtaining a target medical consultation certificate according to the medical reimbursement request and obtaining target medical reimbursement information corresponding to the target medical consultation certificate from a block chain of alliances includes:
and obtaining a target medical consultation certificate according to the medical consultation request, if the target medical consultation information corresponding to the target medical consultation certificate is failed to be obtained from the alliance block chain, obtaining medical consultation time information carried in the medical consultation request, and obtaining the target medical consultation certificate corresponding to the medical consultation time information from the database.
4. The method of any one of claims 1 to 3, wherein the medical service information comprises medical visit information and medical cost information.
5. A medical reimbursement service processing method is applied to a server and comprises the following steps:
receiving medical service information sent by a medical terminal, wherein the medical service information is generated by the medical terminal according to the visit information of a user;
encrypting the medical service information to obtain medical reimbursement information, performing hash operation on the medical service information to obtain a visit certificate, and performing uplink storage on the medical reimbursement information and the visit certificate to an alliance block chain;
and sending the visit certificate to a user terminal so that the user terminal generates a medical reimbursement request according to the visit certificate and sends the medical reimbursement request to a reimbursement terminal, so that the reimbursement terminal acquires target medical reimbursement information corresponding to the target visit certificate carried in the medical reimbursement request from an alliance block chain, decrypts the target medical reimbursement information to obtain medical service information, and performs medical reimbursement service processing according to the medical service information.
6. The method of claim 5, further comprising, after said sending the visit credentials to a user terminal:
and sending the visit voucher to a reimbursement terminal, so that the reimbursement terminal stores the time information for receiving the visit voucher and the corresponding visit voucher into a database.
7. The method according to claim 5, further comprising, before the receiving the medical service information sent by the medical terminal:
receiving an identity identifier and biological identification information sent by a medical terminal, wherein the identity identifier is a social security card identifier or an identity card identifier;
and if the identity authentication is judged to be successful according to the identity identification and the biological identification information, generating an authentication success identification and sending the authentication success identification to the medical terminal so that the medical terminal responds to the authentication success identification and generates medical service information according to the visit information of the user.
8. The method of claim 7, wherein the biometric information comprises at least one of a facial image, a fingerprint image, and an iris image.
9. A healthcare reimbursement service processing system, comprising: the system comprises a user terminal, a medical terminal, a reimbursement terminal and at least one server;
the medical terminal is used for generating medical service information according to the visit information of the user and sending the medical service information to the server;
the server is used for encrypting the medical service information to obtain medical reimbursement information, performing hash operation on the medical service information to obtain a visit certificate, performing uplink storage on the medical reimbursement information and the visit certificate to an alliance block chain, and sending the visit certificate to the user terminal;
the user terminal is further used for generating a medical reimbursement request according to the visit certificate and sending the medical reimbursement request to the reimbursement terminal;
the reimbursement terminal is used for acquiring the target medical consultation certificate carried in the medical reimbursement request, acquiring target medical reimbursement information corresponding to the target medical consultation certificate from the alliance block chain, decrypting the target medical reimbursement information according to a preset key to obtain plain text target medical service information, and performing medical reimbursement service processing according to the target medical service information.
10. A medical reimbursement service processing device is applied to a reimbursement terminal and comprises:
the system comprises a receiving module, a receiving module and a processing module, wherein the receiving module is used for receiving a medical reimbursement request sent by a user terminal, the medical reimbursement request is generated by the user terminal according to a visit certificate sent by a server, the visit certificate is obtained by carrying out hash operation on medical service information by the server and is uplink-stored in an alliance block chain, the alliance block chain also stores medical reimbursement information corresponding to the visit certificate, the medical reimbursement information is encrypted by the server and is uplink-stored in the alliance block chain, and the medical service information is generated by the medical terminal according to the visit information of the user and is sent to the server;
the acquisition module is used for acquiring a target medical consultation certificate according to the medical reimbursement request and acquiring target medical reimbursement information corresponding to the target medical consultation certificate from a block chain of the alliance;
and the service processing module is used for decrypting the target medical reimbursement information according to a preset secret key to obtain the plain target medical service information and performing medical reimbursement service processing according to the target medical service information.
11. A medical reimbursement service processing device is applied to a server and comprises:
the receiving module is used for receiving medical service information sent by a medical terminal, wherein the medical service information is generated by the medical terminal according to the treatment information of a user;
the storage module is used for encrypting the medical service information to obtain medical reimbursement information, performing hash operation on the medical service information to obtain a visit certificate, and performing uplink storage on the medical reimbursement information and the visit certificate to an alliance block chain;
and the sending module is used for sending the visit certificate to a user terminal so that the user terminal generates a medical reimbursement request according to the visit certificate and sends the medical reimbursement request to a reimbursement terminal, so that the reimbursement terminal acquires target medical reimbursement information corresponding to the target visit certificate carried in the medical reimbursement request from an alliance block chain, decrypts the target medical reimbursement information to obtain medical service information and performs medical reimbursement service processing according to the medical service information.
12. An electronic device, comprising: at least one processor and memory;
the memory stores computer-executable instructions;
the at least one processor executing the computer-executable instructions stored by the memory causes the at least one processor to perform the method of healthcare reimbursement services processing of any of claims 1-4.
13. A server, comprising: at least one processor and memory;
the memory stores computer-executable instructions;
the at least one processor executing the computer-executable instructions stored by the memory causes the at least one processor to perform the method of healthcare reimbursement services processing of any of claims 5 to 8.
14. A computer-readable storage medium having stored thereon computer-executable instructions which, when executed by a processor, implement the healthcare reimbursement service processing method of any of claims 1 to 4 or 5 to 8.
15. A computer program product comprising a computer program, wherein the computer program, when executed by a processor, implements the healthcare reimbursement service processing method of any of claims 1 to 4 or any of claims 5 to 8.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111592885.5A CN114283016A (en) | 2021-12-23 | 2021-12-23 | Medical reimbursement business processing method, device, system and storage medium |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202111592885.5A CN114283016A (en) | 2021-12-23 | 2021-12-23 | Medical reimbursement business processing method, device, system and storage medium |
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| CN114283016A true CN114283016A (en) | 2022-04-05 |
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| CN202111592885.5A Pending CN114283016A (en) | 2021-12-23 | 2021-12-23 | Medical reimbursement business processing method, device, system and storage medium |
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| Country | Link |
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| CN (1) | CN114283016A (en) |
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- 2021-12-23 CN CN202111592885.5A patent/CN114283016A/en active Pending
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