JP2002015060A - Hospital appointment method, payment method for medical expense and claiming method for insurance benefit - Google Patents

Abstract

PROBLEM TO BE SOLVED: To make methods for hospital appointment, payment of medical expense and claiming for insurance benefit more efficient. SOLUTION: In this hospital appointment method, a server 7 transmits regional hospital data 30 that is assumed as appropriate in terms of symptom of disease, address and the like of a user to a user terminal 2, then, transmits hospital appointment situation data 40 for a hospital selected by the user terminal 2 to the user terminal 2, and sets the selected appointment time zone as already appointed. The server 7 writes the medical care data for the user after diagnosis that is sent from a hospital terminal 1 and the hospital name into a predetermined spot in user data 20, and transmits an account having data necessary for transfer of insurance benefit by e-mail to an insurance company terminal 4 corresponding to the insurance company name described in the data 20. The terminal 7 transmits, at a predetermine period, an account having data necessary for transfer of the medical expense by e-mail to a credit sales company terminal 3 corresponding to the credit sales company name described in the user data 20.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a method for reserving a hospital, a method for paying medical expenses, and a method for claiming insurance benefits. More particularly, the present invention relates to a method for reserving a hospital from a user terminal via the Internet, and a method in which a server on the Internet is used after consultation. A method for paying medical expenses to a credit company automatically for a hospital on behalf of a hospital, and a method for paying an insurance payment for a server on the Internet to automatically claim an insurance payment to a credit company on behalf of a user after an examination. Regarding the billing method.

[0002]

2. Description of the Related Art Conventionally, in the case of a first consultation, a reservation for a hospital cannot be made, and the patient goes to the hospital without knowing the congestion state, so that the waiting time at the hospital often becomes long.

[0003] Payment of medical expenses after consultation is generally made by cash payment in the accounting department of a hospital.

[0004] Further, it is common for a user to make a claim for a benefit from life insurance or mutual aid insurance after paying medical expenses.

[0005]

As described above, in the past, particularly at the first consultation, the waiting time in the hospital often becomes long, and therefore, the hospital may cause other pathogens other than the current symptoms in the hospital. I could get infected.

[0006] Medical expenses are paid in cash in the accounting department of the hospital, so that cash and valuables have to be carried around.

[0007] Further, since the user has to make a claim for a life insurance or the like after paying medical expenses, the user has to perform a troublesome operation such as confirmation of the contract contents. In some cases, insurance claims were forgotten.

[0008]

According to a first aspect of the present invention, there is provided a local hospital data comprising at least a predetermined hospital name for each region, data of a specialized department handled by the hospital, a doctor in charge, a location, and the like. A database (hereinafter, referred to as a DB) for storing the hospital reservation status data indicating the reservation status of the specialized department and the medical treatment time zone, and a server for managing the DB. The user terminal and the hospital terminal are connected via the Internet. A hospital reservation method in a network system connected to the server is characterized by comprising the following steps.

Step 1: The server receives the display request of the regional hospital data from the user terminal, reads the regional hospital data from the DB, and sends the regional hospital data from the user terminal in the regional hospital data. The specialty department of the hospital selected from the additional data is marked with a predetermined mark and the regional hospital data is sent to the user terminal.

Step 2: The server reads out the hospital reservation status data of the hospital selected from the regional hospital data sent to the user terminal from the DB and sends it to the user terminal.

[0011] Step 3: the server updates the DB by entering a reservation mark in a reservation time zone selected from the hospital reservation status data sent to the user terminal, and sends a message to the user terminal. Send the reservation form by e-mail. .

According to a second aspect of the present invention, the additional data of the first aspect includes at least a illness symptom and an address, and the server has the specialized department capable of handling the illness symptom and the address. Is to select the hospital closest to

[0013] A third invention of the present application is characterized in that the server of the first invention can also register the hospital reservation status data from the hospital terminal.

In a fourth aspect of the present invention, the server according to the first aspect is characterized in that the server sends the hospital reservation status data to the hospital terminal via the Internet at a constant cycle.

According to a fifth aspect of the present invention, there is provided at least a user ID, a user name, a telephone number, an e-mail address of the user, a name of a credit company to which the user has subscribed, and a credit number of the credit company. A database (hereinafter referred to as a DB) for storing medical data after the consultation at the hospital and user data composed of the hospital name, and a server for managing the DB; The terminal, the hospital terminal, and the credit company terminal are characterized in that a method of paying medical expenses in a network system connected to the server via the Internet includes the following steps.

Step 1: The server reads the user data from the DB based on the ID number of the user sent from the hospital terminal, and further reads the medical data after consultation sent from the hospital terminal, The hospital name is written in a predetermined location of the user data and the DB is updated.

Step 2: the server reads the user data from the DB at a predetermined time, and if the credit company name is entered in the user data, the server sends the credit company name to the credit terminal. The hospital sends by e-mail a bill consisting of the credit number of the user, the name of the hospital where the user has been examined, and data necessary for transfer of medical expenses such as medical expenses based on the medical treatment data to the hospital terminal. Request a transfer of medical expenses to

According to a sixth aspect of the present invention, at least a user ID, a user name, a telephone number, an e-mail address of the user, a credit company to which the user has contracted and its credit number, A database (hereinafter referred to as a DB) for storing medical data after the consultation at the hospital and user data composed of the hospital name, and a server for managing the DB; The terminal, the hospital terminal, and the insurance company terminal are characterized by the following steps in a method for claiming an insurance benefit in a network system connected to the server via the Internet.

Step 1: The server reads the user data from the DB based on the ID number of the user sent from the hospital terminal, and further reads the medical treatment data after the examination sent from the hospital terminal and the same. The hospital name is written in a predetermined location of the user data and the DB is updated.

Step 2: the server, if the participating insurance company name is entered in the user data, from the name of the insurance company, the security number of the user to the insurance company terminal; A bill including the hospital name and the data necessary for the transfer of the insurance payment such as the medical treatment data is sent by e-mail to request the transfer of the insurance payment to the user.

[0021]

Next, embodiments of the present invention will be described in detail with reference to the drawings.

FIG. 1 is a block diagram showing an embodiment of the present invention, FIG. 2 is a diagram showing a configuration example of user data stored in DB8 in FIG. 1, and FIG. 3 is stored in DB8 in FIG. FIG. 4 is a diagram showing a configuration example of regional hospital data, and FIG. 4 is a diagram showing a configuration example of hospital reservation status data stored in the DB 8 in FIG.

Referring to FIG. 1, according to the present invention, a hospital terminal 1, a user terminal 2, a credit company terminal 3, and an insurance company terminal 4 manage a DB 7 via an ISDN / public network 5 and the Internet 6 through a server 7. It is configured to be connected to

The user terminal 2 is not limited to a PC (personal computer) but may be a portable terminal such as a portable telephone.

FIG. 2 shows the structure of the user data 20 stored in the DB 8, and includes a user ID, a user name, a telephone number, an e-mail address, the name of a credit company to which the user has contracted and its credit number, Stores the name of the insurance company to which the user has subscribed and its security number, as well as medical data and the name of the hospital after the user has visited the hospital. The above-mentioned user ID, user name, telephone number, e-mail address, name of the credit company to which the user has contracted and its credit number, name of the insurance company to which the user has subscribed, and his / her securities number have been registered by the user in advance on the Internet 6. ,
This is data registered in the DB 8 via the server 7,
The medical treatment data and the hospital name after the user consults the hospital
This is data that the hospital registers in the DB 8 from the hospital terminal 1 via the Internet 6 and the server 7 after the user consults the hospital. The medical treatment data is data indicating what kind of medical treatment has been performed and for how long, and is basic data for calculating medical expenses.

FIG. 3 shows the structure of the regional hospital data 30 stored in the DB 8, which is composed of a predetermined hospital name for each region, a specialized department, a doctor in charge, the location, the name of the nearest station, and the like. . These data are checked by the management company of the server 7 in advance and registered in the DB 8.

Next, FIG. 4 shows the configuration of the hospital reservation status data 40 stored in the DB 8, which is composed of data indicating the reservation status of the specialized department and its medical treatment time zone for each hospital, and guidance items. Have been. The medical hours are divided into predetermined time zones (in this example, from 9 o'clock to 16 o'clock).
Until the hour, it is divided every 30 minutes. ), The intersection of the time zone and the specialty indicates the reservation status. If, for example, an x mark is entered in this square, it indicates that the time zone has already been reserved, and if it is blank, it indicates that no one has reserved. The entry of the “x” into the blank square is performed from the user terminal 2 and the hospital terminal 1 via the Internet 6 and the server 7. The server 7 sends a reservation table to the reserved user terminal 2 and hospital terminal 1 by e-mail.

The hospital reservation status data 40 is periodically sent from the server 7 to the corresponding hospital terminal 1 by e-mail. If the user goes to the reservation time zone of the day, the user can receive a medical examination preferentially. You don't have to wait that much (for example, half a day). The appointment time slot is divided every 30 minutes from 9:00 to 16:00 in this example, but this is determined only from the average consultation time per person and is not strict. Depending on the consultation time of the day, even if the user goes to the appointment time slot, the user may have to wait for a while (for example, several tens of minutes) or to haveten.

Next, the operation of the embodiment of the present invention will be described with reference to the drawings.

First, the hospital reservation method according to the first invention will be described with reference to the flowchart of FIG.

Step 1: The server 7 receives the display request of the regional hospital data 30 from the user terminal 2, reads the regional hospital data 30 from the DB 8, and reads the disease symptoms and the address sent from the user terminal 2. The mark determined to be appropriate for the specialty department of the hospital (in this example, ◎
Mark) and send it to the user terminal 2. Note that, in this example, a circle indicates that the hospital handles the specialty, and a cross indicates that the hospital does not handle the specialty.

Step 2: The server 7 stores the hospital reservation status data 40 of the hospital selected by the user terminal 2 in the DB 8
And sends it to the user terminal 2.

Step 3: The server 7 updates the DB 8 by writing an X in the reservation time zone selected by the user terminal 2. At the same time, a reservation table is sent to the user terminal 2 by e-mail.

Next, a method for paying medical expenses according to the second invention and a method for claiming insurance benefits according to the third invention will be described with reference to the flowchart of FIG.

Step 1: The server 7 sends the user data 2 based on the user ID number sent from the hospital terminal 1.
0 is read from the DB 8, and the medical data after the consultation and the hospital name which are sent at the same time are written in a predetermined location of the user data 20, and the DB 8 is updated.

Step 2: The server 7 stores the user data 2
If the participating insurance company name is entered in 0, it is necessary to transfer insurance benefits such as the user's security number, the name of the hospital where the user has been examined, and medical data from the insurance company name to the insurance company terminal 4. A bill consisting of data is sent by e-mail, and a request is made to transfer insurance benefits to the user.

Step 3: The server 7 reads out the user data 20 from the DB 8 at a predetermined time (for example, at the end of each month), and if the name of the credit company is entered in the user data 20, the name of the credit company is used as the name of the credit company. A bill consisting of the credit number of the user, the name of the hospital where the user has been examined, and data necessary for the transfer of medical expenses such as medical expenses based on the medical treatment data is sent to the terminal 3 by e-mail, and the medical expenses to the hospital are Request a transfer.

[0038]

As described above, the present invention provides: Since the waiting time at the hospital is shortened, there is an effect that the possibility of in-hospital infection due to other pathogenic bacteria in the hospital is reduced.

2. The payment of medical expenses is automatically performed by the server, so that there is no need to carry cash and valuables.

3. Furthermore, since the server automatically makes a claim for a life insurance or the like after the payment of medical expenses, there is an effect of reducing troublesome work for the user and forgetting to claim the insurance money.

[Brief description of the drawings]

FIG. 1 is a block diagram showing an embodiment of the present invention.

FIG. 2 is a diagram showing a configuration example of user data stored in a DB 8 in FIG.

FIG. 3 is a diagram showing a configuration example of regional hospital data stored in a DB 8 in FIG. 1;

FIG. 4 is a diagram showing a configuration example of hospital reservation status data stored in a DB 8 in FIG. 1;

FIG. 5 is an operation flowchart of a server in the hospital reservation method of the present invention.

FIG. 6 is an operation flowchart of a server in a method for paying medical expenses and a method for claiming insurance benefits according to the present invention.

[Explanation of symbols]

 1 Hospital Terminal 2 User Terminal 3 Credit Company Terminal 4 Insurance Company Terminal 5 ISDN / Public Network 6 Internet 7 Server 8 DB 20 User Data 30 Regional Hospital Data 40 Hospital Reservation Status Data

Claims (6)

[Claims] Claims: 1. Pre-determined regional hospital data including at least a hospital name, a specialized department handled by the hospital, a doctor in charge, a location, and the like for each region, and a reservation of the specialized department and its medical hours for each hospital. A database (hereinafter, referred to as DB) for storing hospital reservation status data indicating the status,
A method for making a hospital reservation in a network system connected to the server via the Internet, wherein the method comprises the following steps: Step 1: the server reads the regional hospital data from the DB in response to the display request of the regional hospital data from the user terminal, and adds the additional data transmitted from the user terminal in the regional hospital data. And sends the regional hospital data to the user terminal with a predetermined mark on the specialized department of the hospital selected from. Step 2: the server reads the hospital reservation status data of the hospital selected from the regional hospital data sent to the user terminal from the DB and sends the data to the user terminal. Step 3: The server updates the DB by filling in a reserved mark in the reserved time zone selected from the hospital reservation status data sent to the user terminal, and updates the reservation table for the user terminal. Send by e-mail. 2. The additional data includes at least a disease symptom and an address, and the server selects a hospital having the specialized department capable of treating the disease symptom and closest to the address. The hospital reservation method according to claim 1. 3. The hospital reservation method according to claim 1, wherein the server can also register the hospital reservation status data from the hospital terminal. 4. The hospital reservation method according to claim 1, wherein the server sends the hospital reservation status data to the hospital terminal via the Internet at a predetermined cycle. 5. At least a user ID, a user name, a telephone number, an e-mail address of the user, a name of a credit company to which the user has contracted and its credit number, and a name of an insurance company to which the user has subscribed and policy number,
The database further includes a database (hereinafter, referred to as a DB) for storing medical data and the user data including the hospital name after the user has consulted the hospital, and a server for managing the DB. The user terminal, the hospital terminal, and the credit company terminal include: A method for paying medical expenses in a network system connected to the server via the Internet, comprising the following steps. Step 1: The server reads the user data from the DB based on the user ID number sent from the hospital terminal, and further stores the medical care data and the hospital name after the examination sent from the hospital terminal. The user data is written in a predetermined location and the DB is updated. Step 2: the server reads the user data from the DB at a predetermined time, and if the credit company name is entered in the user data, the server sends the user data to the credit company terminal from the credit company name. Sends a bill consisting of a credit number, the name of the hospital where the user has been examined, and data necessary for transfer of medical expenses such as medical expenses based on the medical treatment data to the hospital terminal by e-mail, and sends a medical treatment to the hospital. Request a transfer of expenses. 6. At least a user ID, a user name, a telephone number, an e-mail address of the user, the name of a credit company to which the user has contracted and its credit number, the name of an insurance company to which the user has subscribed, and the policy number,
The database further includes a database (hereinafter, referred to as a DB) for storing medical data and user data including the hospital name after the user has consulted the hospital, and a server for managing the DB. The user terminal, the hospital terminal, and the insurance company terminal include: A method for claiming insurance benefits in a network system connected to the server via the Internet, comprising the following steps. Step 1: The server reads the user data from the DB based on the user ID number sent from the hospital terminal, and further stores the medical care data and the hospital name after the examination sent from the hospital terminal. The user data is written in a predetermined location and the DB is updated. Step 2: the server, if the insurance company name is entered in the user data, from the insurance company name to the insurance company terminal, the security number of the user, the name of the hospital where the user was examined, A bill including the data necessary for the transfer of the insurance payment such as the medical treatment data is sent by e-mail to request the transfer of the insurance payment to the user.