KR20100116966A - The method and system for managing of medical certificate using barcode - Google Patents

Abstract

PURPOSE: A certificate document management method for a demand for insurance and a system thereof using a bar code for annexing the bar code to a medical certificate in the hospital are provided to no need to input the certificate documents contents. CONSTITUTION: A hospital server(100) includes a bar code module. The bar code module encodes the medical information of a patient to the bar code. The hospital server supplies the certificate documents for the demand for insurance in which the encoded bar code is included. An insurance company server(200) includes the bar code decoding module. The insurance company server decodes the bar code included in the certificate documents. The insurance company server stores the decoded information.

Description

Method and system for managing certification documents for insurance claims using barcodes {THE METHOD AND SYSTEM FOR MANAGING OF MEDICAL CERTIFICATE USING BARCODE}

The present invention relates to a method and system for managing proof documents for insurance claims using a bar code, and more specifically, by adding a bar code to the proof documents issued by a hospital and providing the patient to the patient, the contents of the proof documents by reading the bar code by the insurance company, etc. The present invention relates to a method and system for managing claim documents using a barcode, which reduces the labor of input.

In our modern society, we purchase medical insurance, automobile insurance, accident insurance and other insurance against accidents, damages caused by various causes, and health damage caused by diseases. These insurances cover physical and property damage that may arise in the future, and it is common for many people to have at least one insurance product. Achieve your purpose. However, compensation for unforeseen accidents or unconditional benefits can be damaging to many insureds, so proof of claimants' physical injury or damage is required prior to claim. do. The most representative example of such evidence is a medical certificate issued by a medical institution. A diagnosis is a document prepared by a medical institution such as a clinic to prove the result of a diagnosis of a patient's health condition or sickness. It is a document which is obliged to be issued as long as there is a valid reason when a request for issuance of proof documents is entered. The patient who wishes to claim the insurance will be asked to provide proof of the certificate, including a medical certificate, to the insurance company.

However, if you submit these proofs to the insurance company, the insurance company will have to rewrite the contents of the proof documents one by one, and you will be obliged to keep the proof documents for a certain period of time. There is a problem in that there is a need for a separate place and personnel to manage it. In addition, since the calculation of insurance benefits is made on the basis of proof documents, there is a problem that damage to the proof documents and the risk of forgery and copying also occur.

The present invention has been proposed to solve the above problems of the conventionally proposed methods, by providing a patient with a barcode attached to the document issued by the hospital, medical insurance, accident insurance, automobile insurance and various private insurance companies It is an object of the present invention to provide a method and system for managing insurance documents for claim claims using barcodes, which makes it possible to reduce the trouble of having to input the contents of proof documents by barcode reading. In addition, the original documents can be easily stored by scanning the proof documents and decrypting and storing the barcodes included in the proof documents. In addition, when providing the proof documents at the hospital, the information for authenticity verification can be added together with the barcodes. It is another object of the present invention to provide a method and system for managing claims for proof documents using a barcode that can prevent damage, forgery and copying of proof documents by a patient, and can easily verify authenticity.

Certificate document for claim claims using a barcode according to a feature of the present invention for achieving the above object,

A hospital server having a barcode encoding module for encoding patient information of a patient into a barcode, the hospital server providing insurance claim proof documents including the barcode encoded by the barcode encoding module to the patient; And

It is characterized in that it comprises a barcode decoding module, comprising a insurance company server for decoding the barcode included in the authentication document provided from the patient using the barcode decoding module, and stores the decoded information.

Preferably, the hospital server may further include a medical care information DB for storing medical care information of the patient.

Preferably, the insurance company server may further include a decoding information DB for storing the information decoded by the barcode decoding module.

Preferably, the insurance company server may further include a scanning module for scanning the attestation document provided from the patient.

Preferably, the barcode decoding module provided in the insurance company server, after scanning the attestation document provided from the patient, can decode the barcode included in the scanned attestation document.

More preferably, the insurance company server may further include a proof document DB for storing proof documents scanned by the scanning module or the barcode decoding module.

Preferably, the medical care information may include personal information of the patient, diagnosis and medical treatment of the patient's condition, medical practitioner and medical institution information.

Claim document management method for claim using a barcode according to a feature of the present invention for achieving the above object,

(1) encoding the medical care information including a diagnosis of the patient into a barcode;

(2) providing a claim proof document including the encoded barcode to a patient;

(3) the insurance company server decoding the barcode included in the proof document from the claim proof document received from the patient; And

(4) storing the decoded proof document contents in a decoding information DB.

Preferably, the medical care information including the diagnosis contents for the patient may be stored in the medical care information DB.

Preferably,

Scanning the provided proof of claim document when receiving the proof of claim document from a patient; And

The method may further include storing the scanned proof document.

Preferably, the step (3) of the insurance company server decoding the barcode included in the proof document,

Scanning the attestation document provided by the patient; And

And decoding a barcode included in the scanned attestation document.

Preferably, the medical care information may include basic information of the patient, diagnosis and medical contents of the patient's condition, medical doctor and medical institution information.

A computer-readable recording medium according to another aspect of the present invention for achieving the above object can record a program for executing the method of any one of the above.

According to the method and system for managing claim documents using a barcode proposed by the present invention, by providing a patient with a barcode added to the document including a certificate issued by the hospital, the insurance company, etc. This saves you the trouble of having to type in the content. In addition, by scanning and storing the proof documents, not only the original archiving is easy but also the effort of inputting the contents of the proof documents is saved. In addition, when providing proof documents including a medical certificate at the hospital, by adding a bar code and a statement of authenticity that can verify the authenticity of the proof documents, it is possible to prevent damage and forgery and copying of the proof documents by the patient. Verification is easy.

Hereinafter, exemplary embodiments of the present invention will be described in detail with reference to the accompanying drawings.

1 is a conceptual diagram of a method and system for managing proof documents for claim using a barcode according to an embodiment of the present invention. As shown in FIG. 1, a method and a system for managing claim documents using a barcode according to an embodiment of the present invention, after joining various private insurances including medical insurance, accident insurance, and automobile insurance, schedule accidents The hospital server 100 and the patient 300, which are the medical institutions requesting that the patient 300 to claim the insurance money to be issued with the proof document, receive the proof documents received from the hospital server 100 for the claim. It is composed of the insurance company server 200 to be submitted as proof data. In this case, the hospital server 100 includes a barcode encoding module that encodes the patient's medical care information into a barcode, and provides the patient with proof of insurance claims including the barcode encoded by the barcode encoding module. The hospital server 100 corresponds to a server of various organizations and associations capable of issuing insurance claim documents including a medical institution, a health insurance review and evaluation agent, and a Korean medical association. Patients who receive proof of claim at the hospital will submit it to the insurance company for claims, which includes a barcode that encodes the patient's medical information, including the medical certificate. The insurance company server 200 that has received the proof documents from the patient includes a barcode decoding module capable of decoding the barcode included in the proof documents provided to the patient through the hospital server 100 and includes them in the proof documents provided from the patient. Decoded barcodes, and store the decoded information.

FIG. 2 is a block diagram of a hospital server 100 constituting an insurance claim document management system using a barcode according to an embodiment of the present invention. As shown in Figure 2, the hospital server 100 of the claim document management system for insurance claims using a bar code according to an embodiment of the present invention, barcode encoding module 110, medical care information DB 120, authenticity check It comprises a code generation module 130 for.

The barcode encoding module 110 encodes the patient's medical information into a barcode. After the doctor sees the patient in the hospital, medical information, including the patient's personal information, the diagnosis and treatment of the patient's condition, and the physician's and institution's information, is encoded into a barcode and printed on the proof of claim. The barcode encoding module converts the patient's medical information into barcodes of one, two-dimensional or multi-dimensional form. The information converted into a bar code form is then directly input without reading the barcode from the insurance company server 200, that is, decoding the contents of the proof document, thereby reducing the labor and labor required to enter the proof document. do.

The medical care information DB 120 serves to store the medical care information of the patient. This configuration is necessary for storing the data on the patient using the self-care institution on the hospital server 100 side, the patient to confirm or prove the previous treatment for a variety of purposes or reasons, or such a medical matter It is a storage space (DB) that stores the patient's personal information, the diagnosis and treatment of the patient's condition, and the doctor and the institution's information.

The authenticity check code generation module 130 is for authenticity check including at least one of codes made by letters, numbers, special symbols, watermarks, and a combination thereof in a part of the proof document to confirm the authenticity of the proof document. It generates a code and displays the generated authenticity check code using ink of a non-printable form. The authenticity verification code generated here is a means to prevent forgery and alteration of proof documents and to make it easy to verify the authenticity. It is combined with a unique number, a special type of symbol, a watermark, letters and numbers used in a medical institution. Code forms may be used alone or in combination.

3 is a block diagram of an insurance company server 200 constituting an insurance claim proof document management system using a bar code according to an embodiment of the present invention. As shown in FIG. 3, the insurance company server 200 of the insurance claim document management system using a barcode according to an embodiment of the present invention includes a barcode decoding module 210, a decoding information DB 220, and scanning. Module 230, the document document image DB 240 is configured.

The barcode decoding module 210 decodes, that is, reads the barcode included in the attestation document provided from the patient. In this case, the barcode decoding module 210 used may have only a general barcode decoding function, or may be configured to have an image scanning function. Therefore, after scanning the proof document provided from the patient, it is possible to decode the barcode included in the scanned proof document image.

The decoding information DB 220 stores the medical care information decoded by the barcode decoding module 210. This is a database that stores the patient's medical information including the patient's personal information, the diagnosis and medical contents of the patient's condition, the doctor and the institution's information, which are required by the insurance company server 200, and is a barcode decoding module 210. The contents of the proof document read by) are stored as information in text form. Therefore, the insurance company can directly retrieve the contents stored in the server and use them where necessary, so that the contents do not need to be entered.

The scanning module 230 serves to scan the attestation document provided from the patient. The result obtained here is a scan result of the proof document image, and the scanned proof document image can replace the proof document of each document type to prove the content of the proof document. It does not require management personnel. In addition, by storing the image of the original form can be output at any time, if necessary, it is also possible to have the effect of easy original storage.

The proof document image DB 240 serves to store an image of the proof document scanned by the scanning module 230 or the barcode decoding module 210. In this case, the barcode decoding module 210 should be a barcode decoding module 210 that includes not only a simple barcode decoding function but also an image scanning function of a document. The effect obtained by having the proof document image DB 240 is that as described above in the scanning module 230, the ease of original storage due to the original image storage and does not require a separate storage place and its management personnel.

4 is a flowchart of a method for managing claim documents for insurance claims using a barcode according to an embodiment of the present invention. As shown in FIG. 4, the insurance document authentication document management method using a barcode according to an embodiment of the present invention includes the steps of encoding medical information into a barcode (S410) and providing a document to the patient (S420). Receiving a proof document from the patient (S430), decoding a barcode included in the proof document (S440), and storing the decoded proof document contents (S450).

Step S410 serves to encode the medical care information into a barcode. This is a step in which the hospital server 100 encodes the medical information including the diagnosis contents of the patient as a barcode, and the medical information including the basic information of the patient, the diagnosis and medical contents of the patient's condition, the medical doctor and the medical institution information. Corresponds to the process of encoding a barcode. The encoded barcode is included by a method such as printing on the document provided to the patient in the next step S420. In this case, the medical care information including the diagnosis contents of the patient is stored in the medical care information DB of the hospital server 100 separately from the encoding process, and the stored information corresponds to the information recorded in the original character form, not in the barcode form. . The reason for storing the medical information is to provide it when the patient later confirms or certifies the previous medical treatment for various purposes or reasons, or requests the information to utilize the medical treatment.

Step S420 serves to provide proof documents to the patient. The proof document provided herein is a proof document for insurance claims including medical information, including a patient's basic information, diagnosis and treatment contents of the patient's condition, information of a doctor and a medical institution, in step S410, such as a medical certificate such as a medical certificate, etc. This includes patient care.

Step S430 serves to receive proof documents from the patient. In step S420, the patient who receives the proof document including the barcode from the hospital server 100 receives the insurance money by submitting the proof document for the insurance claim to the insurance company to which he / she wishes to claim the insurance money. The insurance company server 200 receives the proof document by providing the proof document provided from the server 100 to the insurance company.

Step S440 serves to decode the barcode included in the proof document. In step S430, the insurance company server 200 decodes a bar code included in the proof document from the insurance claim document provided by the patient, and converts the proof document content into character information by barcode decoding. By using the bar code, the insurance company can decode the bar code included in the document, even if the document is damaged, so that the insurance company can know the document. This can reduce the effort.

Step S450 serves to store the decoded proof document contents. This is a step of storing the decoded proof document contents in the decoded information DB. The decoded information DB stores the patient's personal information required by the insurance company's server, the diagnosis and medical contents of the patient's condition, and the doctor and the institution's information. It is a database for storing the medical information of the patient, including the contents of the document authentication document identified by the bar code decoding in step S440 as information in the form of a character. Therefore, the insurance company can immediately retrieve the contents stored in the server and utilize them where necessary, so that the contents do not need to be entered.

5 is a flowchart of a method for managing claim documents for insurance claims using a barcode according to an embodiment of the present invention. As shown in FIG. 5, the method for managing insurance documents for a claim using a barcode according to an embodiment of the present invention includes the steps of encoding medical information into a barcode (S510) and providing a document to the patient (S520). ), Receiving the proof document from the patient (S530), scanning the proof document (S540), storing the scanned proof document (S550), decoding the barcode included in the proof document (S560), And storing the decoded proof document contents (S570).

FIG. 5 illustrates an example in which the scanning of the document image itself is performed prior to the barcode decoding process included in the document in the embodiment described with reference to FIG. 4. Since it is performed in the same manner as in step S430 in S410, a description thereof will be referred to the description of the corresponding part in FIG.

Step S540 serves to scan the proof document. In step S530, if the insurance claim document is provided from the patient, it is a step of scanning the provided claim proof document. This is a process of scanning to keep the image of the claim proof document including a barcode itself, and is performed by the scanning module 230.

Step S550 serves to store the scanned proof document image. This is a step of storing an image of the proof document itself scanned in step S540. In the case of the proof document used for claiming, the insurance company has a storage obligation for a certain statutory period, so that the document itself is not stored. This is to keep the image and print it out whenever necessary, and to keep the original easily. The storage of the scanned proof document image has the advantage that there is no risk of damage or loss of the proof document even after a long time, and it can solve the problem of the storage location or the management personnel.

Step S560 is a process of decoding the barcode included in the proof document, which may be performed simultaneously with the scanning process of step S540, and may be performed by the barcode decoding module 210. In step S530, the insurance company server 200 decodes a bar code included in the proof document from the insurance claim proof document provided from the patient and converts the content of the proof document including contents such as a medical certificate into textual information. .

Step S570 is a process of storing the contents of the proof document decoded in step S560, and plays the same role as in step S450, so that a detailed description thereof will be referred to the description of the corresponding part.

6 is a flowchart of a method for managing insurance documents for claim using a barcode according to an embodiment of the present invention. As shown in FIG. 6, the method for managing claim documents using a barcode according to an embodiment of the present invention includes encoding medical information into a barcode (S610) and providing a document to the patient (S620). Receiving a document from the patient (S630), scanning the document (S640), decoding the barcode included in the scanned document (S650), and storing the content of the decoded document ( S660).

FIG. 6 illustrates an embodiment in which the scanning of the proof document image and the decoding of the barcode included in the proof document are performed separately by performing a single scanning process, in step S610. In step S630 is performed in the same manner as step S430 in step S410, a detailed description thereof will be omitted.

Step S640 serves to scan the proof document. In step S630, the scanning of the proof document provided from the patient is performed to scan an image of the entire proof document. The image of the entire scanned proof document can be used as an original image through a separate storage step.

Step S650 serves to decode the barcode included in the scanned proof document. Apart from the previous processes, in FIG. 6, only a barcode part is separately obtained and decoded from an image obtained by one proof document image scanning. At this time, the method of securing only the bar code part in the whole image is shown by having a certain rule of spacing or width between each bar in the case of 1-dimensional bar code, so it is possible to obtain these parts separately by identifying these rules. In the case of the two-dimensional barcode, a unique pattern or code is formed at the edges or four corners of each barcode of the square, and thus, by recognizing the pattern or the code and recognizing and securing the information inside the barcode. Therefore, the insurance company server 200 can decode the bar code secured so as to grasp the medical information including the basic information of the patient, the diagnosis and treatment of the patient's condition, the doctor and the institution information.

Step S660 serves to store the decoded proof document contents. This is to decode the barcode included in the proof document scanned in step S650, and then to store the decoded proof document contents, as well as the decoded proof document contents, as well as the proof document image scanned in step S640.

7 is a flowchart illustrating a method for managing claim documents for insurance claims using a barcode according to an embodiment of the present invention. As shown in FIG. 7, the method for managing claim documents using a barcode according to an embodiment of the present invention includes the steps of encoding medical information into a barcode (S710) and generating a code for authenticity checking (S720). ), Displaying the generated code (S730), providing a proof document to the patient (S740), receiving a proof document from the patient (S750), decoding a barcode included in the proof document (S760). Confirming the authenticity of the decoded attestation document (S770), if the authenticity is confirmed at step S770, storing the decoded attestation document contents (S780), and rejecting the claim if the authenticity check fails at step S770. Steps.

7 is a process of generating a code for authenticity check separately from the bar code, and marking the document on the proof document prior to providing the patient with proof of the insurance claim with the barcode in the hospital server 100, accordingly, In the case where the patient provides the insurance company server 200 with the forged or tampered insurance proof document, an embodiment for checking the forgery by the authenticity check code has been described.

Step S710 serves to encode the medical care information into a barcode. This is a step in which the hospital server 100 encodes the medical information including the diagnosis and the medical treatment of the patient as a bar code, and the basic information of the patient, the diagnosis and medical treatment of the patient's condition, the medical doctor and the medical institution information. Corresponds to the process of encoding the treatment information into a barcode. The barcode-encoded information is included in a document, such as printing, on the document provided to the patient.

Step S720 serves to generate a code for authenticity checking. The authenticity verification code generated here is a means to prevent forgery and alteration of proof documents and to make it easy to verify the authenticity. It is combined with a unique number, a special type of symbol, a watermark, letters and numbers used in a medical institution. Code forms may be used alone or in combination. That is, in order to confirm the authenticity of the proof document, the authenticity verification code including at least one of codes made by letters, numbers, special symbols, watermarks, and a combination thereof is generated in a part of the proof document.

Step S730 serves to display the generated code. Displaying the authenticity check code generated in step S720 by using an ink of a non-printable form, the term printing used here means that the same content or pattern can be printed (printed) by copying or the like. do. The authenticity check code may be displayed using ink in a printable form, or ink in a non-printable form may be used. If you use non-printable ink, if you copy the document for forgery, the authenticity verification code on the original is not copied. You will be able to verify that the proof of claim is not forgery or original. In addition, when using the ink of the printable form, the insurance company server 200 is provided with a decryption module for decrypting the authenticity check code, by using the decryption module to decrypt the authenticity check code and the contents of the proof documents and By comparing, the authenticity can be confirmed.

Hereinafter, since the process from step S740 to step S760 is identical to the execution process from step S420 to step S440 in FIG. 4, the detailed description thereof will be replaced with the description in FIG. 4.

Step S770 is a process of checking the authenticity of the decoded proof document. In the process of confirming whether the proof document is not forged by using the result decoded in step S760, if authenticity is confirmed, go to the next step S780 and store the contents of the decoded proof document, If the document is found to be a forgery, the insurance claim will be dismissed.

In step S780, if authenticity is confirmed in step S770, the decoded proof document contents are stored. This is a step of storing the decoded proof document contents in the decoded information DB 220, the decoded information DB 220 is the patient's personal information needed by the insurance company server, the diagnosis and treatment of the patient's condition, the doctor And it is a database that stores the medical information of the patient, including the medical institution information, the contents of the proof document identified by the bar code decoding in step S760 is stored as information in the form of a character. Therefore, the insurance company can immediately retrieve the contents stored in the server and utilize them where necessary, so that the contents do not need to be entered.

Step S790 is a process of dismissing the claim if the authenticity check fails. If the authenticity check result shows that the proof document is forged, the insurance claim based on the dismissal of the claim can be prevented so as to prevent the loss of the insurance company due to the forgery of the document. do.

The present invention described above may be variously modified or applied by those skilled in the art, and the scope of the technical idea according to the present invention should be defined by the following claims.

1 is a conceptual diagram of a method and system for managing proof documents for claim using a barcode according to an embodiment of the present invention.

2 is a block diagram of a hospital server 100 constituting a claim document management system for insurance claims using a bar code according to an embodiment of the present invention.

3 is a block diagram of an insurance company server 200 constituting a claim document management system for insurance claims using a bar code according to an embodiment of the present invention.

Figure 4 is a flow chart of the claim document management method for claim using a barcode according to an embodiment of the present invention.

Figure 5 is a flow chart of a claim claim proof document management method using a bar code in accordance with another embodiment of the present invention.

6 is a flow chart of a method for managing proof documents for claims using a barcode according to another embodiment of the present invention.

7 is a flowchart of a method for managing claim documents using a barcode according to another embodiment of the present invention.

<Explanation of symbols for main parts of the drawings>

100: hospital server

200: insurance company server

300: patient

S410: step of encoding the medical care information into a barcode

S420: providing proof documents to the patient

S430: step of receiving proof documents from the patient

S440: decoding the barcode included in the proof document

S450: storing the decoded proof document contents

Claims (13)

A hospital server having a barcode encoding module for encoding patient information of a patient into a barcode, the hospital server providing insurance claim proof documents including the barcode encoded by the barcode encoding module to the patient; And An insurance company server having a barcode decoding module and decoding a barcode included in an attestation document provided from a patient by using the barcode decoding module and storing the decoded information. Proof document management system for claims using a barcode comprising a. The system of claim 1, wherein the hospital server further comprises a medical care information DB for storing medical care information of the patient. The system of claim 1, wherein the insurance company server further includes a decoding information DB for storing information decoded by the barcode decoding module. The system of claim 1, wherein the insurance company server further comprises a scanning module for scanning the attestation document provided from the patient. The barcode decoding module of claim 1, wherein the barcode decoding module included in the insurance company server scans the attestation document provided from a patient, and then decodes a barcode included in the scanned attestation document. Certification document management system for claims. According to claim 4 or 5, wherein the insurance company server, insurance claim using a barcode further comprises a document for proof document stored by the scanning module or the barcode decoding module scanned document Proof document management system. According to claim 1, The medical care information, claim document management system for claim claims using a bar code, characterized in that the information including the patient's personal information, the diagnosis and treatment of the patient's condition, the medical doctor and the medical institution information. (1) encoding the medical care information including a diagnosis of the patient into a barcode; (2) providing a claim proof document including the encoded barcode to a patient; (3) the insurance company server decoding the barcode included in the proof document from the claim proof document received from the patient; And (4) storing the decoded proof document contents in a decoding information DB Proof of claim documents management method using a barcode comprising a. The method of claim 8, Medical care information including the diagnostic information for the patient is a claim management method for insurance documents using a barcode, characterized in that stored in the medical care information DB. The method of claim 8, Scanning the provided proof of claim document when receiving the proof of claim document from a patient; And The method for managing claim documents using a barcode, characterized in that it further comprises the step of storing the scanned proof document. The method of claim 8, wherein the step (3) of the insurance company server decoding the barcode included in the proof document, Scanning the attestation document provided by the patient; And Claims management method for claim documents using a bar code, characterized in that it comprises the step of decoding the bar code included in the scanned proof document. The method of claim 8, wherein the medical care information includes basic information of a patient, diagnosis and medical contents of a patient's condition, medical practitioners and medical institution information. A computer-readable recording medium in which a program for executing the method of any one of claims 8 to 12 is recorded.

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