CN206021351U - Army's ground medical insurance is required to report his or her problems within a prescribed time and in a prescribed place and runs hospitalization cost settlement system - Google Patents
Army's ground medical insurance is required to report his or her problems within a prescribed time and in a prescribed place and runs hospitalization cost settlement system Download PDFInfo
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- CN206021351U CN206021351U CN201620691002.4U CN201620691002U CN206021351U CN 206021351 U CN206021351 U CN 206021351U CN 201620691002 U CN201620691002 U CN 201620691002U CN 206021351 U CN206021351 U CN 206021351U
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- army
- medical insurance
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Abstract
The utility model is related to a kind of army ground medical insurance and requires to report his or her problems within a prescribed time and in a prescribed place operation hospitalization cost settlement system, the system includes man-machine interaction settlement terminal, hospital information management server, army's medical reform account settlement server, medical insurance information management server and the bank finance service server for being communicated with the man-machine interaction settlement terminal by network respectively.The system is army's ground medical insurance double-rail operating mechanism, realizes that patient's hospitalization cost passes sequentially through local medical insurance and army's medical reform settlement system and carries out secondary clearing, final unified to patient's one invoice of offer, meets the related requests such as financial accounting.
Description
Technical field
The utility model is related to medical information service system, and in particular to a kind of army ground medical insurance is required to report his or her problems within a prescribed time and in a prescribed place operation cost of hospitalization
Use settlement system.
Background technology
The preferential medical family members of army occupy not little proportion in existing military medical service guarantee crowd.The preferential medical family members of army
According to identity category, following three classes social medical insurance is respectively attended:The soldier children of not yet completely 18 years old have participated in youngster's medical insurance
Insurance kind, soldier's " double nothings " spouse have participated in unemployed medical insurance insurance kind, go along with an army support old man and more than unemployed medical insurance age limit
" double nothings " spouse has participated in old medical insurance insurance kind.Meanwhile, the preferential medical family members of Most current army have also participated in respective society
Can medical insurance;I.e. this kind of personnel enjoy the dual inpatient medical in army ground and ensure treatment.
But during seeking medical advice, it is preferential that the dual inpatient medical in the army of enjoying ground ensures that the soldier's dependants for the treatment of have simply used army
Medical insurance, without using local medical insurance identity.Many soldier's dependants, even if having participated in local medical insurance at one's own expense, also enjoy not
To the Huimin policy of local medical insurance, two one can only be selected between local medical insurance and army's medical reform.Trace it to its cause mainly current army
The team doctor institute not yet army of foundation ground medical insurance double-rail operating mechanism so that social medical resource cannot get effectively utilizes, and army family members join
Plus the enthusiasm of social medical insurance is also affected.
Utility model content
The purpose of this utility model is to overcome defect of the prior art, designs a kind of army ground medical insurance and requires to report his or her problems within a prescribed time and in a prescribed place operation
Hospitalization cost settlement system, the system are army's ground medical insurance double-rail operating mechanism, realize that patient's hospitalization cost passes sequentially through local doctor
Protect and army's medical reform settlement system carries out secondary clearing, final unified to patient's one invoice of offer, meet the phases such as financial accounting
Close and require.
For achieving the above object, the technical scheme adopted by the utility model is that a kind of army ground medical insurance is required to report his or her problems within a prescribed time and in a prescribed place and run
Institute's charge settlement system, the system include man-machine interaction settlement terminal, respectively by network with man-machine interaction clearing eventually
Hospital information management server, army's medical reform account settlement server, medical insurance information management server and bank that end communicates
Financial business server;
The man-machine interaction settlement terminal is used for the settlement information for gathering hospital information management server, and and medical insurance
Information management server, army's medical reform account settlement server and bank finance service server carry out information exchange, complete work of paying the fees
Make;
The hospital information management server is used for providing initial data for the disbursement and sattlement of clearing personnel;
Army's medical reform account settlement server is used for generating army's medical reform market settlement, and medical insurance is believed by its rule
Medical insurance fund payment after breath management servers process carries out expense decomposition, calculates and pays the amount of money for oneself;
The medical insurance information management server is used for receiving the medical insurance of clearing personnel and declares information, and to man-machine interaction
Medical insurance fund payment after terminal feedback process;
The bank finance service server is used for carrying out the clearing for paying the amount of money for oneself to the bank card for settling accounts personnel.
Wherein preferred scheme is that the man-machine interaction settlement terminal includes that artificial settlement terminal machine and man-machine interaction are self-service
Terminating machine;The artificial settlement terminal machine assigns tally order for medical worker to system, the man-machine interaction self-aided terminal
Machine assigns tally order by human-computer interaction device to system for settling accounts personnel.
Wherein preferred scheme is that the man-machine interaction self-service terminal machine includes central processing module, processes mould with central authorities
The display module of block connection, Card Reader identification module and input through keyboard module.
Wherein preferred scheme is that the man-machine interaction self-service terminal machine also includes the bank note being connected with central processing module
Receive discrimination module.
Wherein preferred scheme is that the man-machine interaction self-service terminal machine also includes the printing being connected with central processing module
Module.
Wherein preferred scheme is that the Card Reader identification module includes that identity card Card Reader recognition unit, bank card identification are single
Unit, medical insurance card Card Reader recognition unit and military medical service card Card Reader recognition unit.
Wherein preferred scheme is that the system also includes the SMS platform service being connected with man-machine interaction settlement terminal
Device, for clearing personnel's feedback clearing or other information.
Army ground of the present utility model medical insurance is asked for patient when requiring to report his or her problems within a prescribed time and in a prescribed place operation hospitalization cost settlement system by being in hospital
Two kinds of proofs of identification, are admitted to hospital when registering and for " identity " hurdle to position army's medical reform, " taking not " hurdle positioning medical insurance insurance kind (even youngster,
Or old or unemployment medical insurance).During discharge clearing, patient's settlement information is first settled accounts by system by medical insurance identity, and in time will
Cost data declares upload to HI center, then patient's hospitalization cost is imported army's medical reform account settlement server carries out calculating and pay for oneself
The amount of money, final with calculating army dual identity patient's expense.Subsequently settled accounts by artificial checkout or self-aided terminal.
By settlement system effectively utilizes social resources of the present utility model, alleviate the confession of standard layout to a certain extent
Give pressure;Army and the insured enthusiasm of army family members is transferred, has promoted the benign cycle of medical insurance fund, realized medical insurance side real
The wide covering of meaning.
Description of the drawings
Fig. 1 be army ground medical insurance require to report his or her problems within a prescribed time and in a prescribed place operation hospitalization cost settlement system embodiment structural representation;
Fig. 2 is that army's ground medical insurance structure of man-machine interaction self-service terminal machine in operation hospitalization cost settlement system of requiring to report his or her problems within a prescribed time and in a prescribed place is shown
It is intended to;
Fig. 3 be army ground medical insurance require to report his or her problems within a prescribed time and in a prescribed place operation hospitalization cost settlement system in man-machine interaction self-service terminal machine body knot
Composition.
Specific embodiment
With reference to the accompanying drawings and examples, specific embodiment of the present utility model is further described.Hereinafter implement
Example is only used for the technical solution of the utility model is clearly described, and can not limit protection model of the present utility model with this
Enclose.
Fig. 1 shows that the utility model army ground medical insurance is required to report his or her problems within a prescribed time and in a prescribed place and runs a kind of embodiment party of hospitalization cost settlement system
Formula, the system include man-machine interaction settlement terminal 10, are communicated with the man-machine interaction settlement terminal 10 by network respectively
Hospital information management server 20, army's medical reform account settlement server 30, medical insurance information management server 40 and bank gold
Melt service server 50.
The man-machine interaction settlement terminal 10 is used for gathering the settlement information of hospital information management server 20, and with medical treatment
Insurance information management server 40, army medical reform account settlement server 30 and bank finance service server 50 carry out information exchange,
Complete work of paying the fees;
The hospital information management server 20 is used for providing initial data for the disbursement and sattlement of clearing personnel;
Army's medical reform account settlement server 30 is used for generating army's medical reform market settlement, and by its rule to medical insurance
Medical insurance fund payment after the process of information management server 40 carries out expense decomposition, calculates and pays the amount of money for oneself;
The medical insurance information management server 40 is used for receiving the medical insurance of clearing personnel and declares information, and to man-machine friendship
Medical insurance fund payment after 10 feedback processing of mutual terminal;
The bank finance service server 50 is used for carrying out the clearing for paying the amount of money for oneself to the bank card for settling accounts personnel.
Two kinds of proofs of identification are asked for patient when in hospital, is admitted to hospital the medical reform of " identity " hurdle positioning army, " taking not " when registering
Hurdle positioning medical insurance insurance kind (even learning youngster or old or unemployment medical insurance).During discharge clearing, patient's settlement information is first pressed by system
Medical insurance identity is settled accounts, and cost data is declared upload to HI center in time, then patient's hospitalization cost is imported army
Medical reform account settlement server carries out calculating and pays the amount of money for oneself, final with calculating army dual identity patient's expense.Wherein, count as follows
Army's ground dual identity patient's expense is collected in calculation:
Pay the amount of money=army's medical reform for oneself and pay the amount of money-medical insurance fund payment expense for oneself;
Such as pay amount of money < 0 for oneself, then pay the amount of money=0 for oneself, difference returns pool to pay;Amount of money > 0 is such as paid for oneself, then differential section disease
People need to settle accounts at one's own expense.
Last implementation by man-machine interaction settlement terminal 10 is kept accounts automatically, it is ensured that accounts and properties are consistent.
Additionally, on the basis of above-mentioned technical proposal, settlement system of the present utility model can also be included and man-machine friendship
The SMS platform server 60 that mutually settlement terminal 10 is connected, for clearing personnel's feedback clearing or other information.
In a specific embodiment, the man-machine interaction settlement terminal 10 of the present utility model includes artificial clearing eventually
Terminal 101 and man-machine interaction self-service terminal machine 102;The artificial settlement terminal machine 101 assigns knot for medical worker to system
Instruction is calculated, and the man-machine interaction self-service terminal machine 102 is used for settling accounts personnel and clearing being assigned by human-computer interaction device to system referring to
Order.
Fig. 2 show the utility model army ground medical insurance require to report his or her problems within a prescribed time and in a prescribed place operation hospitalization cost settlement system in man-machine interaction self-service
A kind of embodiment of terminating machine 102, the man-machine interaction self-service terminal machine 102 include central processing module 103, with centre
The display module 104 of the reason connection of module 103, Card Reader identification module 105, input through keyboard module 106, note acceptance discrimination module
107 and print module 108.Fig. 3 has gone out the housing construction of the terminating machine, and wherein label 201 goes out for the printing paper of print module 108
Mouthful;The Card Reader identification module 105 includes identity card Card Reader recognition unit 110, bank card recognition unit 111, medical insurance card Card Reader
Recognition unit 112 and military medical service card Card Reader recognition unit 113.By identity card Card Reader recognition unit 110 come to identity card
Information or by medical insurance card Card Reader recognition unit 112 come the information to medical security card or pass through military medical service card recognition unit
The medical information of 113 couples of patients carries out multiple information reading and recognizes and record, and can be used with convenient patient.
The above is only preferred embodiment of the present utility model, for those skilled in the art,
On the premise of without departing from the utility model know-why, some improvements and modifications can also be made, these improvements and modifications
Should be regarded as protection domain of the present utility model.
Claims (7)
1. a kind of army ground medical insurance is required to report his or her problems within a prescribed time and in a prescribed place and runs hospitalization cost settlement system, it is characterised in that the system includes man-machine friendship
Mutually settlement terminal (10), passes through the hospital information management service that network is communicated with man-machine interaction settlement terminal (10) respectively
Device (20), army's medical reform account settlement server (30), medical insurance information management server (40) and bank finance service server
(50);
Described man-machine interaction settlement terminal (10) are used for gathering the settlement information of hospital information management server (20), and with medical treatment
Insurance information management server (40), army's medical reform account settlement server (30) and bank finance service server (50) enter row information
Interaction, completes work of paying the fees;
Described hospital information management server (20) are used for providing initial data for the disbursement and sattlement of clearing personnel;
Described army's medical reform account settlement server (30) are used for generating army's medical reform market settlement, and medical insurance are believed by its rule
Medical insurance fund payment after breath management server (40) is processed carries out expense decomposition, calculates and pays the amount of money for oneself;
Described medical insurance information management server (40) are used for receiving the medical insurance of clearing personnel and declare information, and to man-machine interaction
Medical insurance fund payment after terminal (10) feedback processing;
Described bank finance service server (50) are used for carrying out the clearing for paying the amount of money for oneself to the bank card for settling accounts personnel.
2. army ground as claimed in claim 1 medical insurance is required to report his or her problems within a prescribed time and in a prescribed place and runs hospitalization cost settlement system, it is characterised in that the people
Machine interaction settlement terminal (10) includes artificial settlement terminal machine (101) and man-machine interaction self-service terminal machine (102);The artificial knot
Calculate terminating machine (101), for medical worker, tally order is assigned to system, described man-machine interaction self-service terminal machine (102) are used for tying
Calculation personnel assign tally order by human-computer interaction device to system.
3. army ground as claimed in claim 2 medical insurance is required to report his or her problems within a prescribed time and in a prescribed place and runs hospitalization cost settlement system, it is characterised in that the people
Machine interactive self-service terminating machine (102) includes central processing module (103), the display module being connected with central processing module (103)
(104), Card Reader identification module (105) and input through keyboard module (106).
4. army ground as claimed in claim 3 medical insurance is required to report his or her problems within a prescribed time and in a prescribed place and runs hospitalization cost settlement system, it is characterised in that the people
Machine interactive self-service terminating machine (102) also includes the note acceptance discrimination module (107) being connected with central processing module (103).
5. army ground as claimed in claim 3 medical insurance is required to report his or her problems within a prescribed time and in a prescribed place and runs hospitalization cost settlement system, it is characterised in that the people
Machine interactive self-service terminating machine (102) also includes the print module (108) being connected with central processing module (103).
6. army ground as claimed in claim 3 medical insurance is required to report his or her problems within a prescribed time and in a prescribed place and runs hospitalization cost settlement system, it is characterised in that the reading
Card identification module (105) includes identity card Card Reader recognition unit (110), bank card recognition unit (111), the identification of medical insurance card Card Reader
Unit (112) and military medical service card Card Reader recognition unit (113).
7. army ground as claimed in claim 1 medical insurance is required to report his or her problems within a prescribed time and in a prescribed place and runs hospitalization cost settlement system, it is characterised in that the system
System also includes the SMS platform server (60) being connected with man-machine interaction settlement terminal (10), for clearing personnel's feedback clearing
Or other information.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201620691002.4U CN206021351U (en) | 2016-07-01 | 2016-07-01 | Army's ground medical insurance is required to report his or her problems within a prescribed time and in a prescribed place and runs hospitalization cost settlement system |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201620691002.4U CN206021351U (en) | 2016-07-01 | 2016-07-01 | Army's ground medical insurance is required to report his or her problems within a prescribed time and in a prescribed place and runs hospitalization cost settlement system |
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Publication Number | Publication Date |
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CN206021351U true CN206021351U (en) | 2017-03-15 |
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ID=58243245
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CN201620691002.4U Expired - Fee Related CN206021351U (en) | 2016-07-01 | 2016-07-01 | Army's ground medical insurance is required to report his or her problems within a prescribed time and in a prescribed place and runs hospitalization cost settlement system |
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CN (1) | CN206021351U (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109636648A (en) * | 2018-12-13 | 2019-04-16 | 平安医疗健康管理股份有限公司 | Social security violation detection method, device, equipment and computer storage medium |
-
2016
- 2016-07-01 CN CN201620691002.4U patent/CN206021351U/en not_active Expired - Fee Related
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109636648A (en) * | 2018-12-13 | 2019-04-16 | 平安医疗健康管理股份有限公司 | Social security violation detection method, device, equipment and computer storage medium |
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C14 | Grant of patent or utility model | ||
GR01 | Patent grant | ||
CF01 | Termination of patent right due to non-payment of annual fee | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20170315 Termination date: 20190701 |