JP6709563B2 - Medical fee payment machine, monitoring device and medical fee payment system - Google Patents

Description

This invention provides receipt detailed information of medical expenses paid by each payer of medical expenses when a host computer for medical accounting (hereinafter referred to as “medical accounting server”) and a medical expenses payment machine are installed in a medical institution. The present invention relates to a medical bill payment machine, a monitoring device, and a medical bill payment system that can efficiently present the following.

Conventionally, medical institutions such as hospitals are provided with a medical accounting server for calculating medical expenses for patients. When the person in charge of the medical institution inputs the contents of the medical treatment such as the name of injury/disease, medication, injection, examination, surgery, etc. entered in the medical record into the medical accounting server, the medical accounting server makes the medical treatment based on the content of this medical practice. Accounting information including points and medical fees according to the medical points is generated.

In addition, a medical expenses payment machine is installed in the medical institution. This medical bill payment machine is an automatic machine that accepts payment of medical bills by a patient or a related person such as a family of the patient (hereinafter referred to as "medical bill payer"), and can communicate with a medical accounting server. Connected to. As an example of this medical expense payment machine, in Patent Document 1, for example, accounting information of a patient acquired from a medical accounting server is displayed on a display unit, payment of money by a medical expenses payer is accepted, and a receipt is issued. The technology is disclosed.

JP, 2011-175548, A

However, according to the above-mentioned Patent Document 1, the medical care payer can pay the medical care cost without the intervention of the person in charge of the medical institution, but the detailed receipt information of the medical care cost paid by each medical care payer (receipt). Document and accounting information) cannot be efficiently confirmed afterwards.

For example, when a medical institution provides medical treatment for social insurance, it must be periodically examined by the social insurance medical treatment payment fund. This is to check whether or not there is an error in the number of medical care points for the medical care contents. In addition, when the medical care payer returns to the hospital due to doubts about the contents of the receipt, it may be necessary to present the medical care payment receipt detailed information to the medical care payer.

For this reason, medical institutions need to present receipt details of medical expenses when inspectors of the social insurance medical fee payment fund, medical expenses payers, etc. come to the hospital. In some cases, the receipt statement information of is not stored. This is because the medical care payment machine only stores receipt detail information of medical care within a fixed period (for example, one month).

In addition, when a plurality of medical care payment machines are installed in a medical institution, even if the medical care payment receipt information is stored in the medical care payment machine, the detailed medical care receipt information of the corresponding patient is stored. It takes time to specify which medical care payment machine is stored.

Furthermore, during the consultation hours of medical institutions, many payers of medical expenses are waiting to be processed by the payment machine, so the inspector of the Social Insurance Medical Fee Payment Fund and the payers of medical expenses visited during the consultation hours. Even in this case, it is not possible to present the receipt detailed information of the medical expenses until the medical examination time ends, because the medical expense payment machine is in operation.

For these reasons, when installing a medical accounting server and a medical care payment machine in a medical institution, it is important how to efficiently post receipt information of the medical care payment by each medical care payer. It has become a challenge.

The present invention has been made to solve the above-mentioned problems of the prior art, and in the case of installing a medical accounting server and a medical bill payment machine in a medical institution, the medical bill paid by each medical bill payer. An object of the present invention is to provide a medical bill payment machine, a monitoring device, and a medical bill payment system capable of presenting the receipt detailed information of the following efficiently.

In order to solve the above-mentioned problems and achieve the object, the present invention provides a medical examination ticket receiving means for receiving a medical examination ticket, a medical treatment point corresponding to identification information of the medical examination ticket received by the medical examination ticket receiving means, and a billing amount. Acquiring means to be acquired from the accounting host computer, and the money inserted into a predetermined money insertion slot in accordance with the payment operation of the medical expenses by the customer, is stored in the money storing section, and when the change occurs, the money is stored. A currency processing means for paying out the change amount of money from the storing section, a receipt issuing means for issuing a receipt including the medical treatment points and the billed amount to the customer, and the medical treatment point and the billed amount issued to the customer. Storage device for storing receipt data including the receipt data stored in the storage device for a monitoring device different from the host computer for medical accounting which presents receipt detail information of medical expenses to the customer. And output means for outputting the written data .

Further, in the present invention according to the above-mentioned invention, the storage means is divided into medical treatment types including free medical treatment that does not include medical treatment points, insurance medical treatment based on medical treatment points, and mixed medical treatment that mixes the free medical treatment and the insurance medical treatment. The receipt data is stored, and the output unit outputs the receipt data for each type of medical treatment.

Further, the present invention is characterized in that, in the above-mentioned invention, the output means further comprises deletion means for outputting receipt data at predetermined time intervals and for deleting the receipt data output by the output means. ..

In addition, the present invention provides a first acquisition unit that acquires receipt data including the number of medical care points issued to a customer and a billing amount from a medical care payment machine, and the receipt data acquired by the first acquisition unit. Storing means for storing the medical treatment points and the billing amount of the customer from the host computer for medical accounting, the receipt data of the customer stored in the storing means, and the second It is characterized by further comprising: a determination unit that determines the consistency between the number of medical care points and the billing amount of the customer acquired by the acquisition unit.

Further, the present invention includes a medical payment machine, a medical payment system comprising a monitoring device for monitoring the inventory amount and state of the stored in the money storage portion of the medical payment machine money, before Symbol monitoring device Is a first acquisition unit that acquires receipt data including the number of medical care points and the amount of bills issued to the customer from the medical care payment machine, and a storage that stores the receipt data acquired by the first acquisition unit. Means , second acquisition means for acquiring the number of medical care points and billed amount of the customer from the host computer for medical accounting, receipt data of the customer stored in the storage means, and the second acquisition means It is provided with a determination means for determining the consistency between the number of medical treatment points and the billing amount of the customer .

Further, in the above invention, and further comprising a determination result output means for outputting a determination result by the determination unit.

Further, the present invention is characterized in that, in the above-mentioned invention, the monitoring device further comprises a correction means for correcting the medical treatment points and the billing amount acquired from the medical accounting host computer or the medical treatment payment machine.

Further, in the present invention according to the above-mentioned invention, the monitoring device further includes instruction means for instructing the medical fee payment machine to output receipt data, and the instruction means is capable of designating a period. Characterize.

According to the present invention, when installing a medical accounting for the host computer (medical account server) and medical payment machine medical institutions, ex post receipts detail information of medical fees paid by each medical payment's Ru can be efficiently presented to.

FIG. 1 is a diagram showing a system configuration and a system outline of a medical care payment system according to this embodiment. FIG. 2 is a perspective view showing the external appearance of the medical bill payment machine shown in FIG. FIG. 3 is a functional block diagram showing a configuration of the medical care fee payment machine shown in FIG. FIG. 4 is a diagram showing an example of the receipt detail data 27a stored in the storage unit of the medical care fee payment machine shown in FIG. FIG. 5: is a figure which shows an example of the state data 27b memorize|stored in the memory|storage part of the medical expenses payment machine shown in FIG. FIG. 6 is a diagram showing an example of a screen relating to the payment processing of the medical fee displayed on the display operation unit of the medical fee payment machine shown in FIG. FIG. 7: is a perspective view which shows the external appearance of the teller machine shown in FIG. FIG. 8 is a functional block diagram showing the configuration of the teller machine shown in FIG. FIG. 9 is a functional block diagram showing the configuration of the monitoring device shown in FIG. FIG. 10 is a diagram showing an example of state data stored in the storage unit of the monitoring device shown in FIG. FIG. 11 is a diagram showing an example of a screen for monitoring the state of the medical expense payment machine in the monitoring device shown in FIG. FIG. 12 is a diagram showing an example of a medical expense list screen in the monitoring device shown in FIG. FIG. 13 is a flowchart showing a processing procedure for outputting the receipt specification information of the medical expenses paid by the medical expenses payment machine by the monitoring device.

Preferred embodiments of a medical care payment machine, a monitoring device, and a medical care payment system according to the present invention will be described in detail below with reference to the accompanying drawings. In the embodiments described below, the present invention is applied to a medical bill payment system of a medical institution provided with a medical accounting server and a plurality of medical bill payers.

First, the features of the medical care payment system according to the present embodiment will be described. FIG. 1 is a diagram showing a system configuration and a system outline of a medical care payment system according to this embodiment. In this medical care payment system, conventionally, a medical accounting server 10, a plurality of medical care payment machines 20, and a monitoring device 30 are provided in a medical institution.

Here, in the medical care payment system according to the present embodiment, the monitoring device 30 acquires and stores the receipt detailed information (including the medical care content, the number of medical care points, the medical care cost, etc.) of the medical care cost from each medical care cost payment machine 20. When the specified operation is performed, the corresponding receipt details information is displayed on the display unit, so that the receipt details information of the medical expenses paid by each medical expenses payer can be efficiently presented after the fact. The feature is that it is possible.

Specifically, the monitoring device 30 receives the receipt detailed data 27a of the medical expenses paid by the respective payers of medical expenses from the respective payers 20 of medical expenses, and stores the receipt detailed data 34a in the storage unit. Then, if it becomes necessary to present the receipt detailed information of the medical expenses to the examiner of the social insurance medical fee payment fund or the payer of the medical expenses, the receipt detailed data 34a stored in the storage unit of the monitoring device 30 is applicable. The receipt detailed information of the medical expenses to be displayed is displayed on the display unit. Further, the receipt statement information can be printed as required.

As shown in FIG. 1, this medical bill payment system includes a medical accounting server 10, a plurality of medical bill payers 20, a monitoring device 30, and a window payer 40, and communication lines such as a LAN (Local Area Network). Data communication is possible via. It should be noted that although the case where each device is connected by a LAN is shown here, it is also possible to connect by wireless communication.

The medical accounting server 10 uses a database in which the medical care contents, the medical care points, and the costs are associated and stored, calculates the medical care cost indicating the total number of medical care points and the cost according to the medical care contents of the patient, and calculates the calculated medical care cost. It is stored in association with patient identification information. The medical accounting server 10 acquires an electronic medical record corresponding to the identification information of the patient from an electronic medical record system (not shown) or the like, and specifies the medical care content of the patient. Further, the medical accounting server 10 responds to the request from the medical bill payment machine 20 and notifies the medical bill corresponding to the patient identification information.

The medical bill payment machine 20 receives payment of the medical bill in response to the operation by the medical bill payer. Specifically, when the medical examination ticket of the patient is accepted, the medical treatment data corresponding to the card ID of the medical examination ticket is requested to the medical accounting server 10, and the medical treatment included in the medical treatment data notified from the medical accounting server 10. The contents and medical expenses are displayed on the display unit to request payment of the medical expenses. When the payer of the medical expenses pays in money, after making the denomination judgment and the authenticity judgment of the money, the money is stored in the storage unit and the change is paid out as necessary. Further, when the processing for accepting payment of medical expenses is completed, a receipt is issued and the receipt detailed information described in the receipt of medical expenses is added to the receipt detailed data 27a. In addition, the medical bill payment machine 20 transmits the update content of the receipt statement data 27a to the monitoring device 30 at a predetermined timing or based on a request from the monitoring device 30.

The monitoring device 30 is a device for monitoring the operating status of a plurality of medical expense payment machines 20 installed in a medical institution. In addition, the monitoring device 30 accumulates the receipt detail data 27a received from each medical care payment machine 20 in the receipt detail data 34a in the storage unit, and responds to a predetermined operation with the corresponding receipt detail data 34a. And the retrieved receipt information is displayed on the display unit. It should be noted that the monitoring device 30 can also print a receipt for medical expenses.

Here, an outline of a series of processes for outputting the receipt detailed information of the medical expenses paid by the medical expenses payment machine 20 in the monitoring device 30 will be described. When the medical care payer uses the medical care payment machine 20 to pay the medical care cost, first, a medical examination ticket is inserted into the medical care payment machine 20 (S1). The medical bill payment machine 20 reads the card ID from the medical examination ticket, requests the medical treatment data (including the medical treatment content, the number of medical treatment points, the medical treatment cost, etc.) corresponding to the card ID from the medical accounting server 10, and the patient corresponding to the card ID. The medical care data of is acquired (S2).

The medical care payment machine 20 uses the medical care data acquired from the medical accounting server 10 to display the medical care content and the medical care cost on the screen. Upon receiving the payment of the medical care cost (S3), the medical care payment machine 20 issues a receipt including the medical care cost and the medical care content (S4). Further, when the medical fee payment machine 20 finishes the processing for receiving the medical fee payment, the medical fee payment machine 20 adds the receipt detailed information including the receipt date, the card ID, the number of medical points and the medical fee printed on the receipt to the receipt detailed data 27a. To do.

The medical bill payment machine 20 transmits the receipt detail data 27a to the monitoring device 30 in response to the request from the monitoring device 30 (S5). The monitoring device 30 accumulates the receipt detail data 27a received from the medical care payment machine 20 in the receipt detail data 34a. When the monitoring device 30 receives the receipt instruction output instruction operation for the medical treatment payment processing performed by the medical bill payment machine 20 (S6), it outputs the receipt statement data 34a from the receipt statement data 34a based on the receipt instruction output instruction content. The receipt details are searched, and the retrieved receipt details are displayed on the display unit (S7).

In this way, the monitoring device 30 accumulates receipt detail information including the receipt date, the patient name, the number of medical treatment points, the receipt amount, etc. printed on the receipt obtained from the medical treatment payment machine 20 in the receipt detail data 34a. In addition, when the monitoring device 30 receives the output operation of the receipt detailed information for the payment processing of the medical expenses performed by the medical bill payment machine 20, the monitoring device 30 retrieves the corresponding receipt detailed information from the receipt detailed data 34a and retrieves the retrieved receipt. Output detailed information. With such a configuration, the medical institution can efficiently post receipt information of the medical expenses paid by the respective medical expenses payers.

The medical care payment device 20 may be configured to encrypt the medical care detailed data and transmit the medical care detailed data to the monitoring device 30. At this time, the medical care item data encrypted by the monitoring device 30 may be decrypted and viewed. Further, it is also possible to configure so that the encryption processing is performed when the medical care statement data is received by the monitoring device 30, and the decryption processing is performed when it is displayed on the screen or printed.

Further, as shown in FIG. 1, a medical institution is also provided with a device called a window payment machine 40 as a device for payment of medical expenses. The counter payment machine 40 accepts payment of medical expenses in response to an operation by a person in charge of a medical institution. Specifically, when the medical examination ticket of the patient is accepted, the medical treatment data corresponding to the card ID of the medical examination ticket is requested to the medical accounting server 10, and the medical treatment included in the medical treatment data notified from the medical accounting server 10. The contents and medical expenses are displayed on the display. When the money received from the payer of the medical expenses is put in, the money is stored in the storage unit after the denomination determination and the authenticity determination of the money are performed, and the change is paid out if necessary. When the process of accepting the payment of the medical expenses is completed, a receipt is issued and the receipt detail information described in the receipt of the medical expenses is stored in the storage unit. Further, the teller machine 40 also transmits the receipt statement information to the monitoring device 30 at a predetermined timing or in response to a request from the monitoring device 30. As a result, in the monitoring device 30, the receipt detailed information of the medical expenses paid by the counter payment machine 40 is also collected in the monitoring device 30, so that the receipt detailed information of the medical expenses paid by the counter payment machine 40 is collected. Can also be output by the monitoring device 30.

Next, the appearance of the medical bill payment machine 20 shown in FIG. 1 will be described. FIG. 2 is a perspective view showing the external appearance of the medical expenses payment machine 20. As shown in FIG. 2, the medical bill payment machine 20 includes a display operation unit 21, a printer paper discharge port 22a, a card handling port 23a, a bill deposit port 24a, a bill dispense port 24b, a coin deposit port 25a, and a foreign matter return port. 25b.

The display operation unit 21 is a device such as a touch-panel liquid crystal display that displays information and accepts input operations. The printer paper discharge port 22a is a discharge port for discharging the paper printed by the printer. The card handling port 23a is an insertion port for inserting a medical examination ticket, and the medical examination ticket is discharged from the card handling port 23a upon completion of the payment process of the medical expenses.

The bill deposit port 24a is a deposit port for depositing bills equivalent to the fee for medical treatment. The banknote withdrawal port 24b is a withdrawal port for withdrawing a banknote corresponding to the banknote to be paid out of the change, when a change of the banknote occurs in the medical care payment process. The coin pay-in/pay-out port 25a is a pay-in port for inserting coins that make up all or part of the medical treatment cost, and when coin change occurs, the coins are paid out to the coin pay-in/pay-out port 25a. The foreign matter return port 25b is a return port for returning the foreign matter when a foreign matter other than coins is present in the coin deposit/withdrawal port 25a.

Next, the internal configuration of the medical care payment machine 20 shown in FIG. 1 will be described. FIG. 3 is a functional block diagram showing an internal configuration of the medical care payment machine 20. As shown in FIG. 3, the medical treatment payment machine 20 includes a display operation unit 21, a printer 22, a card reader 23, a banknote deposit/withdrawal processing unit 24, a coin deposit/withdrawal processing unit 25, a communication unit 26, a storage unit 27, and a control unit. 28.

The printer 22 is a printing unit such as a laser printer or a thermal printer, and is used when printing a receipt or the like. The card reader 23 is a device for reading the card ID from the examination ticket inserted in the card handling port 23a. In this embodiment, it is assumed that the medical examination ticket is an IC card or a magnetic card, and the card ID is stored in the medical examination ticket.

The banknote deposit/withdrawal processing unit 24 performs denomination determination and authenticity determination of the banknote inserted into the banknote deposit opening 24a, counts the number of denominations of the banknote determined to be authentic, and then stores the banknote inside the banknote. It is a processing unit that is stored in the storage unit. In addition, when the banknote pay-in/pay-out processing unit 24 receives the payout instruction of the changeable banknotes, the banknote pay-in/pay-out processing unit 24 conveys the specified number of banknotes of the specified money type to the banknote payout port 24b.

Further, the coin deposit/withdrawal processing unit 25 performs the denomination determination and the authenticity determination of the coin inserted into the coin deposit/withdrawal port 25a, counts the number of coins of the coin type determined to be authentic, and then It is a processing unit that is stored in an internal coin storage unit. In addition, when the coin depositing/dispensing processing unit 25 accepts a coin dispensing instruction for a change, the coin depositing/dispensing unit 25 conveys the designated number of coins of the designated denomination to the coin depositing/dispensing port 25a. In addition, when the coin deposit/withdrawal processing unit 25 detects that there is a foreign substance other than coins in the coin deposit/withdrawal port 25a, the coin deposit/withdrawal processing unit 25 conveys the foreign substance to the foreign substance return port 25b.

The communication unit 26 is an interface unit for data communication with the medical accounting server 10 and the monitoring device 30.

The storage unit 27 is a storage device including a hard disk device, a non-volatile memory, and the like, and stores receipt detail data 27a and status data 27b. The receipt detail data 27a is history data relating to payment of medical care cost for each patient, and includes the name of the patient, medical care items, points, medical care cost, payment date and time, and the like. The state data 27b stores the operating states of the printer 22, the card reader 23, the bill deposit/withdrawal processing unit 24, the coin deposit/withdrawal processing unit 25, and the communication unit 26.

The control unit 28 is a control unit that controls the entire medical expenses payment machine 20, and includes a medical expenses payment processing unit 28a, a status notification processing unit 28b, and a receipt detail data management unit 28c. Actually, the programs corresponding to the medical treatment payment processing unit 28a, the status notification processing unit 28b, and the receipt detail data management unit 28c are stored in a non-volatile memory or the like not shown, and these programs are stored in a CPU (Central Processing Unit). By loading and executing it, the corresponding process will be executed.

The medical fee payment processing unit 28a is a processing unit that controls the medical fee payment processing. Specifically, the medical treatment payment processing unit 28a reads the card ID from the examination ticket inserted in the card reader 23 and requests the medical accounting server 10 for medical treatment data corresponding to the card ID. Upon receiving the medical care data corresponding to the card ID from the medical accounting server 10, the medical care fee payment processing unit 28a displays the medical care content and the charge amount on the display operation unit 21 based on the medical care data. In addition, when the banknote deposit/withdrawal processing unit 24 and the coin deposit/withdrawal processing unit 25 accept the insertion of money according to the medical treatment cost, the banknote deposit/withdrawal processing unit 24 and the coin deposit/withdrawal processing unit 25 are arranged to dispense change as necessary. To control. In addition, the medical-care-payment processing unit 28a prints a receipt including the medical care content, medical treatment, and the like with the printer 22, and adds the medical-care-payment history to the receipt detail data 27a.

The status notification processing unit 28b monitors the operating status of each unit such as the printer 22, the card reader 23, the banknote deposit/withdrawal processing unit 24, the coin deposit/withdrawal processing unit 25, and the communication unit 26, and the status data 27b shows the operating status of these units. Remember. Further, when the status data 27b is updated, the status notification processing unit 28b transmits the updated content to the monitoring device 30.

When the receipt statement data management unit 28c is requested by the monitoring apparatus 30 for the receipt statement data 27a, the receipt statement data managing unit 28c transmits the unprocessed receipt statement data to the monitoring apparatus 30. The receipt detail data 27a is transmitted to the monitoring device 30, for example, once a day at the end of the medical treatment time. Further, the receipt detailed data management unit 28c deletes the receipt detailed data 27a that has passed a predetermined period (for example, one month) from the registered date and time.

Next, an example of the receipt detail data 27a and the status data 27b stored in the storage unit 27 of the medical care payment machine 20 shown in FIG. 3 will be described. FIG. 4 is a diagram showing an example of the receipt detail data 27a stored in the storage unit 27 of the medical expense payment machine 20, and FIG. 5 shows the state data 27b stored in the storage unit 27 of the medical expense payment machine 20. It is a figure which shows an example.

As shown in FIG. 4, the receipt statement data 27a is data in which the date and time when the medical expenses are paid, the card ID of the patient's medical examination ticket, the patient name, the medical treatment category, the billing amount, and the medical treatment information are associated with the receipt identification information. is there. This receipt identification information is formed of a device classification, a device number, and a serial number assigned to each device. In the device category, “1” indicates the counter payment machine 40, and “2” indicates the medical care payment machine 20. In the medical treatment category, "1" indicates free medical treatment not covered by insurance, "2" indicates medical treatment for insurance, and "3" indicates mixed medical treatment for free medical treatment and insurance medical treatment. The medical care information includes a plurality of medical care detail information, and each medical care detail information includes the medical care content, the number of medical care points, and the amount of medical care fee according to the number of medical care points. It should be noted that although it is shown here whether the medical treatment is insurance medical treatment or free medical treatment, it is also possible to indicate other types such as social insurance and national health insurance.

FIG. 4 illustrates receipt detail data 27a associated with receipt identification information having a device classification “2” (window payment machine 40), a device number “01”, and a serial number “0001”. .. In the receipt statement data 27a, the date and time when the medical fee is paid is "2015/10/1 10:30", the card ID of the patient's medical examination ticket is "123456", and the patient name is "Taro Tanaka". Yes, the medical treatment category is "2" (insurance medical treatment), and the billing amount is "6600 yen". In addition, in the receipt statement data 27a, the medical treatment content is "first medical examination fee", the medical treatment score is "270 points", the medical treatment amount information is "810 yen", and the medical treatment content is "X-ray". Yes, the medical care information including the medical care point information of “650 points” and the medical care cost of “1950 yen” is shown.

As shown in FIG. 5, the status data 27b is data including a device number, a transaction status, a failure code, a status by unit, a banknote denomination amount and a coin denomination amount. Regarding the transaction status, “0” indicates waiting, “1” indicates deposit processing, “2” indicates change dispensing processing, “3” indicates receipt issuance, and “9” indicates Indicates power off. The state by unit includes the state of the main body, the state of the card reader 23, the state of the printer 22, the state of the banknote deposit/withdrawal processing unit 24, the state of the coin deposit/withdrawal processing unit 25, and the state of the communication unit 26. "Normal" or "abnormal" is given to the state of each unit.

In FIG. 5, the device number is “01”, the transaction status is “standby”, and there is no failure code. Regarding the unit-by-unit state, the state of the main body is “normal”, the state of the card reader 23 is “normal”, the state of the printer 22 is “normal”, and the state of the banknote deposit/withdrawal processing unit 24. Is "normal", the state of the coin depositing/dispensing processing unit 25 is "normal", and the communication unit 26 is "normal". In addition, the amount of money of each type of banknote is "10" for 10,000 yen, "20" for 5,000 yen, and "300" for 1,000 yen. The amount of money of each type is "30 coins" for 500 yen, "250 coins" for 100 yen, "60 coins" for 50 yen, "120 coins" for 10 yen, and "60 coins" for 5 yen. The number of coins is “240 sheets” and one yen coin is “240 sheets”.

Next, an example of the screen relating to the payment processing of the medical fee displayed on the display operation unit 21 of the medical fee payment machine 20 shown in FIG. 1 will be described. FIG. 6 is a diagram showing an example of a screen relating to the payment process of the medical fee displayed on the display operation unit 21.

As shown in FIG. 6A, a message “Please insert a medical examination ticket.” is displayed on the display operation unit 21 while the medical care payment machine 20 is on standby. This is because the insertion of the medical examination ticket by the payer of the medical expenses serves as a trigger for accepting the payment of the medical expenses.

Then, if the medical examination ticket is inserted, as shown in FIG. 6B, the medical treatment data corresponding to the card ID read from the medical examination ticket is acquired from the medical accounting server 10 and displayed on the screen. Here, the patient name is "Taro Tanaka", the initial medical examination fee is "810 yen", the X-ray is "1950 yen", the surgical procedure 1 is "3200 yen", and the surgical procedure 2 is "640" yen. And the billed amount is “6600 yen”.

Further, as shown in FIG. 6B, the deposit amount of money inserted by the medical care payer and the change amount obtained by subtracting the deposit amount from the billing amount are displayed. Here, the billing amount is "6600 yen", the deposit amount is "10000 yen", and the change amount is "3400 yen". Further, as shown in FIG. 6B, a “confirm” button for the medical care payer to proceed with the medical care payment process is included.

Next, the appearance of the teller machine 40 shown in FIG. 1 will be described. FIG. 7 is a perspective view showing the appearance of the teller machine 40. As shown in FIG. 7, the teller machine 40 includes a display operation unit 41, a customer display unit 42, a card reader 43, a banknote deposit/withdrawal processing unit 44, and a coin deposit/withdrawal processing unit 45.

The display operation unit 41 is a device that includes a touch-panel liquid crystal display or the like, and displays information and accepts input operations. The customer display unit 42 is composed of a liquid crystal display or the like, and is arranged so that it can be visually recognized by the customer who faces the window clerk. The customer display unit 42 displays the billing amount and the like. The card reader 43 is a device for reading the card ID from the IC chip embedded in the examination ticket.

The banknote deposit/withdrawal processing unit 44 is a device for depositing/withdrawing money involved in payment processing of medical expenses. The banknote deposit/withdrawal processing unit 44 has a banknote insertion slot 44a and a banknote ejection slot 44b. Further, the banknote deposit/withdrawal processing unit 44 performs denomination determination and authenticity determination of the banknote inserted into the banknote insertion slot 44a, counts the number of denominations of the banknote determined to be authentic, and stores the internal banknote storage unit. To store. In addition, when the banknote deposit/withdrawal processing unit 44 receives a change payout instruction, the banknote deposit/withdrawal processing unit 44 conveys the number of banknotes of the type corresponding to the change from the banknote storage unit to the banknote outlet 44b.

The coin deposit/withdrawal processing unit 45 is a device for depositing/withdrawing coins for payment of medical expenses. The coin deposit/withdrawal processing unit 45 has a coin slot 45a and a coin outlet 45b. Further, the coin depositing/dispensing processing unit 45 performs a denomination determination and a genuineness determination of the coins inserted into the coin insertion port 45a, counts the number of coins of the coin type determined to be authentic, and stores the internal coin storing unit. To store. In addition, when the coin depositing/dispensing processing unit 45 receives the change-out instruction, the coin depositing/dispensing processing unit 45 conveys coins of a coin type corresponding to the change from the coin storing unit to the coin outlet 45b.

Next, the internal configuration of the teller machine 40 shown in FIG. 1 will be described. FIG. 8 is a functional block diagram showing the internal configuration of the teller machine 40. As shown in FIG. 8, the window payment machine 40 includes a display operation unit 41, a customer display unit 42, a card reader 43, a banknote deposit/withdrawal processing unit 44, a coin deposit/withdrawal processing unit 45, a communication unit 46, a storage unit 47, and a control unit. It has a part 48. The communication unit 46 is an interface unit for data communication with the medical accounting server 10, the monitoring device 30, and the printer 49.

The storage unit 47 is a storage device including a hard disk device, a non-volatile memory, and the like, and stores the receipt detail data 47a. The receipt detailed data 47a is historical data relating to payment of medical expenses for each patient, and like the receipt detailed data 27a of the medical expenses paying machine 20, shows the patient's name, medical treatment item, points, medical expenses, payment date and time, and the like. Including.

The control unit 48 is a control unit that controls the window payment machine 40 as a whole, and includes a medical treatment payment processing unit 48a and a receipt detail data management unit 48b. Actually, the programs corresponding to the medical treatment payment processing unit 48a and the receipt detail data management unit 48b are stored in a non-volatile memory or the like not shown, and these programs are loaded into the CPU to be executed so that they are dealt with. Will run the process.

The medical fee payment processing unit 48a is a processing unit that controls the medical fee payment processing. Specifically, when the card reader 43 reads the card ID from the medical examination ticket, the medical bill payment processor 48a requests the medical accounting server 10 for medical treatment data including the card ID. Upon receiving the medical care data corresponding to the card ID from the medical accounting server 10, the medical care fee payment processing unit 48a displays the medical care contents and the charge amount on the display unit based on the medical care data. In addition, when the banknote deposit/withdrawal processing unit 44 and the coin deposit/withdrawal processing unit 45 accept the insertion of coins according to the medical expenses, the banknote deposit/withdrawal processing unit 44 and the coin deposit/withdrawal processing unit 45 are provided so as to dispense change as necessary. To control. Further, the medical-care-payment processing unit 48a prints a receipt including the medical treatment content and the medical treatment cost with the printer 49, and adds the medical-care expense payment history to the receipt detail data 47a.

When the receipt detail data management unit 48b is requested by the monitoring device 30 to receive the receipt detail data 47a, it sends the unprocessed receipt detail data 47a to the monitoring device 30. The receipt detail data 47a is transmitted to the monitoring device 30, for example, once a day at the end of the medical treatment time. Further, the receipt detailed data management unit 48b deletes the receipt detailed data 47a that has passed a predetermined period (for example, one month) from the registered date and time.

Next, the internal configuration of the monitoring device 30 shown in FIG. 1 will be described. FIG. 9 is a functional block diagram showing the internal configuration of the monitoring device 30. As shown in FIG. 9, the monitoring device 30 includes an input unit 31, a display unit 32, a communication unit 33, a storage unit 34, and a control unit 35. The input unit 31 is an input device such as a keyboard and a mouse. The display unit 32 is a display device such as a liquid crystal display panel. The communication unit 33 is an interface unit for performing data communication with the medical accounting server 10, the medical expense payment machine 20, the window payment machine 40, and the printer 49.

The storage unit 47 is a storage device including a hard disk device, a non-volatile memory, and the like, and stores receipt detail data 34a and status data 34b. The receipt statement data 34a is data in which the receipt statement data 27a received from the medical care payment machine 20 and the receipt statement data 47a received from the window payment machine 40 are accumulated, and the data structure is the receipt statement of the medical care payment machine 20. This is the same as the data 27a and the receipt statement data 47a of the teller machine 40. The state data 34b is made up of state data 27b collected from all the medical treatment payment machines 20 in the medical institution. Since the medical fee payment machine 20 transmits the updated contents to the monitoring device 30 each time the status data 27b indicating the state of the medical device is updated, the monitoring device 30 pays all the medical expenses in the medical institution almost in real time. The state of the machine 20 can be grasped.

The control unit 35 is a control unit that controls the entire monitoring device 30, and includes a state monitoring processing unit 35a, a daily total processing unit 35b, a receipt detail data management unit 35c, and a receipt detail data output unit 35d. Actually, the programs corresponding to the state monitoring processing unit 35a, the daily total processing unit 35b, the receipt detailed data management unit 35c, and the receipt detailed data output unit 35d are stored in a non-volatile memory or the like not shown, and these programs are stored. By loading and executing in the CPU, the corresponding process is executed.

The status monitoring processing unit 35a stores the status data 27b received from each medical care payment machine 20 as a record of the status data 34b for each medical care payment machine 20. Further, when the status monitoring processing unit 35a receives the update content of the status data 27b from each medical expense payment machine 20, the status monitoring processing unit 35a reflects the update content in the status data 34b. In addition, when the status monitoring processing unit 35a receives a predetermined operation, the status monitoring processing unit 35a displays the status data 34b on the display unit 32. If the status monitor processing unit 35a receives the update content of the status data 27b from the medical bill payment machine 20 while the status data 34b is being displayed on the display unit 32, the update content is displayed on the display unit 32. Reflect in real time.

When the daily total processing unit 35b receives an instruction operation to total the medical expenses for the day, the daily total processing unit 35b outputs the daily total table, which is the total result. Specifically, the daily total processing unit 35b acquires all the medical care data performed on the day from the medical accounting server 10, totalizes all the medical care data, and outputs the totalized result as a daily total table. To do.

The receipt detailed data management unit 35c accumulates and stores the receipt detailed data 27a received from the medical treatment payment machine 20 and the receipt detailed data 47a received from the window payment machine 40 in the receipt detailed data 34a.

The receipt statement data output unit 35d acquires the medical care data corresponding to the receipt statement data 34a from the medical accounting server 10, and outputs the receipt statement data 34a and the medical care data in association with each other. Further, the receipt detailed data output unit 35d can output receipt detailed information corresponding to each record of the receipt detailed data 34a to the display unit 32, or reprint the receipt.

Next, an example of the state data 34b stored in the storage unit 34 of the monitoring device 30 illustrated in FIG. 9 will be described. FIG. 10 is a diagram showing an example of the state data 34b stored in the storage unit 34 of the monitoring device 30.

As shown in FIG. 10, the state data 34b is data in which the state data 27b received from each medical expense payment machine 20 is stored, and the structure of each record is the state data of the medical expense payment machine 20 shown in FIG. Similar to 27b, it includes a device number, a transaction status, a failure code, a status by unit, a banknote denomination amount and a coin denomination amount. FIG. 10 illustrates the state data 34b associated with the medical care fee payment machine 20 having the device number “01”. In the status data 34b, the transaction status is "standby", there is no failure code, the unit status is "normal", the card reader 23 is "normal", and the printer 22 Is "normal", the state of the banknote deposit/withdrawal processing section 24 is "normal", the state of the coin deposit/withdrawal processing section 25 is "normal", and the communication section 26 is "normal". Shows. In addition, in the state data 34b, the amount of money of each banknote is “10” for 10,000 yen, “20” for 5,000 yen, and “300” for 1,000 yen, As for the amount of money by coin type, the amount of 500 yen is "30 coins", 100 yen is "250 coins", 50 yen is "60 coins", 10 yen is "120 coins", 5 yen coins Indicates “60 sheets” and one yen coin is “240 sheets”.

Next, an example of a screen for monitoring the state of the medical expense payment machine 20 in the monitoring device 30 shown in FIG. 1 will be described. FIG. 11 is a diagram showing an example of a screen for monitoring the state of the medical care payment machine 20 in the monitoring device 30.

As shown in FIG. 11, the screen for monitoring the status of the medical care payment machine 20 includes a screen title “medical care payment machine status monitoring screen” indicating that. The medical care payment machine status monitoring screen is a screen in which the content of the status data 34b is displayed on the display unit 32, and the status data 34b is displayed according to the notification from the medical care payment machine 20 while the medical care payment machine status monitoring screen is displayed. When is updated, the content displayed on the medical expense payment machine status monitoring screen is also updated. Further, on the medical expense payment machine status monitoring screen, the device number, transaction status, failure content, and unit status of each medical care expense payment machine 20 are displayed in a table format. When a failure code is stored in the status data 34b, the failure content column displays the failure content corresponding to the failure code.

The unit status column includes a card section column that indicates the status of the card reader 23, a printer column that indicates the state of the printer 22, a banknote section column that indicates the state of the banknote deposit/withdrawal processing unit 24, and a coin deposit/withdrawal process. It has a coin section column showing the state of the section 25 and a communication section column showing the state of the communication section 26. The unit state column is blank when the unit state is normal, and only when the unit state is not normal, there is displayed a message indicating that there is a failure or the state thereof. In the unit status column shown in FIG. 11, the banknote deposit/withdrawal processing unit 24 of the medical care payment machine 20 having the device number “02” is “failure”, and the coins of the medical care payment machine 20 having the device number “07”. The deposit/withdrawal processing unit 25 is in a "near end" state in which the amount of coins is less than or equal to a predetermined number.

Further, the medical care payment machine status monitoring screen includes an end button, and when the end button is operated, the display processing of the medical care payment machine status monitoring screen ends.

Next, an example of the medical fee list screen in the monitoring device 30 shown in FIG. 1 will be described. FIG. 12 is a diagram showing an example of a medical expense list screen in the monitoring device 30.

As shown in FIG. 12, on the medical expense list screen, medical information, receipt information, and determination results for each patient for a date designated on a search screen (not shown) are displayed. The medical care information includes medical care points acquired from the medical accounting server 10 and medical care costs corresponding to the medical care points. In addition, the receipt information indicates the type of the device for which the patient paid the medical fee based on the receipt detailed data 34a that accumulates the receipt detailed data 27a and 47a acquired from the medical fee payment machine 20 or the window payment machine 40. The device category, device number, and receipt amount shown are displayed. In the judgment column, the judgment result of whether or not the medical expenses included in the medical information and the receipt amount included in the receipt information are displayed, and the medical expenses included in the medical information and the receipt information are displayed. If the received amounts of money included are the same, a blank is displayed, and if they are not the same, the word "mismatch" is displayed.

Further, as shown in FIG. 12, the medical care cost list screen includes a check box for designating a medical care division, and whether to display only free medical care, only insurance medical care, or mixed medical care is displayed. Can be specified. Further, the medical expense list screen includes a detail output button and an end button. Each item in the list of medical expenses has a check box for specifying that it is an output target. If the item output button is operated after checking the check box, the receipt for the item checked in the check box will be received. The detailed information can be displayed on the display unit 32. Although not shown, it is possible to instruct printing with the receipt detail information being displayed, and when the printing instruction is issued, the receipt corresponding to the receipt detail information is printed. When the end button is operated, the display processing of the medical care cost list screen ends.

Next, a processing procedure for outputting the receipt specification information of the medical expenses paid by the medical expenses payment machine 20 by the monitoring device 30 will be described. FIG. 13 is a flowchart showing a processing procedure for outputting, by the monitoring device 30, receipt detailed information of the medical expenses paid by the medical expenses payment machine 20.

The receipt detailed data output unit 35d acquires the medical care data corresponding to the date designated on the search screen (not shown) from the medical accounting server 10 (step S101). When the receipt detailed data 34a corresponding to the designated date does not exist (step S102; Yes), the receipt detailed data output part 35d respond|corresponds to the date designated by the search screen from all the medical expense payment machines 20. The record of the receipt detailed data 27a is acquired and added to the receipt detailed data 34a (step S103). In addition, the receipt detailed data output unit 35d acquires the record of the receipt detailed data 47a corresponding to the date designated on the search screen from all the teller machines 40 and adds it to the receipt detailed data 34a (step S104). When the receipt detail data 34a corresponding to the designated date exists (step S102; No), the process proceeds to step S105.

The receipt detailed data output unit 35d displays a medical expense list screen as shown in FIG. 12 based on the contents of the medical care data and the receipt detailed data 34a acquired in step S101 (step S105). When the operation of the detail output button is accepted on the medical expense list screen (step S106; Yes), the receipt detailed data output unit 35d displays the receipt detailed information for the items checked in the check box in the medical expenses list on the display unit 32. It is displayed (step S107).

If the operation of the end button is accepted on the medical expense list screen (step S108; Yes), the process ends. When the operation of the end button is not accepted on the medical expense list screen (step S108; No), the process returns to step S106.

As described above, in the present embodiment, the monitoring device 30 receives the receipt detailed information including the receipt date, the patient name, the number of medical treatment points, the receipt amount, etc. printed on the receipt obtained from the medical care payment machine 20. It is stored in the data 34a. In addition, when the monitoring device 30 receives the output operation of the receipt detailed information for the payment processing of the medical expenses performed by the medical bill payment machine 20, the monitoring device 30 retrieves the corresponding receipt detailed information from the receipt detailed data 34a and retrieves the retrieved receipt. Output detailed information. With such a configuration, when the medical accounting server 10 and the medical bill payment machine 20 are installed in a medical institution, the receipt detail information of the medical bill paid by each medical bill payer can be efficiently presented after the fact.

In the present embodiment, the monitoring device 30 displays the receipt detailed information on the screen by using the information of the receipt detailed data 34a which is the receipt detailed information acquired from the medical treatment payment machine 20 or the window payment machine 40. Although the case of printing a receipt has been described, the present invention is not limited to this. For example, the receipt detailed information included in the receipt detailed data 34a may be printed on a paper in a tabular format. Further, for example, the receipt detail data 34a may be output by changing the format to a file of another format such as CSV format.

Further, in the present embodiment, the case where the medical expense payment machine 20 and the window payment machine 40 transmit the update contents of the receipt detail data 27a and 47a to the monitoring device 30 based on a predetermined timing or a request from the monitoring device 30. Although described, the invention is not so limited. For example, the medical care payment machine 20 and the counter payment machine 40 may transmit receipt detail information related to the payment processing performed to the monitoring device 30 each time the medical care payment processing ends.

Further, in the present embodiment, when the monitoring device 30 displays the contents of the receipt detailed data 34a as a medical expense list on the display unit 32 or when printing the receipt detailed information, the explanation of the conditions relating to the authority of the operator will be omitted. Although not done, the invention is not so limited. For example, when the contents of the receipt detailed data 34a are displayed on the display unit 32 as a medical expense list or when the receipt detailed information is printed, it may be a condition that the operator has a predetermined authority. Further, for example, the monitoring device 30 may be provided with a function of updating the receipt detail data 34a so that an operator having a predetermined authority can use the function of updating the receipt detail data 34a.

In addition, each configuration illustrated in the above-described embodiment is a schematic function, and does not necessarily have to be physically configured as illustrated. That is, the form of distribution/integration of each device is not limited to that shown in the figure, and all or a part of them may be functionally or physically distributed/integrated in arbitrary units according to various loads and usage conditions. Can be configured.

As described above, the medical care payment machine, the monitoring device, and the medical care payment system according to the present invention provide the medical care paid by each medical care payer when the medical accounting server and the medical care payment machine are installed in the medical institution. It is suitable for presenting expense receipt details information efficiently afterwards.

10 Medical Accounting Server 20 Medical Expense Payment Machine 21, 41 Display Operation Unit 22, 49 Printer 22a Printer Paper Ejection Port 23, 43 Card Reader 23a Card Handling Port 24, 44 Banknote Deposit/Withdrawal Processor 24a Banknote Deposit Port 24b Banknote Withdrawal Port 25, 45 Coin deposit/withdrawal processing unit 25a Coin deposit/withdrawal port 25b Foreign object return port 26, 33, 46 Communication unit 27, 34, 47 Storage unit 27a, 34a, 47a Receipt statement data 27b, 34b Status data 28, 35, 48 Control Department 28a, 48a Medical fee payment processor 28b Status notification processor 28c, 35c, 48b Receipt statement data manager 30 Monitoring device 31 Input 32 Display 35a Status monitoring processor 35b Daily accounting processor 35d Receipt statement data output 40 Counter payment machine 42 Customer display 44a Banknote slot 44b Banknote outlet 45a Coin slot 45b Coin outlet

Claims (8)

Medical ticket reception means for receiving medical tickets,
An acquisition unit that acquires the number of medical treatment points and the billing amount corresponding to the identification information of the medical examination ticket received by the medical examination ticket reception unit from the host computer for medical accounting.
A money process in which, in accordance with the operation of paying medical fees by a customer, the money inserted into a predetermined money slot is stored in a money storage unit, and when a change occurs, the change amount is paid out from the money storage unit. Means and
A receipt issuing means for issuing a receipt including medical treatment points and billed amount to the customer;
Storage means for storing the receipt data including the clinical scores and billing amount issued to the customer,
Output means for outputting receipt data stored in the storage means to a monitoring device different from the host computer for medical accounting, which presents receipt detail information of medical expenses to the customer. A payment machine for medical expenses. The storage means stores receipt data by dividing into free medical examinations that do not include medical examination points, insurance medical examinations based on medical examination points, and mixed medical examinations that mix the free medical examination and the insurance medical examination, and the output means. The receipt payment data is output according to the type of medical treatment, the medical expenses payment machine according to claim 1. The output means outputs receipt data every predetermined period,
The medical bill payment machine according to claim 1 or 2 , further comprising: a deletion unit that deletes the receipt data output by the output unit. A first acquisition means for acquiring receipt data including the number of medical care points issued to the customer and the billing amount from the medical care payment machine;
Storage means for storing the receipt data acquired by the first acquisition means;
Second acquisition means for acquiring the number of medical care points and the amount of billing of the customer from the host computer for medical accounting,
It is characterized by further comprising: the receipt data of the customer stored in the storage means, and the determination means for determining the consistency between the medical treatment points and the billed amount of the customer acquired by the second acquisition means. Monitoring equipment. A medical care payment system having a medical care payment machine and a monitoring device for monitoring the amount and state of money stored in the money storage unit of the medical care payment machine,
Before Symbol monitoring device,
A first acquisition means for acquiring receipt data including the number of medical care points issued to the customer and the billing amount from the medical care payment machine;
Storage means for storing the receipt data acquired by the first acquisition means ;
Second acquisition means for acquiring the number of medical care points and the amount of billing of the customer from the host computer for medical accounting,
Determination means for determining the consistency between the receipt data of the customer stored in the storage means and the medical treatment points and billed amount of the customer acquired by the second acquisition means.
A medical bill payment system characterized by having. Medical payment system according to claim 5, further comprising a determination result output means for outputting a determination result by the determination unit. 7. The medical care payment system according to claim 5 or 6 , wherein the monitoring device further includes a correction unit that corrects the number of medical care points and the amount of bills acquired from a host computer for medical accounting or a medical care payment machine. .. 8. The monitoring device according to claim 5 , further comprising instruction means for instructing the receipt payment data to be output to the medical care payment machine, and the instruction means is capable of designating a period. The medical fee payment system described in one.

Images