JP2002215791A - Medical care fee payment processing method and medical care fee payment processing system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To solve a problem that a patient must pay a fee at the window after finishing a medical examination each time. SOLUTION: At the first medical examination accepting window, a presented health insurance certificate IC card 11 is read by an IC card reader 12 of a processor 10, and registering information is transmitted to a processor 100. The processor 100 stores account information of the patient in an account information DB 101. At the window, a medical examination IC card 21 for registering patient information is made, and is presented to the patient. The patient makes an IC card reader 22 of the processor 20 installed in a hospital read one's own medical examination IC card 21 after the medical examination, calls out medical examination fee information and the designated account information of the day from the processor 100, displays the information on an image screen, approves the content by an input device 23 of the processor 20 after confirming the displayed content, and transmits approved information to the processor 100. The processor 100 makes medical expense demand information to a designated account on the basis of the transmitted approved information, and transmits the medical expense demand information on-line to respective financial institutions.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical treatment accounting method and a medical treatment accounting system, and more particularly, to a medical treatment accounting method and a medical treatment accounting system for performing a cashless medical accounting.

[0002]

2. Description of the Related Art In a counter accounting method using a consultation IC card, each patient presents a consultation IC card to the counter, and a consultation IC is used.
The fee is presented by comparing the patient information registered in the C card with the medical affairs DB, and settlement is performed at the counter.

[0003]

In this system, the patient must always make a transaction at the counter after the completion of the consultation, which causes a problem of waiting time in the window processing. In addition, patients must bring their medical expenses in advance and receive the medical examination. Was.

The present invention provides an accounting method that solves the above problems.

[0005]

According to a first aspect of the present invention, in a method for accounting for medical expenses, a processing device 20 and a processing device 100 connected to a network are prepared, and the processing device 20 reads a consultation IC card. And (Step B
1), the patient identification information read from the consultation IC card is transmitted to the processing device 100 (step B2), and the processing device 100 receives the patient identification information transmitted from the processing device 20 (step B3). Based on the patient identification information, the medical information DB provided in advance is searched for medical information of the relevant patient for today (step B).
4) Further, the account information of the patient is searched from the account information DB provided in advance based on the patient identification information (step B).
5), creating accounting information from the searched medical information and the account information (step B6), and transmitting the accounting information to the processing device 20 (step B7);
0 displays the transaction information transmitted from the processing device 100 on a display provided in advance (step B8), and when a predetermined approval key is pressed, creates approval information and transmits it to the processing device 100. (Step B
9) When the processing device 100 receives the approval information transmitted from the processing device 20 (step B10),
Account billing information for billing to a financial institution is created from the medical care information and the account information (step B11), and the account billing information is transmitted to the financial institution via a communication line (step B12). And

According to a second invention of the present application, a processing device 10 connected to the network in the first invention is prepared, and the processing device 10 uses an IC card reader provided in advance to create an insurance card IC card. When the registered insurance card information is read (step A1), the read insurance card information is transmitted to the processing device 100 (step A2), and the processing device 100 transmits the insurance card information transmitted from the processing device 10. Is received (step A3), the validity of the insurance card information is confirmed (step A4). When the confirmation of the insurance card information is completed, patient identification information for the patient is created (step A5), and the insurance card information is obtained. And the patient identification information are registered together in the account information DB (step A
6) It is characterized.

[0007] A third invention of the present application is the processing device 100 of the second invention, after the registration is completed in step A6.
The account information and the patient identification information are edited to create registration completion information and transmitted to the processing device 10 (step A).
7), upon receiving the registration completion information transmitted from the processing device 100, the processing device 10 displays the registration completion information on a display provided in advance (step A8).
The medical examination IC card is created based on the patient identification information transmitted from step 00 (step A9).

According to a fourth aspect of the present invention, there is provided a medical treatment accounting system, comprising: a processing unit 20 connected to a network;
And the processing device 100, wherein the processing device 20 is provided in advance when reading the consultation IC card, transmitting the patient identification information read from the consultation IC card to the processing device 100, and receiving the transaction information from the processing device 100. When a predetermined approval key is pressed and displayed on the display, approval information is created and transmitted to the processing device 100. When the processing device 100 receives the patient identification information transmitted from the processing device 20, the patient identification information is generated. Based on the information, the medical office information DB provided in advance is searched for the medical information of the relevant patient for today, and further, the account information of the patient is searched from the account information DB provided in advance based on the patient identification information. The accounting information is created from the searched medical information and the account information, and the accounting information is transmitted to the processing device 20. Receiving the approval information, creates account request information for making a request to a financial institution from the medical treatment information and the account information, and transmits the account request information to the financial institution via a communication line. .

A fifth invention of the present application is the processing apparatus 10 connected to the network according to the fourth invention,
The processing device 10 reads the insurance card information registered in the insurance card IC card using an IC card reader provided in advance and transmits the read insurance card information to the processing device 100, and the processing device 100 When the insurance card information is received from the processing device 10, the validity of the insurance card information is checked, and when the check of the insurance card information is completed, patient identification information for the patient is created, and the insurance card information and the patient identification information are combined. In the account information DB.

A sixth invention of the present application is a fifth invention. The processing device 100 edits the account information and the patient identification information after completing the registration in the account information DB together with the insurance card information and the patient identification information. To create the registration completion information and transmit it to the processing device 10, and the processing device 10
When the registration completion information is received from 00, the information is displayed on a display provided in advance, and then the consultation IC card is created based on the patient identification information.

[Effect] The present invention uses a health insurance card IC card and a medical examination IC card in which medical expenses withdrawal account information is registered, and the patient confirms the medical expenses from the processing device after the medical treatment is completed and reads the medical expenses from the registered designated account. It is an object of the present invention to provide a cashless accounting method for accounting for medical expenses by approving the withdrawal of the medical expenses.

In FIG. 1, a patient performs a first consultation procedure.
An insurance card IC card 11 in which account information registered in advance as a medical expenses debit account is presented. At the first consultation counter, the presented insurance card IC card 11
Is read from the IC card reader 12 of the processing device 10 and the registration information is transmitted to the processing device 100. Processing device 1
At 00, the account information of the patient is stored in the account information DB 101. At the counter, a consultation IC card 2 with registered patient information
1 is created and presented to the patient. After the medical treatment is completed, the patient causes the IC card reader 22 of the processing device 20 installed in the hospital to read his / her medical examination IC card 21 and
Call the medical expenses information and designated account information of the day from 0,
Display on the screen. After confirming the displayed content, the patient
The content is approved from the input device 23 of the processing device 20. The processing device 20 transmits the approval information to the processing device 100.
The processing device 100 creates medical billing information for the designated account based on the transmitted approval information, and transmits the medical billing information to each financial institution online.

[0013]

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

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

Referring to FIG. 1, the present invention provides a processing apparatus 1
0, a processing device 20, a processing device 100, a communication network 30 such as a LAN for interconnecting them, an insurance card IC card 11, and a consultation IC card 21.

In the insurance card IC card 11, account information of a financial institution that has been registered in advance as a medical expenses withdrawal account is registered in addition to its own health insurance information.

The patient identification information is registered in the consultation IC card 21. The patient identification information includes a patient identification ID.

The processing device 10 is an information processing device such as a personal computer. The processing device 10 is an insurance card IC
It has a function of reading the card 11 by the IC card reader 12, transmitting the card 11 to the processing device 100, and requesting the processing device 100 to create patient identification information and register account information.

The processing device 20 is an information processing device such as a personal computer. The processing device 20 reads the consultation IC card 21 by the IC card reader 22 and, based on the patient identification information, the medical office information DB on the processing device 100.
It has a function of accessing the account information DB 103 and the account information DB 101 and displaying medical information and account information on a screen. The medical treatment information is, for example, information on medical treatment costs of the day, such as a medical treatment subject, a medical treatment cost, and an account billing amount. When a plurality of medical treatments are received, the details and the total amount are displayed. The account information is information on a pre-registered medical expenses debit account, and includes a financial institution name and an account name. In addition, the processing device 20 has a function of transmitting the withdrawal approval information from the patient input from the input device 23 such as a keyboard or a touch panel to the processing device 100. Further, the processing device 20 has a function of editing medical accounting information approved by the patient and outputting the edited information from an output device 24 such as a printer.

The processing device 100 creates patient identification information based on the health insurance card IC card information transmitted from the processing device 10, registers it in the account information DB, and transmits registration completion and patient identification information to the processing device 10. It has the function to do. Further, it has a function of editing medical office information and account information based on the consultation IC card information transmitted from the processing device 20 and transmitting the edited information to the processing device 20. The medical office information is information on a medical treatment subject and a medical treatment cost on the day of the patient. Further, it has a function of creating billing information to a financial institution based on the approval information transmitted from the processing device 20 and transmitting the billing information to the financial institution using a communication line.

Next, the operation of the embodiment of the present invention will be described with reference to FIGS. 1, 2 and 3.

FIG. 2 is a flowchart of the operation of the processing device 10, and FIG. 3 is a flowchart of the operation of the processing device 20.

Referring to FIG. 2, first, during the initial consultation procedure,
The insurance card information registered in the insurance card IC card 11 presented by the patient is read using the IC card reader 12 of the processing device 10 (step A1). The processing device 10 transmits the read insurance card information to the processing device 100 (step A2).

The processing device 100 receives the insurance card information transmitted from the processing device 10 (step A3). After receipt, the validity of the insurance card information is checked (step A
4). Upon confirmation of the insurance card information, patient identification information for the patient who presented the insurance card is created (step A).
5). Account information D by combining insurance card information and patient identification information
Register it in B101 (step A6). After the registration is completed, the registration information is created by editing the account information and the patient identification information and transmitted to the processing device 10 (step A7).

The processing device 10 receives the registration completion information transmitted from the processing device 100 and displays it on the display (step A8). Next, a consultation IC card is created based on the patient identification information transmitted from the processing device 100 (step A9).

Next, the patient who has completed the medical treatment reads the medical examination IC card 21 using the processing device 20 installed in the hospital (step B1). The processing device 20 converts the patient identification information read from the consultation IC card into the processing device 10.
0 (step B2).

The processing device 100 receives the patient identification information transmitted from the processing device 20 (step B3), and searches the medical office information DB 103 for today's medical information of the corresponding patient based on the patient identification information. (Step B4). Further, the account information of the corresponding patient is searched from the account information DB 101 based on the patient identification information (step B5). The processing device 100 edits the searched medical information and account information for today, creates accounting information (step B6), and transmits the accounting information to the processing device 20 (step B7).

The processing device 20 receives the transaction information transmitted from the processing device 100 and displays it on the display 25 (step B8). The patient confirms the contents of the accounting information displayed on the display 25 and presses the approval key if there is no problem. The processing device 20 creates the approval information by inputting the approval key and transmits the approval information to the processing device 100 (step B).
9). After the transmission, the accounting information is edited as a copy of the patient's account billing information and output from the output device 24 (step B1).
0).

The processing device 100 receives the approval information transmitted from the processing device 20 (step B11) and creates account request information for making a request to a financial institution from medical office information and account information (step B12). . After creating the account request information, the account request information is transmitted to the financial institution via the communication line (step B13). The account billing information is stored in the account billing information DB 102 of the processing device 100 until the payment completion confirmation is performed (Step B14).

[0030]

As described above, the present invention has the following effects.

The first effect is that the patient does not need to perform medical expenses accounting at the counter, and the procedure and waiting time in the conventional window accounting process are eliminated. That is, the troublesome procedure can be reduced. In particular, the effect is remarkable when a patient needs continuous medical treatment.

The second effect is that the medical expenses are debited, so that the patient does not need to have cash when receiving medical treatment, and the management of valuables when changing clothes during an examination or the like is troublesome. Can be reduced.

The third effect is that by registering the account information of the medical treatment withdrawal on the insurance card IC card in advance, the patient does not need to carry out the individual account withdrawal procedure to each medical institution and the financial institution, and the patient can easily do so. The ability to achieve cashless accounting.

The fourth effect is that the number of window staff on the medical institution side can be reduced by reducing the window accounting process for medical expenses.

[Brief description of the drawings]

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

FIG. 2 is an operation flowchart of the processing apparatus 10 of the present invention.

FIG. 3 is an operation flowchart of the processing device 20 of the present invention.

[Explanation of symbols]

 Reference Signs List 10 processing device 11 insurance card IC card 12 card reader 20 processing device 21 consultation IC card 22 card reader 23 input device 24 output device 25 display 30 communication network 100 processing device 101 account information DB 102 account request information DB 103 medical office information DB

Claims (6)

[Claims] 1. In the medical treatment cost accounting method, a processing device 20 and a processing device 100 connected to a network are prepared. When the processing device 20 reads a consultation IC card (step B1), it reads from the consultation IC card. The patient identification information is transmitted to the processing device 100 (step B2), and the processing device 100 receives the patient identification information transmitted from the processing device 20 (step B2).
3) Retrieval of today's medical information of the corresponding patient from the medical office information DB prepared based on the patient identification information (step B4), and further, account information prepared based on the patient identification information The account information of the patient is searched from the DB (step B5), the accounting information is created from the searched medical information and the account information (step B6), and the accounting information is transmitted to the processing device 20 (step B7). The processing device 20 receives the transaction information from the processing device 100 and displays it on a display provided in advance (step B8). When a predetermined approval key is pressed, the processing device 20 creates approval information and performs the processing. The processing device 100 transmits the data to the processing device 100 (step B9).
(Step B)
10) Create account billing information for billing to a financial institution from the medical treatment information and the account information (step B1).
1) A method of accounting for medical expenses, wherein the account billing information is transmitted to a financial institution via a communication line (step B12). 2. A processing device 10 connected to the network is prepared, and the processing device 10 reads insurance card information registered in an insurance card IC card using an IC card reader provided in advance (step A1). ), And transmits the read insurance card information to the processing device 100 (step A).
2), when the processing device 100 receives the insurance card information transmitted from the processing device 10 (step A3),
Check the validity of the insurance card information (step A
4) When confirmation of the insurance card information is completed, patient identification information for the patient is created (step A5), and the account information DB is combined with the insurance card information and the patient identification information.
2. The method according to claim 1, wherein the information is registered (step A6).
Medical treatment accounting method described. 3. The processing device 100 according to claim 1,
After the registration is completed, the registration information is created by editing the account information and the patient identification information and transmitted to the processing device 10 (step A7). Upon receiving the completion information, the completion information is displayed on a display provided in advance (step A8), and then the consultation IC card is created based on the patient identification information transmitted from the processing device 100 (step A).
9) The medical treatment cost accounting method according to claim 2, wherein 4. A processing device 20 and a processing device 100 connected to a network in a medical treatment cost accounting system.
When the processing device 20 reads the consultation IC card, the processing device 20 transmits the patient identification information read from the consultation IC card to the processing device 100, and when the accounting information is received from the processing device 100, displays the information on the display provided in advance. When a predetermined approval key is pressed, approval information is created and transmitted to the processing device 100. When the processing device 100 receives the patient identification information transmitted from the processing device 20, the processing device 100 generates the approval information based on the patient identification information. The medical service information DB provided in advance is searched for the medical information of the corresponding patient today, and the account information of the patient is searched and searched from the account information DB provided in advance based on the patient identification information. The accounting information is created from the information and the account information, the accounting information is transmitted to the processing device 20, and the approval information is received from the processing device 20 And generating account request information for billing to a financial institution from the medical treatment information and the account information, and transmitting the account request information to the financial institution via a communication line. system. 5. A processing device 10 connected to the network, wherein the processing device 10 reads in insurance card information registered in an insurance card IC card using an IC card reader provided in advance. When the insurance card information is transmitted to the processing device 100, and the processing device 100 receives the insurance card information from the processing device 10, the validity check of the insurance card information is performed. 5. The medical treatment cost accounting system according to claim 4, wherein patient identification information is created and the insurance card information and the patient identification information are registered together in the account information DB. 6. The processing apparatus 100 edits the account information and the patient identification information after completing the registration in the account information DB together with the insurance card information and the patient identification information to create registration completion information. When the registration completion information is received from the processing device 100, the processing device 10 displays the registration completion information on a display provided in advance, and then creates the consultation IC card based on the patient identification information. The medical treatment cost accounting system according to claim 5, wherein