JP4653896B2 - Medical fee payment system and automatic medical fee payment machine - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a medical expense settlement system used in medical institutions such as hospitals, and more particularly to a medical expense settlement system for performing collective settlement of medical expenses relating to a plurality of patients.
[0002]
[Prior art]
Conventionally, when a patient who has been examined at a hospital, etc. pays the medical expenses, the accounting counter asks the patient's medical expenses the host computer that manages the hospital's overall medical affairs. A medical fee was charged and the patient paid in cash. At this time, if one patient visited multiple departments (for example, ophthalmology and internal medicine), the medical expenses could be settled together for ophthalmology and internal medicine. It was not possible to sum up on the counter accounting terminal and charge one patient (settlement).
[0003]
However, when a plurality of patients who have the same household as a family member receive medical care, there is generally a desire to settle together. In such a case, conventionally, the amount charged for each patient was summed up by manual calculation by the staff at the accounting window, and the patient was charged.
[0004]
FIG. 13 shows the flow of processing at a conventional accounting window, in which the accounting window staff sums up the medical expenses of a plurality of patients by manual calculation, and apparent batch settlement is performed. First, a representative of patients A and B (assumed to be A) collects each person's examination card and gives it to a staff at an accounting window (hereinafter referred to as “operator”). The operator first reads the patient A's examination card with the terminal and makes an inquiry to the medical care host. The medical host that has received the inquiry retrieves the unaccrued information of patient A from the database stored in the data storage means and transmits it to the terminal. At the accounting window, it is assumed that the medical expenses for patient A have been settled, and the paid information is sent to the medical care host. On the other hand, in the database of the medical affairs host, the non-accrual information of patient A is rewritten with the information already received, and the patient A receipt issuance data is transmitted to the terminal. The terminal that has received the data prints out the receipt of patient A by the connected printer. Next, a receipt is issued for patient B in the same procedure. Here, the operator calculates the total amount of A and B by hand calculation (usually using a calculator or abacus) and charges the patient A with the total amount. On the other hand, the patient A pays the total amount billed and receives the two receipts to complete the settlement. If necessary, a medicine voucher may be given along with the receipt.
[0005]
In addition, automatic medical checkup machines have been proposed for reasons such as alleviating congestion at the accounting counter (for example, JP-A-61-95470, JP-A-61-285575, etc.). There was no one that had a function that can be settled with.
[0006]
[Problems to be solved by the invention]
However, in such a method, the counter accounting work becomes complicated, and there is a problem that it takes time and labor for the settlement process. In addition, calculation errors do not always occur, and the patient is kept waiting. Furthermore, since there is a possibility that change is required each time, there is a problem that the change is increased as a result.
[0007]
The present invention has been made under the circumstances as described above, and an object of the present invention is to make it possible to settle the medical expenses generated for a plurality of patients at once in order to solve such problems. The purpose is to provide an expense settlement system.
[0008]
In addition, the provision of an automatic medical fee payment machine that automatically performs this collective payment, and the provision of a medical fee payment system that allows cash-free payments using cash cards and credit cards, etc., to relieve the hassle of handling cash. Also aimed.
[0009]
[Means for Solving the Problems]
In the case of collective payment of medical expenses related to a plurality of patients in a medical institution, in claim 1, a medical office management host computer having a data storage means for storing information on the amount of medical expenses charged for each patient; including In the medical fee payment system, the terminal makes an inquiry about a medical fee billing amount based on the ID information and ID information input means for inputting ID information for identifying an individual patient and the medical office management host computer Communication means, display means for displaying the bill amount sent from the medical office management host computer as a result of the inquiry, deposit processing means for inputting the receipt amount, Said A change processing means for paying change when the amount exceeds the charge amount, a receipt issuing means for issuing a receipt certifying receipt of the charge amount, and a process control means for controlling the processing of each means. In addition, when a plurality of ID information is continuously input to the terminal, Said According to ID information In bulk This is achieved by a medical expense settlement system having a function of making an inquiry and receiving each medical expense billing amount information from the medical office management host computer as a result, summing the billing amounts and displaying the total amount.
[0010]
Moreover, the automatic collective settlement of the medical expenses relating to a plurality of patients, in claim 2, a medical office management host computer having a data storage means for storing the billing amount information of the medical expenses for each patient; Automatic Checkout process Automatic medical checkup machine When including A medical expenses payment system, Automatic medical checkup machine ID information that reads the ID information recorded on the bill given to the patient or the ID information recorded on the examination card Reading And means for inquiring the medical office management host computer about the amount of medical expenses charged based on the read ID information, and display means for displaying the amount of money sent from the medical office management host computer as a result of the inquiry An operation selection means for selecting the operation content, a deposit processing means for taking in and counting the money corresponding to the billed amount, Said It is determined whether or not the billing amount is exceeded, and if it exceeds, a change processing unit that issues a change, a receipt issuing unit that issues a receipt certifying that the billing amount has been received, and processing control of each unit. Processing control means for performing, and Automatic medical checkup machine When a plurality of ID information is continuously input to the medical office management host computer, Said According to ID information In bulk This is achieved by a medical expenses settlement system having a function of making an inquiry and receiving the respective medical expenses billing amount information from the medical office management host computer as a result, summing the billing amounts and displaying the total amount.
[0011]
Furthermore, the collective settlement of the medical expenses not based on cash is as follows. In claim 3, the terminal is connected online to a financial institution center where the patient deposits, and the medical expenses charged by the cash card or credit card are charged. It is achieved by the medical expenses settlement system according to claim 1 or 2, which has a function of withdrawing from a patient's deposit balance.
[0012]
DETAILED DESCRIPTION OF THE INVENTION
Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.
[0013]
FIG. 1 shows the overall configuration of a medical expenses payment system according to the present invention, and the outline will be briefly described. The medical office management host computer 1 (hereinafter referred to as “medical administration host”) manages the entire medical office of the hospital, and has a data storage means 2 in which patient personal data (ID information, medical chart) is stored. , Content information, medication information, medicine voucher number, and other information) are stored. Various devices as shown in the figure are connected to the medical care host 1 via an in-hospital network 9. The accounting window terminal 3 is installed at the accounting window, and the staff at the window (hereinafter referred to as “operator”) stores the medical expenses of the patient, sends the payment information to the medical host, and issues a receipt and a medicine voucher. It serves the purpose of handing it to the patient. The automatic medical fee payment machine 4 is installed mainly in the lobby of a hospital and performs the role of automatically issuing a receipt and a medicine voucher by adjusting the medical expenses by the patient himself / herself without going through an operator. Although the operation terminal 5 is not directly related to the present invention, the operation terminal 5 is used when inputting information on a patient's disease or treatment information to the medical host or performing maintenance of the medical host. Although the network printer 6 and the totaling server 7 are not directly related to the present invention, they are used for totaling information other than medical expenses settlement and outputting them. The router 8 is a device for connecting a communication line outside the hospital (for example, the Internet or a dedicated line) to a network in the hospital. As a result, financial institutions such as banks and automatic checkout machines are connected online via communication lines, and in addition to conventional cash payments, payments can be made with cash cards and credit cards (hereinafter referred to as “cash cards”). It becomes possible.
[0014]
FIG. 2 is a diagram showing the appearance of an embodiment of the accounting window terminal. The card reader 321 functions to take in a patient's examination card from the card insertion slot 321a and read ID information. The keyboard 322 is used when an operator manually inputs patient ID information read visually from a bill or the like, or inputs the amount of medical expenses received. The display means 330 displays the operation procedure of the terminal, the input ID information, the deposit amount, the change amount, and the like. The bill insertion slot 351 is a place for storing bills received from a patient, and the coin insertion slot 352 is a place for storing coins received from a patient. The banknote insertion slot 351 and the coin insertion slot 352 constitute a deposit processing means. Furthermore, the banknote outlet 361 is where the change banknote is discharged. Furthermore, the coin outlet 362 is where the change coins are discharged. The banknote outlet 361 and the coin outlet 362 constitute a change processing means. Finally, after the payment is completed, the printer 370 prints and issues a receipt and, if necessary, a medicine voucher. Although not shown in the figure, the accounting window terminal 3 includes a processing control means 310 for controlling the above means and a communication means 340 for communicating with the medical host.
[0015]
FIG. 3 shows the configuration of an accounting window terminal. The processing control means 310 controls the entire terminal according to a predetermined program. A central processing unit (CPU) 311 for performing arithmetic control, a predetermined program It consists of a stored ROM 312 and a RAM 313 which is a work area for executing programs. The ID information input means 320 is used to input a patient ID to this terminal, and is composed of a card reader 321 and a keyboard 322. The ID information input means 320 reads the ID information recorded on the patient's examination card, Is used to enter the patient's ID from the keyboard. The display means 330 displays the operation procedure of the terminal, the input ID information, the payment amount, and the like. The communication means 340 serves as a communication interface between the terminal and the medical host, and is a modem, for example. The deposit processing means 350 is for processing the medical expenses received from the patient into the terminal, and the change processing means 360 is for calculating the difference when the deposit amount exceeds the amount charged and paying change. It is. The printer 370 prints a medicine voucher if necessary in addition to the receipt.
[0016]
FIG. 14 shows the flow of processing at the accounting window terminal according to the present invention, and shows a case where the collective payment is performed without summing up the medical expenses of a plurality of patients by manual calculation. First, a representative of patients A and B (assumed to be A) collects each person's examination card and gives it to the operator. The operator continuously reads each examination card of the patient A and the patient B with the card reader 321 (FIG. 2) of the terminal and makes an inquiry to the medical care host. FIG. 15 shows an embodiment of a display screen when patient ID information is input from the window terminal, and the IDs of a plurality of patients can be input. FIG. 16 shows an example of a screen when an inquiry is made to the medical care host based on a plurality of inputted patient IDs. The medical host that has received the inquiry from the window terminal retrieves the unaccrued information of patients A and B from the database stored in the data storage means and transmits it to the window terminal. At this time, medication information (breakdown of medicine, number of medicine voucher) is also transmitted. The non-accrual data of each person is sent to the window terminal, and the total of the medical expenses is automatically calculated at the window terminal, and the result is displayed on the display means 330 (FIG. 2) of the window terminal. Looking at it, the operator charges patient A a total amount. When patient A pays cash, the operator inputs the deposit amount from the keyboard 322 (FIG. 2) of the terminal, and when the amount exceeds the billing amount, the bill outlet 361 (FIG. 2) and the coin outlet 362 (FIG. 2). The excess is paid out as change. The gold received from the patient is stored in the bill insertion slot 351 (FIG. 2) and the coin insertion slot 352 (FIG. 2). When the deposit is made, the deposited information is transmitted from the window terminal to the medical care host. In contrast, in the database of the medical affairs host, the unaccrued information of patients A and B is rewritten with the information already received, and the window terminal receives receipts and medicines for patients A and B by the connected printer 370 (FIG. 2). Print out each ticket. Finally, the operator passes each person's receipt and the medicine voucher to the patient A, and the settlement is completed. FIG. 17 shows an example of a screen indicating the completion of the deposit process.
[0017]
The patient's ID information is input by causing the card reader to read the examination card. However, the ID information may be manually input from the keyboard of the terminal instead of the examination card. In particular, it is possible to make payment even when hospitalized patients do not have a medical card. Next, an automatic settlement machine capable of collective settlement will be described.
[0018]
FIG. 4 is a diagram showing the appearance of an embodiment of an automatic checkout machine. The card reader 421 functions to take a patient's examination card from the card insertion slot 421a and read ID information or read data such as a cash card. The OCR 422 takes in a bill from the bill insertion slot 422a and optically reads patient ID information described in the bill. The operation display means 430 is composed of, for example, a touch panel CRT, and displays the operation procedure of the automatic settlement machine, the read ID information, the charged amount, the input amount, the change amount, and the like. The touch panel CRT has a function of selecting an operation by touching the screen in addition to the display function. The bill insertion slot 451 is where the accountant inserts bills according to the amount charged. Also, the coin entry / exit 452 serves as a delivery port when paying a fraction of the medical expenses in coins or receiving change in coins, and is closed by a shutter 452a when not in use. A banknote insertion slot 451 and a coin slot 452 constitute a deposit processing means. Further, the banknote outlet 461 discharges a change banknote, and the banknote outlet 461 and the coin inlet / outlet 452 constitute a change processing means. Finally, the printer 470 prints and issues a receipt and, if necessary, a medicine voucher after the payment is completed. Although not shown in FIG. 4, the automatic checkout machine 4 includes a processing control unit 410 for controlling each unit and a communication unit 440 for communicating with a medical host. .
FIG. 5 shows a configuration of an automatic medical checkout machine. A process control means 410 is for controlling the automatic checkout machine according to a predetermined program, and is a central processing unit (CPU) 411 that performs arithmetic control. It consists of a ROM 412 that stores a predetermined program and a RAM 413 that is a work area for executing the program. The ID information input means 420 is used to input patient ID information to the automatic checkout machine. The ID information input means 420 includes a card reader 421 and an OCR 422, and reads ID information recorded on a patient examination card. Or reading ID information written on a patient's bill. The display means 431 displays the operation procedure of the automatic settlement machine, the input ID information, the settlement amount, and the like. The operation selection unit 432 is used by the account adjuster to perform key operations in accordance with instructions displayed on the display unit 431. In the case of a touch panel type display means, the operation selection means 432 constitutes the operation display means 430 together with the display means 431. The communication means 440 serves as a communication interface between the automatic checkout machine and the medical care host 1, and is, for example, a modem. The deposit processing means 450 is for depositing the cash that the patient has put into the automatic checkout machine, and the change processing means 460 is for calculating the difference when the deposit amount exceeds the billed amount and paying out the change. is there. The printer 470 prints a medicine voucher if necessary in addition to the receipt. A card reader 421 is also used for reading the card when paying with a cash card or the like instead of cash. The read information is connected online with the center of the financial institution via the router 8.
[0019]
FIG. 6 is a diagram showing a basic flow of the automatic checkout process.
[0020]
First, in STEP 1, it is selected whether the payment is made with an invoice or a medical card.
When the checker selects one, STEP 2 selects whether or not to check out a plurality of patients at once. Specifically, it is performed by selecting whether to insert another bill or the like after reading the first bill or the examination card (hereinafter referred to as “bill or the like”). When all the bills to be settled are read into the automatic settlement machine, in STEP 3, the automatic settlement machine inquires the medical care host about medical billing information with the patient ID information read from the bills as a clue. As a result, the billing amount, medication information, and the like are sent from the medical host to the automatic checkout machine and displayed on the automatic checkout machine (STEP 4). Therefore, the accountant selects whether to pay with cash or with a cash card (STEP 5), inserts cash or inserts a cash card, etc., and performs change payment processing if necessary (STEP 6). Finally, the automatic checkout machine prints out a receipt / medicine voucher (STEP 7), and the payer receives it and ends.
[0021]
7 and 8 are flowcharts of a processing program of an embodiment of the automatic settlement machine according to the present invention. The following will be described in order. In step S501, the initial screen of the automatic checkout machine is a checkout method selection screen as shown in FIG. 9, for example, and the checkout person selects whether the checkout is to be done with an invoice or a medical card. When an invoice is selected in step S502, the screen changes to an invoice insertion screen in step S512, and enters an invoice insertion waiting state. When the first bill is inserted into the bill insertion slot 422a in step S513, the bill number and patient identification code (ID code) written in the bill by the OCR 422 inside the automatic checkout machine in step S514. And a screen for waiting for insertion of another patient's invoice in step S515 is displayed (FIG. 11). When a new invoice is inserted in the next step S516, the process returns to step S514 to read the invoice number and ID code of the new invoice, and another invoice insertion waiting screen (FIG. 11) is displayed again in step S515. In this way, the above procedure is repeated until all invoices have been read. When all the invoices have been read, the settlement start button is pressed in step S517, and settlement is started.
[0022]
On the other hand, when the payment with the examination card is selected in step S503, the screen shifts to the card insertion waiting screen in step S504, and the accountant inserts the card into the card reader 421. If it is determined in step S505 that a card has been inserted, the data recorded on the card is read by the card reader 421 of the automatic checkout machine in step S506. Next, it is determined whether or not the card inserted in step S507 is a correct diagnosis card. If it is not the correct diagnosis card (for example, a diagnosis card of another hospital or a bank cash card) Indicates that the card is ejected in step S509, and the screen returns to the card insertion waiting screen in step S504. On the other hand, if the inserted card is a correct examination card, the screen shifts to another patient's examination card insertion waiting screen (FIG. 10) in step S508. When a new card is inserted in step S510, the process returns to step S506 to read the card data, and in step S507, it is identified whether the inserted card is a correct examination card. An insertion waiting screen (FIG. 10) is displayed. In this way, the above procedure is repeated until all the medical cards are read. When all the examination cards have been read, the settlement start button is pressed in step S511 to start settlement.
[0023]
When the checkout is started, in step S518, the automatic checkout machine inquires of the medical host about unaccrued information, medication information (medication details, medication voucher number, etc.) and the like based on the patient ID code. The medical host that has received the inquiry retrieves the relevant patient information from the database stored in the data storage means and sends the information to the automatic settlement machine, and the result is displayed on the automatic settlement machine in step S519. (FIG. 12).
[0024]
Note that this screen (FIG. 12) also serves as a payment method selection screen, and the payer selects whether to pay with cash or with a cash card in step S520. If payment in cash is selected in step S521, the shutter 452a is opened in step S522, and when the cashier inserts cash from the coin inlet / outlet 452 or the bill insertion slot 451, the automatic settlement machine counts the amount of money inserted. The amount invested in step S523 is displayed on the screen, the billed amount is compared with the amount invested in step S524, and if the amount invested is small, the shortage is calculated in step S526, and the amount is displayed in step S527. . In step S522, when the cashier inserts the shortage of cash, the amount is counted, and in step S524, the shortage is compared with the input. This is repeated if the total amount of input is less than the amount charged. If it is determined in step S528 that the total input amount exceeds the amount charged, change is calculated in step S529, and the result is displayed in step S530. If it is determined that the accountant who sees this is correct, the confirmation button is pressed in step S531, and change is paid out from the coin inlet / outlet 452 or the bill outlet 461 in step S532. Thereafter, in step S533, the examination card is discharged from the card reader 421, and in step S542, a receipt and a medicine voucher are printed and output by the printer 470, and the checkout is completed. On the other hand, if it is determined in step S528 that the amount charged is equal to the amount charged, change processing is not required, so the procedure skips to step S533 and the examination card is ejected from the card reader 421 and received from the printer 470 in step S542. The certificate and medicine voucher are printed and output, and the checkout is completed. Although not shown, since the payment process is confirmed when the confirmation button is pressed in step S531, the payment information is transmitted from the automatic checkout machine to the medical care host, and the unpaid information in the patient database has been deposited. Rewrite to
[0025]
On the other hand, if payment with a cash card or the like is selected in step S520, if there is a medical card inserted in the card reader 421 in step S534, a process of discharging the card is performed. The reason for this is that when the check-up by the medical card is selected in step S504, the medical card remains in the card reader 421, so that a cash card or the like cannot be inserted.
[0026]
Next, in step S535, an account withdrawal guidance screen is displayed, and a cash card or the like is awaiting insertion. When a cash card or the like is inserted in step S536, a password input waiting screen for confirming the identity is displayed (step S537). When the personal identification number is input in step S538, in step S539, the bank-side host computer checks whether or not the person is the principal, and in step S540, the amount charged is deducted from the bank principal account. When the bank settlement process is confirmed, the payment information is transmitted to the medical host 1, and the unaccounted information in the patient database is rewritten to the payment completed. Next, in step S541, the cash card or the like is ejected from the card reader 421, and in step S542, a receipt and a medicine voucher are printed and output from the printer 470, and the settlement is completed.
[0027]
【The invention's effect】
As described above, according to the medical expenses settlement system according to the present invention, since it is possible to perform settlement for a plurality of patients of the same family at any one of the accounting window and the automatic settlement machine, The checkout time is shortened, the waiting time of the patient is shortened, and the burden on the operator of the accounting window is reduced. In addition, since a plurality of bills are paid together, the change payment opportunity is reduced, the change amount is reduced, and the change money can be reduced, thereby reducing the change replenishment opportunity.
[0028]
In addition, since the automatic settlement machine can be used for collective payments, it is possible to further reduce the congestion at the accounting counter and to make payments with cash cards, etc., so that patients do not have to carry cash. Because hospitals do not need to handle large amounts of cash, they are also effective in terms of crime prevention management.
[Brief description of the drawings]
FIG. 1 is a schematic connection diagram showing the overall configuration of a medical expense settlement system.
FIG. 2 is an external view of a window terminal system.
FIG. 3 is a configuration diagram of a window terminal system.
FIG. 4 is an external view of an automatic settlement machine according to the present invention.
FIG. 5 is a configuration diagram of an automatic settlement machine according to the present invention.
FIG. 6 is a diagram showing a basic flow of processing of an automatic checkout machine.
FIG. 7 is a flowchart showing a processing procedure according to an embodiment of an automatic checkout machine.
FIG. 8 is a flowchart (partial view of FIG. 7) showing a processing procedure according to an embodiment of the automatic settlement machine.
FIG. 9 is an example of an initial screen of the operation display unit of the automatic checkout machine.
FIG. 10 is an example of a confirmation screen in the case of payment by a medical card on the operation display unit of the automatic payment machine.
FIG. 11 is an example of a confirmation screen in the case of a settlement with an invoice on the operation display unit of the automatic settlement machine.
FIG. 12 is an example of a screen for selecting a payment method on the operation display unit of the automatic checkout machine.
FIG. 13 is a flowchart of processing in a conventional accounting window when collecting medical expenses for a plurality of patients at once.
FIG. 14 is a flowchart of processing in an accounting window according to the present invention when collecting medical expenses for a plurality of patients at once.
FIG. 15 is an example of a display screen of a terminal when a patient ID is input from the terminal.
FIG. 16 is an example of a terminal screen when an inquiry is made to the medical care host based on a plurality of input patient IDs.
FIG. 17 is an example of a terminal screen indicating completion of deposit processing.
[Explanation of symbols]
1 Medical Affairs Host
2 Data storage means
3 Accounting window terminal
4 Medical fee automatic payment machine
8 routers
310, 410 processing control means
311 and 411 CPU
312, 412 ROM
313,413 RAM
320, 420 ID information input means
321 and 421 card reader
321a, 421a Card insertion slot
322 keyboard
330 Display means
340, 440 communication means
350,450 Deposit processing means
351,451 bill insertion slot
352 coin slot
360,460 Change processing means
361, 461 bill outlet
362 coin outlet
370, 470 printer
422 OCR
422a Invoice slot
430 Operation display means
431 Display means
432 Operation selection means
452 coin entry / exit
452a Shutter

Claims (5)

A medical expense settlement system including a medical office management host computer having a data storage means for storing billing amount information of medical expenses for each patient, and a terminal for performing a settlement process,
The terminal includes ID information input means for inputting ID information for identifying a patient individual, communication means for inquiring the medical office management host computer for a medical fee bill based on the ID information, and a result of the inquiry display means for displaying the charge amount sent from the medical office management host computer, and the payment processing means for inputting the receipt amount, and change processing means for paying out change when the payment amount exceeds the amount billed, the Having a receipt issuing means for issuing a receipt certifying receipt of the billed amount, and a process control means for controlling the processing of each means;
Queries collectively in response to each of the ID information to the medical office management host computer when multiple ID information to the terminal is continuously input, from the result the medical office management host computer A medical expense settlement system characterized by receiving each medical expense billing amount information, summing up the billing amounts, and displaying the total amount. A medical expense settlement system including a medical office management host computer having a data storage means for storing billing amount information of medical expenses for each patient, and a medical expense automatic settlement machine for performing automatic settlement processing,
The medical fee automatic settlement machine is configured to charge the medical fee based on the ID information reading means for reading the ID information described in the bill given to the patient or the ID information recorded on the medical card, and the read ID information. Communication means for inquiring the amount of money to the medical office management host computer, display means for displaying the amount of money sent from the medical office management host computer as a result of the inquiry, operation selection means for selecting operation contents, and amount of invoice A deposit processing means for taking in and counting the money corresponding to the above, a change processing means for determining whether or not the deposit amount exceeds the claimed amount, and a change processing means for paying change if it exceeds, and certifying that the claimed amount has been received. A receipt issuing means for issuing a receipt, and a process control means for controlling the processing of each means;
Queries collectively in response to each of the ID information to the medical office management host computer when multiple ID information to the medical fees automatic checkout machine is continuously input, the result the medical office management A medical expense reimbursement system having a function of receiving each medical expense billing amount information from a host computer, summing up the billing amounts and displaying the total amount. The medical treatment according to claim 1, wherein the terminal is connected online to a financial institution center where the patient makes a deposit, and has a function of deducting the billed medical treatment fee from the patient's deposit balance by a cash card or a credit card. Expense settlement system. 3. The medical fee automatic payment machine is connected online to a financial institution center where a patient makes a deposit, and has a function of deducting a billed medical fee from a patient's deposit balance by a cash card or a credit card. Medical fee settlement system described in 1. An automatic medical fee payment machine used in the medical fee payment system according to claim 2 or 4 .

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