JP2003296441A - Medical bill creation method and system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical bill creation method and system easily and surely selecting an examination payment body and efficiently creating the medical bill. <P>SOLUTION: In this method, a server of the medical bill creation institution such as a medical institution selects a sending destination of the medical bill for every insured person and performs an appropriate processing. This medical bill creation method is characterized in including a step selecting the examination payment body according to the insured person to be a source of the creation of the medical bill from database storing information of the examination payment body pre-selected for every insured person and a step for recognizing an address of a terminal of the selected examination payment body on a network and sending the medical bill of the insured person to the address. <P>COPYRIGHT: (C)2004,JPO

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a receipt processing method, and more particularly to a method capable of coping with a situation where a plurality of examination and payment institutions exist.

[0002]

BACKGROUND OF THE INVENTION As a part of the system reform to cope with the recent crisis situation of the medical insurance system, the shift to a “medical division of labor system”, in which the prescription is a doctor and the dispensation is a pharmacist, which separates the functions,
Reduction and elimination of drug price gains are becoming a reality. In order to deal with such a severe situation, there is a movement to digitize the dispensing receipt to improve work efficiency and customer service.

Further, a receipt processing system that goes beyond the conventional framework is being sought, such as enhancement of the receipt examination function by the insurer and establishment of a new qualification examination organization for judging the validity of insurance for the insured. In particular, the examination and payment institution will be able to enter the private sector in response to the revision of the law from the existing system of only the medical fee payment fund and the National Health Insurance Federation.

[0004]

At present, a medical institution that has treated a patient is asked to a screening and payment institution that is uniquely determined according to the insurance that the insured who is the patient has.
We make and ship receipts. In other words, if the insurance covered by the insured is national health insurance or government-controlled insurance, the receipt is sent to the National Health Insurance Federation, and if it is union health insurance, the receipt is sent to the medical fee payment fund.

When an examination and payment institution is newly established as described above, a large number of examination and payment institutes, including the current examination and payment institution, will coexist, and as a medical institution, the recipient of the receipt will be issued. It is necessary to select the appropriate processing according to the insured person. However, there is no receipt processing method or system capable of coping with such a situation, and it has been desired that the parties concerned deal with it.

Therefore, the present invention has been made in view of such conventional problems, and it is an object of the present invention to provide a receipt processing method and system capable of simply and surely selecting an examination and payment institution and enabling efficient receipt processing. To aim.

[0007]

In a receipt processing method of the present invention that achieves the above object, a server of a receipt preparation institution such as a medical institution selects a destination of receipt for each insured person and performs appropriate processing. A method of selecting an examination and payment institution according to the insured from which the receipt was created, from a database that stores information on examination and payment institution selected in advance for each insured, and the selected examination Recognizing an address on the network of the terminal of the paying institution, and transmitting the receipt from the insured person to this address.

The present invention includes an information processing apparatus that executes the above processing, a program that causes the information processing apparatus to execute the above processing, and a storage medium that stores the program and is readable by the information processing apparatus.

[0009]

BEST MODE FOR CARRYING OUT THE INVENTION Embodiments of the present invention will be described in detail below with reference to the drawings. FIG. 1 is a basic conceptual diagram of the receipt processing method in this embodiment. As the background of this example, in addition to the medical institutions, insurers, and examination and payment institutions that have existed up to now, the above-mentioned qualification examination institutions are newly established, and the necessary information is exchanged between these persons and the receipt processing is performed. Assume the situation to be executed. Of course, the scope of application of the present invention is not limited to the present embodiment, and it goes without saying that the present invention can be applied to any situation in which the number of examination and payment institutions is larger than the current one.

The basic concept of the receipt processing method in the present embodiment is that, for example, an insurer of a company or the like registers insured person information of self-insurance and examination and payment institution information in advance in a qualification examination institution, and one qualification examination institution Then, in response to the qualification inquiry request from the medical institution based on this registration information, the appropriately selected examination and payment institution information is returned together with the result. The medical institution recognizes whether or not the insured who is a patient has the insurance qualification based on the result of the qualification examination, and creates and sends a receipt to the relevant examination and payment institution. By proceeding with the receipt process based on such a concept, the medical institution side can quickly confirm whether the insured is eligible for insurance, and even if there are many screening and payment institutions, they can be selected for each insured. It is possible to reliably select the applicable examination and payment institution and to properly process the receipt and make the outgoing call.

FIG. 2 is a schematic diagram of a network including a receipt processing system according to this embodiment, and FIG. 3 is a diagram showing a configuration of a server provided in a medical institution according to this embodiment.

A server 10 as a receipt processing system for realizing the present invention is a server operated and managed by the medical institution. Then, a communication device that connects to various communication line networks 200 such as an intranet, the Internet, or a public line network and executes data communication according to the protocol is attached. The server 10 is connected to the insurer terminal 25 included in the insurer, the qualification examination institution terminal 35 included in the qualification examination institution, the examination payment institution terminal 50 included in the examination payment institution, and the insured as a patient through the communication device. Various data such as ID and attribute information of examination and payment institution, qualification examination result, receipt and reception are processed. On the other hand, the patient information and the like, the receipt format and the receipt are managed.

Of course, the server 10 functions as a server computer such as a central processing unit 11 for performing various arithmetic processes, a storage device 12 represented by a memory, a screen display device 13 such as a display, an input device 14 such as a keyboard and a mouse, and the above-mentioned. A magnetic disk device 15 for storing and managing information such as patient information and a receipt file is provided. Further, the firewall server can prevent unauthorized entry from the outside and can function as a WWW server, and can also function as a mail server for communicating with a data communication partner.

In such a server 10, a database for managing various files and the like is formed in the magnetic disk device 15, and for example, an examination and payment institution file database 16, a patient file database 17, a receipt format database 18, and a receipt file. The database 19 is provided. The examination and payment institution file database 16 stores, for each insurer, a file composed of attribute information for each insurer using the insurer number as a key as shown in FIG. 11 and information about the examination and payment institution to be selected. It is a thing. In the example of the figure as information included in the file provided for each insurer, insurer number, insurer name, delivery condition item, delivery condition content, examination and payment institution ID,
Examples include the examination and payment institution name, destination (address of examination and payment institution terminal), type of receipt format, and the like.

The delivery condition item is a condition item (eg, number of medical treatment points, etc.) of the receipt created for each insured person.
If the condition content (eg, name of injury, sex, etc.) corresponds to the condition content (eg, the number of medical care points is 1000 points or less, the name of injury or disease is heart disease, male, etc.), select the examination and payment institution to send the receipt according to the condition item. It is a standard. That is,
It is possible to set the appropriate examination and payment institution according to the content of the receipt. Of course, it is possible for the insurer to arbitrarily set the sending conditions, such as setting the sending conditions according to the department or working area of the company to which the insured belongs, without depending on the contents of the receipt. Is.

The patient file database 17 is shown in FIG.
The file for each insured in which the insured number as a key is associated with the attribute of the insured who is a patient who has visited the medical institution and the information on the medical treatment content as shown in FIG. In the example shown in the figure, the information contained in the file provided for each insured person is the insured number, insured name, date of birth, insurer number, insurer name, qualification examination inquiry date and time, qualification examination result , Medical treatment date, medical doctor, injured name, and medical treatment points. The qualification examination inquiry date and time indicates the date and time when the qualification examination institution terminal 35 is inquired about the validity of the insurance qualification of the insured person. Therefore, the qualification examination result is the inquiry result obtained from the qualification examination institution terminal 35 by the inquiry.

The receipt format database 18
14 stores and manages data in a receipt format defined for each examination and payment institution, as shown in FIG.
As shown in the figure, for example, an examination and payment institution A specifies an A type format, and an examination and payment institution B specifies a B type format.

As shown in FIG. 15, the receipt file database 19 is a database for managing the receipt files managed by the server. The contents of the receipt file include, for example, the format type, medical institution ID, insured person number, insured person name, date of birth, insured person number, medical treatment date, injury / illness name, medication (contents), reward points, Are included. This receipt file is created, for example, each time the insured receives a medical examination, and is sent to the examination and payment institution terminal 50 collectively for a certain fixed period or sequentially according to the receipt creation.

The server 10 utilizes the above database as an information source, and the central processing unit 11 and the storage unit 12 cooperate with each other to perform various processes. The qualification examination request processing unit 20 and the receipt creation processing unit 2 are responsible for these processes.
1. The receipt transmission processing unit 22. Although the processing units are illustrated as being included in the storage device 12 here,
The intention is simply to store the data in various memories on the server such as a cache memory for processing, and it may be provided in any device in the server. The qualification examination processing requesting unit 20 executes processing for inquiring the insurance qualification of the insured as a patient to the qualification examination institution terminal 35, and the receipt creation processing unit 21
An appropriate receipt format is selected from the receipt format database 18 to create a receipt, and the receipt transmission processing unit 22 performs processing to transmit the created receipt to the examination and payment institution terminal 50 selected for each insured person.

FIG. 4 is a diagram showing the configuration of the insurer terminal in this embodiment. The insurer terminal 25 uses the server 10
Similarly, a communication device that connects to various communication line networks 200 such as an intranet, the Internet, or a public line network and executes data communication according to the protocol is attached. The insurer terminal 25 is connected to the server 10, the qualification examination institution terminal 35 included in the qualification examination institution, the examination payment institution terminal 50 included in the examination payment institution, and the insured person managed by itself through the communication device. It processes the sending and receiving of various data such as ID and attribute information of the examination and payment institution.

A central processing unit 26 for performing various arithmetic processes, a storage unit 27 represented by a memory, a screen display unit 28 such as a display, an input unit 29 such as a keyboard and a mouse, and information and examination of the insured person. It is provided with a magnetic disk device 30 for storing and managing information of a payment institution. In this magnetic disk device 30, an examination and payment institution database 31 for managing examination and payment institution files and an insured file database 32 for managing insured files are formed.

Examination and payment institution file database 31
Is a file in which each insurer stores a file composed of attribute information for each insurer using the insurer number as a key and information on the examination and payment institution to be selected, as described above with reference to FIG. Is. As shown in FIG. 12, the insured person file database 32 is a file for each insured person in which attribute information of the insured person who is insured by the insured person is associated with the insured person number as a key. It consists of In the example of the figure, the information included in the insured file includes an insured person number, an insured person number, an insured person name, a birth date, and the like.

Then, the insurer terminal 25 uses the examination and payment institution information transmission processing section 33 at an appropriate timing to set the delivery destination of the receipt derived from the insured persons managed by itself, that is, the examination and payment organization setting information. Qualification examination terminal 35
Send to. The insured person information transmission processing unit 34 transmits the insured person information such as the insured person's insurance qualification to the qualification examination institution terminal 35.

FIG. 5 is a diagram showing the configuration of the qualification examination institution terminal in this embodiment. The qualification examination institution terminal 35 is equipped with a communication device similar to that of the server 10, and through this communication device, the server 10, the insurer terminal 25, and the examination and payment institution terminal 50 included in the examination and payment institution, and the self It processes the sending and receiving of various data such as IDs and attribute information of the insured to manage and the examination and payment institution.

A central processing unit 36 for performing various arithmetic processes, a storage unit 37 represented by a memory, a screen display unit 38 such as a display, an input unit 39 such as a keyboard and a mouse, and information and examination of the insured person. A magnetic disk device 40 is provided for storing and managing the information of the payment institution. In the magnetic disk device 40, the insurer terminal 2
5 forms an examination and payment institution database 41 for managing the examination and payment institution file received from S5 and an insured file database 42 for similarly managing the insured file received from the insurer terminal 25.

Examination and payment institution file database 31
Is a file in which each insurer stores a file composed of attribute information for each insurer using the insurer number as a key and information on the examination and payment institution to be selected, as described above with reference to FIG. Is. As shown in FIG. 12, the insured person file database 32 is a file for each insured person in which attribute information of the insured person who is insured by the insured person is associated with the insured person number as a key. It consists of The information included in the examination and payment institution file and the insured file is the same as that described above.

Then, the qualification examination institution terminal 35 receives the examination and payment institution information from the insurer terminal 25 at an appropriate timing by using the examination and payment institution information reception processing section 43. Further, the insured person information from the insurer terminal 25 is received by the insured person information reception processing unit 44. in addition,
In response to a qualification examination request from the server, the qualification examination processing unit 45 determines whether or not the insured has the insurance qualification. The qualification examination processing unit 45 is also responsible for receiving the insurance certificate information of the insured accompanying the qualification examination request from the server and transmitting the qualification examination result.

FIG. 6 is a diagram showing the configuration of the examination and payment institution terminal in this embodiment. The examination and payment institution terminal 50 has a communication device similar to that of the server 10, and processes receipt and transmission of receipt data with the server 10, the insurer terminal 25, and the qualification examination institution terminal 35 via the communication device. . Then, the central processing unit 5 that performs various arithmetic processes
1, a storage device 52 represented by a memory, a screen display device 53 such as a display, an input device 54 such as a keyboard and a mouse, and a magnetic disk device 55 that stores and manages a receipt file received from a server. The magnetic disk device 55 forms a receipt file database 56 for managing the receipt file received from the server 10. The receipt file database 56 is the same as that described above with reference to FIG. However, the result of receiving and examining the receipt file by the receipt examination processing unit 57 is also stored in the corresponding receipt file in this database. The receipt examination result in the receipt examination processing unit 57 of the examination and payment institution terminal 50 is transmitted to the corresponding insurer terminal 25.

The server 10 and each terminal 25, 35, 5
Each of the above databases formed in 0, 16, 1
7, 18, 19, 31, 32, 41, 42, 56,
It may be provided in a separate storage device and functions as an individual database that is network-connected to each other, or may be appropriately combined or provided collectively in one storage device. Also, it may be shared across servers and terminals.

In addition, regarding the network connecting the server 10 to the insurer terminal 25, the qualification examination institution terminal 35, and the examination and payment institution terminal 50, in the present embodiment, not only the Internet but also a WAN (Wide) using an extranet is used.
Area Network), ATM line, personal computer communication line, L
Various networks such as AN and wireless networks can also be adopted. Further, if a virtual private network technology such as IPVPN is used, high confidentiality regarding communication can be efficiently realized even on the Internet, which is preferable. In addition, the qualification examination institution terminal 35 and the examination payment institution terminal 5
If 0 and 0 are integrated, the qualification examination institution terminal 35 and the examination and payment institution terminal 50 may co-operate through the network, or may be originally integrated as one system.

FIG. 7 is a flow chart showing the processing when a qualification examination is requested in the server of this embodiment. Hereinafter, an actual procedure of the receipt processing method of the present invention will be described based on the relationships among medical institutions, insurers, qualification examination institutions, and examination and payment institutions. First, it is assumed that an insured person suffering from an injury visits a medical institution as a patient. For example, the patient presents an insurance card, a medical examination ticket, and the like to undergo a predetermined medical treatment.
At this time, it is necessary for the medical institution side to recognize whether or not the patient is an insured person with any insurance qualification, and exclude the fear of conducting uninsured medical care without knowing it.

Therefore, the server 10 refers to the patient file registered for the patient from the patient file database 17 with the insured person number, etc., written on the insurance card presented by the patient as a key. The date, name, etc. are acquired and transmitted to the qualification examination institution terminal 35 together with the qualification examination request (s701, s702). If the insurance card or medical examination card is a magnetic card, an IC card, or the like, and the memory in the card stores various information about the insured, read the stored information of these cards with a reader connected to the server. Then, the server can easily and quickly acquire the information such as the insured person number. Then, the result of the qualification examination performed at the qualification examination institution terminal 35 and the information of the examination and payment institution set for the insured concerned are received (s703), and the processing flow of the qualification examination request is completed. The processing of the qualification examination request is performed by the qualification examination request processing unit 20 of the server 10.

On the other hand, at this time, at the qualification examination institution terminal 35,
The qualification examination process and the examination and payment institution selection process shown in FIG. 8 are executed. Information on the insured person number and the insured person number is received from the server 10 by the examination and payment institution information reception processing section 43 and the insured person information reception processing section 44 together with the qualification examination request (s801). Then, based on this received information, the qualification examination processing section 45 executes a collation process between the insured person number and the insured person number in the insured person file database 42 (s802). As a result, when the received information such as the insured person number does not match in the relationship between the insured person number and the insured person number registered in the insured person file database 42, the patient is insured. It is determined that the person has no insurance qualification, and the examination result is returned to the server 10 (s805).

On the other hand, if a match is found in the matching process,
Information on the examination and payment organization set for the applicable insured is extracted from the examination and payment organization file database 41 (s8
03), the examination and payment institution information and the examination result indicating that the insurance qualification is present are transmitted to the server 10 (s804).

The server 10 receives the result of the qualification examination sent from the qualification examination institution terminal 35 and the examination and payment institution information, and records it in the corresponding patient file in the patient file database 17. A medical institution creates a receipt associated with medical treatment at regular intervals or sequentially at the time of medical treatment. FIG. 9 is a flow chart showing the process of creating a receipt in the server of this embodiment. Either receive an instruction to create receipt data, or recognize the arrival of a predetermined period (s90
1) The procedure for making a receipt begins.

Subsequently, the server 10 refers to the patient file of the patient for which the receipt is to be created in the patient file database 17 (s902). From the information included in the referred patient file, for example, the insurer number, the data of the examination and payment institution set for the corresponding patient in the examination and payment institution file database 16 is extracted (s903). Since the receipt format is determined for each examination and payment institution, the receipt format database 18
In step S904, a receipt file is created using this receipt format (s905). For example, a receipt file is generated by embedding the data of the patient file in a receipt format.

The created receipt file is stored in the receipt file database 19 together with the data of the examination and payment organization (s906). If the receipt creation is completed (s907), the process is completed. If not completed, the next receipt creation is continued.

FIG. 10 is a flow chart showing the receipt transmission process in the server of this embodiment. The receipt file stored in the receipt file database 19 is
It is necessary to transmit to an appropriate examination and payment institution terminal 50 at a predetermined timing. Therefore, if the server 10 receives a receipt file transmission instruction or recognizes the arrival of a predetermined transmission time (s100), the server 10 executes the process of reading the corresponding receipt file from the receipt file database 19 (s101). . For example, the receipt files of the insured corresponding to each insurer are collectively read out every week.

The insurer number is referred to from the read receipt file (s102), and it is compared with the table of the delivery condition items related to the examination and payment institution associated with the receipt file (s103). FIG. 16 is an explanatory diagram showing delivery condition items and examples of their contents in the present embodiment. As shown in FIG. 16, for example, if the A insurer has a remuneration score of 1 to 1000 points, the A examination and payment institution,
If the score is 1001 or more, the B inspecting and paying institution is selected. On the other hand, if the reward point is 1 to 1000 or less, the B insurer selects the B inspecting and paying institution, and if the remuneration score is 1001 or more, the C inspecting and paying institution is selected. , The examination and payment institution to which the receipt file will be sent is set.

Further, as shown in FIG. 6B, in the case where the contents of the receipt relate to medical treatment of heart disease, A insurer is A examination and payment institution, B insurer is B examination and payment institution, and A is in case of cancer. It is also possible to select the examination and payment institution according to the disease name, such that the insurer is the C examination and payment organization and the B insurer is the D examination and payment organization.

As a result of the comparison, if it is determined that there is no sending condition item (s104), the examination and payment institution having the same insurer number in the examination and payment institution file database 16 is selected (s105). If there is a delivery condition item, an examination and payment institution that matches the conditions in the table of the delivery condition item is selected (s107), and the receipt file delivery destination data of this examination and payment institution, that is, the address of the examination and payment institution terminal 50 on the network. Refer to the examination and payment institution file database 16 (s108). The server 10 sends the corresponding receipt file to the address of the examination and payment institution terminal 50 (s109), and if all the sending processes are completed, the process ends.

The embodiment according to the present invention may be as follows in order to achieve the above object. In the receipt processing method, when the receipt is created prior to the receipt transmission processing, the predetermined receipt format for the selected examination and payment institution corresponds to the format database that defines the relationship between the format and the examination and payment institution. The step of searching by matching the identification information of the payment institution, the step of outputting the data of the retrieved receipt format to an output device, or the step of creating the receipt by inserting the corresponding receipt data for the receipt format. And are included.

Further, in the receipt processing method, the database in the step of searching for the examination and payment institution determines the examination and payment institution to be selected for the insured attribute, the content of the receipt such as the number of claims and the name of illness. The server has the associated data structure, and the server executes the selection of the examination and payment institution in the database based on the insured person attribute derived from the insured person and the content of the receipt.

Further, in the receipt processing method, the qualification examination institution terminal including the validity information of the insurance qualification for each insured and the database is requested to inquire about the insurance qualification including the information of the insured person. Thus, while obtaining the qualification inquiry result of the insured, the selection processing result of the examination and payment institution according to the insured made at the qualification examination institution terminal is obtained.

In addition, in the receipt processing method, the terminal of the examination and payment institution is provided with the functions of the database and the terminal of the qualification examination institution.

Further, in the receipt processing method, it is a key when the server or the qualification examination agency terminal executes selection of examination and payment agency in the database.
It is assumed that the insured person attribute and the content of the receipt are acquired by receiving the input operation at the input terminal, or the information obtained by the reading operation for the recording medium of the insured person is acquired from the reading device.

Further, in the system for realizing the above-mentioned receipt processing method, the examination according to the insured person who is the origin of the receipt is conducted from the database storing the information of the examination and payment institution preselected for each insured person. A means for selecting a payment institution, a means for recognizing an address on the network of the terminal of the selected examination payment institution, and transmitting the receipt from the insured to the address, To form a receipt processing system.

Furthermore, a program for realizing the above-mentioned receipt processing method on a computer, which stores the information of the examination and payment institution selected in advance for each insured person, and Selecting a corresponding screening and payment institution, recognizing the address on the network of the terminal of the selected screening and payment institution, and transmitting the receipt from the insured to this address. A characteristic receipt processing program will be created.

Further, a computer-readable recording medium on which the receipt processing program is recorded is formed.

Further, the insurance qualification validity information for each insured person and the database are provided, and the insurance qualification inquiry request including the information of the insured person attribute from the server is accepted to perform the qualification inquiry process of the corresponding insured person. And a means for performing the selection processing of the examination and payment institution according to the insured while returning the processing result to the server, and forming a qualification examination institution terminal. To do.

[0051]

According to the present invention, it is possible to provide a receipt processing method and system capable of selecting an examination and payment institution simply and surely and enabling efficient receipt processing.

[Brief description of drawings]

FIG. 1 is a basic conceptual diagram of a receipt processing method according to the present embodiment.

FIG. 2 is a schematic diagram of a network including a receipt processing system according to the present embodiment.

FIG. 3 is a diagram showing a configuration of a server included in the medical institution according to the present embodiment.

FIG. 4 is a diagram showing a configuration of an insurer terminal according to the present embodiment.

FIG. 5 is a diagram showing a configuration of a qualification examination institution terminal in the present embodiment.

FIG. 6 is a diagram showing a configuration of an examination and payment institution terminal in the present embodiment.

FIG. 7 is a flow chart showing processing when a qualification examination is requested in the server of the present embodiment.

FIG. 8 is a flowchart showing the qualification examination process and the examination and payment institution selection process in the qualification examination institution terminal of the present embodiment.

FIG. 9 is a flowchart showing a process when creating a receipt in the server of this embodiment.

FIG. 10 is a flowchart showing a receipt transmission process in the server of this embodiment.

FIG. 11 is a diagram showing a data structure of an examination and payment institution file included in the qualification examination institution terminal of the present embodiment.

FIG. 12 is a diagram showing a data structure of an insured person file included in the qualification examination institution terminal of the present embodiment.

FIG. 13 is a diagram showing a data structure of a patient file included in the server of this embodiment.

FIG. 14 is an image diagram showing an example of a receipt format in this embodiment.

FIG. 15 is a diagram showing a data structure of a receipt file included in the server of this embodiment.

FIG. 16 is an explanatory diagram showing delivery condition items and an example of their contents in the present embodiment.

[Explanation of symbols]

10 servers 16 patient files 17 Examination and Payment Institution File 18 receipt format 19 receipt file 20 Qualification examination request processing department 21 receipt creation processing unit 22 Receipt transmission processing unit 25 Insurer terminal 32 Insured file 35 Qualification examination terminal 50 Examination and payment institution terminal

Continued front page    (72) Inventor Junya Iwata             890 Kashimada, Sachi-ku, Kawasaki City, Kanagawa Stock             Hitachi, Ltd. Business Solutions             Within the department (72) Inventor Miyuki Maeda             890 Kashimada, Sachi-ku, Kawasaki City, Kanagawa Stock             Hitachi, Ltd. Business Solutions             Within the department

Claims (10)

[Claims] 1. A method in which a server of a receipt making institution such as a medical institution selects a destination of a receipt for each insured person and performs an appropriate process, and an examination and payment institution selected in advance for each insured person. From the database that stores the information of the above, the step of selecting the examination and payment institution according to the insured from which the receipt was created, and the address on the network of the terminal of the selected examination and payment institution is recognized and addressed to this address. And transmitting a receipt from the insured. 2. When preparing a receipt prior to the process of transmitting the receipt, a predetermined receipt format for the selected screening and payment institution is applied to a format database that defines the relationship between the format and the screening and payment institution. A step of searching by collating the institution's identification information; a step of outputting the data of the retrieved receipt format to an output device or a step of creating a receipt by inserting the corresponding receipt data for the receipt format. The receipt processing method according to claim 1, further comprising: 3. The database in the step of searching for an examination and payment institution has a data structure in which an examination and payment institution to be selected is associated with the insured attributes and the contents of a receipt such as the number of claims and the name of illness. The receipt processing method according to claim 1, wherein the server executes selection of an examination and payment institution in the database based on the insured person attribute and the content of the receipt derived from the insured person. 4. A terminal for a qualification examination institution, which comprises the validity information of the insurance qualification for each insured and the database,
By requesting an insurance qualification inquiry that includes information about the insured person's attributes, while obtaining the qualification inquiry result for the insured, the examination and payment institution selected according to the insured made at the qualification examination institution terminal The receipt processing method according to claim 1, wherein a processing result is acquired. 5. The receipt processing method according to claim 1, wherein the terminal of the examination and payment institution has a function of the database or the terminal of the qualification examination institution. 6. Whether the insured attributes or the content of the receipt, which is a key when the server or the qualification examination institution terminal executes the selection of the examination and payment institution in the database, is obtained by accepting the input operation in the input terminal. Alternatively, the receipt processing method according to claim 1, wherein the information obtained by the reading operation on the recording medium of the insured person is acquired from the reading device. 7. A system for realizing the receipt processing method according to any one of claims 1 to 6, wherein a receipt is created from a database storing information of examination and payment institution selected in advance for each insured person. Means for selecting an examination and payment institution according to the insured, and means for recognizing the address of the terminal of the selected examination and payment institution on the network and transmitting the receipt from the insured to this address. A receipt processing system comprising: 8. A program for realizing the receipt processing method according to any one of claims 1 to 6 on a computer, which stores a receipt from a database storing information of a screening and payment institution selected in advance for each insured person. The step of selecting an examination and payment institution according to the insured who is the origin of the creation, recognizing the address of the terminal of the selected examination and payment institution on the network, and sending the receipt from the insured to this address A receipt processing program, comprising: 9. A computer-readable recording medium in which the receipt processing program according to claim 8 is recorded. 10. The insured qualification validity information for each insured and the database, and accepts an insured qualification inquiry request including the insured attribute information from the server, and performs a qualification inquiring process for the insured. A qualification examination institution terminal, comprising: a means for performing the above, and a means for performing the selection processing of the examination and payment institution according to the insured while returning the processing result to the server.