JP2019211983A - Settlement processor, settlement processing method, program, and settlement processing system - Google Patents

Abstract

To provide a settlement processor adapted to shorten a time required for settlement for a medical-care fee in a hospital.SOLUTION: In an accounting system 1 of a settlement processor, an accounting server includes: a storage control section that stores, in association with patient identification information assigned to a patient who undergoes a medical care in a hospital, credit card payment possibility/impossibility information indicative of whether or not a credit card payment that is a payment of a medical care fee by a credit card is allowed to the patient in a storage section; an information acquiring section that acquires payment means information indicative of whether to pay the medical care fee by a credit card or in cash in association with the patient identification information before the patient pays the medical care fee; and an information output section that outputs fee information indicative of the patient identification information and a medical care fee for the patient corresponding to the patient identification information to a payment apparatus executing a credit card payment if the credit card payment possibility/impossibility information associated with the patient identification information of the patient who performs the settlement of the medical care fee indicates that credit card payment is allowed and the payment means information associated with the patient identification information indicates that credit card payment is selected.SELECTED DRAWING: Figure 4

Description

  The present invention relates to a payment processing apparatus, a payment processing method, a program, and a payment processing system for paying a medical fee.

  2. Description of the Related Art Conventionally, there is known a system that makes it possible to pay with a credit card for medical care received at a hospital. Patent Document 1 stores a patient's credit card number and, after the medical treatment is completed, sends the patient's credit card number and the medical fee to a credit card company system to settle the medical fee. A system is disclosed. Patent Document 2 discloses a medical expense reimbursement processing system that performs payment of a medical fee by transmitting information on a credit card number input at a patient's mobile terminal to a credit card company system.

Japanese Patent No. 4490324 JP-A-2018-32283

  When using the technique described in Patent Document 1, it is necessary to store a patient's credit card number in a medical expense settlement processing system managed by a hospital. In order to hold the credit card number, it is necessary to construct a system that satisfies the information security regulations established in the credit card industry, which causes a problem that the burden on the hospital is large. On the other hand, if the patient's credit card number is not memorized in the medical expense reimbursement processing system, it is necessary to scan the credit card every time the patient who visits pays, and the time required for reimbursement becomes longer. there were.

  Moreover, when using the credit card number which the user input in the portable terminal as it describes in patent document 2, it is necessary for a user to operate a portable terminal whenever it settles. Therefore, the conventional method is complicated for the user, and it has been demanded to reduce the time spent for the medical fee settlement process.

  Accordingly, an object of the present invention is to shorten the time required for the settlement of the medical treatment fee in a hospital.

  The checkout processing apparatus according to the first aspect of the present invention relates to whether or not card payment, which is a payment for a medical fee using a credit card, is recognized by a patient in association with patient identification information given to a patient who receives medical care at a hospital. A storage control unit that stores information indicating whether or not the card payment is possible in the storage unit, and payment means information indicating whether the patient pays the medical fee by card or cash before the patient pays the medical fee in the patient identification information The information acquisition unit to be acquired in association with the card payment availability information associated with the patient identification information of the patient for whom the medical fee is to be settled indicates that the card payment is permitted, and the patient identification information If the payment means information associated with the card indicates that the card payment is selected, the patient identification information and Serial having an information output unit for outputting amount information indicating the medical care price of the patient corresponding to the patient identification information.

  The information output unit displays information indicating the collection status of the medical fee for each patient when the patient for whom the medical fee is to be settled is a card payment target patient and when the patient for whom the medical fee is to be settled is not the card payment target patient The terminal may display the collection status in different modes.

  The information output unit, with respect to the information terminal, the patient whose card payment has not ended among the patients for card payment and the patient whose card payment has ended among the patients for card payment in different manners, respectively. The collection status may be displayed on the information terminal.

  The information output unit may display the collection status of the card payment target patient on the information terminal in the same manner as the patient whose payment is in a suspended state among the patients who are not the card payment target patient.

  The information acquisition unit is a payment means selection screen for selecting a payment means on condition that the card payment availability information associated with the patient identification information of the patient indicates that card payment is possible. May be displayed on the reception terminal.

  The storage control unit stores, in the storage unit, collection information indicating whether or not a medical fee at the time of past medical treatment has been collected in association with the patient identification information, and the information acquisition unit is configured to store the patient identification. The payment means selection screen may be displayed on the reception terminal on the condition that the collection information associated with the information indicates that the medical treatment fee at the past medical treatment has been collected.

  The information acquisition unit may print an acceptance slip including access information for accessing card payment data when card payment is selected on the payment means selection screen.

  The information output unit outputs the price information to the settlement apparatus by transmitting the price information to the communication terminal capable of transmitting data to the settlement apparatus via an external network without using the external network. Also good.

  The payment processing method according to the second aspect of the present invention allows a patient to accept a card payment, which is a payment of a medical fee by a credit card, in association with patient identification information given to a patient who receives medical care, which is executed by a computer. Acquiring payment information indicating whether or not the payment is made, and before the patient pays the medical fee, payment means information indicating whether the patient pays the medical fee by card or cash is included in the patient identification information. The step of acquiring in association and the card settlement approval / disapproval information associated with the patient identification information of the patient for whom the medical fee is to be settled indicate that the card settlement is permitted and associated with the patient identification information. If the received payment means information indicates that the card payment is selected, the patient identification information is sent to the payment apparatus that executes the card payment. It has a step of outputting the information and amount information indicating the medical care price of the patient corresponding to the patient identification information.

  The program according to the third aspect of the present invention relates to whether or not a card payment, which is a payment of a medical fee by a credit card, is recognized by a patient by associating a computer with patient identification information given to a patient who receives medical care at a hospital. The patient identification information indicating whether or not the patient pays the medical fee by card or cash before the patient pays the medical fee before the patient pays the medical fee. The information acquisition unit to be acquired in association with the patient, and the card payment availability information associated with the patient identification information of the patient for whom the medical fee is settled indicates that the card payment is permitted, and the patient identification When the payment means information associated with the information indicates that the card payment is selected, the payment device for executing the card payment Identification information and the information output unit that outputs the charge information indicating the medical care price of the patient corresponding to the patient identification information, to function as a.

  A settlement processing system according to a fourth aspect of the present invention includes a settlement processing device for settlement of a medical treatment fee for a patient who has received medical treatment at a hospital, and payment of a medical treatment fee by a credit card in response to a request from the settlement processing device. And a relay device that transmits price information indicating the medical fee to the settlement device. The relay device transmits a credit card number acquired in association with patient identification information given to a patient who receives medical care at a hospital, and the credit card number acquired by the number acquisition unit to the settlement device. Accordingly, an information acquisition unit that acquires, from the payment device, card payment availability information indicating whether or not card payment, which is payment by the credit card, is possible, and the card payment availability information is associated with the patient identification information. And a transmission unit for transmitting to the settlement processing apparatus. The checkout processing device is associated with the patient identification information, a storage control unit that stores the card settlement availability information received from the payment device in a storage unit, and the patient pays the medical fee before the patient pays the medical fee. An information acquisition unit that acquires payment means information indicating whether to make a card payment or a cash payment in association with the patient identification information, and the card payment availability information associated with the patient identification information of a patient for whom a medical fee is settled. A payment device for performing card payment when the card payment is permitted and the payment means information associated with the patient identification information indicates that the card payment is selected. And an information output unit for outputting the patient identification information and the price information indicating the medical fee of the patient corresponding to the patient identification information.

  In the above settlement processing system, the number acquisition unit may acquire the credit card number input in an information terminal used by a patient corresponding to the patient identification information in association with the patient identification information.

  A payment processing system according to a fifth aspect of the present invention includes an automatic payment apparatus for automatically paying a medical fee for a patient who has received medical care at a hospital, and a credit card for the medical fee for a patient who has received medical care at the hospital. And a checkout processing device for checkout. The automatic settlement apparatus transmits settlement information in a predetermined format indicating that the settlement of the medical fee has been completed to a receipt processing apparatus that creates a medical fee description. The checkout processing device relates to patient identification information given to a patient who receives medical care at a hospital, and includes card settlement availability information indicating whether or not a card payment, which is a payment for a medical fee using a credit card, is permitted by the patient. A storage control unit for storing in the storage unit, and an information acquisition unit for acquiring, in association with the patient identification information, payment means information indicating whether the patient pays the medical fee by card or cash before the patient pays the medical fee And the payment means associated with the patient identification information associated with the patient identification information of the patient for whom the medical fee is to be settled indicates that card payment is permitted. When the information indicates that the card payment is selected, the patient identification information and the patient identification information are provided to the payment device that performs the card payment. An information output unit that outputs price information indicating the medical fee of the corresponding patient, and when the information output unit receives notification from the payment device that payment has been completed, The settlement information in the predetermined format indicating completion is transmitted to the receipt processing apparatus.

  According to the present invention, there is an effect that it is possible to shorten the time required for the adjustment of the medical treatment fee in the hospital.

It is a figure which shows the outline | summary of a payment processing system. It is a figure which shows an example of the screen displayed on a patient terminal, when a patient accesses the website which a web server provides. It is a figure which shows an example of the payment means selection screen which a reception terminal displays. It is a figure which shows the structure of an accounting system typically. It is a figure which shows an example of the accounting input screen displayed on the accounting terminal. It is a flowchart which shows the flow of the reception process of the patient who visited. It is a flowchart which shows the flow of the accounting process of the patient who finished medical treatment.

[Outline of settlement processing system S]
FIG. 1 is a diagram showing an outline of the settlement processing system S. The payment processing system S is a system for paying the medical treatment fee in the hospital. The settlement processing system S includes an accounting system 1, a reception terminal 2, a medical server 3, a patient terminal 4, a web server 5, and a settlement server 6. Although the accounting system 1, the reception terminal 2, and the medical server 3 are assumed to be installed in the hospital, some of them may be installed outside the hospital. The accounting system 1 transmits and receives data to and from the web server 5 via a network such as the Internet.

  The accounting system 1 is a system for performing accounting processing in a hospital. As will be described in detail later, the accounting system 1 manages the payment status of the patient's medical treatment fee. In order to manage the payment status, the accounting system 1 is associated with patient identification information (hereinafter referred to as patient ID), the patient's name and address, the patient's medical fee, the patient's payment status, and the patient pays with a credit card. It stores patient information such as card payment availability information indicating whether or not (hereinafter sometimes referred to as card payment) is possible.

  The reception terminal 2 is a terminal that is installed in a hospital and is used by an incoming patient for automatic reception. The patient can receive medical care by inputting the patient ID at the reception terminal 2 at the visit. The reception terminal 2 can also display a payment means selection screen for the patient to select a means for paying the medical fee. The patient can select on the settlement means selection screen whether the medical treatment fee is paid in cash or postpaid with a credit card.

  The medical server 3 is a computer that functions as a receipt processing device for issuing a medical remuneration statement, and manages medical data. The medical server 3 stores medical data such as the patient's medical treatment content, medical fee, and payment status in association with the patient ID. The medical server 3 acquires information indicating the payment status of the medical treatment fee from the accounting system 1 and updates the stored medical data based on the acquired information.

  The patient terminal 4 is an information terminal that can be used by a patient, such as a personal computer, a tablet, or a smartphone. The patient can use the patient terminal 4 to perform initial registration for making a payment using a credit card or to check a payment amount using the credit card.

  The web server 5 causes the patient terminal 4 to display a screen for performing initial registration for the patient to make a payment using a credit card. Further, the web server 5 makes a patient credit inquiry (hereinafter referred to as authorization) to the payment server 6, and the patient pays a medical fee with a credit card based on the result of the authorization received from the payment server 6. It functions as a relay device that transmits to the accounting system 1 card settlement availability information indicating whether or not it can be made. Further, the web server 5 transmits an authorization request corresponding to the medical fee to the settlement server 6 based on the fee information indicating the medical fee transmitted from the accounting system 1.

  The web server 5 stores a patient ID and a customer ID determined in advance in association with a company that performs card payment in association with each other in order to request an authorization for a medical fee for the patient. The web server 5 acquires a customer ID from the payment server 6 in response to transmitting the credit card number acquired at the time of initial registration of the patient to the payment server 6, for example. When the web server 5 acquires the customer ID, the web server 5 deletes the credit card number from a storage medium accessible by the web server 5. When making the authorization request, the web server 5 identifies the customer ID corresponding to the patient ID of the patient who is the subject of the credit inquiry and card settlement, and transmits the authorization request including the identified customer ID to the settlement server 6. By doing in this way, the web server 5 can implement | achieve card payment according to the request | requirement from the accounting system 1, without memorize | storing a credit card number.

  The web server 5 includes a number acquisition unit, an information acquisition unit, a transmission unit, and a storage unit in order to perform the above processing. The number acquisition unit displays a screen for initial registration on the patient terminal 4 and acquires a credit card number in association with a patient ID assigned to a patient who receives medical care at a hospital. The information acquisition unit acquires from the payment server 6 card payment availability information indicating whether or not the card payment is possible by transmitting the credit card number acquired by the number acquisition unit to the payment server 6. Then, the transmission unit associates the card settlement availability information with the patient ID and transmits it to the accounting system 1. The storage unit of the web server 5 stores information such as a customer ID, a hospital ID, a patient's name, a patient's date of birth, a patient's address, a patient's mail address, and a payment method in association with the patient ID. When the transmission unit of the web server 5 receives a card payment request from the accounting system 1, the authorization request includes a customer ID corresponding to the patient ID included in the card payment request and price information indicating a medical fee. Is transmitted to the settlement server 6 to realize card settlement.

  The settlement server 6 is a server managed by a company that performs card settlement, and functions as a settlement apparatus. The settlement server 6 stores the customer's credit card number and the customer's past payment status in a storage medium in association with the customer ID that is the identification information of the customer who uses the credit card. The settlement server 6 stores such information in a built-in storage medium such as a hard disk or an external server. The settlement server 6 refers to the past payment status of the customer stored in the storage medium based on the customer ID and the medical fee included in the authorization request received from the web server 5, and whether or not credit is possible. Is determined, and the determination result is notified to the web server 5.

[Flow of processing in the payment processing system S]
Hereinafter, an outline of a flow of processing performed for a patient to settle a medical fee using a credit card will be described with reference to FIG.

  First, the patient accesses the website of the URL (Uniform Resource Locator) notified from the hospital by using the patient terminal 4 and performs user registration for paying the medical treatment fee with a credit card ((1) in FIG. 1). . FIG. 2 is a diagram illustrating an example of a screen displayed on the patient terminal 4 when the patient accesses a website provided by the web server 5.

  FIG. 2A is a screen for logging in to the website. When the patient inputs the user ID and password notified from the hospital to the patient terminal 4, the patient terminal 4 transmits the input user ID and password to the web server 5. The web server 5 displays the screen of FIG. 2B on the patient terminal 4 when the user ID and password received from the patient terminal 4 match the user ID and password notified from the accounting system 1 in advance. When the user ID and password received from the patient terminal 4 do not match the user ID and password notified from the accounting system 1 in advance, the web server 5 displays a screen for notifying that the user ID or password is incorrect. 4 is displayed.

  FIG. 2B is a screen for registering information of a credit card used for payment of a medical fee. When a patient inputs a patient ID, name, address, and e-mail address and selects a card as a payment method (that is, a payment method), a credit card number, a security code, and credit card information such as a credit card expiration date are input. A column is displayed. When the patient inputs such information and presses the send button, the patient terminal 4 transmits user registration information including the patient ID, name, address, mail address, and credit card information to the web server 5.

  When the web server 5 receives the user registration information from the patient terminal 4, the web server 5 sets the payment amount in order to confirm whether or not the payment can be made with the credit card number included in the user registration information. A registration authorization request for 0 yen is transmitted to the settlement server 6 ((2) in FIG. 1). The authorization data for registration includes the name of the credit card holder, the credit card number, and the security code.

  The settlement server 6 acquires the credit status of the patient corresponding to the credit card number included in the received authorization request from the storage medium, and notifies the acquired credit status to the web server 5 ((3) in FIG. 1). The settlement server 6 may notify the web server 5 of the patient ID of the patient corresponding to the credit card number included in the authorization request together with the credit status.

  The web server 5 transmits to the accounting system 1 card settlement permission / prohibition information based on the notified credit status ((4) in FIG. 1). The card payment permission / prohibition information is information indicating whether or not the card payment is permitted by the patient. Specifically, when the credit status indicates that card payment is possible, the web server 5 transmits to the accounting system 1 card payment availability information indicating that card payment is possible. When the credit status indicates that the card payment is not possible, the web server 5 transmits to the accounting system 1 card payment availability information indicating that the card payment is not possible. With the above processing, user registration for the patient to make a card payment is completed.

  Next, processing after the patient arrives at the hospital to receive medical care will be described. When the patient arrives at the hospital and inputs the patient ID at the reception terminal 2, the patient is registered as a patient waiting for medical care. When the patient ID is input, the reception terminal 2 displays a payment means selection screen for selecting a payment means for the medical fee.

  FIG. 3 is a diagram illustrating an example of a payment means selection screen displayed by the reception terminal 2. FIG. 3A is a payment means selection screen displayed after the patient inputs a patient ID. The text or image for selecting payment by cash and the text or image for selecting card payment are shown. include.

  When the patient selects card payment (“payment by card” in FIG. 3A), the reception terminal 2 can check the text indicating that the card payment is selected, and a website where the details of the card payment can be confirmed A receipt slip that prints the access information for accessing. FIG. 3B is an example of a reception slip printed by the reception terminal 2 when the patient selects card settlement. The access information is, for example, a QR code (registered trademark). The patient can easily confirm the details of the card payment by taking the receipt slip after the medical treatment is completed and reading the QR code with an information terminal such as his / her smartphone.

  When the patient selects cash settlement (“cash payment” in FIG. 3A), the reception terminal 2 does not print the reception slip. The receiving terminal 2 transmits the payment means information indicating the payment means selected by the patient on the payment means selection screen to the accounting system 1 ((5) in FIG. 1). The settlement means information is information indicating whether the patient performs cash settlement or card settlement.

  Next, a process after the patient has finished medical care will be described. Patients who choose cash settlement will submit an examination ticket to the accounting window. The hospital accountant specifies the medical treatment contents received by the patient based on the patient ID of the patient to whom the examination ticket was submitted, and calculates the medical treatment fee based on the specified medical treatment contents. The patient completes the check-out by paying the check-up fee in the automatic check-out device for automatically checking-out the check-up fee of the patient who has received medical care at the reception or the hospital.

  On the other hand, a patient who has selected card payment can go home without having to stop by an accounting counter. After completing the checkout process for the patient who has selected cash settlement, the hospital accountant calculates the medical fee for the patient who has selected card settlement, and registers the calculated medical fee in the accounting system 1. The accounting system 1 transmits billing data including the registered medical fee and patient ID to the web server 5 ((6) in FIG. 1).

  When the billing data is received from the accounting system 1, the web server 5 indicates information indicating a payment agent company stored in association with the patient ID (for example, the payment agent company) among the plurality of payment servers 6 managed by the plurality of payment agent companies. The authorization of the medical fee included in the billing data is requested to the settlement server 6 corresponding to (name) ((7) in FIG. 1). The web server 5 transmits an authorization request for billing including the medical treatment fee and the customer ID to the settlement server 6.

  When the payment server 6 receives the authorization request, the payment server 6 determines whether or not credit for the medical treatment fee is permitted based on the past payment history of the patient corresponding to the customer ID included in the authorization request, and the determination result is determined. The web server 5 is notified ((8) in FIG. 1). If the payment server 6 determines that credit up to the medical fee is permitted, the payment server 6 completes the payment by withdrawing the medical fee from the patient's bank account on a predetermined payment date.

  When the web server 5 receives the notification of the authorization determination result received from the settlement server 6, the web server 5 transmits the determination result to the accounting system 1 in association with the patient ID corresponding to the customer ID included in the determination result notification (FIG. 1). (9)). The accounting system 1 determines that the payment of the medical treatment fee has been completed when the determination result indicates that the credit for the medical treatment fee is recognized, and data indicating the payment status of the patient stored in the accounting database Update. Specifically, the accounting system 1 changes the collected flag indicating the settlement status of the medical treatment fee associated with the patient ID included in the received determination result notification from the value indicating the uncollected state to the value indicating the collected state. change. When the accounting system 1 indicates that the credit for the medical treatment fee has been approved, the accounting system 1 maintains the collected flag indicating the payment status of the medical treatment fee associated with the patient ID as a value corresponding to the uncollected state.

  In addition, when the determination result indicates that the credit for the medical treatment fee is recognized, the accounting system 1 transmits the settlement result data indicating the paid medical treatment fee to the medical server 3 in association with the patient ID ( (10) in FIG. When the medical server 3 receives the settlement result data, the medical server 3 updates the data indicating the payment status of the medical fee stored in association with the patient ID.

  Since the payment processing system S executes various processes according to the above-described procedure, the patient can pay the medical fee without presenting the credit card at the hospital, so that it is not necessary to wait at the accounting window after the medical treatment is completed. In addition, the accounting counter can postpone the calculation of the medical fee for the patient who pays the medical fee with a credit card. As a result, the accounting staff can preferentially calculate the medical fee for the patient who pays the medical fee at the accounting window, so the waiting time for the patient who pays the medical fee at the accounting window can be shortened.

[Configuration and operation of accounting system 1]
Next, details of the configuration and operation of the accounting system 1 will be described. FIG. 4 is a diagram schematically showing the configuration of the accounting system 1. As shown in FIG. 4, the accounting system 1 includes an accounting server 11, an accounting terminal 12, an automatic settlement machine 13, and an access terminal 14.

  The accounting server 11 is a settlement processing apparatus that manages accounting processing in a hospital. For example, the accounting server 11 is a computer in which a program for executing settlement processing is installed. The program is stored in a storage medium that can be read by the processor of the accounting server 11 such as a hard disk. The accounting server 11 stores various data necessary for accounting processing, and transmits and receives various data to and from the accounting terminal 12, the automatic settlement machine 13, and the access terminal 14. Details of the accounting server 11 will be described later.

  The accounting terminal 12 is a computer used by accounting staff. Based on the data acquired from the accounting server 11, the accounting terminal 12 displays data such as a medical fee charged to a patient who has received medical care, a patient's payment status, and the like. The accounting terminal 12 notifies the medical server 3 that the settlement is completed in association with the patient ID of the patient when the accounting counter staff performs a predetermined operation when the settlement of the patient is completed at the accounting window. To do.

  The automatic checkout machine 13 is a device for a patient who has received medical care to settle the medical treatment fee. When the automatic settlement machine 13 acquires the patient ID of the patient who wishes to settle through the operation screen, the automatic settlement machine 13 acquires the medical treatment fee stored in the accounting server 11 in association with the patient ID from the accounting server 11. The automatic checkout machine 13 determines that the checkout has been completed when the cash of the medical treatment fee acquired from the accounting server 11 is deposited, and notifies the medical server 3 that the checkout has been completed in association with the patient ID of the patient who has paid out. Notice.

  The access terminal 14 is a communication terminal capable of transmitting data to the settlement server 6 via an external network (for example, the Internet) and the web server 5. The access terminal 14 is connected to, for example, the accounting server 11 by a local communication interface (for example, RS-232C) closed in the hospital. The access terminal 14 transmits, for example, payment data including a medical fee and a customer ID extracted from a CSV file received from the accounting server 11 via the local communication interface to the web server 5 via the Internet. In addition, the access terminal 14 creates a CSV file including the credit inquiry result received from the web server 5 via the Internet, and transmits the created file to the accounting server 11 via the local communication interface.

  Details of the accounting server 11 will be described below. The accounting server 11 includes a storage unit 111, a storage control unit 112, an information acquisition unit 113, and an information output unit 114.

  The storage unit 111 includes a storage medium (for example, a hard disk) that stores an accounting database including various data necessary for accounting processing. The storage unit 111 stores card settlement permission / inhibition information, settlement means information, collection information, medical fees, and the like in association with the patient ID. The collection information is information indicating whether or not the settlement of the medical treatment fee that occurred during the past medical treatment (for example, the previous medical treatment) has been completed. The storage unit 111 may store a customer ID in association with the patient ID. In addition, the storage unit 111 stores a program executed by a processor included in the accounting server 11. The processor functions as the storage control unit 112, the information acquisition unit 113, and the information output unit 114 by executing the program.

  The storage control unit 112 controls data exchange between the information acquisition unit 113, the information output unit 114, and the storage unit 111. The storage control unit 112 stores the card settlement availability information in the storage unit 111 in association with the patient ID assigned to the patient who receives medical care at the hospital. For example, when the information acquisition unit 113 acquires the card payment availability information from the web server 5 via the access terminal 14, the storage control unit 112 stores the card payment availability information in the storage unit 111.

  Further, the storage control unit 112 may store the collection information in the storage unit 111 in association with the patient ID. The collection information is, for example, the value of the collected flag stored in the storage unit 111 in association with the patient ID. The storage control unit 112 changes the value of the collected flag stored in the storage unit 111 in association with the patient ID, for example, when acquiring information indicating that the payment of the medical fee has been completed via the information output unit 114 Let The storage control unit 112 may update the value of the collected flag based on the result of periodically inquiring the payment status to the web server 5.

  Further, the storage control unit 112 provides information stored in the storage unit 111 in association with the customer ID to the information acquisition unit 113 or the information output unit 114 in response to a request from the information acquisition unit 113 or the information output unit 114. . The storage control unit 112 provides, for example, card settlement permission / rejection information and collection information to the information acquisition unit 113, and provides settlement information and information indicating a medical fee to the information output unit 114.

  The information acquisition unit 113 acquires information from external devices such as the reception terminal 2 and the access terminal 14. The information acquisition unit 113 acquires information from a device outside the hospital, for example, via the access terminal 14 connected via the RS-232C interface. For example, the information acquisition unit 113 acquires card payment availability information from the web server 5 and stores the acquired card payment availability information in the storage unit 111.

  Moreover, the information acquisition part 113 acquires the information input by the patient who came to the hospital from the reception terminal 2 connected by LAN in a hospital, for example via LAN (Local Area Network) interface. The information acquisition unit 113 acquires, for example, payment means information indicating whether a patient pays for a medical card by card or cash before the patient pays for a medical fee in association with the patient ID.

  Specifically, the information acquisition unit 113 displays a reception screen as shown in FIG. 3A on the reception terminal 2, and sets the payment means information indicating the payment means selected by the patient at the reception terminal 2 together with the patient ID. get. The information acquisition unit 113 refers to the storage unit 111 and sets the payment as a condition that the card payment availability information associated with the patient ID of the patient who is using the reception terminal 2 indicates that the card payment is possible. A settlement means selection screen for selecting means may be displayed on the reception terminal 2. By doing in this way, since a payment means selection screen is not displayed when a patient for whom card payment is not permitted performs a reception operation at the reception terminal 2, a patient who is not permitted for card payment selects card payment. It is possible to prevent the patient from being confused or being confused by the hospital staff.

  In addition, the information acquisition unit 113 displays the payment method selection screen on the reception terminal 2 on the condition that the collection information associated with the patient ID indicates that the medical treatment fee at the past medical treatment has been collected. May be. The information acquisition unit 113 displays the payment means selection screen on the reception terminal 2 on the condition that the card payment is selected at the past medical treatment and the medical fee for the past medical treatment can be paid by the card payment. It may be displayed. Then, the information acquisition unit 113 may not display the payment means selection screen on the reception terminal 2 when the medical fee for the past medical treatment cannot be paid by card payment. As described above, the information acquisition unit 113 can prevent the payment of the unpaid medical fee from being increased by preventing the patient from selecting the card settlement when the patient has not paid the medical fee for the past medical treatment.

  In addition, when the card payment is selected on the payment means selection screen, the information acquisition unit 113 may cause the reception terminal 2 to print a reception slip including access information for accessing the card payment data. The access information is, for example, a QR code including information indicating the URL of a website that displays the payment status and the payment amount provided by the web server 5. As described above, the reception terminal 2 prints the reception slip including the access information, so that the patient who makes the card payment can easily check the payment status and the payment amount using the access information after the medical treatment is completed.

  The information acquisition unit 113 does not cause the reception terminal 2 to print the reception slip including the access information when the card payment is not selected and the cash payment is selected on the payment means selection screen. The information acquisition unit 113 may prevent the reception terminal 2 from printing the reception slip itself when the cash settlement is selected. By doing in this way, since a reception slip is not printed for a patient who does not require access information, it is possible to reduce the time for reception processing at the reception terminal 2.

  The information output unit 114 sends the payment information indicating the medical treatment fee of the patient to the payment server 6 and makes payment to the accounting terminal 12 which is an information terminal for displaying the collection status of the medical treatment fee for each patient in order to make a card payment. Or send information. When the information output unit 114 transmits the price information to the settlement server 6, the information output unit 114 transmits the price information to the access terminal 14 capable of transmitting data to the web server 5 via the external network without using the external network. As a result, the price information is output to the settlement server 6. The information output unit 114 transmits the price information to the settlement server 6 via the access terminal 14 and the web server 5, so that the accounting server 11 is not directly connected to the external network, thereby reducing the risk of receiving unauthorized access from the outside. Can be made.

  The information output unit 114 indicates that the payment permission information associated with the patient ID of the patient whose medical fee is to be settled indicates that card payment is permitted, and the payment means information associated with the patient ID is When the card payment is selected, the patient corresponding to the patient ID is determined to be a card payment target patient. When the information output unit 114 determines that the patient is a card payment target patient, the information output unit 114 sends the patient ID and the patient's medical treatment fee corresponding to the patient ID to the payment server 6 that performs card payment via the web server 5. The price information indicating is output. When the information output unit 114 is notified via the web server 5 that the authorization for the medical treatment fee has been approved, the information output unit 114 displays the value of the collected flag stored in the storage unit 111 in association with the patient ID. Change the value to indicate.

  Further, the information output unit 114 causes the accounting terminal 12 to display an accounting input screen including information necessary for settlement such as a customer ID, a customer name, and a medical fee. The information output unit 114, for example, accounts for the collection status in a different manner depending on whether the patient for whom the medical fee is to be settled is a card payment target patient or the patient for whom the medical fee is to be settled is not the card payment target patient. It is displayed on the terminal 12.

  FIG. 5 is a diagram illustrating an example of a transaction input screen displayed on the transaction terminal 12. As shown in FIG. 5 (a), the accounting input screen displays a billing status display area for displaying a list of billing statuses for a plurality of patients whose medical fees need to be settled, and a patient ID of the patient selected in the billing status display area. , A patient information display area for displaying patient information such as name and insurance card number, and an accounting information display area for displaying details of the accounting status of the patient selected in the billing status display area.

  FIG. 5B is a diagram showing details of the billing status display area. The billing status display area is provided with columns indicating the time when the medical treatment is completed, the patient ID, the patient name, the medical fee, and the settlement means. In addition, the billing status display area is for unpaid data areas corresponding to patients who have not been settled out of patients who are settled in cash, pending data areas corresponding to patients who are not settled immediately, and settled patients. Divided into corresponding settled data areas. Then, the information output unit 114 displays an unsettled data area that needs to be settled preferentially above the screen rather than the reserved data area.

  The information output unit 114 displays the unsettled data area, the pending data area, and the settled data area in the billing status display area in different modes (for example, different colors or patterns). In this way, the information output unit 114 displays each area at a different position in a different manner, so that the accounting staff can easily identify patient data to be settled with cash. The time required for settlement can be shortened.

  The information output unit 114 may display the collection status of the card payment target patient on the accounting terminal 12 in the same manner as the patient whose payment is in a pending state among the patients who are not the card payment target patient. The information output unit 114 displays, for example, patient data that cannot be settled immediately among patients who are settled with cash, and data of a patient who has selected card settlement in the pending data area. By doing in this way, the staff of the accounting counter can easily grasp the number of patients to be processed later.

  The information output unit 114 is different from the accounting terminal 12 in a manner in which the patient whose card payment is not completed among the patients for card payment and the patient whose card payment is completed among the patients who are card payments. The collection status may be displayed on the accounting terminal 12. Specifically, the information output unit 114 displays, in the pending data area, patients whose card payment is not completed among the patients for card payment, and has settled the patients whose card payment is completed among the patients for card payment. Display in the data area. By doing in this way, the staff of the accounting window can easily grasp the patient who has not made the card payment.

  Furthermore, the information output unit 114 may display a patient whose card payment is not permitted by the payment server 6 among patients who are eligible for card payment in a manner different from a patient who has not yet requested an authorization. By doing this, the staff at the accounting counter can quickly identify the patient who has failed to pay by card even though he / she has chosen to pay by card, and promptly take measures such as sending an invoice. .

[Flow chart of reception processing]
FIG. 6 is a flowchart showing the flow of a reception process for a patient who comes to the hospital. The flowchart shown in FIG. 6 starts from the time when the reception screen is displayed on the reception terminal 2.

  The reception terminal 2 acquires the patient ID input on the reception screen, and transmits the acquired patient ID to the information acquisition unit 113. The reception terminal 2 may acquire the patient ID input by the patient on the reception screen, or may acquire the patient ID by reading the patient ID printed or pasted on the examination ticket with a scanner. When the information acquisition unit 113 acquires the patient ID transmitted from the reception terminal 2 (S11), the information acquisition unit 113 checks the card payment availability information and the collection information stored in the storage unit 111 in association with the patient ID, and the card payment is possible. It is determined whether or not the patient is a patient (S12).

  If the information acquisition unit 113 determines that the card payment is possible (YES in S12), the information acquisition unit 113 displays a payment means selection screen on the reception terminal 2 (S13). Subsequently, the information acquisition unit 113 determines whether card payment or cash payment is selected on the payment means selection screen (S14).

  When it is determined that the card payment is selected (YES in S14), the information acquisition unit 113 stores in the storage unit 111 that the patient is a card payment target in association with the patient ID (S15). If the information acquisition unit 113 determines in S12 that the card payment is not possible (NO in S12), the information acquisition unit 113 does not display the payment means selection screen on the reception terminal 2 and stores in the storage unit 111 that the patient is not a card payment target patient. (S16). Even when it is determined that cash payment is selected in S14 (NO in S14), the information acquisition unit 113 stores in the storage unit 111 that the patient is not a card payment target patient (S16).

[Accounting flow chart]
FIG. 7 is a flowchart showing the flow of accounting processing for a patient who has completed medical care. The information output unit 114 causes the accounting terminal 12 to display the accounting data of the patient who has finished medical care. The information output unit 114 can use any method for identifying a patient who has completed medical care. For example, when the fact that medical care has been completed in a computer used by a doctor is input, the computer outputs the patient ID to the accounting server 11. By transmitting the medical treatment end notification in association with the information, the information output unit 114 can identify the patient who has finished the medical treatment.

  The information output unit 114 refers to the payment means information stored in the storage unit 111 to determine whether or not the patient who has finished medical care is a card payment target patient (S21). If the information output unit 114 determines that the patient is not a card payment target patient (NO in S21), the information output unit 114 displays the patient data on the accounting terminal 12 in the first mode (S22). In the case of the example shown in FIG. 5, the information output unit 114 displays the patient data in the unsettled data area.

  Thereafter, the information output unit 114 determines whether or not it has been input at the accounting terminal 12 that the patient has been settled (S23). If the information output unit 114 determines that the payment has been completed (YES in S23), the information output unit 114 moves the patient data to be displayed on the accounting terminal 12 from the unpaid data area to the settled data area, and the patient ID and the payment amount Payment information of a predetermined format (for example, a format defined as a payment machine interface) associated with the payment server 3 is transmitted to the medical server 3 (S24). At this time, the information output unit 114 transmits the patient ID and the payment amount to the medical server 3 in the same format as that used when transmitting data from the automatic checkout machine 13 to the medical server 3.

  If the information output unit 114 determines in S21 that the patient is a card payment target patient (YES in S21), the information output unit 114 displays the patient data on the accounting terminal 12 in a second mode different from the first mode ( S25). In the case of the example shown in FIG. 5, the information output unit 114 displays the patient data in the reserved data area.

  Thereafter, the information output unit 114 determines whether or not the patient's card payment is completed depending on whether or not a notification that the authorization request has been approved has been received (S26). The information output unit 114 determines whether or not the card payment is completed by inquiring the payment status to the web server 5 after the day after the medical treatment is performed, for example. If the information output unit 114 determines that the card payment has been completed (YES in S26), the value of the collected flag is changed, and the patient data to be displayed on the accounting terminal 12 is changed from the reserved data area to the settled data area. The patient ID and the payment amount are associated with each other and transmitted to the medical server 3 (S27).

  Specifically, when the information output unit 114 receives a notification indicating that the medical fee authorization has been completed from the payment server 6 via the web server 5, the information output unit 114 indicates a predetermined format indicating that the medical fee is settled. Is sent to the medical server 3. The settlement information transmitted by the information output unit 114 is settlement information in the same format as that used when transmitting data from the automatic settlement machine 13 to the automatic settlement machine 13, and the patient ID and the payment amount are associated with each other. Information. If the card payment has not ended even after the predetermined period has elapsed, the information output unit 114 stores in the storage unit 111 that the card payment is not permitted in association with the patient ID (S28).

[First Modification]
In the above description, cash settlement and card settlement are exemplified as settlement means. However, in addition to these settlement means, the settlement processing system S is used for other settlement such as settlement by account transfer or settlement at convenience stores. May correspond. In this case, when the card settlement cannot be made, the settlement server 6 issues a bill for settlement at, for example, a convenience store, and notifies the accounting system 1 that the bill has been issued. In the accounting system 1, the storage control unit 112 causes the storage unit 111 to store information that a bill for payment at a convenience store has been issued in association with the patient ID.

[Second Modification]
In the above description, the example in which the information acquisition unit 113 acquires the payment unit information indicating the payment unit selected by the patient in the reception terminal 2 has been described. However, the method by which the information acquisition unit 113 acquires the payment unit information is as follows. Not limited to this. The information acquisition unit 113 may acquire the payment means information input or selected in the computer used by the staff at the hospital reception desk in association with the patient ID. Moreover, the information acquisition part 113 may acquire payment means information by reading payment means information from the storage medium which memorize | stored payment means information previously linked | related with patient ID.

[Third Modification]
In the above description, an example in which the information output unit 114 transmits the price information to the payment server 6 via the access terminal 14 and the web server 5 has been described. However, a method for the information output unit 114 to transmit the price information is as follows. Not limited to this. The information output unit 114 may transmit the price information to the settlement server 6 without passing through at least one of the access terminal 14 and the web server 5.

[Effects of the settlement processing system S]
As described above, the storage control unit 112 of the accounting server 11 is associated with the patient ID assigned to the patient who receives medical care at the hospital, and whether the card payment that is the payment of the medical fee using the credit card is permitted by the patient. Information on whether or not to accept card settlement is stored in the storage unit 111. In addition, the information output unit 114 of the accounting server 11 indicates that the card payment permission information associated with the patient ID of the patient whose medical fee is to be settled indicates that the card payment is permitted, and the patient ID is included in the patient ID. When the associated payment means information indicates that the card payment is selected, it is determined that the patient corresponding to the patient ID is a card payment target patient. When the information output unit 114 determines that the patient is a card payment target patient, the information output unit 114 sends the patient ID and the patient ID corresponding to the patient ID to the payment server 6 that performs card payment via the web server 5. The price information indicating the medical fee is output.

  Since the accounting server 11 has such a configuration, it is possible for the hospital to settle the medical fee using the credit card without holding the patient's credit card number, and the time required for the adjustment of the medical fee in the hospital can be reduced. It can be shortened. In addition, patients do not need to present a credit card every time they receive medical care, so even if patients receive medical care without bringing a credit card, they can pay for medical treatment using a credit card. become.

  In addition, the information output unit 114 provides the accounting terminal 12 with different modes depending on whether the patient for whom the medical fee is to be settled is a card payment target patient or the patient for whom the medical fee is to be settled is not the card payment target patient. Display the price collection status. By doing this, it becomes easier for accounting staff to know which patient's settlement should be processed preferentially, the efficiency of accounting processing will increase, and the time required for the settlement of medical expenses will be further shortened Is possible.

  Moreover, the information acquisition part 113 displays a payment means selection screen on a reception terminal on the condition that the card payment possibility information linked | related with patient ID has shown that card payment is possible. In this way, it is possible to prevent a patient who cannot make a card payment from choosing to make a card payment, and to prevent confusion at the accounting counter. it can.

  As mentioned above, although this invention was demonstrated using embodiment, the technical scope of this invention is not limited to the range as described in the said embodiment, A various deformation | transformation and change are possible within the range of the summary. is there. For example, the specific embodiments of device distribution / integration are not limited to the above-described embodiments, and all or a part of them may be configured to be functionally or physically distributed / integrated in arbitrary units. Can do. In addition, new embodiments generated by any combination of a plurality of embodiments are also included in the embodiments of the present invention. The effect of the new embodiment produced by the combination has the effect of the original embodiment.

DESCRIPTION OF SYMBOLS 1 Accounting system 2 Reception terminal 3 Medical server 4 Patient terminal 5 Web server 6 Payment server 11 Accounting server 12 Accounting terminal 13 Automatic settlement machine 14 Access terminal 111 Storage part 112 Storage control part 113 Information acquisition part 114 Information output part

Claims (13)

A memory for storing in a storage unit card settlement availability information indicating whether or not a card payment, which is a payment for a medical fee using a credit card, is accepted by a patient in association with patient identification information given to a patient who receives medical care at a hospital A control unit;
An information acquisition unit that acquires payment means information indicating whether the patient pays for a medical card by card or cash before the patient pays the medical charge, in association with the patient identification information;
The card settlement enable / disable information associated with the patient identification information of the patient for whom the medical fee is to be settled indicates that the card settlement is permitted, and the settlement means information associated with the patient identification information is Information indicating that the patient identification information and the patient's medical treatment fee corresponding to the patient identification information are output to the payment apparatus that performs the card payment when the card payment is selected. An output section;
A checkout processing apparatus. The information output unit displays information indicating the collection status of the medical fee for each patient when the patient for whom the medical fee is to be settled is a card payment target patient and when the patient for whom the medical fee is to be settled is not the card payment target patient Causing the terminal to display the collection status in different ways,
The payment processing apparatus according to claim 1. The information output unit, with respect to the information terminal, the patient whose card payment has not ended among the patients for card payment and the patient whose card payment has ended among the patients for card payment in different manners, respectively. Display the collection status on the information terminal;
The payment processing apparatus according to claim 2. The information output unit causes the information terminal to display the collection status of a card payment target patient in the same manner as a patient whose payment is in a pending state among patients who are not card payment target patients.
The settlement processing apparatus according to claim 2 or 3. The information acquisition unit is a payment means selection screen for selecting a payment means on condition that the card payment availability information associated with the patient identification information of the patient indicates that card payment is possible. Is displayed on the reception terminal,
The settlement processing apparatus according to any one of claims 1 to 4. The storage control unit stores, in the storage unit, collection information indicating whether or not a medical treatment fee at the time of past medical treatment has been collected in association with the patient identification information,
The information acquisition unit displays the payment means selection screen on the reception terminal on the condition that the collection information associated with the patient identification information indicates that the medical treatment fee at the past medical treatment has been collected. Display,
The settlement processing apparatus according to claim 5. The information acquisition unit prints a receipt including access information for accessing card payment data when card payment is selected on the payment means selection screen;
The settlement processing apparatus according to claim 5 or 6. The information output unit outputs the price information to the payment apparatus by transmitting the price information without using the external network to a communication terminal capable of transmitting data to the payment apparatus via an external network.
The settlement processing apparatus according to any one of claims 1 to 7. The computer runs,
Correlating with patient identification information given to a patient who receives medical treatment at a hospital, obtaining card settlement availability information indicating whether or not the patient is allowed to make a card payment, which is a payment of a medical fee by credit card; and
Before the patient pays the medical fee, obtaining payment means information indicating whether the patient pays the medical fee by card or cash, in association with the patient identification information;
The card settlement enable / disable information associated with the patient identification information of the patient for whom the medical fee is to be settled indicates that the card settlement is permitted, and the settlement means information associated with the patient identification information is When the card payment is selected, the patient identification information and the payment information indicating the patient's medical treatment price corresponding to the patient identification information are output to the payment device that performs the card payment. When,
A checkout processing method. Computer
A memory for storing in a storage unit card settlement availability information indicating whether or not a card payment, which is a payment for a medical fee using a credit card, is accepted by a patient in association with patient identification information given to a patient who receives medical care at a hospital A control unit;
Before the patient pays the medical fee, the information acquisition unit that acquires the payment means information indicating whether the patient pays the medical fee by card or cash, in association with the patient identification information, and the patient who performs the payment of the medical fee The card payment permission / inhibition information associated with the patient identification information indicates that card payment is permitted, and the payment means information associated with the patient identification information is selected for card payment. An information output unit that outputs payment information indicating a patient's medical treatment price corresponding to the patient identification information and the patient identification information, to a payment device that performs card payment,
Program to function as. Payment information indicating the medical treatment fee to a payment processing device for reimbursing the medical treatment fee of a patient who has received medical treatment at a hospital and a payment device that settles the medical treatment fee with a credit card in response to a request from the payment processing device And a relay device for transmitting
The relay device is
A number acquisition unit for acquiring a credit card number in association with patient identification information given to a patient who receives medical care at a hospital;
By transmitting the credit card number acquired by the number acquisition unit to the payment device, card payment availability information indicating whether or not card payment, which is payment by the credit card, is possible is acquired from the payment device. An information acquisition unit;
A transmitting unit that transmits the card settlement permission information to the payment processing apparatus in association with the patient identification information;
Have
The settlement processing device is
A storage control unit that stores the card settlement availability information received from the settlement apparatus in a storage unit in association with the patient identification information;
An information acquisition unit that acquires payment means information indicating whether the patient pays for a medical card by card or cash before the patient pays the medical charge, in association with the patient identification information;
The card settlement enable / disable information associated with the patient identification information of the patient for whom the medical fee is to be settled indicates that the card settlement is permitted, and the settlement means information associated with the patient identification information is Information indicating that the patient identification information and the patient's medical treatment fee corresponding to the patient identification information are output to the payment apparatus that performs the card payment when the card payment is selected. An output section;
Checkout processing system. The number acquisition unit acquires the credit card number input in an information terminal used by a patient corresponding to the patient identification information in association with the patient identification information.
The payment processing system according to claim 11. An automatic checkout device for automatically adjusting the medical treatment fee of a patient who received medical treatment at a hospital, and a checkout processing device for paying out the medical treatment fee of a patient who received medical treatment at the hospital with a credit card,
The automatic settlement apparatus transmits settlement information in a predetermined format indicating that the settlement of the medical fee has been completed to a receipt processing apparatus that creates a medical fee description,
The settlement processing device is
A memory for storing in a storage unit card settlement availability information indicating whether or not a card payment, which is a payment for a medical fee using a credit card, is accepted by a patient in association with patient identification information given to a patient who receives medical care at a hospital A control unit;
An information acquisition unit that acquires payment means information indicating whether the patient pays for a medical card by card or cash before the patient pays the medical charge, in association with the patient identification information;
The card settlement enable / disable information associated with the patient identification information of the patient for whom the medical fee is to be settled indicates that the card settlement is permitted, and the settlement means information associated with the patient identification information is Information indicating that the patient identification information and the patient's medical treatment fee corresponding to the patient identification information are output to the payment apparatus that performs the card payment when the card payment is selected. An output section;
Have
When the information output unit receives a notification indicating that the payment is completed from the payment device, a payment process for transmitting the payment information in the predetermined format indicating that the payment of the medical fee has been completed to the receipt processing device system.