JP4214175B2 - RECEPTION INSPECTION SYSTEM AND RECEPTION INSPECTION METHOD - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
This invention can conceal the personal information described in the receipt received by the insurer from the examination / payment institution and can check the contents of the receipt from the terminal connected to the communication line. The present invention relates to a receipt inspection system and a receipt inspection method capable of requesting re-examination from an organization.
[0002]
[Prior art]
The inspection of paper receipts requires a high level of knowledge, and the inspection takes a lot of time, so there are cases where the insurer entrusts an external receipt inspection company. In the case of outsourcing, work is performed at a place managed by an insurer, or at a place managed by an external receipt inspector by strictly transporting paper receipts. FIG. 13 is a block diagram showing a conventional reception inspection system when work is performed at a place managed by a reception inspection company. In the figure, 101 is an examination / payment institution that examines a receipt prepared by a medical institution (the contents and costs of medical practice are scored), 102 is an insurer such as a local government or an insurance association, and 103 is A receipt checker, 104 is a paper receipt, and 105 is a reexamination request.
[0003]
Next, the operation will be described.
The examination / payment institution 101 sends a paper receipt 104 which is a medical fee bill to the insurer 102. The insurer 102 sends the paper receipt 104 to the receipt checker 103 in order to check the contents of the paper receipt 104 received from the examination and payment institution 101. The receipt checker 103 checks the contents of the paper receipt 104 received from the insurer 102, creates a reexamination request 105 if there is any doubt about the request, and sends it to the insurer 102. The insurer 102 confirms the contents of the reexamination request 105 received from the receipt checker 103 and then sends the reexamination request 105 to the examination and payment institution 101.
[0004]
In addition, if the insurer has business processing capability, the insurer may check the contents of the receipt. FIG. 14 is a block diagram showing an example of a conventional receipt check system when an insurer checks the contents of a receipt. In the figure, the same reference numerals as those in FIG. 106 is an insurer capable of checking the contents of the receipt, 107 is a receipt electronic means for digitizing the paper receipt, 108 is an electronic receipt digitized by the receipt electronic means 107, and 109 is an electronic receipt 108. An electronic receipt database to be managed (hereinafter referred to as DB), 110 is electronic receipt data that is referred to or extracted from the electronic receipt DB 109, and 111 is an electronic receipt checking means.
[0005]
Next, the operation will be described.
When the insurer 106 checks the contents, the paper receipt 104 is converted into the electronic receipt 108 by the receipt electronic means 107. An example of the operation of converting the paper receptor 104 to the electronic receptor 108 in the electronic reception means 107 will be described in detail. A method of reading the paper receptor 104 with an image scanner, a method of inputting with a keyboard, and an OCR area of the paper receptor 104. The paper receipt 104 can be digitized by a method of reading, a method of obtaining information read by the OCR in the examination and payment institution 101, or the like. The electronic reception 108 digitized by the reception electronic means 107 is stored and managed in the electronic reception DB 109 using the reception identification information that is information for identifying the electronic reception 108 as a key. The electronic receipt inspection unit 111 checks the contents by referring to the receipt identification information for identifying the electronic receipt 108 as a key at the time of inspection. If there is any doubt about the contents of the receipt, a reexamination request 105 is sent to the examination and payment institution 101.
[0006]
[Problems to be solved by the invention]
Since the conventional receipt inspection system is configured as described above, when entrusting the inspection of the paper receipt to an external receipt inspection company, the cost of transporting the paper receipt is generated, and personal information is leaked to the outside. There is a problem that the risk becomes high, and further, only the paper receipt is carried out for a limited period, so that it becomes difficult to check by comparison with the past as in the so-called general inspection.
[0007]
In addition, a conventional receipt inspection system stores and manages electronic electronic receipts held by an insurer as a database, which can be referred to via a network or recording medium. Compared with the case of using and inspecting, there is a problem that the risk of copying or tampering with a large amount of digitized personal privacy information increases.
[0008]
Furthermore, in the conventional receipt inspection system, the work of confirming the contents of the paper receipt sent from the examination / payment organization requires a high level of knowledge and the amount of work is very large. There was a problem that it was difficult to implement.
[0009]
The present invention has been made to solve the above-described problems. Personal information contained in an electronic electronic receipt is concealed by a method that can be concealed and restored, such as encryption technology. In addition, information that can be continuously recognized by the same person, such as a general inspection, is added to store and manage electronic receipts, and remotely using a server or terminal connected to a communication line. It is an object of the present invention to obtain a reception inspection system and a reception inspection method that can perform operations such as inspection of an electronic receipt from the ground and input of inspection results.
[0010]
[Means for Solving the Problems]
A receipt inspection system according to the present invention includes: The receipt electronic means for digitizing the receipt received from the examination and payment institution and outputting the electronic receipt; and the receipt identification information configured by extracting predetermined information from the personal information included in the electronic receipt as a key. The first recording means for accumulating and managing the electronic receipt output by the electronic means and the receipt identification information constituted by extracting predetermined information from the personal information included in the electronic receipt are changed one-to-one. The personal information not included in the receipt identification information is deleted or replaced in a one-to-one manner to conceal the personal information included in the electronic receipt and output a confidential electronic receipt, and the personal information included in the electronic receipt is First personal information concealment means for outputting a concealment method used for concealment, and the first personal information concealment The second recording means for recording the concealment method output by the stage, and the concealed electronic receipt output by the first personal information concealment means using the concealed receipt identification information included in the concealed electronic receipt as a key. A third recording means for storing and managing; a secret electronic receipt providing means capable of transmitting the secret electronic receipt to a terminal connected to a communication line; and an inspection result collection capable of receiving the check result of the secret electronic receipt from the terminal. Providing means, fourth recording means for accumulating and managing the inspection results output from the inspection result collecting / providing means, extracting predetermined inspection results from the fourth recording means, and concealing the inspection results. The personal information is restored based on the concealment method recorded in the second recording means, and the reexamination invoice is issued based on the restored personal information and the inspection result. And a re-examination billing means to be formed It was made to do.
[0011]
In the receipt inspection system according to the present invention, the terminal receives the confidential electronic receipt from the confidential electronic receipt providing means, displays and outputs the contents of the confidential electronic receipt, inputs the inspection result of the confidential electronic receipt, and receives the confidential electronic receipt. Electronic receipt inspection means for transmitting inspection results to inspection result collecting / providing means is provided.
[0012]
In the receipt inspection system according to the present invention, the electronic receipt inspection means transmits a search request for searching for a predetermined secret electronic receipt from the third recording means to the secret electronic receipt providing means, and receives the search request. The providing unit searches and extracts a predetermined secret electronic receipt from the third recording unit based on the search request, and then transmits the predetermined secret electronic receipt to the electronic receipt checking unit.
[0013]
In the receipt inspection system according to the present invention, the electronic receipt inspection means transmits a search request for searching for a predetermined inspection result from the fourth recording means to the inspection result collection / providing means, and receives the search request. The providing unit searches and extracts a predetermined inspection result from the fourth recording unit based on the search request, and then transmits the predetermined inspection result to the electronic receipt inspection unit.
[0017]
In the receipt inspection system according to the present invention, the third recording means and the confidential electronic receipt providing means are installed via the communication line, and the first personal information concealing means transmits the confidential electronic receipt to the third recording means, The third recording means that receives the secret electronic receipt stores and manages the secret electronic receipt.
[0018]
In the receipt inspection system according to the present invention, the fourth recording means and the inspection result collecting / providing means are installed via a communication line, and the reexamination bill preparation means sends a predetermined inspection result from the fourth recording means to the communication line. It is made to receive via.
[0019]
A receipt inspection system according to the present invention includes: Re-examination result digitization means that digitizes the re-examination result received from the examination / payment institution for the re-examination request and outputs the electronic re-examination result, and extracts predetermined information from the personal information included in the electronic re-examination result And a fifth recording means for accumulating and managing the electronic reexamination results output from the reexamination result digitizing means using the reexamination result identification information configured as a key, and included in the electronic reexamination results The reexamination result identification information constituted by extracting predetermined information from the personal information is assigned on a one-to-one basis, the personal information not included in the reexamination result identification information is deleted, or the one-on-one basis is attached. Personal information included in the electronic reexamination result by concealing the personal information included in the reexamination result based on the concealment method used when concealing the personal information included in the electronic receipt A second personal information concealment unit that outputs a confidential and confidential electronic reexamination result and the confidential electronic reexamination result identification information included in the confidential electronic reexamination result as a key. Sixth recording means for storing and managing in association with the inspection result referred to when creating the invoice; and confidential electronic reexamination result providing means capable of transmitting the confidential electronic reexamination result to a terminal connected to a communication line; With It was made to do.
[0020]
In the receipt inspection system according to the present invention, the terminal receives the confidential electronic reexamination result from the confidential electronic reexamination result providing means, displays and outputs the contents of the confidential electronic reexamination, and is associated with the confidential electronic reexamination result. An electronic receipt inspection means for transmitting a search request for searching for an inspection result to the inspection result collecting / providing means and receiving an inspection result corresponding to the search request from the inspection result collecting / providing means is provided.
[0021]
The receipt inspection system according to the present invention searches and extracts the inspection result associated with the predetermined confidential electronic reexamination result from the sixth recording means based on the search request received from the terminal by the inspection result collecting / providing means. A predetermined inspection result is transmitted to the terminal.
[0026]
In the receipt inspection system according to the present invention, the sixth recording means and the reexamination result providing means are installed via a communication line, and the second personal information concealing means transmits the confidential electronic reexamination result to the sixth recording means. The sixth recording means that has received the confidential electronic reexamination result accumulates and manages the confidential electronic reexamination result.
[0027]
In the receipt inspection system according to the present invention, the reexamination result providing means aggregates the confidential electronic reexamination result and the inspection result associated with the confidential electronic reexamination result for each terminal, and transmits the aggregation result for each terminal. It is a thing.
[0028]
The receipt inspection method according to this invention is: A receipt electronic step for digitizing a receipt received from an examination payment organization by a receipt electronic means and outputting an electronic receipt; and a first recording means for extracting predetermined information from the personal information included in the electronic receipt A first recording step for storing and managing the electronic receipt output from the receipt electronic means using the received receipt identification information as a key, and a first personal information concealing means from the personal information contained in the electronic receipt. The personal information included in the electronic receipt is obtained by changing the receipt identification information configured by extracting the information of 1 to 1 and deleting or changing the personal information not included in the receipt identification information to 1 to 1. And concealing personal information contained in the electronic receipt A first personal information concealment step for outputting the concealment method used in the process, a second recording step for recording the concealment method output by the first personal information concealment means by a second recording means, A third recording step for accumulating and managing the secret electronic receipt output by the first personal information concealment means using the secret receipt identification information contained in the secret electronic receipt as a key by the recording means; A secret electronic receipt providing step capable of transmitting the secret electronic receipt to the terminal connected to the communication line by the electronic receipt providing means, and an inspection result collection capable of receiving the inspection result of the secret electronic receipt from the terminal by the inspection result collecting / providing means. A fourth step of storing and managing the inspection results output from the inspection result collecting / providing means by a providing step and a fourth recording means; And a concealing method in which a predetermined inspection result is extracted from the fourth recording means by the reexamination bill preparation means, and concealed personal information included in the inspection result is recorded in the second recording means A reexamination invoice creation step for creating a reexamination invoice based on the personal information restored based on the inspection result and the inspection result It is what I did.
[0029]
The receipt inspection method according to this invention is: The terminal receives the secret electronic receipt from the secret electronic receipt providing means by the electronic receipt check means, displays and outputs the contents of the secret electronic receipt, inputs the check result of the secret electronic receipt, and checks the secret electronic receipt. Electronic receipt inspection that sends results to inspection result collection and provision means Steps.
[0030]
The receipt inspection method according to this invention is: The search request for searching for a predetermined secret electronic receipt from the third recording means by the electronic receipt checking means is transmitted to the secret electronic receipt providing means, and the secret electronic receipt providing means having received the search request is the search request After searching and extracting the predetermined secret electronic receipt from the third recording means based on the above, the predetermined secret electronic receipt is transmitted to the electronic receipt checking means Steps.
[0031]
The receipt inspection method according to this invention is: The electronic receipt inspection means transmits a search request for searching for a predetermined inspection result from the fourth recording means to the inspection result collection / provision means, and the inspection result collection / provision means that has received the search request receives the search request. After searching and extracting the predetermined inspection result from the fourth recording means based on the request, the predetermined inspection result is transmitted to the electronic receipt inspection means. Steps.
[0032]
The receipt inspection method according to this invention is: The third recording means and the confidential electronic receipt providing means are installed via a communication line, and the first personal information concealing means transmits the confidential electronic receipt to the third recording means and receives the confidential electronic receipt. A third recording means stores and manages the secret electronic receipt. Steps.
[0033]
The receipt inspection method according to this invention is: Installed via the communication line by the fourth recording means and the inspection result collecting / providing means, and the reexamination request creation means receives the predetermined inspection result from the fourth recording means via the communication line. Steps.
[0034]
The receipt inspection method according to this invention is: The re-examination result digitizing means digitizes the re-examination result received from the examination / payment institution for the re-examination request and outputs the electronic re-examination result, and the fifth recording means outputs the electronic re-examination result. Using the re-examination result identification information constituted by extracting predetermined information from the personal information included in the examination result as a key, the electronic re-examination result output from the re-examination result digitizing means is accumulated and managed. And re-examination result identification information constituted by extracting predetermined information from the personal information included in the electronic re-examination result by the second personal information concealing means, and re-examination. When the personal information not included in the result identification information is deleted or replaced one-on-one, and the personal information included in the electronic reexamination result is concealed from the personal information included in the electronic receipt A second personal information concealing step for concealing the personal information included in the electronic reexamination result and outputting the confidential electronic reexamination result by concealing based on the concealment method, and a sixth recording means A sixth record for storing and managing the confidential electronic reexamination result in association with the inspection result referred to when the reexamination request is created, using the confidential reexamination result identification information included in the reexamination result as a key. Providing a secret electronic reexamination result that can be transmitted to a terminal connected to a communication line by a step and a secret electronic reexamination result providing means; Steps.
[0035]
The receipt inspection method according to this invention is: The terminal receives the confidential electronic reexamination result from the confidential electronic reexamination result providing means by the electronic receipt inspection means, displays and outputs the contents of the confidential electronic reexamination, and checks associated with the confidential electronic reexamination result Electronic receipt inspection for transmitting a search request for retrieving a result to the inspection result collecting / providing means and receiving the inspection result corresponding to the search request from the inspection result collecting / providing means Steps.
[0036]
The receipt inspection method according to this invention is: The inspection result collecting / providing means searches and extracts the inspection result associated with the predetermined confidential electronic reexamination result from the sixth recording means based on the search request received from the terminal, and then sends the predetermined result to the terminal. Send inspection results Steps.
[0037]
The receipt inspection method according to this invention is: Installed via a communication line by the sixth recording means and the reexamination result providing means, the second personal information concealment means transmits the confidential electronic reexamination result to the sixth recording means, and the confidential electronic reexamination result The sixth recording means that has received the message has a step of accumulating and managing the result of the confidential electronic reexamination. Is.
[0038]
The receipt inspection method according to this invention is: The reexamination result providing means aggregates the confidential electronic reexamination result and the inspection result associated with the confidential electronic reexamination result for each terminal, and transmits the aggregation result for each terminal. Steps.
[0045]
DETAILED DESCRIPTION OF THE INVENTION
An embodiment of the present invention will be described below.
Embodiment 1 FIG.
FIG. 1 is a block diagram showing a receipt inspection system according to Embodiment 1 of the present invention. In FIG. 1, reference numeral 1 denotes an examination payment organization (for example, a social insurance medical fee payment fund, a national health insurance union association, etc.), 2 is an insurer (for example, local government, health insurance association, etc.), 3 is a receipt checker (terminal) that checks the contents of the receipt, 4 is a data transfer between the insurer 2 and the receipt checker 3 Network (communication line) 5 is a receipt that is examined by the examination and payment institution 1 and sent to the insurer 2, and 6 is a receipt that digitizes the receipt 5 if the receipt 5 received by the insurer 2 is not digitized. Electronic means 7, an electronic receipt digitized by the receipt electronic means 6, 8 an electronic reception DB (first recording means) for storing and managing the electronic receptors 7, and 9 an electronic receipt Personal information concealment means (first personal information concealment means) for concealing personal information included in the personal information 7, 10 is a concealment method used when the personal information concealment means 9 conceals personal information, and 11 is a concealment method 10. Concealment method recording means (second recording means) to be stored, 12 is a secret electronic receipt in which personal information concealment means 9 is concealing personal information, and 13 is a secret electronic receipt DB (third storage) for storing and managing the secret electronic receipt 12 Recording means), 14 is a secret electronic receipt providing means for providing the secret electronic receipt 12 to the receipt checker 3 via the network 4, and 15 is a network 4 for checking the contents of the secret electronic receipt 12, inputting and outputting inspection results, etc. Electronic receipt inspection means 16 can be performed via the electronic receipt inspection means 15, and inspection results 17 are input via the network 4. Inspection result collecting / providing means for transmitting and receiving the result 16, 18 is an inspection result DB (fourth recording means) for accumulating and managing the inspection result 16, 19 is a re-examination request for creating a reexamination request 20 based on the inspection result 16 The examination request creation means 20 is a reexamination request sent from the reexamination request creation means 19 to the examination payment institution 1.
[0046]
Next, the operation will be described.
The examination / payment requesting institution 1 examines the receipt created by the medical institution (the contents of the medical practice and the cost are described in a score), and sends the invoice 2 to the insurer 2 as a medical invoice. . The receipt 5 may be a paper receipt or an electronic receipt recorded on a magnetic recording medium or the like.
[0047]
The receipt electronic means 6 converts the receipt 5 received from the examination / payment institution 1 into an electronic receipt 7. In the case of the receipt electronic means 6, when the receipt 5 is a paper receipt, an example of the operation of converting to the electronic receipt 7 will be specifically described. For example, a method of reading a paper receipt with an image scanner, a method of inputting with a keyboard, a paper There are a method of reading the OCR area of the receipt and automatically digitizing items that become the receipt identification information, which is information for identifying the receipt, and a method of obtaining the information read by the examination payment institution 1 by OCR. Further, when the receipt 5 is an electronic receipt in a form already digitized by a receipt electronic processing system or the like promoted by the government, it is used as it is without being processed by the receipt electronic means 6.
[0048]
The electronic reception 7 is stored and managed by the electronic reception DB 8 using the reception identification information that is information for identifying the electronic reception 7 as a key. The receipt identification information for identifying the electronic receipt 7 is obtained by a method of reading a paper receipt with an image scanner, a method of inputting with a keyboard, a method of reading an OCR area of a paper receipt, etc. Personal information such as the month, date of birth, and medical institution code is used as a key in the electronic receipt DB 8. Such a retrieval system using an electronic receipt DB 8 that stores and manages electronic receipts read by an image scanner is generally used.
[0049]
The electronic receipt 7 stored and managed by the electronic receipt DB 8 includes personal information such as the insured person's identification number, medical date, date of birth, medical institution code, etc. shown above. The personal information concealment means 9 replaces personal information included in the receipt identification information with reversible data on a one-to-one basis, and deletes personal information in the electronic receipt 7 that is not included in the receipt identification information or electronically It is replaced according to the same rule as the reception identification information for identifying the reception 7. For example, it can be easily realized by a technique such as encryption using a key and conversion using a one-to-one correspondence table. A rule in which personal information such as an encryption key is changed is stored in the concealment method recording unit 11 as the concealment method 10. The receipt identification information for identifying the electronic reception 7 and the electronic reception 7 from which the personal information has been deleted or replaced is stored and managed as the confidential electronic reception 12 in the confidential electronic reception DB 13.
[0050]
When there is a search request from the receipt checker 3, the secret electronic receipt providing means 14 sends the secret electronic receipt 12 corresponding to the search request from the secret electronic receipt DB 13 via the network 4 to the receipt checker 3 of the search request source. To provide. For example, it can be realized by using a server connected to the Internet and using a method such as providing the secret electronic receipt 12 stored and managed by the secret electronic receipt DB 13.
[0051]
The electronic receipt checking means 15 possessed by the receipt checker 3 searches the secret electronic receipt DB 13 via the network 4 for the secret electronic receipt 12 to be checked, and displays the search result to check. After the inspection is completed, the inspection result is input, and the inspection result 16 is transmitted to the inspection result collecting / providing means 17 of the insurer 2 via the network 4. The inspection result collecting / providing means 17 having received the inspection result 16 sends the inspection result 16 to the inspection result DB 18, and the inspection result DB 18 stores and manages the inspection result 16.
[0052]
In addition, the electronic receipt inspection unit 15 included in the receipt inspection company 3 transmits a search request for the inspection result 16 to the inspection result collection / providing unit 17 via the network 4. The inspection result collecting / providing means 17 that has received the search request provides the electronic receipt inspection means 15 with the inspection result 16 corresponding to the search request from the inspection result DB 18.
[0053]
The reexamination request creation means 19 confirms the reexamination request information included in the inspection result 16 from the inspection result DB 18 and saves it in the concealment method recording means 11 when it is determined that the reexamination request form needs to be created. The personal information is restored on the basis of the concealment method 10, and a reexamination request 20 is created and sent to the examination and payment institution 1.
[0054]
Next, the flow of processing of the receipt inspection method according to Embodiment 1 of the present invention will be described. FIG. 2 is a flowchart showing a method for storing and managing a receipt according to the first embodiment of the present invention. First, in step ST101, the insurer 2 receives a receipt 5 from the examination and payment institution 1. Next, in step ST102, it is determined whether or not the received receipt 5 is an electronic receipt. If the receipt 5 is an electronic receipt, the process proceeds to step ST104. If not, the process proceeds to step ST103. In step ST103, the electronic receipt 7 is created from the receipt 5 by a method such as an image scanner, OCR, or keyboard input.
[0055]
Next, in step ST104, the receipt identification information for identifying the electronic receipt 7 such as the insured person's identification number, the medical date, the date of birth, and the medical institution code included in the electronic receipt 7 is digitized. If it is digitized, the process proceeds to step ST106, and if not digitized, the process proceeds to step ST105. In step ST105, the receipt identification information for identifying the electronic receipt 7 is digitized by a method such as OCR or keyboard input. Next, in step ST106, the electronic reception DB 8 stores and manages the electronic reception 7 using the reception identification information for identifying the electronic reception 7 as a key.
[0056]
Next, in step ST107, the personal information included in the electronic receipt 7 is concealed by deleting or replacing it based on the concealment method 10. The hidden secret electronic receipt 12 is stored and managed by the secret electronic receipt DB 13, and the secret method 10 is stored or updated by the secret method recording means 11.
[0057]
FIG. 3 is a flowchart showing a method for inspecting a receipt according to the first embodiment of the present invention. First, in step ST201, the inspector 2 has a search request for a search for a receipt to be inspected by the receipt inspector 3 to the secret electronic receipt DB 13 of the insurer 2. Next, in step ST202, the secret electronic receipt 12 corresponding to the search request is provided from the secret electronic receipt DB 13 to the search request source. Next, in step ST203, the receipt inspector 3 displays and outputs the search result provided from the secret electronic receipt providing means 14 using, for example, a CRT monitor or the like.
[0058]
Next, in step ST204, the receipt inspector 3 inspects the displayed / output secret electronic receipt 12, inputs the inspection result, transmits the inspection result 16 to the insurer 2, and at the same time, the inspection result 16 Require storage and management. Next, in step ST205, the inspection result 16 is stored and managed in the inspection result DB 18 according to the request.
[0059]
FIG. 4 is a flowchart showing a receipt reexamination requesting method according to Embodiment 1 of the present invention. First, in step ST301, personal information is restored based on the concealment method 10 stored in the concealment method recording means 11, and stored in another database (not shown). Next, in step ST302, a reexamination request is created using the restored personal information and sent to the examination payment organization.
[0060]
As described above, according to the first embodiment, the secret electronic receipt DB 13 in which the receipt checker 3 stores and manages the secret electronic receipt 12 that conceals the personal information held by the insurer 2 via the network 4. Therefore, the secret electronic receipt 12 to be inspected is searched, and after the search result is outputted, the inspection can be performed, so that the personal information contained in the electronic receipt 7 is not leaked, and the electronic inspector 7 is inspected. 3 can be entrusted to 3, so that the work of the insurer 2 can be reduced.
[0061]
Further, according to the first embodiment, the insurer 2 has the inspection result DB 18 for accumulating and managing the inspection result 16 transmitted from the receipt inspection company 3 via the network 4 and the personal information restored based on the concealment method 10. And the reexamination invoice creation means 19 for creating the reexamination invoice 20 using personal information, so that personal information is not leaked to the outside based on the inspection result 16 transmitted via the network 4. The reexamination request 20 can be created.
[0062]
Further, according to the first embodiment, the personal information concealment means 9 replaces the predetermined personal information used for the receipt identification information on a one-to-one basis instead of deleting it, so that a general inspection that identifies the individual is performed. There is an effect that can be.
[0063]
In addition, although Embodiment 1 of this invention comprises the insurer 2 and the receipt checker 3 as one each, it is not restricted to this, A plurality of insurers 2 and one receipt checker Even in the case of the configuration of three or one insurer 2 and a plurality of receipt inspectors 3, the same effects as described above are obtained.
[0064]
Embodiment 2. FIG.
FIG. 5 is a block diagram showing a receipt inspection system according to Embodiment 2 of the present invention. In FIG. 5, the same reference numerals as those in FIG. 31 is a reexamination result sent from the examination and payment institution 1, 32 is a reexamination result digitizing means for digitizing the reexamination result 31 when the reexamination result 31 received by the insurer 2 is not digitized, 33 Is an electronic reexamination result digitized by the reexamination result digitizing means 32, 34 is an electronic reexamination result DB (fifth recording means) for accumulating and managing the electronic reexamination result 33, and 35 is an electronic reexamination result 33. Personal information concealment means (second personal information concealment means) for concealing personal information contained in the personal information concealment means 36, concealed electronic reexamination results for concealing personal information by the personal information concealment means 35, 37 for inspection results 16 and concealed electronic reconstitution Re-examination result totaling means (re-examination result providing means) 38 that totals the examination results 36 for each receipt inspector 3, and 38 are the total results obtained by the re-examination result totaling means 37. The inspection result DB 18 (fourth recording means, sixth recording means) stores and manages the inspection result 16 and the confidential electronic reexamination result 36.
[0065]
Next, the operation will be described.
In FIG. 5, a receipt electronic means 6, an electronic receipt DB 8, a personal information concealing means 9, a concealing method recording means 11, a concealed electronic receipt DB 13, a concealed electronic receipt providing means 14, an electronic receipt checking means 15, an inspection result collecting / providing means. 17, the operation of the inspection result DB 18, the reexamination request creation means 19 and the like, and the effects produced by them, are the same as those in the first embodiment, and thus the description thereof is omitted.
[0066]
The reexamination result 31 is a response to the reexamination request 20 sent by the insurer 2 to the examination and payment institution 1. The reexamination result digitizing means 32 converts the reexamination result 31 received from the examination payment organization 1 into an electronic reexamination result 33. In the re-examination result digitizing means 32, when the re-examination result 31 is a paper re-examination result, an example of the operation of converting to the electronic re-examination result 33 will be described in detail. There are a method of reading with a scanner, a method of encoding image data with OCR, a method of inputting with a keyboard, and the like. If the reexamination result 31 is an electronic reexamination result in an already digitized form, the reexamination result digitizing means 32 is used as it is without being processed.
[0067]
The electronic reexamination result 33 is stored and managed by the electronic reexamination result DB 34 using reexamination result identification information, which is personal information for identifying the electronic reexamination result 33, as a key. The re-examination result identification information, which is information for identifying the electronic re-examination result 33, is obtained by a method of reading the paper re-examination result with an image scanner, a method of inputting with a keyboard, and the like. Information such as the date of birth, date of birth, and medical institution code is used as a key in the electronic reexamination result DB 34.
[0068]
The electronic reexamination result 33 stored and managed by the electronic reexamination result DB 34 includes personal information such as the insured person's identification number, medical date, date of birth, and medical institution code shown above. Yes. The personal information concealment means 35 replaces the reexamination result identification information having such personal information with reversible data on a one-to-one basis, and the personal information in the electronic reexamination result 33 that is not included in the reexamination result identification information Are deleted or replaced by the same rules as the re-examination result identification information. The re-examination result identification information for identifying the electronic re-examination result 33 and the electronic re-examination result 33 whose personal information has been deleted or replaced is associated with the inspection result 16 in the inspection result DB 18 as the confidential electronic re-examination result 36. Stored and managed.
[0069]
The reexamination result totaling means 37 totalizes the inspection result 16 and the confidential electronic reexamination result 36 for each receipt checker 3 and sends the total result 38 to the receipt checker 3 via the network 4.
[0070]
Next, the flow of processing of the receipt inspection method according to Embodiment 2 of the present invention will be described. The flowchart showing the method for storing and managing the receipt in the second embodiment and the flowchart showing the method for requesting re-examination of the receipt are the same as those shown in FIG. 2 and FIG. .
[0071]
FIG. 6 is a flowchart showing a reexamination result accumulation / management method according to Embodiment 2 of the present invention. First, in step ST401, the insurer 2 receives the reexamination result 31 from the examination payment organization 1. Next, in step ST402, it is determined whether or not the received reexamination result 31 is an electronic reexamination result. If it is an electronic reexamination result, the process proceeds to step ST404, and the electronic reexamination result is obtained. Otherwise, the process proceeds to step ST403. In step ST403, an electronic reexamination result 33 is created from the paper reexamination result by a method such as image scanner, OCR, or keyboard input.
[0072]
Next, in step ST404, re-examination result identification for identifying the electronic re-examination result 33 such as the insured person's identification number, medical date, date of birth, medical institution code included in the electronic re-examination result 33 It is determined whether or not the information is digitized. If the information is digitized, the process proceeds to step ST406. If the information is not digitized, the process proceeds to step ST405. In step ST405, the reexamination result identification information for identifying the electronic reexamination result 33 is digitized by a method such as OCR or keyboard input. Next, in step ST406, the electronic reexamination result DB 34 stores and manages the electronic reexamination result 33 using the reexamination result identification information for identifying the electronic reexamination result 33 as a key.
[0073]
Next, in step ST407, the personal information included in the electronic reexamination result 33 is concealed by deleting or replacing it based on the concealment method 10. The concealed confidential electronic reexamination result 36 is stored and managed by the inspection result DB 18 in association with the inspection result 16.
[0074]
FIG. 7 is a flowchart showing a receipt and reexamination result checking method according to Embodiment 2 of the present invention. First, in step ST501, a search request is made to the secret electronic receipt DB 13 of the insurer 2 for searching for a receipt to be checked by the receipt checker 3. Next, in Step ST502, the secret electronic receipt 12 corresponding to the search request is provided from the secret electronic receipt DB 13 to the search request source.
[0075]
Next, in step ST503, the receipt inspector 3 determines whether or not past data is necessary to improve the accuracy of the inspection. If it is determined that it is not necessary, the process proceeds to step ST506. If it is determined that it is necessary, the process proceeds to step ST504. move on. In step ST504, the receipt checker 3 requests the insurer 2 to search the past secret electronic receipt 12, the check result 16, and the secret electronic reexamination result 36. Next, in step ST505, the insurer 2 provides the corresponding confidential electronic receipt 12, the inspection result 16, and the confidential electronic reexamination result 36.
[0076]
Next, in step ST506, the search result is displayed and output using, for example, a CRT monitor. Next, in step ST507, the receipt inspector 3 inspects the displayed and output search results, inputs the inspected results, transmits the inspection results 16 to the insurer 2, and simultaneously accumulates the inspection results 16. • Request management. Next, in step ST508, the inspection result 16 is stored and managed in the inspection result DB 18 according to the request.
[0077]
FIG. 8 is a flowchart showing a reexamination result counting method according to Embodiment 2 of the present invention. First, in step ST601, the inspection result DB 18 and the secret electronic reexamination result 36 are retrieved from the inspection result DB 18 for each receipt checker 3 for the counting target period. For example, the number of inspections by hospitalization and non-hospitalization, the number of reexamination request points / score (amount), the result of reexamination request, etc. are subject to aggregation.
[0078]
Next, in step ST <b> 602, a total value is obtained for each receipt inspector 3 based on the searched inspection result 16 and the secret electronic reexamination result 36. Next, in step ST603, the total result 38 is sent to the receipt checker 3.
[0079]
As described above, according to the second embodiment, the effect shown in the first embodiment is achieved, and the receipt checker 3 has the confidential electronic reexamination result 36 in which the personal information is concealed via the network 4. Search result DB 18 storing and managing the secret electronic reexamination result 36 to be inspected and the inspection result 16 associated with the secret electronic reexamination result 36, and displaying and outputting the search result The inspection of the reexamination result 31 can be entrusted to the receipt inspector 3 without leaking the personal information contained in the reexamination result 31 and the efficiency of the inspection of the reexamination result 31 is improved. The effect which can aim at is produced.
[0080]
Further, according to the second embodiment, the reexamination result digitizing means 32 for digitizing the reexamination result 31, the electronic reexamination result DB 34 for accumulating and managing the electronic reexamination result 33, and the reexamination result totaling means 37, the re-examination results 31 for each receipt checker 3 can be automatically totaled, and the efficiency of the check results and re-examination results for each receptor checker 3 can be increased. There is an effect.
[0081]
In the second embodiment of the present invention, the insurer 2 and the receipt checker 3 are each configured as one. However, the present invention is not limited to this, and a plurality of insurers 2 and a single receipt checker 3 are provided. Even in the case of the configuration of three or one insurer 2 and a plurality of receipt inspectors 3, the same effects as described above are obtained.
[0082]
Embodiment 3 FIG.
FIG. 9 is a block diagram showing a receipt inspection system according to Embodiment 3 of the present invention. In FIG. 9, the same reference numerals as those in FIGS. 1 and 5 indicate the same or corresponding parts, and the description thereof is omitted. 51 is entrusted by the insurer 2 and accumulates and manages the secret electronic receipt 12 by the secret electronic receipt DB 13 so that it can be referred to from the receipt checker 3 via the network 4, and the receipt checker by the check result DB 18. 3 is a receipt data center (broker) that accumulates and manages the inspection results 16 received from 3 and enables the insurer 2 to refer to the inspection results 16 via the network 4. 52 is a personal information with a network function that generates a confidential electronic receipt 12 in which the personal information contained in the electronic receipt 7 is concealed, and transmits the confidential electronic receipt 12 to the confidential electronic reception DB 13 of the reception data center 51 via the network 4. It is a concealment means (first personal information concealment means). 53 is a re-examination request creation means with network function (re-examination request creation means) for creating a re-examination request by referring to the inspection result 16 from the inspection result DB 18 via the network 4, and 54 is an electronic re-examination result 33. A secret information re-examination result 36 that conceals the contained personal information is generated, and the secret electronic re-examination result 36 is transmitted to the inspection result DB 18 of the receipt data center 51 via the network 4. Second personal information creation means). The receipt data center 51 according to the third embodiment of the present invention is independent from the insurer 2 and the receipt inspector 3, but is not limited to this, and the insurer 2 or the receipt inspector 3 It may be realized as a part of
[0083]
Next, the operation will be described.
The examination / payment requesting institution 1 examines the receipt created in the medical institution, and sends the invoice 2 to the insurer 2 as a medical fee bill. The receipt 5 may be a paper receipt or an electronic receipt recorded on a magnetic recording medium or the like.
[0084]
The receipt electronic means 6 converts the receipt 5 received from the examination / payment institution 1 into an electronic receipt 7. In the case of the receipt electronic means 6, when the receipt 5 is a paper receipt, an example of the operation of converting to the electronic receipt 7 will be specifically described. For example, a method of reading a paper receipt with an image scanner, a method of inputting with a keyboard, a paper There are a method of reading the OCR area of the receipt and automatically digitizing items that become the receipt identification information, which is information for identifying the receipt, and a method of obtaining the information read by the examination payment institution 1 by OCR. Further, when the receipt 5 is an electronic receipt in a form already digitized by a receipt electronic processing system or the like promoted by the government, it is used as it is without being processed by the receipt electronic means 6.
[0085]
The electronic reception 7 is stored and managed by the electronic reception DB 8 using the reception identification information that is information for identifying the electronic reception 7 as a key. The receipt identification information for identifying the electronic receipt 7 is obtained by a method of reading a paper receipt with an image scanner, a method of inputting with a keyboard, a method of reading an OCR area of a paper receipt, etc. Information such as month, date of birth, and medical institution code is used as a key in the electronic receipt DB 8. Such a retrieval system using an electronic receipt DB 8 that stores and manages electronic receipts read by an image scanner is generally used.
[0086]
The electronic receipt 7 stored and managed by the electronic receipt DB 8 includes personal information such as the insured person's identification number, medical date, date of birth, medical institution code, etc. shown above. The personal information concealment means with network function 52 replaces the receipt identification information including such personal information with reversible data on a one-to-one basis, and deletes personal information in the electronic receipt 7 not included in the receipt identification information, or It replaces with the same rule as the receipt identification information for identifying the electronic receipt 7. For example, it can be easily realized by a technique such as encryption using a key and conversion using a one-to-one correspondence table. A rule in which personal information such as an encryption key is changed is stored in the concealment method recording unit 11 as the concealment method 10. The electronic reception 7 from which the personal information has been deleted or replaced and the receipt identification information for identifying the electronic reception 7 are stored and stored in the confidential electronic reception DB 13 of the reception data center 51 via the network 4 as the confidential electronic reception 12. Managed.
[0087]
When there is a search request from the receipt inspector 3, the secret electronic receipt providing means 14 of the receipt data center 51 requests the secret electronic receipt 12 corresponding to the search request from the secret electronic receipt DB 13 via the network 4. Provide to the original receipt checker 3. For example, it can be realized by using a server connected to the Internet and using a method such as providing the secret electronic receipt 12 stored and managed by the secret electronic receipt DB 13.
[0088]
The electronic receipt inspection means 15 possessed by the receipt inspector 3 searches the confidential electronic receipt DB 13 possessed by the receipt data center 51 via the network 4 for the confidential electronic receipt 12 to be inspected, and displays the search result. To check. After the inspection is completed, the inspection result is input, and the inspection result 16 is transmitted to the inspection result collecting / providing means 17 of the receipt data center 51 via the network 4. The inspection result collecting / providing means 17 having received the inspection result 16 sends the inspection result 16 to the inspection result DB 18, and the inspection result DB 18 stores and manages the inspection result 16.
[0089]
In addition, the electronic receipt inspection means 15 possessed by the receipt inspector 3 transmits a search request for the inspection results 16 to the inspection result collection / providing means 17 possessed by the receipt data center 51 via the network 4. The inspection result collecting / providing means 17 that has received the search request provides the electronic receipt inspection means 15 with the inspection result 16 corresponding to the search request from the inspection result DB 18.
[0090]
The network function reexamination request creation means 53 needs to confirm the reexamination request information contained in the inspection result 16 from the inspection result DB 18 of the receipt data center 51 via the network 4 and prepare the reexamination invoice. If it is determined that there is, the personal information is restored based on the concealment method 10 stored in the concealment method recording means 11, a reexamination request 20 is created and sent to the examination and payment institution 1.
[0091]
The reexamination result 31 is a response to the reexamination request 20 sent by the insurer 2 to the examination and payment institution 1. The reexamination result digitizing means 32 converts the reexamination result 31 received from the examination payment organization 1 into an electronic reexamination result 33. If the reexamination result 31 is an electronic reexamination result in an already digitized form, the reexamination result digitizing means 32 is used as it is without being processed.
[0092]
The electronic reexamination result 33 is stored and managed by the electronic reexamination result DB 34 using reexamination result identification information that is information for identifying the electronic reexamination result 33 as a key. The reexamination result identification information, which is information for identifying the electronic reexamination result 33, is a key in the electronic reexamination result DB.
[0093]
The electronic reexamination result 33 stored and managed by the electronic reexamination result DB 34 includes personal information such as the insured person's identification number, the date of medical care, the date of birth, and the medical institution code. The personal information concealment means 54 with a network function replaces the personal information included in the reexamination result identification information with reversible data on a one-to-one basis, and includes the electronic reexamination result 33 not included in the reexamination result identification information. Personal information will be deleted or replaced according to the same rules as reexamination result identification information. The re-examination result identification information for identifying the electronic re-examination result 33 and the electronic re-examination result 33 from which the personal information has been deleted or replaced is received as the confidential electronic re-examination result 36 by the receipt data center 51 via the network 4. The inspection result DB 18 is transmitted to and stored and managed in association with the inspection result 16.
[0094]
The reexamination result totaling means 37 possessed by the receipt data center 51 totals the inspection result 16 and the confidential electronic reexamination result 36 for each receipt inspector 3 and sends the total result 38 to the receipt inspector 3 via the network 4. .
[0095]
Next, the flow of processing of the receipt inspection method according to Embodiment 3 of the present invention will be described. The flowchart showing the method for inspecting a receipt according to the third embodiment is the same as that shown in FIG. Further, the flowchart showing the reexamination result counting method is the same as FIG. 8 shown in the second embodiment except that it is processed by the receipt data center 51, and the description thereof will be omitted.
[0096]
FIG. 10 is a flowchart showing a method for storing and managing a receipt according to the third embodiment of the present invention. First, in step ST701, the insurer 2 receives the receipt 5 from the examination payment organization 1. Next, in step ST702, it is determined whether or not the received receipt 5 is an electronic receipt. If it is an electronic receipt, the process proceeds to step ST704, and if it is not an electronic reception, the process proceeds to step ST703. In step ST703, the electronic receipt 7 is created from the receipt 5 by a method such as an image scanner, OCR, or keyboard input.
[0097]
Next, in step ST704, the receipt identification information for identifying the electronic receipt 7 such as the insured person's identification number, the medical date, the date of birth, and the medical institution code included in the electronic receipt 7 is digitized. If it is digitized, the process proceeds to step ST706. If it is not digitized, the process proceeds to step ST705. In step ST705, the receipt identification information for identifying the electronic receipt 7 is digitized by a method such as OCR or keyboard input. Next, in step ST706, the electronic reception DB 8 stores and manages the electronic reception 7 using the reception identification information for identifying the electronic reception 7 as a key.
[0098]
Next, in step ST707, the personal information included in the electronic receipt 7 is concealed by deleting or replacing it based on the concealment method 10. The concealed secret electronic receipt 12 is transmitted to the secret electronic receipt DB 13 of the receipt data center 51 via the network 4. The concealment method 10 is stored or updated by the concealment method recording means 11. Next, in step ST708, the confidential electronic receipt 12 received from the insurer 2 via the network 4 is stored and managed by the confidential electronic reception DB 13 included in the reception data center 51.
[0099]
FIG. 11 is a flowchart showing a reexamination request method according to Embodiment 3 of the present invention. First, in step ST801, the inspection result 16 stored and managed by the inspection result DB 18 of the receipt data center 51 is transmitted to the corresponding insurer 2 via the network 4. Next, in step ST802, in the inspection result 16 received from the receipt data center 51, the personal information is restored and stored based on the concealment method 10 stored in the concealment method recording means 11. Next, in step ST803, a re-examination request is created using the restored personal information and sent to the examination / payment institution.
[0100]
FIG. 12 is a flowchart showing a reexamination result accumulation and management method according to Embodiment 3 of the present invention. First, in step ST901, the insurer 2 receives the reexamination result 31 from the examination payment organization 1. Next, in step ST902, it is determined whether or not the received reexamination result 31 is an electronic reexamination result. If it is an electronic reexamination result, the process proceeds to step ST904, and the electronic reexamination result is obtained. Otherwise, the process proceeds to step ST903. In step ST903, an electronic reexamination result 33 is created from the paper reexamination result by a method such as an image scanner, OCR, or keyboard input.
[0101]
Next, in step ST904, re-examination result identification for identifying the electronic re-examination result 33 such as the insured person's identification number, medical date, date of birth, medical institution code included in the electronic re-examination result 33 It is determined whether or not the information is digitized. If the information is digitized, the process proceeds to step ST906. If the information is not digitized, the process proceeds to step ST905. In step ST905, the reexamination result identification information for identifying the electronic reexamination result 33 is digitized by a method such as OCR or keyboard input. Next, in step ST906, the electronic reexamination result DB 34 stores and manages the electronic reexamination result 33 using the reexamination result identification information for identifying the electronic reexamination result 33 as a key.
[0102]
Next, in step ST907, the personal information included in the electronic reexamination result 33 is concealed by deleting or replacing it based on the concealment method 10. The concealed confidential reexamination result 36 is transmitted to the inspection result DB 18 of the receipt data center 51 via the network 4. The concealment method 10 is stored or updated by the concealment method recording unit 11 as necessary. Next, in step ST908, the confidential reexamination result 36 received from the insurer 2 via the network 4 is accumulated and managed by the inspection result DB 18 of the receipt data center 51.
[0103]
As described above, according to the third embodiment, the effects shown in the first and second embodiments are exhibited, and the receipt data center 51 is provided with the secret electronic receipt 12, the inspection result 16, and the secret electronic reexamination. Since the result 36 is collectively managed, the insurer 2 does not leak the personal information included in the electronic receipt 7 and the electronic reexamination result 33, and the insurer 2 can check the confidential electronic receipt 12, the inspection result 16, and the confidential electronic reexamination result. The management of 36 can be outsourced.
[0104]
Further, according to the third embodiment, the receipt data center 51 having the secret electronic receipt DB 13 and the inspection result DB 18 is connected to the secret electronic receipt 12, the inspection result 16, and the secret electronic re-transmission via the plurality of insurers and the network 4. Since the examination result 36 can be transmitted / received, the receipt data center 51 can receive business entrustment from a plurality of insurers only by transmission / reception via the network 4.
[0105]
In the third embodiment of the present invention, the insurer 2, the receipt inspector 3 and the receipt data center 51 are each configured as one, but the present invention is not limited to this. One or a plurality of insurers 2, one or a plurality of reception data centers 51, and one or a plurality of reception checkers 3 such as one receipt data center 51 and a plurality of receipt checkers 3 Even in the case of a combined configuration, the same effects as described above are obtained.
[0106]
【The invention's effect】
As described above, according to the present invention, the receipt electronic means for digitizing the receipt received from the examination and payment institution and outputting the electronic receipt, and the first record for storing and managing the electronic receipt output by the receipt electronic means. A first personal information concealment means for concealing personal information contained in the electronic reception and outputting a concealed electronic receipt and outputting a concealment method used to conceal the personal information contained in the electronic receipt; The second recording means for recording the concealment method output by the personal information concealment means, the third recording means for storing and managing the concealed electronic receipt output by the first personal information concealment means, and the confidential electronic receipt are communicated A secure electronic receipt providing means capable of transmitting to a terminal connected to the line, an inspection result collecting / providing means capable of receiving an inspection result of the confidential electronic receipt from the terminal, The fourth recording means for accumulating and managing the inspection results output by the collecting / providing means, the predetermined inspection results extracted from the fourth recording means, and the confidential personal information included in the inspection results in the second recording means Since it is configured to include a reexamination request creation means for creating a reexamination request based on the personal information restored based on the recorded confidentiality method and the inspection result, personal information leaks to the outside Therefore, the inspection result of the secret electronic receipt transmitted via the communication line can be received via the communication line, and the reexamination request can be created based on the received inspection result.
[0107]
According to the present invention, the terminal receives the secret electronic receipt from the secret electronic receipt providing means, displays and outputs the contents of the secret electronic receipt, inputs the check result of the secret electronic receipt, and displays the check result of the secret electronic receipt. Since it is configured to have an electronic receipt inspection means that sends it to the inspection result collection / provision means, personal information is not leaked to the outside, and the concealed electronic receipt inspection and suspicion indication are entrusted to a receipt inspection contractor with a terminal. It is possible to reduce the work of the insurer.
[0108]
According to this invention, the electronic receipt checking means transmits a search request for searching for a predetermined confidential electronic receipt from the third recording means to the confidential electronic receipt providing means, and the confidential electronic receipt providing means that has received the search request Since the predetermined secret electronic receipt is searched and extracted from the third recording means based on the search request, and the predetermined secret electronic receipt is transmitted to the electronic receipt checking means, personal information leaks to the outside Thus, there is an effect that it is possible to easily provide a secret electronic receipt required by a receipt inspector connected to the communication line.
[0109]
According to this invention, the electronic receipt inspection means transmits a search request for searching for a predetermined inspection result from the fourth recording means to the inspection result collection / providing means, and the inspection result collection / providing means that has received the search request. Is configured to transmit the predetermined inspection result to the electronic receipt inspection means after searching and extracting the predetermined inspection result from the fourth recording means based on the search request, so that personal information is leaked to the outside. In addition, there is an effect that the receipt inspection company connected to the communication line can easily provide the necessary inspection result.
[0110]
According to the present invention, the first recording means is configured to store and manage the electronic receipt using the receipt identification information constituted by extracting predetermined information from the personal information included in the electronic receipt as a key. The electronic receipt can be easily managed.
[0111]
According to this invention, the first personal information concealment means replaces the reception identification information configured by extracting predetermined information from the personal information included in the electronic receipt, and is not included in the reception identification information. Since it is configured to output a secret electronic receipt by deleting or changing one-on-one personal information, it is possible to prevent personal information from leaking to the outside and to easily conceal and restore personal information. There is an effect.
[0112]
According to the present invention, the third recording means is configured to store and manage the secret electronic receipt using the secret receipt identification information included in the secret electronic receipt as a key. It is possible to make it easy, and there is an effect that a general inspection in which an individual is specified can be easily performed.
[0113]
According to this invention, the third recording means and the confidential electronic receipt providing means are installed via the communication line, the first personal information confidential means transmits the confidential electronic receipt to the third recording means, and the confidential electronic receipt is received. Since the third recording means that received the message is configured to store and manage the secret electronic receipt, it is possible to entrust the broker to store, manage and provide the secret electronic receipt without leaking the personal information to the outside. As a result, the insurer's work can be reduced.
[0114]
According to the present invention, the fourth recording means and the inspection result collecting / providing means are installed via the communication line, and the reexamination request creation means sends the predetermined inspection result from the fourth recording means via the communication line. Since it is configured to receive, personal information is not leaked to the outside, and the inspection results can be stored, managed, and provided to an intermediary, so the insurer's work can be reduced. Play.
[0115]
According to this invention, the reexamination result digitizing means for digitizing the reexamination result received from the examination / payment institution for the reexamination request and outputting the electronic reexamination result, and the electronic output from the reexamination result digitizing means A fifth recording means for accumulating and managing reexamination results, a second personal information concealing means for concealing personal information included in the electronic reexamination results and outputting the confidential electronic reexamination results, and a confidential electronic reexamination result. Sixth recording means for storing and managing in association with the inspection result referred to when preparing the reexamination request, and confidential electronic reexamination result providing means capable of transmitting the confidential electronic reexamination result to the terminal connected to the communication line The confidential electronic reexamination result and the inspection result associated with the confidential electronic reexamination result can be transmitted via the communication line without leaking personal information to the outside. From An effect that the inspection of confidential electronic reexamination results can be provided efficiently perform environment.
[0116]
According to this invention, the terminal receives the confidential electronic reexamination result from the confidential electronic reexamination result providing means, displays and outputs the contents of the confidential electronic reexamination, and displays the inspection result associated with the confidential electronic reexamination result. Since it is configured to have an electronic receipt inspection means for transmitting a search request for searching to the inspection result collecting / providing means and receiving an inspection result corresponding to the search request from the inspection result collecting / providing means, a receipt having a terminal Since it is possible to entrust the checker to check the confidential electronic reexamination result, the work of the insurer can be reduced, and the receipt checker can efficiently check the secret electronic reexamination result.
[0117]
According to the present invention, the inspection result collecting / providing means retrieves and extracts the inspection result associated with the predetermined confidential electronic reexamination result from the sixth recording means based on the search request received from the terminal, and Since the predetermined inspection result is transmitted, it is possible to easily provide a necessary inspection result by a receipt inspection company connected via a communication line without leaking personal information to the outside.
[0118]
According to this invention, the fifth recording means stores and manages the electronic reexamination results using the reexamination result identification information constituted by extracting predetermined information from the personal information included in the electronic reexamination results as a key. Since it comprised so, there exists an effect that an electronic reexamination result can be managed easily.
[0119]
According to this invention, the second personal information concealment means replaces the reexamination result identification information constituted by extracting predetermined information from the personal information included in the electronic reexamination result, and the reexamination result. Since it is configured to output the confidential electronic reexamination result by deleting or changing one-to-one personal information that is not included in the identification information, it prevents personal information from leaking outside, There is an effect that the restoration can be easily performed.
[0120]
According to this invention, the second personal information concealment means conceals the personal information included in the electronic reexamination result based on the concealment method used when concealing the personal information included in the electronic receipt. Since the reexamination result is output, the personal information is prevented from leaking to the outside, and it is easy to associate and manage the secret electronic receipt and the secret electronic reexamination result.
[0121]
According to this invention, the sixth recording means is configured to store and manage the secret electronic reexamination results using the confidential reexamination result identification information included in the secret electronic reexamination results as a key. Management and search of the re-examination result can be facilitated, and there is an effect that a general inspection that identifies an individual can be easily performed.
[0122]
According to this invention, the sixth recording means and the reexamination result providing means are installed via the communication line, and the second personal information concealment means transmits the confidential electronic reexamination result to the sixth recording means, Since the sixth recording means that has received the electronic reexamination result is configured to store and manage the confidential electronic reexamination result, the personal information is not leaked to the outside, and the confidential electronic reexamination result is stored, managed, and provided. Can be entrusted to an intermediary, so that the work of the insurer can be reduced.
[0123]
According to this invention, the reexamination result providing means is configured to aggregate the confidential electronic reexamination result and the inspection result associated with the confidential electronic reexamination result for each terminal, and transmit the aggregation result for each terminal. Since the inspection result and the reexamination result aggregation value for each receipt inspection company can be automatically aggregated, the efficiency of aggregation can be improved.
[0124]
According to this invention, the step of outputting the electronic receipt from the receipt received from the examination / payment institution, and the case of concealing the personal information included in the electronic reception and outputting the confidential electronic receipt and concealing the personal information included in the electronic receipt Outputting the concealment method used in the process, and reconstructing the concealed personal information included in the inspection result based on the concealment method and creating a reexamination request based on the reconstructed personal information and the inspection result Since it comprised so, it can prevent that personal information leaks outside, can conceal and restore | restore personal information easily, and there exists an effect that the reexamination request can be created.
[0125]
According to this invention, because it is configured to have a step of transmitting the secret electronic receipt to the terminal connected to the communication line, and a step of receiving the inspection result of the secret electronic receipt from the terminal connected to the communication line. There is an effect that the inspection result of the secret electronic receipt transmitted via the communication line can be received via the communication line without leaking the personal information to the outside.
[0126]
According to the present invention, it is configured to have a step of transmitting a secret electronic receipt to an intermediary connected to a communication line, and a step of receiving an inspection result of the secret electronic receipt from an intermediary connected to the communication line. Therefore, it is possible to receive the inspection result of the secret electronic receipt transmitted via the communication line without leaking the personal information to the outside, and to store, manage and provide the secret electronic receipt. Therefore, there is an effect that the work of the insurer can be reduced.
[0127]
According to the present invention, the broker receives the confidential electronic receipt, the step of transmitting the confidential electronic receipt to the terminal connected to the communication line, and the inspection result of the confidential electronic receipt from the terminal connected to the communication line. Since it is configured to have a step of receiving and a step of transmitting the inspection result of the confidential electronic receipt, it is possible to store, manage and provide the confidential electronic receipt and the inspection result to an intermediary without leaking the personal information to the outside. Since it can be entrusted collectively, there is an effect that the work of the insurer can be further reduced.
[0128]
According to the present invention, the terminal receives the secret electronic receipt, the step of displaying and outputting the contents of the secret electronic receipt, the step of inputting the check result of the secret electronic receipt, and the step of transmitting the check result of the secret electronic receipt Since the personal information is not leaked to the outside, it is possible to entrust the receipt checker with the terminal to check the confidential electronic receipt and point out the doubt, thereby reducing the insurer's work. There is an effect that can be done.
[0129]
According to the present invention, the step of receiving a search request for searching for a predetermined secret electronic receipt from a terminal connected to the communication line, and the transmission of the secret electronic receipt corresponding to the search request to the terminal connected to the communication line Therefore, it is possible to easily provide a secret electronic receipt necessary for a receipt checker connected to the communication line without leaking the personal information to the outside.
[0130]
According to this invention, since the terminal has a step of transmitting a search request for searching for a predetermined secret electronic receipt, and a step of receiving a secret electronic receipt corresponding to the search request, the personal information is There is an effect that it is possible to easily acquire a secret electronic receipt required by a receipt inspector connected to a communication line without leaking outside.
[0131]
According to the present invention, the step of receiving a search request for searching for a predetermined inspection result from the terminal connected to the communication line, and the secret inspection result corresponding to the search request are transmitted to the terminal connected to the communication line. Therefore, the receipt checker connected to the communication line can easily provide necessary check results without leaking the personal information to the outside.
[0132]
According to this invention, since the terminal has a step of transmitting a search request for searching for a predetermined inspection result and a step of receiving an inspection result corresponding to the search request, the personal information is externally provided. There is an effect that the receipt inspection company connected to the communication line can easily obtain the necessary inspection result without leakage.
[0133]
According to this invention, the secret electronic receipt replaces the receipt identification information configured by extracting predetermined information from the personal information included in the electronic receipt on a one-to-one basis, and deletes the personal information not included in the receipt identification information. Alternatively, since it is configured to output by changing one-to-one, it is possible to prevent personal information from leaking to the outside and to conceal and restore personal information easily.
[0134]
According to the present invention, the step of digitizing the re-examination result received from the examination / payment institution for the re-examination request and outputting the electronic re-examination result, and concealing the private information contained in the electronic re-examination result And a step of outputting the examination result. This provides an effect of providing an environment in which the confidential electronic reexamination result can be inspected without leaking the personal information to the outside.
[0135]
According to the present invention, the step of transmitting the secret electronic reexamination result to the terminal connected to the communication line and the inspection result retrieval request associated with the secret electronic reexamination result from the terminal connected to the communication line are received. And the step of transmitting the inspection result corresponding to the search request to the terminal connected to the communication line, so that the inspection of the confidential electronic reexamination result may be entrusted to the receipt inspection company having the terminal. Therefore, the work of the insurer can be reduced, and the receipt checker can effectively check the confidential electronic reexamination result.
[0136]
According to the present invention, since it has a step of transmitting the confidential electronic reexamination result to an intermediary connected to the communication line, it is possible to store the confidential electronic reexamination result without leaking the personal information to the outside. Since management and provision can be entrusted to an intermediary, the insurer's work can be further reduced.
[0137]
According to this invention, the broker receives the confidential electronic reexamination result, transmits the confidential electronic reexamination result to the terminal connected to the communication line, and the secret electronic reexamination from the terminal connected to the communication line. Since it has a step of receiving an inspection result search request associated with the examination result and a step of transmitting the inspection result corresponding to the search request to a terminal connected to the communication line, the receipt inspection having the terminal Since the inspection of the confidential electronic reexamination result can be entrusted to the trader, the work of the insurer can be reduced, and the receipt checker can effectively check the confidential electronic reexamination result.
[0138]
According to the present invention, the terminal receives the confidential electronic reexamination result, the step of displaying and outputting the contents of the confidential electronic reexamination, and the inspection, and the inspection result associated with the confidential electronic reexamination result is searched. Because it is configured to have a step of transmitting a search request for receiving and a step of receiving an inspection result corresponding to the search request, the receipt inspector having the terminal can efficiently check the confidential electronic reexamination result, There is an effect that the work of the insurer can be reduced.
[0139]
According to this invention, the reexamination result identification information is formed by replacing the reexamination result identification information constituted by extracting predetermined information from the personal information included in the electronic reexamination result as the confidential electronic reexamination result, and reexamination result identification information Since personal information that is not included in the output is output by deleting or changing one-to-one, personal information can be prevented from leaking to the outside, and personal information can be concealed and restored easily. There is an effect.
[0140]
According to this invention, the secret electronic reexamination result is output by concealing the personal information included in the electronic reexamination result based on the concealment method used when concealing the personal information included in the electronic receipt. Thus, the personal information can be prevented from leaking to the outside, and the personal information can be concealed and restored more easily.
[Brief description of the drawings]
FIG. 1 is a block configuration diagram showing a receipt inspection system according to Embodiment 1 of the present invention.
FIG. 2 is a flowchart showing a method for storing and managing a receipt according to the first embodiment of the present invention.
FIG. 3 is a flowchart showing a method for inspecting a receptor according to the first embodiment of the present invention.
FIG. 4 is a flowchart showing a receipt re-examination request method according to Embodiment 1 of the present invention;
FIG. 5 is a block configuration diagram showing a receipt inspection system according to Embodiment 2 of the present invention.
FIG. 6 is a flowchart showing a reexamination result accumulation / management method according to Embodiment 2 of the present invention;
FIG. 7 is a flowchart showing a method for checking a receipt and a reexamination result according to Embodiment 2 of the present invention;
FIG. 8 is a flowchart showing a reexamination result counting method according to Embodiment 2 of the present invention;
FIG. 9 is a block configuration diagram showing a receipt inspection system according to Embodiment 3 of the present invention.
FIG. 10 is a flowchart showing a method for storing and managing a receipt according to Embodiment 3 of the present invention;
FIG. 11 is a flowchart showing a reexamination request method according to Embodiment 3 of the present invention;
FIG. 12 is a flowchart showing a reexamination result accumulation / management method according to Embodiment 3 of the present invention;
FIG. 13 is a block diagram showing a conventional receipt inspection system.
FIG. 14 is a block diagram showing an example of a conventional receipt inspection system.
[Explanation of symbols]
1 Examining and paying institution 2 Insurer 3 Receipt checker (terminal) 4 Network (communication line) 5 Receipt 6 Receipt electronic means 7 Electronic receipt DB 8 Receipt DB (first recording means) 9 Personal information concealment means (first personal information concealment means), 10 concealment method, 11 concealment method recording means (second recording means), 12 concealed electronic receipt, 13 concealed electronic receipt DB (third recording means), 14 Confidential electronic receipt providing means, 15 Electronic receipt checking means, 16 Inspection results, 17 Inspection result collecting / providing means, 18 Inspection result DB (fourth recording means, sixth recording means), 19 Reexamination invoice creation means, 20 Re-examination request, 31 Re-examination result, 32 Re-examination result digitization means, 33 Electronic re-examination result, 34 Electronic re-examination result DB (fifth recording means), 35 Dan (second personal information concealment means), 36 concealed electronic reexamination results, 37 reexamination result aggregation means (reexamination result providing means), 38 aggregation results, 51 receipt data center (broker), 52 individual with network function Information concealment means (first personal information concealment means), 53 network function reexamination request creation means (reexamination request creation means), 54 network function personal information concealment means (second personal information concealment means).

Claims (22)

The receipt electronic means for digitizing the receipt received from the examination and payment institution and outputting the electronic receipt; and the receipt identification information constituted by extracting predetermined information from the personal information included in the electronic receipt as a key, the receipt The first recording means for accumulating and managing the electronic receipt output by the electronic means and the receipt identification information constituted by extracting predetermined information from the personal information included in the electronic receipt are changed one-to-one. The personal information not included in the receipt identification information is deleted or replaced in a one-to-one manner to conceal the personal information included in the electronic reception and output a confidential electronic receipt, and the personal information included in the electronic reception First personal information concealment means for outputting a concealment method used for concealment, and the first personal information concealment A second recording means for recording the confidential method stage is output as a key concealed receipt identification information contained in the confidential electronic receipt, the confidential electronic receipt of the first personal information confidential means outputs Third recording means for storing and managing; secret electronic receipt providing means capable of transmitting the secret electronic receipt to a terminal connected to a communication line; and inspection result collection capable of receiving the secret electronic receipt check result from the terminal. Providing means, fourth recording means for accumulating and managing the inspection results output from the inspection result collecting / providing means, extracting predetermined inspection results from the fourth recording means, and concealing the inspection results. The personal information is restored based on the concealment method recorded in the second recording means, and the reexamination invoice is issued based on the restored personal information and the inspection result. Receipt inspection system and a re-examination billing means to be formed.   The terminal receives the secret electronic receipt from the secret electronic receipt providing means, displays and outputs the contents of the secret electronic receipt, inputs the check result of the secret electronic receipt, and checks the check result of the secret electronic receipt. 2. The receipt inspection system according to claim 1, further comprising an electronic receipt inspection means for transmitting to the collecting / providing means.   The electronic receipt checking means transmits a search request for searching for a predetermined secret electronic receipt from the third recording means to the secret electronic receipt providing means, and the secret electronic receipt providing means that has received the search request includes the search 3. The receipt check according to claim 2, wherein after the predetermined secret electronic receipt is retrieved and extracted from the third recording means based on the request, the predetermined secret electronic receipt is transmitted to the electronic receipt check means. system.   The electronic receipt checking means transmits a search request for searching for a predetermined check result from the fourth recording means to the check result collecting / providing means, and the check result collecting / providing means that has received the search request includes: 3. The receipt inspection system according to claim 2, wherein after the predetermined inspection result is retrieved and extracted from the fourth recording means based on a search request, the predetermined inspection result is transmitted to the electronic receipt inspection means. .   The third recording means and the confidential electronic receipt providing means are installed via a communication line, and the first personal information concealing means transmits the confidential electronic receipt to the third recording means, and receives the confidential electronic receipt. 3. The receipt inspection system according to claim 1, wherein the third recording means stores and manages the secret electronic receipt.   The fourth recording means and the inspection result collecting / providing means are installed via a communication line, and the reexamination request creation means receives a predetermined inspection result from the fourth recording means via the communication line. The receipt inspection system according to claim 1. Re-examination result digitization means that digitizes the re-examination result received from the examination / payment institution for the re-examination request and outputs the electronic re-examination result, and extracts predetermined information from the personal information included in the electronic re-examination result And a fifth recording means for accumulating and managing the electronic reexamination results output from the reexamination result electronic means using the reexamination result identification information configured as a key, and included in the electronic reexamination results Reexamination result identification information constituted by extracting predetermined information from personal information is assigned one-to-one, personal information not included in the reexamination result identification information is deleted, or one-to-one is assigned. personal information contained in the reexamination results, by concealment based on confidential method used when confidential personal information included in the electronic receipt, the personal information contained in the electronic reexamination results Concealment to a second personal information confidential means for outputting a confidential electronic reexamination results, as the key re-examination result identification information confidential is included in the confidential electronic reexamination results, the re the confidential electronic reexamination results Sixth recording means for storing and managing in association with the inspection result referred to when preparing the examination request, and confidential electronic reexamination result providing means capable of transmitting the confidential electronic reexamination result to a terminal connected to a communication line The receipt inspection system according to claim 1 characterized by things. The terminal receives the secret electronic reexamination result from the secret electronic reexamination result providing means, displays and outputs the contents of the secret electronic reexamination, and searches for the inspection result associated with the secret electronic reexamination result 8. The electronic receipt inspection unit according to claim 7 , further comprising: an electronic receipt inspection unit that transmits the search request to the inspection result collecting / providing unit and receiving the inspection result corresponding to the search request from the inspection result collecting / providing unit. Receipt inspection system. The inspection result collecting / providing unit searches and extracts the inspection result associated with the predetermined confidential electronic reexamination result from the sixth recording unit based on the search request received from the terminal, and then performs the predetermined inspection on the terminal. 9. The receipt inspection system according to claim 8, wherein the result is transmitted. Sixth recording means and reexamination result providing means are installed via a communication line, the second personal information concealment means transmits the confidential electronic reexamination result to the sixth recording means, and the confidential electronic reexamination result 8. The receipt inspection system according to claim 7 , wherein the sixth recording means receiving the message stores and manages the result of the confidential electronic reexamination. Reexamination result providing means according to claim, characterized in that the inspection results associated with the confidential electronic reexamination results confidential electronic reexamination results tabulated for each terminal, and transmits the counting result for each of the terminal 7 The described receipt inspection system. A receipt electronic step for digitizing a receipt received from an examination payment organization by a receipt electronic means and outputting an electronic receipt; and a first recording means for extracting predetermined information from the personal information included in the electronic receipt A first recording step for storing and managing the electronic receipt output from the receipt electronic means using the received receipt identification information as a key, and a first personal information concealing means from the personal information contained in the electronic receipt. The personal information included in the electronic receipt is obtained by changing the receipt identification information configured by extracting the information of 1 to 1 and deleting or changing the personal information not included in the receipt identification information to 1 to 1. And concealing personal information contained in the electronic receipt A first personal information concealment step for outputting the concealment method used in the process, a second recording step for recording the concealment method output by the first personal information concealment means by a second recording means, A third recording step for accumulating and managing the secret electronic receipt output by the first personal information concealment means using the secret receipt identification information contained in the secret electronic receipt as a key by the recording means; A secret electronic receipt providing step capable of transmitting the secret electronic receipt to the terminal connected to the communication line by the electronic receipt providing means, and an inspection result collection capable of receiving the inspection result of the secret electronic receipt from the terminal by the inspection result collecting / providing means. A fourth step of storing and managing the inspection results output from the inspection result collecting / providing means by a providing step and a fourth recording means; And a concealing method in which a predetermined inspection result is extracted from the fourth recording means by the reexamination bill creation means, and concealed personal information included in the inspection result is recorded in the second recording means And a reexamination invoice creation step of creating a reexamination invoice based on the personal information restored and the inspection result . The terminal receives the secret electronic receipt from the secret electronic receipt providing means by the electronic receipt checking means, displays and outputs the contents of the secret electronic receipt, inputs the check result of the secret electronic receipt, and checks the secret electronic receipt. 13. The receipt inspection method according to claim 12, further comprising an electronic receipt inspection step of transmitting the result to the inspection result collecting / providing means . The search request for searching for a predetermined secret electronic receipt from the third recording means by the electronic receipt checking means is transmitted to the secret electronic receipt providing means, and the secret electronic receipt providing means having received the search request is the search request third after searching and extracting a predetermined said confidential electronic receipt from the recording unit, according to claim 13, wherein further comprising a step of transmitting a predetermined said confidential electronic receipt to the electronic receipt inspection means on the basis of the Receipt check method. The electronic receipt inspection means transmits a search request for searching for a predetermined inspection result from the fourth recording means to the inspection result collecting / providing means, and the inspection result collecting / providing means that has received the search request is configured to transmit the search result. 14. The method according to claim 13 , further comprising: searching for and extracting the predetermined inspection result from the fourth recording unit based on the request, and then transmitting the predetermined inspection result to the electronic receipt inspection unit . Receipt check method. The third recording means and the confidential electronic receipt providing means are installed via a communication line, and the first personal information concealing means transmits the confidential electronic receipt to the third recording means and receives the confidential electronic receipt. 13. The receipt checking method according to claim 12, further comprising a step of storing and managing the secret electronic receipt by a third recording means . The fourth recording means and the inspection result collecting / providing means are installed via a communication line, and the reexamination request creation means receives a predetermined inspection result from the fourth recording means via the communication line. The receipt inspection method according to claim 12, further comprising: The re-examination result digitizing means digitizes the re-examination result received from the examination / payment institution for the re-examination request and outputs the electronic re-examination result, and the fifth recording means outputs the electronic re-examination result. Using the re-examination result identification information constituted by extracting predetermined information from the personal information included in the examination result as a key, the electronic re-examination result output from the re-examination result digitizing means is accumulated and managed. And re-examination result identification information constituted by extracting predetermined information from the personal information included in the electronic re-examination result by the second personal information concealing means, and re-examination. When the personal information not included in the result identification information is deleted or replaced one-on-one, and the personal information included in the electronic reexamination result is concealed from the personal information included in the electronic receipt A second personal information concealing step for concealing the personal information included in the electronic reexamination result and outputting the confidential electronic reexamination result by concealing based on the concealment method, and a sixth recording means A sixth record that stores and manages the confidential electronic reexamination result in association with the inspection result referred to when the reexamination request is created, using the confidential reexamination result identification information included in the reexamination result as a key. 13. The receipt inspection according to claim 12, further comprising a step of providing a confidential electronic reexamination result providing means capable of transmitting the confidential electronic reexamination result providing means to a terminal connected to a communication line. Method. The terminal receives the confidential electronic reexamination result from the confidential electronic reexamination result providing means by the electronic receipt inspection means, displays and outputs the contents of the confidential electronic reexamination, and checks associated with the confidential electronic reexamination result An electronic receipt inspection step of transmitting a search request for searching for a result to the inspection result collecting / providing means and receiving the inspection result corresponding to the search request from the inspection result collecting / providing means. The method for checking a receipt according to claim 18. The inspection result collecting / providing means searches and extracts the inspection result associated with the predetermined confidential electronic reexamination result from the sixth recording means based on the search request received from the terminal, and then sends the predetermined result to the terminal. 20. The method according to claim 19, further comprising a step of transmitting an inspection result . Installed via a communication line by the sixth recording means and the reexamination result providing means, the second personal information concealment means transmits the confidential electronic reexamination result to the sixth recording means, and the confidential electronic reexamination result 19. The receipt checking method according to claim 18, further comprising: a step of storing and managing the result of the confidential electronic reexamination by the sixth recording means that has received the information. The reexamination result providing means includes a step of aggregating the confidential electronic reexamination result and the inspection result associated with the confidential electronic reexamination result for each terminal, and transmitting the aggregation result for each terminal. 19. The method for checking a receipt according to claim 18.

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