TWM560649U - Image recognition assisted claim system - Google Patents

Abstract

An image identification auxiliary claim system includes an image acquisition module, an identification unit, a processing unit and a storage unit. The imaging module acquires a claim document to generate a pair of claim document image files that should be the claim document; the identification unit identifies a pathological name in the claim document image file; the processing unit is electrically connected to the imaging module and the identification unit, the The processing unit obtains a corresponding international disease classification code according to the pathology name; the storage unit is electrically connected to the processing unit to store the international disease classification code and automatically recognize the pathology name and the international disease classification code, which can greatly save the working time of claimants.

Description

Image recognition auxiliary claims system

The present invention relates to a claim settlement system, especially an image recognition auxiliary claim settlement system.

Insurance is a risk transfer tool that can effectively provide financial assistance to prevent accidents in the current life. With the improvement and popularization of insurance concepts and the increase in the number of insurers, insurance-related companies have all begun to deal with huge claims.

However, the current method of claim settlement is that the service staff scans the papers related to the application and diagnosis to the image system. The first and second log-in personnel respectively register the same claim field data according to the scanned images, and compare all the data in the system. After the fields are consistent, the data is written to the database, and the claimant performs the three-logging operation based on the image, and selects the corresponding International Classification of Diseases (ICD CODE) according to the disease name for later judgment and use of the claim calculation module. However, too much labor time is consumed during this operation, resulting in too long operation time. In addition, if the customer handles the business at the counter, the service staff also needs to copy the identity card, and then connects to the Ministry of Interior Only the webpage can confirm whether the ID card is up-to-date and effective, which also causes many inconveniences for service personnel.

Therefore, the purpose of the present invention is to provide an image recognition auxiliary claim system, which includes an imaging module, an identification unit, a processing unit and a storage unit. The imaging module acquires a claim document to generate a pair of claim document image files that should be the claim document; the identification unit identifies a pathological name in the claim document image file; the processing unit is electrically connected to the imaging module and the identification unit, the The processing unit obtains a corresponding international disease classification code according to the pathology name; the storage unit is electrically connected to the processing unit for storing the international disease classification code.

In one embodiment, the imaging module is provided in an electronic device, the identification unit, the processing unit and the storage unit are provided in a server, and the electronic device and the server communicate with each other to transmit information.

In one embodiment, the electronic device further includes a control module electrically connected to the imaging module. The imaging module also acquires a personal data file to generate a pair of personal data image files corresponding to the personal data file. Connected to a system of the Ministry of the Interior to compare the personal data image file, and after the personal data image file is compared, it is the latest and effective, the control module controls the imaging module to capture the claim file.

In an embodiment, the electronic device further includes an The storage module compares the personal data image file with the control module to be the latest and effective, and the storage module stores the personal data image file.

Among them, the claim file includes at least one of a claim application, a diagnosis and a receipt.

Therefore, another object of the present invention is to provide an image recognition auxiliary claim system including a transceiver unit, an identification unit, a processing unit and a storage unit. The transceiving unit receives an image file of the claim file; the identifying unit identifies a pathological name in the image file of the claim file; the processing unit is electrically connected to the transceiving unit and the identifying unit, and the processing unit obtains a corresponding international disease classification code according to the pathological name; The unit is electrically connected to the processing unit and is used to store the international disease classification code.

The effect of the new model is: automatic identification of pathological names and international disease classification codes, and substitution into the settlement program system, which can greatly save the operation time of the settlement personnel.

100‧‧‧ Image recognition auxiliary claim system

10‧‧‧Electronic device

11‧‧‧Acquisition module

12‧‧‧Control module

13‧‧‧ transceiver module

14‧‧‧storage module

20‧‧‧Server

21‧‧‧ transceiver unit

22‧‧‧Processing unit

23‧‧‧Identification unit

24‧‧‧Storage unit

S10 ~ S40‧‧‧Step

Other features and functions of the present invention will be clearly presented in the embodiment with reference to the drawings, in which: FIG. 1 is a schematic circuit block diagram of an embodiment of the new image recognition auxiliary claim system; FIG. 2 is the new image recognition auxiliary A flowchart of the execution of the claim system; and FIG. 3 is a schematic diagram of the screen of the claim program system of this embodiment.

Before the present invention is described in detail, it should be noted that in the following description, similar elements are denoted by the same number.

Referring to FIG. 1, it is an embodiment of a new type of image recognition auxiliary claim system 100, which is applied to an internal claim system of an insurance company (or insurance company). The image identification auxiliary claim system 100 of this embodiment includes an electronic device 10 and a SERVER 20. In this embodiment, the electronic device 10 is located at the local end, for example: the counter host of the insurance company or the computer in the applicant's home, etc .; the server 20 is located inside the insurance company, for example: the background server or the host.

The electronic device 10 includes an imaging module 11, a control module 12, a transceiver module 13 and a storage module 14. The imaging module 11 is used to capture (shoot or scan) a claim document to generate a pair of claim document image files that should be the claim document. The claim document includes a claim application, a diagnosis and at least one receipt, but not This is limited, and can contain at least one of them. The control module 12 is electrically connected to the imaging module 11 to control the operation between the modules. The transceiver module 13 is electrically connected to the control module 12 for communicating with the server 20 to transmit information. The storage module 14 is electrically connected to the control module 12 for storing the image file scanned by the imaging module 11.

The server 20 includes a transceiver unit 21, a processing unit 22, an identification unit 23, and a storage unit 24. The transceiver unit 21 is used to communicate with the transceiver module 13 to transmit Lose information. The processing unit 22 is electrically connected to the transceiver unit 21 to control the operation of each unit. The identification unit 23 is electrically connected to the processing unit 22 to identify the information in the image file of the claim document generated by the imaging module 11, which may include the applicant's name, application date, medical date, pathological name, policy number, etc. Its content will vary with the content of the claims file. The storage unit 24 is electrically connected to the processing unit 22, and can be a database for storing the image file scanned by the imaging module 11, the information recognized by the recognition unit 23, and the International Classification of Diseases code corresponding to the pathology name , ICD CODE), etc. In particular, in a specific embodiment, the electronic device 10 and the server 20 can be integrated into the same device, and is not limited to this embodiment.

Refer to FIG. 2 for a flow chart of the new image recognition auxiliary claim system 100. The image recognition auxiliary claim system 100 first scans the claim file and recognizes the pathology name in the claim file, and then obtains a corresponding pathology based on the pathology name Name the international disease classification code and store the international disease classification code and the pathology name. The detailed process of this method will be described in detail below with reference to FIG. 1.

Step S10, confirm the identity of the applicant. When the customer (applicant) handles the claims business at the counter, the insurance company's service staff will first scan the customer's personal data files through the acquisition module 11, such as identity card. At this time, the imaging module 11 will generate a personal data image file corresponding to the personal data file, and then the control module 12 will connect to the Ministry of the Interior system through the transceiver module 13 to compare whether the personal data image file is the latest effective, If it is the latest and valid, the subsequent steps are executed and the personal data image file is stored in the storage module 14. In this way, the automatic identification of personal data by the system can effectively save the operating time of service personnel.

In addition, if the same customer handles other business within a specific time (for example, within two hours), the control module 12 will automatically determine that it has been confirmed with the Ministry of the Interior, and do not need to ask again, then directly from the storage module 14 Obtain the image file of the customer's personal information.

In step S20, the image recognition recognizes the claim file to obtain the pathology name therein. After the identity of the applicant is confirmed, the service staff scans the paper claim document into the electronic device 10 through the image capturing module 11. After the image capturing module 11 captures the claim document and generates an image file of the claim document, Group 13 is sent to the server 20, and the recognition unit 23 recognizes the claim document image file to obtain the information (including the pathological name), and automatically substitutes the first and second boarding fields in the claims program system for the company's internal boarding personnel to confirm, As shown in Figure 3.

Step S30: Obtain a pair of international disease classification codes corresponding to the pathological name according to the pathological name. After comparing the first and second data, the processing unit 22 will obtain the corresponding international disease classification code (ICD CODE) according to the pathology name.

In step S40, the processing unit 22 stores the international disease classification code in the storage unit 24 (database). In this way, through the above steps S30 and S40, Sandeng personnel no longer need to manually query the international disease classification code by the pathological name, which can save the claimants Operating time.

In summary, the new image recognition auxiliary claim system 100 obtains the pathological name in the claim document through image recognition technology, and then obtains the corresponding international disease classification code according to the pathological name. In this way, automatic identification and substitution into the claim program system can greatly save The operating time of the claimants can really achieve the new purpose of cost.

However, the above are only examples of the new model, and the scope of implementation of the new model cannot be limited by this. Any simple equivalent changes and modifications made according to the patent application scope and patent specification content of the new model are still regarded as Within the scope of this new patent.

Claims (6)

An image recognition auxiliary claim system includes: an image acquisition module, which takes an image claim file to generate a pair of claim document image files which should be the claim file; a control module, which is electrically connected to the image acquisition module; and a transceiver module , Electrically connected to the control module; a transceiver unit, communicating with the transceiver module; an identification unit, identifying a pathological name in the image file of the claims document; a processing unit, electrically connecting the transceiver unit and the identification unit, the The processing unit obtains a corresponding international disease classification code according to the pathology name; and a storage unit, which is electrically connected to the processing unit and stores the international disease classification code. The image recognition auxiliary claim system according to claim 1, wherein the image capturing module is provided in an electronic device, the identification unit, the processing unit and the storage unit are provided in a server, the electronic device and the The servers communicate with each other to transfer information. The image recognition auxiliary claim system as described in claim 2, wherein the acquisition module also acquires a personal data file to generate a pair of personal data image files corresponding to the personal data file, and the control module connects to an interior The system compares the personal data image file, and after the personal data image file is compared, it is the latest and effective, then the control module controls the image capturing module to capture the claim file. The image recognition auxiliary claim system as described in claim 3, wherein the electronic device further includes a storage module electrically connected to the control module, and the control module is more up-to-date than the personal data image file, then the The storage module stores the personal data image file. The image recognition auxiliary claim system according to claim 1, wherein the claim document includes at least one of a claim application, a diagnosis, and a receipt. An image identification auxiliary claim system includes: a transceiving unit that receives an image file of a claim document; an identification unit that identifies a pathological name in the image file of the claim document; a processing unit that electrically connects the transceiving unit and the identification unit, The processing unit obtains a corresponding international disease classification code according to the pathology name; and a storage unit electrically connected to the processing unit for storing the international disease classification code.