WO2018166098A1 - 数据稽核方法、装置、移动终端及计算机可读存储介质 - Google Patents

数据稽核方法、装置、移动终端及计算机可读存储介质 Download PDF

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Publication number
WO2018166098A1
WO2018166098A1 PCT/CN2017/089799 CN2017089799W WO2018166098A1 WO 2018166098 A1 WO2018166098 A1 WO 2018166098A1 CN 2017089799 W CN2017089799 W CN 2017089799W WO 2018166098 A1 WO2018166098 A1 WO 2018166098A1
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WIPO (PCT)
Prior art keywords
audit
task
auditing
subtask
role
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PCT/CN2017/089799
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English (en)
French (fr)
Inventor
蔡宁
熊玮
金燕华
方晓
仇一
Original Assignee
平安科技（深圳）有限公司
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Application filed by 平安科技（深圳）有限公司 filed Critical 平安科技（深圳）有限公司
Priority to EP17882264.9A priority Critical patent/EP3401857A4/en
Priority to SG11201901809XA priority patent/SG11201901809XA/en
Priority to KR1020187035328A priority patent/KR20190012178A/ko
Priority to US16/075,020 priority patent/US20210035068A1/en
Priority to AU2017403385A priority patent/AU2017403385A1/en
Priority to JP2018549526A priority patent/JP2019514108A/ja
Publication of WO2018166098A1 publication Critical patent/WO2018166098A1/zh

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Classifications

    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/06—Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
    • G06Q10/063—Operations research, analysis or management
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/10—Office automation; Time management
    • G06Q10/103—Workflow collaboration or project management
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/06—Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
    • G06Q10/063—Operations research, analysis or management
    • G06Q10/0631—Resource planning, allocation, distributing or scheduling for enterprises or organisations
    • G06Q10/06311—Scheduling, planning or task assignment for a person or group
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/06—Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
    • G06Q10/063—Operations research, analysis or management
    • G06Q10/0631—Resource planning, allocation, distributing or scheduling for enterprises or organisations
    • G06Q10/06311—Scheduling, planning or task assignment for a person or group
    • G06Q10/063114—Status monitoring or status determination for a person or group
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/10—Office automation; Time management
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/10—Office automation; Time management
    • G06Q10/105—Human resources
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q40/00—Finance; Insurance; Tax strategies; Processing of corporate or income taxes
    • G06Q40/08—Insurance

Definitions

  • the present invention relates to the field of insurance technologies, and in particular, to a data auditing method, apparatus, mobile terminal, and computer readable storage medium.
  • auditors In the process of insurance reimbursement, the insurance party is required to send auditors to the designated hospitals, accident sites and other places for appropriate audits.
  • auditors In the process of performing audit tasks, auditors generally require auditors to go out with audit data and notebooks to conduct on-site audits at designated audit sites. After the on-site investigation of the auditors, it is necessary to return to the company to fill in the survey results. At this time, the auditors need to sort out the audit records of the on-site records before they can be filled out. The auditing process of the auditors is very cumbersome, causing inconvenience to the auditors and the auditing efficiency is relatively low.
  • the main purpose of the present invention is to provide a data auditing method, device, mobile terminal and computer readable storage medium, which are intended to improve the convenience and efficiency of data auditing.
  • the present invention provides a data auditing method, including:
  • the auditing application preset on the mobile terminal is opened, and the auditing request is received in the display interface of the auditing application, and the initiator corresponding to the auditing request is determined to be a preset auditing role;
  • the initiator corresponding to the audit request is a preset audit role
  • the audit task corresponding to the audit request is a preset task
  • receiving an allocation instruction performs allocation processing on the audit task
  • the initiator corresponding to the audit request is a preset audit role, and the audit task corresponding to the audit request is not a preset task, after determining that the audit task needs to be transferred or allocated, performing the audit task Corresponding transfer or distribution.
  • the present invention further provides a data auditing apparatus, including:
  • a judging module configured to: open an audit application preset on the mobile terminal, receive an audit request in the display interface of the audit application, and determine whether the initiator corresponding to the audit request is a preset audit role;
  • a receiving module configured to: when the initiator corresponding to the audit request is a preset auditing role, and the auditing task corresponding to the auditing request is a preset task, receive the allocation instruction to perform an allocation process on the auditing task;
  • An execution module configured to: when the initiator corresponding to the audit request is a preset audit role, and the audit task corresponding to the audit request is not a preset task, after determining that the audit task needs to be transferred or allocated, The audit task performs a corresponding rollout or distribution.
  • the present invention further provides a mobile terminal, where the mobile terminal includes a processor and a memory, and the processor is configured to execute a data auditing program stored in the memory to implement the following steps:
  • the auditing application preset on the mobile terminal is opened, and the auditing request is received in the display interface of the auditing application, and the initiator corresponding to the auditing request is determined to be a preset auditing role;
  • the initiator corresponding to the audit request is a preset audit role
  • the audit task corresponding to the audit request is a preset task
  • receiving an allocation instruction performs allocation processing on the audit task
  • the initiator corresponding to the audit request is a preset audit role, and the audit task corresponding to the audit request is not a preset task, after determining that the audit task needs to be transferred or allocated, performing the audit task Corresponding transfer or distribution.
  • the present invention also provides a computer readable storage medium storing one or more programs, the one or more programs being used by one or more processors Execute to implement the following steps:
  • the auditing application preset on the mobile terminal is opened, and the auditing request is received in the display interface of the auditing application, and the initiator corresponding to the auditing request is determined to be a preset auditing role;
  • the initiator corresponding to the audit request is a preset audit role
  • the audit task corresponding to the audit request is a preset task
  • receiving an allocation instruction performs allocation processing on the audit task
  • the initiator corresponding to the audit request is a preset audit role, and the audit task corresponding to the audit request is not a preset task, after determining that the audit task needs to be transferred or allocated, performing the audit task Corresponding transfer or distribution.
  • the auditor can carry the mobile terminal to the audit site for auditing, and the auditing application program can be processed in real time through the preset audit application program on the mobile terminal, thereby improving the convenience and efficiency of data auditing.
  • FIG. 1 is a schematic flowchart of a first embodiment of a data auditing method according to the present invention
  • FIG. 2 is a schematic flowchart of a second embodiment of a data auditing method according to the present invention.
  • FIG. 3 is a schematic diagram of functional modules of a first embodiment of a data auditing apparatus according to the present invention.
  • FIG. 4 is a schematic diagram of functional modules of a second embodiment of a data auditing apparatus according to the present invention.
  • FIG. 5 is a schematic structural diagram of a mobile terminal in a hardware operating environment according to an embodiment of the present invention.
  • the data auditing method of this embodiment includes:
  • Step S10 Open an audit application preset on the mobile terminal, receive an audit request in the display interface of the audit application, and determine whether the initiator corresponding to the audit request is a preset audit role;
  • the data auditing method is applied to the mobile terminal, and the type of the mobile terminal can be set according to actual needs.
  • the mobile terminal includes a mobile phone, a tablet, and the like.
  • the auditing application (ie, APP) is pre-installed on the mobile terminal, and the auditing application can be used to record the conclusion of the data auditing.
  • the insurer needs to send an auditing personnel to the designated hospital or the accident scene.
  • the user can carry the corresponding audit.
  • the user can carry the mobile terminal to audit the site and record the audit conclusion in time.
  • the type of insurance can be set according to actual needs.
  • the insurance can be a medical insurance for serious illness.
  • the audit may include a report audit, a medical inspection, and an autonomous audit.
  • the report audit refers to an audit initiated by the report personnel when the report personnel finds that there is a problem with the reimbursement information during the report review.
  • Medical inspection refers to the initiation of an audit by the supervisor or auditor.
  • Self-inspection refers to the audit conducted by the supervisor or auditor, and chooses to audit the insured person and the second audit of the reporting task.
  • the auditor can use the mobile terminal to perform the on-site recording audit conclusion.
  • the mobile terminal runs the audit application to detect whether an audit request is received in the display interface of the audit application.
  • the preset audit role may be an audit supervisor, and the audit supervisor is Give an example for a detailed description.
  • an audit main task number can also be generated to record the audit status based on the number.
  • the step of determining whether the initiator corresponding to the audit request is an audit supervisor comprises: when the initiator corresponding to the audit request is not an audit supervisor, the audit main task enters a state of waiting for allocation, and the designated audit supervisor Determining whether an audit is required to be performed.
  • the mobile terminal determines whether the audit task corresponding to the audit request is a preset task when receiving the information to be audited, and the preset task may be a medical inspection. Take medical inspection as an example for detailed explanation.
  • the mobile terminal determines whether to report the audit when receiving the information that does not need to be audited; if yes, the approval processing of the audit request is completed. If not, when receiving the information that needs to be audited, it is determined whether the audit task is a medical inspection, and the subsequent operation is performed according to the judgment result.
  • Step S20 When the initiator corresponding to the audit request is a preset audit role, and the audit task corresponding to the audit request is a preset task, receiving an allocation instruction to perform an allocation process on the audit task;
  • the initiator corresponding to the audit request is an audit supervisor, it is determined whether the audit task corresponding to the audit request is a medical inspection.
  • the audit supervisor assigns subtasks to audit the audit task respectively, and when receiving the allocation instruction, the mobile terminal allocates and processes the audit task according to the allocation instruction.
  • Step S30 when the initiator corresponding to the audit request is a preset audit role, and the audit task corresponding to the audit request is not a preset task, after determining that the audit task needs to be transferred or allocated, The audit task performs the corresponding transfer or distribution.
  • the initiator corresponding to the audit request is an audit supervisor, it is determined whether the audit task corresponding to the audit request is a medical inspection. When the audit task is not a medical inspection, it is determined whether the audit task needs to be transferred or distributed. After determining that the audit task needs to be transferred or allocated, the corresponding auditing task is performed correspondingly transferred or allocated.
  • the administrative area authority can be controlled, and when receiving the configuration instruction, the mobile terminal allocates the audit management authority of each participating area according to the configuration instruction.
  • the query request input by the user it is determined according to the query request whether the user corresponding to the query request has the query authority. If the user has the query permission, the corresponding data is obtained from the server according to the query request for output display. If the user does not have the query permission, the corresponding prompt information is output.
  • the user queries the auditing task according to the administrative area to which the current user belongs, the detailed information of all the auditing tasks in the administrative area can be queried. It is also possible to redeploy the audit management authority of each participating area according to actual needs.
  • the audit management authority of each participating area can also be assigned to each organization, and the same organization can have the audit management authority of multiple administrative areas at the same time.
  • the audit management authority of the insured area of the same institution is assigned to each auditor, and the same auditor can be responsible for multiple insured areas.
  • the same administrative area can be handled by multiple auditors.
  • the auditor can carry the mobile terminal to the audit site for auditing, and the auditing application program can be processed in real time through the preset audit application program on the mobile terminal, thereby improving the convenience and efficiency of data auditing.
  • the foregoing step S20 includes:
  • Step S21 Receive an allocation instruction to allocate a plurality of different subtasks, and determine whether the allocated subtask is a preset task;
  • Step S22 When the assigned subtask is a preset task, after the main auditor corresponding to the subtask completes the auditing task, the main auditor is received to feed back the corresponding auditing task conclusion.
  • the mobile terminal when the initiator corresponding to the audit request is the audit supervisor, and the audit task corresponding to the audit request is a medical inspection, the mobile terminal performs the process of allocating the audit task according to the received allocation instruction, first, receiving the allocation instruction. And assigning a plurality of different subtasks according to the allocation instruction, and then respectively determining whether the allocated plurality of subtasks are medical inspections.
  • the subtask is a medical inspection
  • the main auditor feeds back the audit task conclusion, that is, after the main auditor corresponding to the subtask completes the audit task, the main auditor receives the corresponding audit task conclusion.
  • the subtask When the subtask is not a medical inspection, perform the steps of determining whether the primary auditor returns to the local execution subtask, determining whether the primary auditor applies for the subtask, and/or determining whether the primary auditor audits the subtask submitted by the remote audit supervisor, and The judgment result performs subsequent corresponding operations.
  • the step of receiving the conclusion that the primary auditor feeds back the corresponding auditing task comprises: determining whether the auditing task conclusion is audited by a designated auditing role; and if the specified auditing role audits the feedback conclusion, determining Whether it is a report initiation audit. If the report is initiated, the report is unlocked; if it is not the report, the audit is completed. If the feedback conclusion is not audited by the designated audit role, the audit task is returned to the designated audit role to redistribute the subtask for execution.
  • the designated audit role may be the first audit supervisor, or the designated audit role may be based on the specific situation. Flexible settings.
  • the mobile terminal after receiving the allocation instruction to allocate a plurality of different subtasks, the mobile terminal receives the corresponding audit task conclusion when the assigned subtask is a medical inspection.
  • the assigned subtasks are not medical inspections, different judgment operations are performed, and subsequent operations are performed according to the judgment results, so that the mobile terminal allocates subtasks to the audit tasks in parallel during the audit process, and multiple auditors simultaneously treat one case.
  • all the auditors completed the audit and completed the audit, speeding up the feedback and improving the flexibility of the audit.
  • the step of determining whether the assigned subtask is a preset task includes:
  • the secondary auditor receives the audit result
  • the secondary auditor when the primary auditor returns to the local execution subtask, the secondary auditor performs the auditing task, and the mobile terminal receives the secondary auditor's feedback audit result.
  • the primary auditor does not return the local execution subtask, the primary auditor performs the auditing task, and the mobile terminal determines whether all the subtasks have been submitted except for the subtasks performed by the primary auditor.
  • the relevant sub-tasks are not all submitted with relevant prompt information, so as to remind the relevant auditors to deal with them in time.
  • the receiving primary auditor feeds back the corresponding audit task conclusions.
  • the audit task conclusion is reviewed by the designated audit role; if the feedback result is audited by the designated audit role, it is judged whether it is the report initiation audit. If the report is initiated, the report is unlocked; if it is not the report, the audit is completed. If the feedback conclusion is not reviewed by the designated audit role, the audit task is returned to the designated audit role to redistribute the subtask for execution.
  • the secondary auditor when the mobile terminal determines that the primary auditor returns to the local execution subtask, the secondary auditor receives the audit result; when the primary auditor does not return the local execution subtask, and all the subtasks have been submitted, the receiving primary auditor receives corresponding feedback. The conclusion of the audit task. Therefore, it is possible to flexibly arrange auditors to perform auditing tasks and improve the efficiency of auditing.
  • a fourth embodiment of the data auditing method of the present invention is provided.
  • the step of determining whether the assigned subtask is a preset task in the embodiment includes:
  • the primary auditor applies for a subtask, it is determined whether the primary auditor wants to return the executed subtask; if yes, re-determine whether the primary auditor applies for a subtask; if not, perform the transfer or allocation process ;
  • the primary auditor does not apply for a subtask, it is determined whether all subtasks have been submitted except for the subtasks executed by the main auditor; if not, the relevant submissions are not all submitted with relevant prompt information; And receiving the conclusion that the main auditor feeds back the corresponding audit task.
  • the mobile terminal determines whether the designated auditing role is to return the executed subtask when receiving the information of the subordination of the main auditor, the designated auditing The role can be the primary auditor.
  • the main auditor wants to return the executed subtask, re-determine whether the main auditor applies for the subtask; when the main auditor does not return the executed subtask, it is judged whether the subordination of the audit subtask needs to be transferred or allocated.
  • the transfer processing of the audit sub-task needs to be performed, the transfer instruction input by the main auditor is received to perform the transfer processing of the audit sub-task.
  • the allocation process needs to be performed on the audit sub-task, the distribution instruction input by the main auditor is received to process the audit sub-task, and the audit result of the auxiliary auditor or expert feedback of the audit sub-task is received.
  • the main auditor When the information that the main auditor has not applied for the subtask is not received, it is judged whether all the subtasks have been submitted except the subtasks executed by the main auditor. When all the subtasks have been submitted, the relevant sub-tasks are not all submitted with relevant prompt information, so as to remind the relevant auditors to deal with them in time. When all subtasks are not fully submitted, the receiving primary auditor feeds back the corresponding audit task conclusions. After receiving the feedback from the main auditor to the corresponding audit task, it is judged whether the audit task conclusion is reviewed by the designated audit role; if the feedback result is audited by the designated audit role, it is judged whether it is the report initiation audit. If the report is initiated, the report is unlocked; if it is not the report, the audit is completed. If the feedback conclusion is not reviewed by the designated audit role, the audit task is returned to the designated audit role to redistribute the subtask for execution.
  • the transfer or distribution process is performed; when the main auditor does not apply for the subtask, and all the subtasks have been submitted, the main auditor is received. Feedback the corresponding audit task conclusions. Therefore, the audit task can be flexibly distributed, and the convenience of auditing is improved.
  • the fifth embodiment of the data auditing method of the present invention is provided. After the step of determining whether the subtask assigned by the subtask is a preset task, the method includes:
  • the main auditor audits the subtask submitted by the auditing role preset by the remote location, it determines whether there is a remote auxiliary auditing task; if not, it determines that the auditing role of the remote auditing role is completed; if it exists, when there is a remote preset
  • the audit role is reviewed, the sub-subsidiary auditor feedback subtask is received, and when there is no audit role pre-approved by the remote location, the feedback of the audit role preset by the remote location is determined to be completed;
  • the main auditor fails to audit the subtask submitted by the auditing role preset by the remote location, it is determined whether all the subtasks have been submitted except the subtasks executed by the main auditor; if not, the output subtasks are not all submitted. Relevant prompt information; if yes, receiving the primary auditor to feed back the corresponding audit task conclusion.
  • the mobile terminal when the mobile terminal receives the information that the main auditor audits the subtask submitted by the remote auditing supervisor, firstly, it is determined whether there is a remote auxiliary auditing task. If there is no off-site auxiliary audit task, it is determined that the off-site supervisor audit feedback is completed. If there is a remote auxiliary audit task, when there is an off-site audit supervisor review, the remote sub-auditor feedback sub-task is received. When there is no off-site audit supervisor review, it is determined that the remote audit supervisor feedback is completed.
  • the main auditor When the main auditor has not reviewed the subtask submitted by the remote audit supervisor, first, it is judged whether all subtasks have been submitted except for the subtasks performed by the main auditor. When all the subtasks have been submitted, the relevant sub-tasks are not all submitted with relevant prompt information, so as to remind the relevant auditors to deal with them in time. When all subtasks are not fully submitted, the receiving primary auditor feeds back the corresponding audit task conclusions. After receiving the feedback from the main auditor to the corresponding audit task, it is judged whether the audit task conclusion is reviewed by the designated audit role; if the feedback result is audited by the designated audit role, it is judged whether it is the report initiation audit. If the report is initiated, the report is unlocked; if it is not the report, the audit is completed. If the feedback conclusion is not reviewed by the designated audit role, the audit task is returned to the designated audit role to redistribute the subtask for execution.
  • the main auditor audits the sub-task submitted by the remote audit supervisor, if there is no off-site auxiliary audit task, when there is an off-site audit supervisor, the sub-audit auditor receives the sub-task, and when there is no off-site audit supervisor At the time, it is determined that the feedback of the off-site audit supervisor is completed.
  • the receiving main auditor returns the corresponding audit task conclusion.
  • the mobile terminal can flexibly allocate audit tasks and improve the efficiency and convenience of auditing.
  • the underwriting authority that the related policy belongs to obtains the administrative area authority and the corresponding target audit role, and pushes the audit task corresponding to the audit request to the The terminal corresponding to the target audit role waits for the assignment; or when the corresponding target audit role is not obtained, the audit task is pushed to the administrative default audit role of the upper administrative region for distribution.
  • the audit management authority can be set, and the administrative area authority control in the audit of the major illness medical reimbursement is taken as an example. Due to the special policy of the medical insurance reimbursement service, the provinces, cities, districts/counties may have different levels. Dimensional co-ordination policy, therefore, in the large-patient medical system claims service, based on the administrative areas of the local governments, the nationwide operation mode is launched to fully support the reimbursement services for major illnesses that have been covered by the major medical system. After accepting the audit case, according to the administrative area of the insured person according to the audit case, the responsible person of each administrative area obtains and carries out the follow-up reimbursement process such as bill entry, review, review, etc., breaking the previous data-based management and control mode based on the organization. .
  • the administrative areas under the jurisdiction are personalized, and when the administrative areas of each organization are configured, the upper and lower levels of the organization and the relationship between the upper and lower levels of the administrative area are required to be combined.
  • the data authority of the auditors under the organization can be refined to the specific administrative area under the jurisdiction of the organization, so that the large-scale pathological compensation service for the insured can be targeted in the process of auditing. Optimization and follow-up management.
  • the audit management authority of each participating area can be assigned to each organization, and the same organization can have audit management authority of multiple administrative areas at the same time.
  • the audit management authority of each administrative area when the initiator corresponding to the audit request received by the mobile terminal is not the audit supervisor, the underwriting institution that is associated with the policy is found to find the administrative area authority and its corresponding target audit. The supervisor pushes the audit task corresponding to the audit request to the terminal corresponding to the target audit supervisor for allocation. When the corresponding target audit supervisor is not found, the audit task is pushed to the administrative audit supervisor of the upper administrative region for distribution.
  • the audit task When the audit supervisor transfers the audit task to an off-site audit, the audit task is directly pushed to the terminal corresponding to the audit supervisor who has the service authority of the target administrative region to wait for the assignment.
  • the user queries the audit task, according to the administrative region to which the current user belongs, the detailed information of all audit tasks under the administrative region can be queried.
  • the insured institution to which the associated policy is attached may obtain the administrative area authority and its corresponding target auditing supervisor, and push the auditing task to the terminal corresponding to the target auditing supervisor to wait for the allocation. Or when the target audit supervisor is not obtained, the audit task is pushed to the administrative audit supervisor of the upper administrative region for distribution.
  • the flexible allocation of the audit management authority of the administrative area under the jurisdiction of the auditor has been realized, which has improved the convenience and efficiency of the audit.
  • a person skilled in the art may understand that all or part of the steps of implementing the above embodiments may be completed by hardware, or may be instructed by a program to execute related hardware, and the program may be stored in a computer readable storage medium.
  • the storage medium mentioned may be a read only memory, a magnetic disk or an optical disk or the like.
  • the data auditing apparatus of this embodiment includes:
  • the determining module 100 is configured to enable an auditing application preset on the mobile terminal, receive an audit request in the display interface of the auditing application, and determine whether the initiator corresponding to the auditing request is a preset auditing role;
  • the data auditing method is applied to the mobile terminal, and the type of the mobile terminal can be set according to actual needs.
  • the mobile terminal includes a mobile phone, a tablet, and the like.
  • the auditing application (ie, APP) is pre-installed on the mobile terminal, and the auditing application can be used to record the conclusion of the data auditing.
  • the insurer needs to send an auditing personnel to the designated hospital or the accident scene.
  • the user can carry the corresponding audit.
  • the user can carry the mobile terminal to audit the site and record the audit conclusion in time.
  • the type of insurance can be set according to actual needs.
  • the insurance can be a medical insurance for serious illness.
  • the audit may include a report audit, a medical inspection, and an autonomous audit.
  • the report audit refers to an audit initiated by the report personnel when the report personnel finds that there is a problem with the reimbursement information during the report review.
  • Medical inspection refers to the initiation of an audit by the supervisor or auditor.
  • Self-inspection refers to the audit conducted by the supervisor or auditor, and chooses to audit the insured person and the second audit of the reporting task.
  • the auditor can use the mobile terminal to perform the on-site recording audit conclusion.
  • the mobile terminal runs the audit application to detect whether an audit request is received in the display interface of the audit application.
  • the determining module 100 determines whether the initiator corresponding to the auditing request is a preset auditing role, and the preset auditing role may be an auditing supervisor, and the following Take the audit supervisor as an example for detailed explanation.
  • an audit main task number can also be generated to record the audit status based on the number.
  • the step of determining whether the initiator corresponding to the audit request is an audit supervisor comprises: when the initiator corresponding to the audit request is not an audit supervisor, the audit main task enters a state of waiting for allocation, and the designated audit supervisor Determining whether an audit is required to be performed.
  • the mobile terminal determines whether the audit task corresponding to the audit request is a preset task when receiving the information to be audited, and the preset task may be a medical inspection. Take medical inspection as an example for detailed explanation.
  • the mobile terminal determines whether to report the audit when receiving the information that does not need to be audited; if yes, the approval processing of the audit request is completed. If not, when receiving the information that needs to be audited, it is determined whether the audit task is a medical inspection, and the subsequent operation is performed according to the judgment result.
  • the receiving module 200 is configured to: when the initiator corresponding to the audit request is a preset auditing role, and the auditing task corresponding to the auditing request is a preset task, receive the allocation instruction to perform an allocation process on the auditing task;
  • the initiator corresponding to the audit request is an audit supervisor, it is determined whether the audit task corresponding to the audit request is a medical inspection.
  • the audit supervisor assigns subtasks to audit the audit task respectively, and when receiving the assignment instruction, the receiving module 200 allocates and processes the audit task according to the allocation instruction.
  • the execution module 300 is configured to: when the initiator corresponding to the audit request is a preset audit role, and the audit task corresponding to the audit request is not a preset task, after determining that the audit task needs to be transferred or allocated, Performing corresponding transfer or allocation to the audit task.
  • the initiator corresponding to the audit request is an audit supervisor, it is determined whether the audit task corresponding to the audit request is a medical inspection. When the audit task is not a medical inspection, it is determined whether the audit task needs to be transferred or distributed. After the execution module 300 determines that the audit task needs to be transferred or allocated, the execution module 300 performs corresponding transfer or allocation to the audit task.
  • the administrative area authority can be controlled, and when receiving the configuration instruction, the mobile terminal allocates the audit management authority of each participating area according to the configuration instruction.
  • the query request input by the user it is determined according to the query request whether the user corresponding to the query request has the query authority. If the user has the query permission, the corresponding data is obtained from the server according to the query request for output display. If the user does not have the query permission, the corresponding prompt information is output.
  • the user queries the auditing task according to the administrative area to which the current user belongs, the detailed information of all the auditing tasks in the administrative area can be queried. It is also possible to redeploy the audit management authority of each participating area according to actual needs.
  • the audit management authority of each participating area can also be assigned to each organization, and the same organization can have the audit management authority of multiple administrative areas at the same time.
  • the audit management authority of the insured area of the same institution is assigned to each auditor, and the same auditor can be responsible for multiple insured areas.
  • the same administrative area can be handled by multiple auditors.
  • the auditor can carry the mobile terminal to the audit site for auditing, and the auditing application program can be processed in real time through the preset audit application program on the mobile terminal, thereby improving the convenience and efficiency of data auditing.
  • the receiving module 200 includes:
  • the first determining unit 210 is configured to receive the allocation instruction to allocate a plurality of different subtasks, and determine whether the allocated subtask is a preset task;
  • the first receiving unit 220 is configured to: if the sub-task is a preset task, after the main auditor corresponding to the sub-task completes the auditing task, receiving the main auditor to feed back the corresponding auditing task conclusion.
  • the mobile terminal when the initiator corresponding to the audit request is the audit supervisor, and the audit task corresponding to the audit request is a medical inspection, the mobile terminal performs the process of allocating the audit task according to the received allocation instruction, first, receiving the allocation instruction. And assigning a plurality of different subtasks according to the allocation instruction, and then determining, by the first judging unit 210, whether the allocated plurality of subtasks are medical inspections.
  • the subtask is a medical inspection
  • the main auditor feeds back the audit task conclusion, that is, after the main auditor corresponding to the subtask completes the auditing task
  • the first receiving unit 220 receives the conclusion that the main auditor feeds back the corresponding auditing task.
  • the execution unit 230 performs the steps of determining whether the primary auditor returns the local execution subtask, determining whether the primary auditor applies for the subtask, and/or determining whether the primary auditor audits the subtask submitted by the remote audit supervisor. And perform subsequent corresponding operations according to the judgment result.
  • the step of receiving the conclusion that the primary auditor feeds back the corresponding auditing task comprises: determining whether the auditing task conclusion is audited by a designated auditing role; and if the specified auditing role audits the feedback conclusion, determining Whether it is a report initiation audit. If the report is initiated, the report is unlocked; if it is not the report, the audit is completed. If the feedback conclusion is not audited by the designated audit role, the audit task is returned to the designated audit supervisor to re-allocate the sub-task for execution.
  • the designated audit role may be the first audit supervisor, or the designated audit role may be based on the specific situation. Flexible settings.
  • the mobile terminal after receiving the allocation instruction to allocate a plurality of different subtasks, the mobile terminal receives the corresponding audit task conclusion when the assigned subtask is a medical inspection.
  • the assigned subtasks are not medical inspections, different judgment operations are performed, and subsequent operations are performed according to the judgment results, so that the mobile terminal allocates subtasks to the audit tasks in parallel during the audit process, and multiple auditors simultaneously treat one case.
  • all the auditors completed the audit and completed the audit, speeding up the feedback and improving the flexibility of the audit.
  • the receiving module 200 further includes:
  • a second determining unit configured to determine, when the assigned subtask is not a preset task, whether the main auditor returns to the local execution subtask
  • a second receiving unit configured to receive a secondary auditor's feedback audit result when the primary auditor returns to the local execution subtask
  • a first processing unit configured to: when the primary auditor does not return the local execution subtask, determine whether all subtasks have been submitted except the subtasks executed by the main auditor; if not, the output subtasks are not All relevant prompt information submitted; if yes, the main auditor is received to report the corresponding audit task conclusion.
  • the secondary auditor when the primary auditor returns to the local execution subtask, the secondary auditor performs the auditing task, and the second receiving unit receives the secondary auditor's feedback auditing result.
  • the primary auditor does not return the local execution subtask, the primary auditor performs the auditing task, and the first processing unit determines whether all the subtasks have been submitted except for the subtasks performed by the primary auditor.
  • the relevant sub-tasks are not all submitted with relevant prompt information, so as to remind the relevant auditors to deal with them in time.
  • the receiving primary auditor feeds back the corresponding audit task conclusions.
  • the audit task conclusion is reviewed by the designated audit role; if the feedback result is audited by the designated audit role, it is judged whether it is the report initiation audit. If the report is initiated, the report is unlocked; if it is not the report, the audit is completed. If the feedback conclusion is not reviewed by the designated audit role, the audit task is returned to the designated audit role to redistribute the subtask for execution.
  • the secondary auditor when the mobile terminal determines that the primary auditor returns to the local execution subtask, the secondary auditor receives the audit result; when the primary auditor does not return the local execution subtask, and all the subtasks have been submitted, the receiving primary auditor receives corresponding feedback. The conclusion of the audit task. Therefore, it is possible to flexibly arrange auditors to perform auditing tasks and improve the efficiency of auditing.
  • the receiving module 200 further includes:
  • a third determining unit configured to determine, when the assigned subtask is not a preset task, whether the main auditor applies for a subtask
  • a second processing unit configured to: when the primary auditor applies for a subtask, determine whether the primary auditor wants to return the executed subtask; if yes, re-determine whether the primary auditor applies for a subtask; if not, Then perform a rollout or allocation process;
  • a third processing unit configured to: when the primary auditor does not apply for a subtask, determine whether all subtasks have been submitted except for the subtask performed by the main auditor; if not, the output subtasks are not all The relevant prompt information submitted; if yes, the main auditor is received to feed back the corresponding audit task conclusion.
  • the second processing unit determines whether the designated auditing role is to be returned to the executed subtask.
  • the designated audit role can be the primary auditor.
  • the second processing unit re-determines whether the primary auditor applies for the subtask; when the primary auditor does not return the executed subtask, it determines whether the audit subtask needs to be transferred out or assigned. .
  • the second processing unit receives the transfer instruction input by the main auditor to perform the transfer processing of the audit sub-task.
  • the second processing unit receives the allocation instruction input by the main auditor to perform an allocation process on the audit sub-task, and receives an audit result of the auxiliary auditor or expert feedback of the execution sub-task.
  • the third processing unit determines whether all the subtasks have been submitted except for the subtasks performed by the main auditor. When all the subtasks have been submitted, the relevant sub-tasks are not all submitted with relevant prompt information, so as to remind the relevant auditors to deal with them in time. When all subtasks are not fully submitted, the receiving primary auditor feeds back the corresponding audit task conclusions. After receiving the feedback from the main auditor to the corresponding audit task, it is judged whether the audit task conclusion is reviewed by the designated audit role; if the feedback result is audited by the designated audit role, it is judged whether it is the report initiation audit. If the report is initiated, the report is unlocked; if it is not the report, the audit is completed. If the feedback conclusion is not reviewed by the designated audit role, the audit task is returned to the designated audit role to redistribute the subtask for execution.
  • the transfer or distribution process is performed; when the main auditor does not apply for the subtask, and all the subtasks have been submitted, the main auditor is received. Feedback the corresponding audit task conclusions. Therefore, the audit task can be flexibly distributed, and the convenience of auditing is improved.
  • the receiving module 200 further includes:
  • a fourth determining unit configured to: when the assigned subtask is not a preset task, determine whether the main auditor audits a subtask submitted by an auditing role preset by a remote location;
  • a fourth processing unit configured to: when the primary auditor audits the subtask submitted by the auditing role preset by the remote location, determine whether there is a remote auxiliary auditing task; if not, determine that the remotely-predicted auditing role feedback is completed; Receiving the remote sub-auditor feedback sub-task when there is an auditing role preset by the remote location, and determining that the auditing role of the pre-existing auditing role is completed when there is no auditing role audited by the remote location;
  • a fifth processing unit configured to: when the primary auditor does not audit the subtask submitted by the remote auditing role, determine whether all the subtasks have been submitted except the subtask executed by the main auditor; if not, The relevant sub-tasks are not all submitted with relevant prompt information; if yes, the main auditor is received to feed back the corresponding audit task conclusion.
  • the fourth processing unit when the fourth processing unit receives the information that the main auditor audits the subtask submitted by the remote auditing supervisor, firstly, it is determined whether there is a remote auxiliary auditing task. If there is no off-site auxiliary audit task, it is determined that the off-site supervisor audit feedback is completed. If there is a remote auxiliary audit task, when there is an off-site audit supervisor review, the remote sub-auditor feedback sub-task is received. When there is no off-site audit supervisor review, it is determined that the remote audit supervisor feedback is completed.
  • the fifth processing unit determines whether all subtasks have been submitted except for the subtasks performed by the main auditor. When all the subtasks have been submitted, the relevant sub-tasks are not all submitted with relevant prompt information, so as to remind the relevant auditors to deal with them in time. When all subtasks are not fully submitted, the receiving primary auditor feeds back the corresponding audit task conclusions. After receiving the feedback from the main auditor to the corresponding audit task, it is judged whether the audit task conclusion is reviewed by the designated audit role; if the feedback result is audited by the designated audit role, it is judged whether it is the report initiation audit. If the report is initiated, the report is unlocked; if it is not the report, the audit is completed. If the feedback conclusion is not reviewed by the designated audit role, the audit task is returned to the designated audit role to redistribute the subtask for execution.
  • the main auditor audits the sub-task submitted by the remote audit supervisor, if there is no off-site auxiliary audit task, when there is an off-site audit supervisor, the sub-audit auditor receives the sub-task, and when there is no off-site audit supervisor At the time, it is determined that the feedback of the off-site audit supervisor is completed.
  • the receiving main auditor returns the corresponding audit task conclusion.
  • the mobile terminal can flexibly allocate audit tasks and improve the efficiency and convenience of auditing.
  • a sixth embodiment of the data auditing apparatus of the present invention is provided.
  • the data auditing apparatus of the embodiment further includes:
  • a pushing module configured to: when the sponsor corresponding to the audit request is not a preset auditing role, obtain an administrative area authority and a corresponding target auditing role according to the insured institution to which the related policy belongs, and perform an audit corresponding to the audit request The task is pushed to the terminal corresponding to the target audit role to wait for the assignment; or when the corresponding target audit role is not obtained, the audit task is pushed to the administrative preset audit role of the upper administrative region for distribution.
  • the audit management authority can be set, and the administrative area authority control in the audit of the major illness medical reimbursement is taken as an example. Due to the special policy of the medical insurance reimbursement service, the provinces, cities, districts/counties may have different levels. Dimensional co-ordination policy, therefore, in the large-patient medical system claims service, based on the administrative areas of the local governments, the nationwide operation mode is launched to fully support the reimbursement services for major illnesses that have been covered by the major medical system. After accepting the audit case, according to the administrative area of the insured person according to the audit case, the responsible person of each administrative area obtains and carries out the follow-up reimbursement process such as bill entry, review, review, etc., breaking the previous data-based management and control mode based on the organization. .
  • the administrative areas under the jurisdiction are personalized, and when the administrative areas of each organization are configured, the upper and lower levels of the organization and the relationship between the upper and lower levels of the administrative area are required to be combined.
  • the data authority of the auditors under the organization can be refined to the specific administrative area under the jurisdiction of the organization, so that the large-scale pathological compensation service for the insured can be targeted in the process of auditing. Optimization and follow-up management.
  • the audit management authority of each participating area can be assigned to each organization, and the same organization can have audit management authority of multiple administrative areas at the same time.
  • the push module finds the administrative area authority according to the insured institution to which the associated policy belongs.
  • the target audit supervisor pushes the audit task corresponding to the audit request to the terminal corresponding to the target audit supervisor for allocation.
  • the push module pushes the audit task to the administrative audit supervisor of the upper administrative region for distribution.
  • the audit task When the audit supervisor transfers the audit task to an off-site audit, the audit task is directly pushed to the terminal corresponding to the audit supervisor who has the service authority of the target administrative region to wait for the assignment.
  • the user queries the audit task, according to the administrative region to which the current user belongs, the detailed information of all audit tasks under the administrative region can be queried.
  • the insured institution to which the associated policy is attached may obtain the administrative area authority and its corresponding target auditing supervisor, and push the auditing task to the terminal corresponding to the target auditing supervisor to wait for the allocation. Or when the target audit supervisor is not obtained, the audit task is pushed to the administrative audit supervisor of the upper administrative region for distribution.
  • the flexible allocation of the audit management authority of the administrative area under the jurisdiction of the auditor has been realized, which has improved the convenience and efficiency of the audit.
  • the above determining module 100, the receiving module 200, the executing module 300, and the like may be embedded in or independent of the data auditing device in hardware, or may be stored in the memory of the data auditing device in software for processing.
  • the device invokes the operations corresponding to the above modules.
  • the processor can be a central processing unit (CPU), a microprocessor, a microcontroller, or the like.
  • FIG. 5 is a schematic structural diagram of a mobile terminal in a hardware operating environment according to an embodiment of the present invention.
  • the mobile terminal in the embodiment of the present invention may be a mobile terminal device having a display function, such as a smart phone, a tablet computer, an e-book reader, and a portable computer.
  • the mobile terminal may include a processor 1001, a communication bus 1002, a memory 1003, and a communication interface 1004.
  • the communication bus 1002 is used to implement connection communication between these components.
  • the memory 1003 may be a high speed RAM memory or a stable memory (non-volatile) Memory), such as disk storage.
  • the memory 1003 can also optionally be a storage device independent of the aforementioned processor 1001.
  • the communication interface 1004 can include a user interface (not shown in FIG. 5) and/or a network interface (not shown in FIG. 5), wherein the user interface can be used to connect input/output devices such as a display screen and a keyboard, and the network interface can be used. Connect to the network, including wired networks and/or wireless networks.
  • the mobile terminal structure shown in FIG. 5 does not constitute a limitation of the mobile terminal, and may include more or less components than those illustrated, or combine some components, or different component arrangements.
  • an operating system, a network communication module, and a data auditing program may be included in the memory 1003 as a computer storage medium.
  • the processor 1001 can be used to call a data auditing program stored in the memory 1003 and perform the following operations:
  • the auditing application preset on the mobile terminal is opened, and the auditing request is received in the display interface of the auditing application, and the initiator corresponding to the auditing request is determined to be a preset auditing role;
  • the initiator corresponding to the audit request is a preset audit role
  • the audit task corresponding to the audit request is a preset task
  • receiving an allocation instruction performs allocation processing on the audit task
  • the initiator corresponding to the audit request is a preset audit role, and the audit task corresponding to the audit request is not a preset task, after determining that the audit task needs to be transferred or allocated, performing the audit task Corresponding transfer or distribution.
  • processor 1001 can execute a data auditing program stored in the memory 1003 to implement the following operations:
  • the main auditor corresponding to the subtask completes the auditing task, the main auditor is received to feed back the corresponding auditing task conclusion.
  • processor 1001 can execute a data auditing program stored in the memory 1003 to implement the following operations:
  • the secondary auditor receives the audit result
  • processor 1001 can execute a data auditing program stored in the memory 1003 to implement the following operations:
  • the primary auditor applies for a subtask, it is determined whether the primary auditor wants to return the executed subtask; if yes, re-determine whether the primary auditor applies for a subtask; if not, perform the transfer or allocation process ;
  • the primary auditor does not apply for a subtask, it is determined whether all subtasks have been submitted except for the subtasks executed by the main auditor; if not, the relevant submissions are not all submitted with relevant prompt information; And receiving the conclusion that the main auditor feeds back the corresponding audit task.
  • processor 1001 can execute a data auditing program stored in the memory 1003 to implement the following operations:
  • the main auditor audits the subtask submitted by the auditing role preset by the remote location, it determines whether there is a remote auxiliary auditing task; if not, it determines that the auditing role of the remote auditing role is completed; if it exists, when there is a remote preset
  • the audit role is reviewed, the sub-subsidiary auditor feedback subtask is received, and when there is no audit role pre-approved by the remote location, the feedback of the audit role preset by the remote location is determined to be completed;
  • the main auditor fails to audit the subtask submitted by the auditing role preset by the remote location, it is determined whether all the subtasks have been submitted except the subtasks executed by the main auditor; if not, the output subtasks are not all submitted. Relevant prompt information; if yes, receiving the primary auditor to feed back the corresponding audit task conclusion.
  • processor 1001 can execute a data auditing program stored in the memory 1003 to implement the following operations:
  • the underwriting authority that the related policy belongs to obtains the administrative area authority and the corresponding target audit role, and pushes the audit task corresponding to the audit request to the The terminal corresponding to the target audit role waits for the assignment; or when the corresponding target audit role is not obtained, the audit task is pushed to the administrative default audit role of the upper administrative region for distribution.
  • the auditor can carry the mobile terminal to the audit site for auditing, and the auditing application program can be processed in real time through the preset audit application program on the mobile terminal, thereby improving the convenience and efficiency of data auditing.
  • the present invention provides a computer readable storage medium storing one or more programs, the one or more programs being executable by one or more processors to implement the following steps:
  • the auditing application preset on the mobile terminal is opened, and the auditing request is received in the display interface of the auditing application, and the initiator corresponding to the auditing request is determined to be a preset auditing role;
  • the initiator corresponding to the audit request is a preset audit role
  • the audit task corresponding to the audit request is a preset task
  • receiving an allocation instruction performs allocation processing on the audit task
  • the initiator corresponding to the audit request is a preset audit role, and the audit task corresponding to the audit request is not a preset task, after determining that the audit task needs to be transferred or allocated, performing the audit task Corresponding transfer or distribution.
  • the computer readable storage medium stores the step of: receiving a distribution instruction to perform an allocation process on the audit task:
  • the main auditor corresponding to the subtask completes the auditing task, the main auditor is received to feed back the corresponding auditing task conclusion.
  • the computer readable storage medium stores steps further for implementing whether the subtask assigned is a preset task:
  • the secondary auditor receives the audit result
  • the computer readable storage medium stores steps further for implementing whether the subtask assigned is a preset task:
  • the primary auditor applies for a subtask, it is determined whether the primary auditor wants to return the executed subtask; if yes, re-determine whether the primary auditor applies for a subtask; if not, perform the transfer or allocation process ;
  • the primary auditor does not apply for a subtask, it is determined whether all subtasks have been submitted except for the subtasks executed by the main auditor; if not, the relevant submissions are not all submitted with relevant prompt information; And receiving the conclusion that the main auditor feeds back the corresponding audit task.
  • the computer readable storage medium stores steps further for implementing whether the subtask assigned is a preset task:
  • the main auditor audits the subtask submitted by the auditing role preset by the remote location, it determines whether there is a remote auxiliary auditing task; if not, it determines that the auditing role of the remote auditing role is completed; if it exists, when there is a remote preset
  • the audit role is reviewed, the sub-subsidiary auditor feedback subtask is received, and when there is no audit role pre-approved by the remote location, the feedback of the audit role preset by the remote location is determined to be completed;
  • the main auditor fails to audit the subtask submitted by the auditing role preset by the remote location, it is determined whether all the subtasks have been submitted except the subtasks executed by the main auditor; if not, the output subtasks are not all submitted. Relevant prompt information; if yes, receiving the primary auditor to feed back the corresponding audit task conclusion.
  • the computer readable storage medium stores the step further after the determining whether the initiator corresponding to the audit request is a preset audit role:
  • the underwriting authority that the related policy belongs to obtains the administrative area authority and the corresponding target audit role, and pushes the audit task corresponding to the audit request to the The terminal corresponding to the target audit role waits for the assignment; or when the corresponding target audit role is not obtained, the audit task is pushed to the administrative default audit role of the upper administrative region for distribution.
  • a person skilled in the art may understand that all or part of the steps of implementing the above embodiments may be completed by hardware, or may be instructed by a program to execute related hardware, and the program may be stored in a computer readable storage medium.
  • the storage medium mentioned may be a read only memory, a magnetic disk or an optical disk or the like.

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Abstract

本发明公开了一种数据稽核方法，包括：开启移动终端上预置的稽核应用程序，在稽核应用程序的显示界面内接收稽核请求，判断所述稽核请求对应的发起人是否为预设的稽核角色；当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务为预设的任务时，接收分配指令对所述稽核任务进行分配处理；当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务不是预设的任务时，在确定所述稽核任务需要转出或分配后，对所述稽核任务执行相应的转出或分配。本发明还公开了一种数据稽核装置、移动终端及计算机可读存储介质。本发明通过移动终端上预置的稽核应用程序即可实时处理稽核案件，提高了数据稽核的便捷性及效率。

Description

数据稽核方法、装置、移动终端及计算机可读存储介质
本申请要求于2017年03月17日提交中国专利局、申请号为201710169229.1、发明名称为“数据稽核方法及装置”的中国专利申请的优先权，其全部内容通过引用结合在本申请中。
技术领域
本发明涉及保险技术领域，尤其涉及一种数据稽核方法、装置、移动终端及计算机可读存储介质。
背景技术
目前，保险报销的过程中，需要保险方外派稽核人员到指定的医院、事故现场等地方进行相应的稽核。稽核人员在执行稽核任务的过程中，一般都需要稽核人员带着稽核资料及笔记本等出门，到指定的稽核地点进行现场稽核。稽核人员现场调查完后，需要回到公司再填写调查结果，此时稽核人员需要对现场记录的稽核事项进行整理才能进行填写。使得稽核人员的稽核过程非常繁琐，给稽核人员带来不便，且稽核效率比较低。
发明内容
本发明的主要目的在于提供一种数据稽核方法、装置、移动终端及计算机可读存储介质，旨在提高数据稽核的便捷性及效率。
为实现上述目的，本发明提供了一种数据稽核方法，包括：
开启移动终端上预置的稽核应用程序，在所述稽核应用程序的显示界面内接收稽核请求，判断所述稽核请求对应的发起人是否为预设的稽核角色；
当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务为预设的任务时，接收分配指令对所述稽核任务进行分配处理；
当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务不是预设的任务时，在确定所述稽核任务需要转出或分配后，对所述稽核任务执行相应的转出或分配。
此外，为实现上述目的，本发明还提供了一种数据稽核装置，包括：
判断模块，用于开启移动终端上预置的稽核应用程序，在所述稽核应用程序的显示界面内接收稽核请求，判断所述稽核请求对应的发起人是否为预设的稽核角色；
接收模块，用于当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务为预设的任务时，接收分配指令对所述稽核任务进行分配处理；
执行模块，用于当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务不是预设的任务时，在确定所述稽核任务需要转出或分配后，对所述稽核任务执行相应的转出或分配。
此外，为实现上述目的，本发明还提供了一种移动终端，所述移动终端包括处理器及存储器，所述处理器用于执行存储器中存储的数据稽核程序，以实现以下步骤：
开启移动终端上预置的稽核应用程序，在所述稽核应用程序的显示界面内接收稽核请求，判断所述稽核请求对应的发起人是否为预设的稽核角色；
当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务为预设的任务时，接收分配指令对所述稽核任务进行分配处理；
当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务不是预设的任务时，在确定所述稽核任务需要转出或分配后，对所述稽核任务执行相应的转出或分配。
此外，为实现上述目的，本发明还提供了一种计算机可读存储介质，所述计算机可读存储介质存储有一个或者多个程序，所述一个或者多个程序被一个或者多个处理器用来执行，以实现以下步骤：
开启移动终端上预置的稽核应用程序，在所述稽核应用程序的显示界面内接收稽核请求，判断所述稽核请求对应的发起人是否为预设的稽核角色；
当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务为预设的任务时，接收分配指令对所述稽核任务进行分配处理；
当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务不是预设的任务时，在确定所述稽核任务需要转出或分配后，对所述稽核任务执行相应的转出或分配。
本发明实施例在开启移动终端上预置的稽核应用程序后，当在该稽核应用程序的显示界面内接收到稽核请求时，若该稽核请求对应的发起人为预设的稽核角色，且该稽核请求对应的稽核任务为预设的任务，则接收分配指令对稽核任务进行分配处理。若稽核请求对应的发起人为预设的稽核角色，且稽核请求对应的稽核任务不是预设的任务，则在确定所述稽核任务需要转出或分配后，对稽核任务执行相应的转出或分配。从而稽核人员可携带移动终端到稽核现场进行稽核，通过移动终端上预置的稽核应用程序即可实时处理稽核案件，提高了数据稽核的便捷性及效率。
附图说明
图1为本发明数据稽核方法第一实施例的流程示意图；
图2为本发明数据稽核方法第二实施例的流程示意图；
图3为本发明数据稽核装置第一实施例的功能模块示意图；
图4为本发明数据稽核装置第二实施例的功能模块示意图；
图5为本发明实施例方案涉及的硬件运行环境的移动终端结构示意图。
本发明目的的实现、功能特点及优点将结合实施例，参照附图做进一步说明。
具体实施方式
应当理解，此处所描述的具体实施例仅仅用以解释本发明，并不用于限定本发明。
如图1所示，示出了本发明一种数据稽核方法第一实施例。该实施例的数据稽核方法包括：
步骤S10、开启移动终端上预置的稽核应用程序，在所述稽核应用程序的显示界面内接收稽核请求，判断所述稽核请求对应的发起人是否为预设的稽核角色；
本实施例中，数据稽核方法应用于移动终端，该移动终端的类型可根据实际需要进行设置。例如，该移动终端包括手机、平板电脑等。
该移动终端上预先安装稽核应用程序（即APP），该稽核应用程序可用于对数据稽核结论进行记录等，一般在对保险进行报销时，保险方需要外派稽核人员到指定的医院、事故现场等地方进行相应的稽核，此时用户可携带移动终端去稽核现场，对稽核结论进行及时记录。该保险的类型可根据实际需要进行设置，例如，该保险可为大病医疗保险。
该稽核可包括结报稽核、医疗巡查及自主稽核等，其中，结报稽核是指由结报人员在做结报审核时，发现报销信息等存在问题，而由结报人员发起的稽核。医疗巡查是指由主管或稽核人员发起，定期对医院发起稽核。自主稽核是指由主管或稽核人员发起，自主选择对参保人、结报任务二次稽核等进行的稽核。
具体地，在移动终端上安装稽核应用程序后，稽核人员可使用移动终端进行现场记录稽核结论。首先，开启移动终端运行稽核应用程序，侦测稽核应用程序的显示界面内是否接收到稽核请求。当侦测到在稽核应用程序的显示界面内接收到稽核请求时，判断该稽核请求对应的发起人是否为预设的稽核角色，该预设的稽核角色可为稽核主管，以下将以稽核主管为例进行详细说明。此时还可以生成稽核主任务编号，以便根据编号对稽核状态进行记录。
优选地，判断所述稽核请求对应的发起人是否为稽核主管的步骤之后包括：当所述稽核请求对应的发起人不是稽核主管时，该稽核主任务进入等待分配的状态，由指定的稽核主管判断是否需要执行稽核，当需要执行稽核时，移动终端在接收到需要稽核的信息时，判断该稽核请求对应的稽核任务是否是预设的任务，该预设的任务可为医疗巡查，以下将以医疗巡查为例进行详细说明。若该稽核请求对应的稽核任务是医疗巡查，则接收该指定的稽核主管输入的分配指令，根据分配指令分配子任务对稽核任务进行处理；若该稽核请求对应的稽核任务不是医疗巡查，则判断是否需要对该稽核请求对应的稽核任务进行转出或分配处理，并根据判断结果执行相应的操作。当不需要执行稽核时，移动终端在接收到不需要稽核的信息时，判断是否结报稽核；若是，则稽核请求的审批处理选择完成。若否，则在接收到需要稽核的信息时，判断稽核任务是否为医疗巡查，并根据判断结果执行后续的操作。
步骤S20、当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务为预设的任务时，接收分配指令对所述稽核任务进行分配处理；
由于医疗巡查不能转出，因此需要对医疗巡查进行特殊处理。当上述稽核请求对应的发起人为稽核主管时，判断该稽核请求对应的稽核任务是否为医疗巡查。当该稽核任务为医疗巡查时，由稽核主管分配子任务分别对稽核任务进行稽核，移动终端在接收到分配指令时，根据分配指令对稽核任务进行分配处理。
步骤S30、当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务不是预设的任务时，在确定所述稽核任务需要转出或分配后，对所述稽核任务执行相应的转出或分配。
当上述稽核请求对应的发起人为稽核主管时，判断该稽核请求对应的稽核任务是否为医疗巡查。当该稽核任务不是医疗巡查时，判断是否需要对稽核任务进行转出或分配。在确定该稽核任务需要转出或分配后，对稽核任务执行相应的转出或分配。
通过移动终端上预置的稽核应用程序可以申请稽核任务、分配稽核任务、反馈稽核结果、审核稽核结果、查询稽核任务信息。稽核人员现场调查完，不需要等到回到办公地点再填写调查结果。使得稽核人员可实时处理稽核案件，提高了反馈时效。
需要说明的是，在稽核的过程中可对行政区域权限进行控制，移动终端在接收到配置指令时，根据配置指令对各参保地区的稽核管理权限进行分配。在完成对稽核管理权限进行分配后，在接收到用户输入的查询请求时，根据该查询请求判断该查询请求对应的用户是否存在查询权限。若该用户存在查询权限，根据查询请求从服务器中获取对应的数据进行输出显示。若该用户不存在查询权限，则输出相应的提示信息。实现了当用户查询稽核任务时，根据当前用户所属行政区域，可查询该行政区域下所有稽核任务的明细信息。还可以根据实际需求，对各参保地区的稽核管理权限进行重新调配。
关于稽核管理权限的设置，还可以将各参保地区的稽核管理权限分配至各个机构，同一个机构可同时拥有多个行政区域的稽核管理权限。对同一机构的参保地区的稽核管理权限分配至各个稽核人员，同一个稽核人员可负责多个参保地区，同一个行政区域可被多个稽核人员所处理。当本地的稽核主管将稽核任务转出至异地进行稽核时，可将该稽核任务直接推送至拥有目标行政区域管理权限的稽核主管对应的终端等待分配。
本发明实施例在开启移动终端上预置的稽核应用程序后，当在该稽核应用程序的显示界面内接收到稽核请求时，若该稽核请求对应的发起人为稽核主管，且该稽核请求对应的稽核任务为医疗巡查，则接收分配指令对稽核任务进行分配处理。若稽核请求对应的发起人为稽核主管，且稽核请求对应的稽核任务不是医疗巡查，则在确定所述稽核任务需要转出或分配后，对稽核任务执行相应的转出或分配。从而稽核人员可携带移动终端到稽核现场进行稽核，通过移动终端上预置的稽核应用程序即可实时处理稽核案件，提高了数据稽核的便捷性及效率。
进一步地，如图2所示，基于上述数据稽核方法第一实施例，提出了本发明数据稽核方法第二实施例，该实施例中上述步骤S20包括：
步骤S21、接收分配指令分配多个不同的子任务，判断分配的所述子任务是否为预设的任务；
步骤S22、当所述分配的所述子任务为预设的任务时，在所述子任务对应的主稽核人完成稽核任务后，接收所述主稽核人反馈相应的稽核任务结论。
本实施例中，当稽核请求对应的发起人为稽核主管，且稽核请求对应的稽核任务为医疗巡查时，移动终端根据接收到的分配指令对稽核任务进行分配处理的过程中，首先，接收分配指令，根据分配指令分配多个不同的子任务，然后分别判断分配的多个子任务是否为医疗巡查。当子任务为医疗巡查时，由主稽核人反馈稽核任务结论，即在子任务对应的主稽核人完成稽核任务后，接收主稽核人反馈相应的稽核任务结论。当子任务不是医疗巡查时，执行判断主稽核人是否退回本地执行子任务、判断主稽核人是否申请子任务、和/或判断主稽核人是否审核异地稽核主管提交的子任务的步骤，并根据判断结果执行后续相应的操作。
优选地，所述接收所述主稽核人反馈相应的稽核任务结论的步骤之后包括：判断所述稽核任务结论是否由指定的稽核角色审核反馈结论；若是由指定的稽核角色审核反馈结论，则判断是否是结报发起稽核。若是结报发起稽核，则解锁结报；若不是结报发起稽核，则完成稽核。若不是由指定的稽核角色审核反馈结论，则将稽核任务退回至指定的稽核角色重新分配子任务进行执行，该指定的稽核角色可为第一稽核主管，或者指定的稽核角色可根据具体情况而灵活设置。
本实施例移动终端在接收分配指令分配多个不同的子任务后，当分配的子任务为医疗巡查时，接收主稽核人反馈相应的稽核任务结论。当分配的子任务不是医疗巡查时，执行不同的判断操作，并根据判断结果执行后续的操作，使得移动终端对稽核过程中分配子任务对稽核任务并行处理，由多个稽核人员同时对一个案件进行稽核，所有的稽核人员稽核完成后稽核案件完成，加快稽核反馈速度，提高了稽核的灵活性。
进一步地，基于上述数据稽核方法第二实施例，提出了本发明数据稽核方法第三实施例，该实施例中上述判断分配的所述子任务是否为预设的任务的步骤之后包括：
当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否退回本地执行子任务；
当所述主稽核人退回本地执行子任务时，接收辅稽核人反馈稽核结果；
当所述主稽核人不退回本地执行子任务时，判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；
若否，则输出子任务未全部提交的相关提示信息；
若是，则接收所述主稽核人反馈相应的稽核任务结论。
本实施例中，当主稽核人退回本地执行子任务时，由辅稽核人执行稽核任务，移动终端接收辅稽核人反馈稽核结果。当所述主稽核人不退回本地执行子任务时，由主稽核人执行稽核任务，移动终端判断除主稽核人执行的子任务外，是否所有子任务都已提交。当所有子任务都已提交时，输出子任务未全部提交的相关提示信息，以便提醒相关稽核人员进行及时处理。当所有子任务没有全部提交时，接收主稽核人反馈相应的稽核任务结论。在接收到主稽核人反馈相应的稽核任务结论的之后，判断所述稽核任务结论是否由指定的稽核角色审核反馈结论；若是由指定的稽核角色审核反馈结论，则判断是否是结报发起稽核。若是结报发起稽核，则解锁结报；若不是结报发起稽核，则完成稽核。若不是由指定的稽核角色审核反馈结论，则将稽核任务退回至指定的稽核角色重新分配子任务进行执行。
本实施例移动终端在确定主稽核人退回本地执行子任务时，接收辅稽核人反馈稽核结果；当主稽核人不退回本地执行子任务，且所有子任务都已提交时，接收主稽核人反馈相应的稽核任务结论。从而可以灵活安排稽核人执行稽核任务，提高了稽核的效率。
进一步地，基于上述数据稽核方法第二实施例，提出了本发明数据稽核方法第四实施例，该实施例中上述判断分配的所述子任务是否为预设的任务的步骤之后包括：
当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否申请子任务；
当所述主稽核人申请子任务时，判断所述主稽核人是否要退回执行的子任务；若是，则重新判断所述主稽核人是否申请子任务；若否，则执行转出或分配处理；
当所述主稽核人未申请子任务时，则判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
本实施例中，移动终端在判断主稽核人是否申请子任务的过程中，当接收到主稽核人申请子任务的信息时，判断指定的稽核角色是否要退回执行的子任务，该指定的稽核角色可为主稽核人。当主稽核人要退回执行的子任务时，重新判断主稽核人是否申请子任务；当主稽核人不退回执行的子任务时，判断是否需要对该稽核子任务执行转出或分配处理。当需要对该稽核子任务执行转出处理时，接收主稽核人输入的转出指令对稽核子任务进行转出处理。当需要对该稽核子任务执行分配处理时，接收主稽核人输入的分配指令对稽核子任务进行分配处理，并接收执行稽核子任务的辅稽核人或专家反馈的稽核结果。
当未接收到主稽核人未申请子任务的信息时，判断除主稽核人执行的子任务外，是否所有子任务都已提交。当所有子任务都已提交时，输出子任务未全部提交的相关提示信息，以便提醒相关稽核人员进行及时处理。当所有子任务没有全部提交时，接收主稽核人反馈相应的稽核任务结论。在接收到主稽核人反馈相应的稽核任务结论的之后，判断所述稽核任务结论是否由指定的稽核角色审核反馈结论；若是由指定的稽核角色审核反馈结论，则判断是否是结报发起稽核。若是结报发起稽核，则解锁结报；若不是结报发起稽核，则完成稽核。若不是由指定的稽核角色审核反馈结论，则将稽核任务退回至指定的稽核角色重新分配子任务进行执行。
本实施例当主稽核人申请子任务，且主稽核人不退回执行的子任务时，执行转出或分配处理；当主稽核人未申请子任务，且所有子任务都已提交时，接收主稽核人反馈相应的稽核任务结论。从而可以灵活分配稽核任务，提高了稽核的便捷性。
进一步地，基于上述数据稽核方法第二实施例，提出了本发明数据稽核方法第五实施例，该实施例中上述判断分配的所述子任务是否为预设的任务的步骤之后包括：
当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否审核异地预设的稽核角色提交的子任务；
当主稽核人审核异地预设的稽核角色提交的子任务时，判断是否存在异地辅稽核任务；若不存在，则确定所述异地预设的稽核角色反馈完成；若存在，则当有异地预设的稽核角色审核时，接收所述异地辅稽核人反馈子任务，当没有异地预设的稽核角色审核时，确定所述异地预设的稽核角色反馈完成；
当主稽核人未审核异地预设的稽核角色提交的子任务时，则判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
本实施例中，当移动终端接收到主稽核人审核异地稽核主管提交的子任务的信息时，首先，判断是否存在异地辅稽核任务。若不存在异地辅稽核任务，则确定异地主管稽核反馈完成。若存在异地辅稽核任务，则当有异地稽核主管审核时，接收异地辅稽核人反馈子任务，当没有异地稽核主管审核时，确定异地稽核主管反馈完成。
当主稽核人未审核异地稽核主管提交的子任务时，首先，判断除主稽核人执行的子任务外，是否所有子任务都已提交。当所有子任务都已提交时，输出子任务未全部提交的相关提示信息，以便提醒相关稽核人员进行及时处理。当所有子任务没有全部提交时，接收主稽核人反馈相应的稽核任务结论。在接收到主稽核人反馈相应的稽核任务结论的之后，判断所述稽核任务结论是否由指定的稽核角色审核反馈结论；若是由指定的稽核角色审核反馈结论，则判断是否是结报发起稽核。若是结报发起稽核，则解锁结报；若不是结报发起稽核，则完成稽核。若不是由指定的稽核角色审核反馈结论，则将稽核任务退回至指定的稽核角色重新分配子任务进行执行。
本实施例当主稽核人审核异地稽核主管提交的子任务时，若不存在异地辅稽核任务，则当有异地稽核主管审核时，接收所述异地辅稽核人反馈子任务，当没有异地稽核主管审核时，确定所述异地稽核主管反馈完成。当主稽核人未审核异地稽核主管提交的子任务，且所有子任务都已提交时，接收主稽核人反馈相应的稽核任务结论。使得移动终端可灵活分配稽核任务，提高了稽核的效率及便捷性。
进一步地，基于上述数据稽核方法第一至第五实施例中的任一实施例，提出了本发明数据稽核方法第六实施例，该实施例中上述步骤S10之后包括：
当所述稽核请求对应的发起人不是预设的稽核角色时，根据结报关联保单所属承保机构获取行政区域权限与其对应的目标稽核角色，将所述稽核请求对应的稽核任务推送至所述目标稽核角色对应的终端等待分配；或者当没有获取到对应的目标稽核角色时，将所述稽核任务推送上一级行政区域的行政预设的稽核角色进行分配。
本实施例中，可对稽核管理权限进行设置，以大病医疗报销中进行稽核中行政区域权限控制为例，由于基于大病医疗报销服务的特殊政策，各省、市、区/县可能存在各级不同维度的统筹政策，因此在大病医疗系统理赔服务中，以各地统筹的行政区域为基础，展开全国通受的作业模式，全面支持大病医疗系统各地区已承保的大病就医报销服务。在受理稽核案件后，根据稽核案件对应参保人的行政区域，由各行政区域的负责人获取并进行账单录入、审核、复核等后续报销流程，打破以往以组织机构为基础的数据权限管控模式。在组织机构的数据权限控制力度下个性化配置所管辖行政区域，且在配置各机构的行政区域时，需遵循组织机构的上下级关系以及行政区域的上下级关系进行组合配置。机构及行政区域配置完成后，可以对机构下的稽核人员的数据权限细化至机构下所管辖的具体的行政区域，使得在稽核的过程中可针对性的对参保人的大病理赔服务进行优化和后续管理。例如，可以将各参保地区的稽核管理权限分配至各个机构，同一个机构可同时拥有多个行政区域的稽核管理权限。
具体地，在配置好各行政区域的稽核管理权限后，当移动终端接收到的稽核请求对应的发起人不是稽核主管时，根据结报关联保单所属承保机构找到行政区域权限与其对应的目标稽核主管，将稽核请求对应的稽核任务推送至该目标稽核主管对应的终端等待分配。当没有找到对应的目标稽核主管时，将稽核任务推送上一级行政区域的行政稽核主管进行分配。
当稽核主管将稽核任务转出至异地进行稽核时，该稽核任务直接推送至拥有目标行政区域服务权限的稽核主管对应的终端等待分配。当用户查询稽核任务时，根据当前用户所属行政区域，可查询该行政区域下所有稽核任务的明细信息。
本实施例可根据结报关联保单所属承保机构获取行政区域权限与其对应的目标稽核主管，将稽核任务推送至目标稽核主管对应的终端等待分配。或者当未获取到目标稽核主管时，将稽核任务推送上一级行政区域的行政稽核主管进行分配。实现了对稽核人员所管辖的行政区域的稽核管理权限进行灵活分配，提高了稽核的便捷性及效率。
本领域普通技术人员可以理解实现上述实施例的全部或部分步骤可以通过硬件来完成，也可以通过程序来指令相关的硬件完成，所述的程序可以存储于一种计算机可读存储介质中，上述提到的存储介质可以是只读存储器，磁盘或光盘等。
对应地，如图3所示，提出本发明一种数据稽核装置第一实施例。该实施例的数据稽核装置包括：
判断模块100，用于开启移动终端上预置的稽核应用程序，在所述稽核应用程序的显示界面内接收稽核请求，判断所述稽核请求对应的发起人是否为预设的稽核角色；
本实施例中，数据稽核方法应用于移动终端，该移动终端的类型可根据实际需要进行设置。例如，该移动终端包括手机、平板电脑等。
该移动终端上预先安装稽核应用程序（即APP），该稽核应用程序可用于对数据稽核结论进行记录等，一般在对保险进行报销时，保险方需要外派稽核人员到指定的医院、事故现场等地方进行相应的稽核，此时用户可携带移动终端去稽核现场，对稽核结论进行及时记录。该保险的类型可根据实际需要进行设置，例如，该保险可为大病医疗保险。
该稽核可包括结报稽核、医疗巡查及自主稽核等，其中，结报稽核是指由结报人员在做结报审核时，发现报销信息等存在问题，而由结报人员发起的稽核。医疗巡查是指由主管或稽核人员发起，定期对医院发起稽核。自主稽核是指由主管或稽核人员发起，自主选择对参保人、结报任务二次稽核等进行的稽核。
具体地，在移动终端上安装稽核应用程序后，稽核人员可使用移动终端进行现场记录稽核结论。首先，开启移动终端运行稽核应用程序，侦测稽核应用程序的显示界面内是否接收到稽核请求。当侦测到在稽核应用程序的显示界面内接收到稽核请求时，判断模块100判断该稽核请求对应的发起人是否为预设的稽核角色，该预设的稽核角色可为稽核主管，以下将以稽核主管为例进行详细说明。此时还可以生成稽核主任务编号，以便根据编号对稽核状态进行记录。
优选地，判断所述稽核请求对应的发起人是否为稽核主管的步骤之后包括：当所述稽核请求对应的发起人不是稽核主管时，该稽核主任务进入等待分配的状态，由指定的稽核主管判断是否需要执行稽核，当需要执行稽核时，移动终端在接收到需要稽核的信息时，判断该稽核请求对应的稽核任务是否是预设的任务，该预设的任务可为医疗巡查，以下将以医疗巡查为例进行详细说明。若该稽核请求对应的稽核任务是医疗巡查，则接收该指定的稽核主管输入的分配指令，根据分配指令分配子任务对稽核任务进行处理；若该稽核请求对应的稽核任务不是医疗巡查，则判断是否需要对该稽核请求对应的稽核任务进行转出或分配处理，并根据判断结果执行相应的操作。当不需要执行稽核时，移动终端在接收到不需要稽核的信息时，判断是否结报稽核；若是，则稽核请求的审批处理选择完成。若否，则在接收到需要稽核的信息时，判断稽核任务是否为医疗巡查，并根据判断结果执行后续的操作。
接收模块200，用于当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务为预设的任务时，接收分配指令对所述稽核任务进行分配处理；
由于医疗巡查不能转出，因此需要对医疗巡查进行特殊处理。当上述稽核请求对应的发起人为稽核主管时，判断该稽核请求对应的稽核任务是否为医疗巡查。当该稽核任务为医疗巡查时，由稽核主管分配子任务分别对稽核任务进行稽核，接收模块200在接收到分配指令时，根据分配指令对稽核任务进行分配处理。
执行模块300，用于当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务不是预设的任务时，在确定所述稽核任务需要转出或分配后，对所述稽核任务执行相应的转出或分配。
当上述稽核请求对应的发起人为稽核主管时，判断该稽核请求对应的稽核任务是否为医疗巡查。当该稽核任务不是医疗巡查时，判断是否需要对稽核任务进行转出或分配。执行模块300在确定该稽核任务需要转出或分配后，对稽核任务执行相应的转出或分配。
通过移动终端上预置的稽核应用程序可以申请稽核任务、分配稽核任务、反馈稽核结果、审核稽核结果、查询稽核任务信息。稽核人员现场调查完，不需要等到回到办公地点再填写调查结果。使得稽核人员可实时处理稽核案件，提高了反馈时效。
需要说明的是，在稽核的过程中可对行政区域权限进行控制，移动终端在接收到配置指令时，根据配置指令对各参保地区的稽核管理权限进行分配。在完成对稽核管理权限进行分配后，在接收到用户输入的查询请求时，根据该查询请求判断该查询请求对应的用户是否存在查询权限。若该用户存在查询权限，根据查询请求从服务器中获取对应的数据进行输出显示。若该用户不存在查询权限，则输出相应的提示信息。实现了当用户查询稽核任务时，根据当前用户所属行政区域，可查询该行政区域下所有稽核任务的明细信息。还可以根据实际需求，对各参保地区的稽核管理权限进行重新调配。
关于稽核管理权限的设置，还可以将各参保地区的稽核管理权限分配至各个机构，同一个机构可同时拥有多个行政区域的稽核管理权限。对同一机构的参保地区的稽核管理权限分配至各个稽核人员，同一个稽核人员可负责多个参保地区，同一个行政区域可被多个稽核人员所处理。当本地的稽核主管将稽核任务转出至异地进行稽核时，可将该稽核任务直接推送至拥有目标行政区域管理权限的稽核主管对应的终端等待分配。
本发明实施例在开启移动终端上预置的稽核应用程序后，当在该稽核应用程序的显示界面内接收到稽核请求时，若该稽核请求对应的发起人为稽核主管，且该稽核请求对应的稽核任务为医疗巡查，则接收分配指令对稽核任务进行分配处理。若稽核请求对应的发起人为稽核主管，且稽核请求对应的稽核任务不是医疗巡查，则在确定所述稽核任务需要转出或分配后，对稽核任务执行相应的转出或分配。从而稽核人员可携带移动终端到稽核现场进行稽核，通过移动终端上预置的稽核应用程序即可实时处理稽核案件，提高了数据稽核的便捷性及效率。
进一步地，如图4所示，基于上述数据稽核装置第一实施例，提出了本发明数据稽核装置第二实施例，该实施例中上述接收模块200包括：
第一判断单元210，用于接收分配指令分配多个不同的子任务，判断分配的所述子任务是否为预设的任务；
第一接收单元220，用于若所述子任务为预设的任务，则在所述子任务对应的主稽核人完成稽核任务后，接收所述主稽核人反馈相应的稽核任务结论。
本实施例中，当稽核请求对应的发起人为稽核主管，且稽核请求对应的稽核任务为医疗巡查时，移动终端根据接收到的分配指令对稽核任务进行分配处理的过程中，首先，接收分配指令，根据分配指令分配多个不同的子任务，然后由第一判断单元210分别判断分配的多个子任务是否为医疗巡查。当子任务为医疗巡查时，由主稽核人反馈稽核任务结论，即在子任务对应的主稽核人完成稽核任务后，第一接收单元220接收主稽核人反馈相应的稽核任务结论。当子任务不是医疗巡查时，执行单元230执行判断主稽核人是否退回本地执行子任务、判断主稽核人是否申请子任务、和/或判断主稽核人是否审核异地稽核主管提交的子任务的步骤，并根据判断结果执行后续相应的操作。
优选地，所述接收所述主稽核人反馈相应的稽核任务结论的步骤之后包括：判断所述稽核任务结论是否由指定的稽核角色审核反馈结论；若是由指定的稽核角色审核反馈结论，则判断是否是结报发起稽核。若是结报发起稽核，则解锁结报；若不是结报发起稽核，则完成稽核。若不是由指定的稽核角色审核反馈结论，则将稽核任务退回至指定的稽核主管重新分配子任务进行执行，该指定的稽核角色可为第一稽核主管，或者指定的稽核角色可根据具体情况而灵活设置。
本实施例移动终端在接收分配指令分配多个不同的子任务后，当分配的子任务为医疗巡查时，接收主稽核人反馈相应的稽核任务结论。当分配的子任务不是医疗巡查时，执行不同的判断操作，并根据判断结果执行后续的操作，使得移动终端对稽核过程中分配子任务对稽核任务并行处理，由多个稽核人员同时对一个案件进行稽核，所有的稽核人员稽核完成后稽核案件完成，加快稽核反馈速度，提高了稽核的灵活性。
进一步地，基于上述数据稽核装置第二实施例，提出了本发明数据稽核装置第三实施例，该实施例中上述接收模块200还包括：
第二判断单元，用于当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否退回本地执行子任务；
第二接收单元，用于当所述主稽核人退回本地执行子任务时，接收辅稽核人反馈稽核结果；
第一处理单元，用于当所述主稽核人不退回本地执行子任务时，判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
本实施例中，当主稽核人退回本地执行子任务时，由辅稽核人执行稽核任务，第二接收单元接收辅稽核人反馈稽核结果。当所述主稽核人不退回本地执行子任务时，由主稽核人执行稽核任务，第一处理单元判断除主稽核人执行的子任务外，是否所有子任务都已提交。当所有子任务都已提交时，输出子任务未全部提交的相关提示信息，以便提醒相关稽核人员进行及时处理。当所有子任务没有全部提交时，接收主稽核人反馈相应的稽核任务结论。在接收到主稽核人反馈相应的稽核任务结论的之后，判断所述稽核任务结论是否由指定的稽核角色审核反馈结论；若是由指定的稽核角色审核反馈结论，则判断是否是结报发起稽核。若是结报发起稽核，则解锁结报；若不是结报发起稽核，则完成稽核。若不是由指定的稽核角色审核反馈结论，则将稽核任务退回至指定的稽核角色重新分配子任务进行执行。
本实施例移动终端在确定主稽核人退回本地执行子任务时，接收辅稽核人反馈稽核结果；当主稽核人不退回本地执行子任务，且所有子任务都已提交时，接收主稽核人反馈相应的稽核任务结论。从而可以灵活安排稽核人执行稽核任务，提高了稽核的效率。
进一步地，基于上述数据稽核装置第二实施例，提出了本发明数据稽核装置第四实施例，该实施例中上述接收模块200还包括：
第三判断单元，用于当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否申请子任务；
第二处理单元，用于当所述主稽核人申请子任务时，判断所述主稽核人是否要退回执行的子任务；若是，则重新判断所述主稽核人是否申请子任务；若否，则执行转出或分配处理；
第三处理单元，用于当所述主稽核人未申请子任务时，则判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
本实施例中，移动终端在判断主稽核人是否申请子任务的过程中，当接收到主稽核人申请子任务的信息时，由第二处理单元判断指定的稽核角色是否要退回执行的子任务，该指定的稽核角色可为主稽核人。当主稽核人要退回执行的子任务时，第二处理单元重新判断主稽核人是否申请子任务；当主稽核人不退回执行的子任务时，判断是否需要对该稽核子任务执行转出或分配处理。当需要对该稽核子任务执行转出处理时，第二处理单元接收主稽核人输入的转出指令对稽核子任务进行转出处理。当需要对该稽核子任务执行分配处理时，第二处理单元接收主稽核人输入的分配指令对稽核子任务进行分配处理，并接收执行稽核子任务的辅稽核人或专家反馈的稽核结果。
当未接收到主稽核人未申请子任务的信息时，第三处理单元判断除主稽核人执行的子任务外，是否所有子任务都已提交。当所有子任务都已提交时，输出子任务未全部提交的相关提示信息，以便提醒相关稽核人员进行及时处理。当所有子任务没有全部提交时，接收主稽核人反馈相应的稽核任务结论。在接收到主稽核人反馈相应的稽核任务结论的之后，判断所述稽核任务结论是否由指定的稽核角色审核反馈结论；若是由指定的稽核角色审核反馈结论，则判断是否是结报发起稽核。若是结报发起稽核，则解锁结报；若不是结报发起稽核，则完成稽核。若不是由指定的稽核角色审核反馈结论，则将稽核任务退回至指定的稽核角色重新分配子任务进行执行。
本实施例当主稽核人申请子任务，且主稽核人不退回执行的子任务时，执行转出或分配处理；当主稽核人未申请子任务，且所有子任务都已提交时，接收主稽核人反馈相应的稽核任务结论。从而可以灵活分配稽核任务，提高了稽核的便捷性。
进一步地，基于上述数据稽核装置第二实施例，提出了本发明数据稽核装置第五实施例，该实施例中上述接收模块200还包括：
第四判断单元，用于当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否审核异地预设的稽核角色提交的子任务；
第四处理单元，用于当主稽核人审核异地预设的稽核角色提交的子任务时，判断是否存在异地辅稽核任务；若不存在，则确定所述异地预设的稽核角色反馈完成；若存在，则当有异地预设的稽核角色审核时，接收所述异地辅稽核人反馈子任务，当没有异地预设的稽核角色审核时，确定所述异地预设的稽核角色反馈完成；
第五处理单元，用于当主稽核人未审核异地预设的稽核角色提交的子任务时，则判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
本实施例中，当第四处理单元接收到主稽核人审核异地稽核主管提交的子任务的信息时，首先，判断是否存在异地辅稽核任务。若不存在异地辅稽核任务，则确定异地主管稽核反馈完成。若存在异地辅稽核任务，则当有异地稽核主管审核时，接收异地辅稽核人反馈子任务，当没有异地稽核主管审核时，确定异地稽核主管反馈完成。
当主稽核人未审核异地稽核主管提交的子任务时，首先，第五处理单元判断除主稽核人执行的子任务外，是否所有子任务都已提交。当所有子任务都已提交时，输出子任务未全部提交的相关提示信息，以便提醒相关稽核人员进行及时处理。当所有子任务没有全部提交时，接收主稽核人反馈相应的稽核任务结论。在接收到主稽核人反馈相应的稽核任务结论的之后，判断所述稽核任务结论是否由指定的稽核角色审核反馈结论；若是由指定的稽核角色审核反馈结论，则判断是否是结报发起稽核。若是结报发起稽核，则解锁结报；若不是结报发起稽核，则完成稽核。若不是由指定的稽核角色审核反馈结论，则将稽核任务退回至指定的稽核角色重新分配子任务进行执行。
本实施例当主稽核人审核异地稽核主管提交的子任务时，若不存在异地辅稽核任务，则当有异地稽核主管审核时，接收所述异地辅稽核人反馈子任务，当没有异地稽核主管审核时，确定所述异地稽核主管反馈完成。当主稽核人未审核异地稽核主管提交的子任务，且所有子任务都已提交时，接收主稽核人反馈相应的稽核任务结论。使得移动终端可灵活分配稽核任务，提高了稽核的效率及便捷性。
进一步地，基于上述数据稽核装置第一至第五实施例中的任一实施例，提出了本发明数据稽核装置第六实施例，该实施例中上述数据稽核装置还包括：
推送模块，用于当所述稽核请求对应的发起人不是预设的稽核角色时，根据结报关联保单所属承保机构获取行政区域权限与其对应的目标稽核角色，将所述稽核请求对应的稽核任务推送至所述目标稽核角色对应的终端等待分配；或者当没有获取到对应的目标稽核角色时，将所述稽核任务推送上一级行政区域的行政预设的稽核角色进行分配。
本实施例中，可对稽核管理权限进行设置，以大病医疗报销中进行稽核中行政区域权限控制为例，由于基于大病医疗报销服务的特殊政策，各省、市、区/县可能存在各级不同维度的统筹政策，因此在大病医疗系统理赔服务中，以各地统筹的行政区域为基础，展开全国通受的作业模式，全面支持大病医疗系统各地区已承保的大病就医报销服务。在受理稽核案件后，根据稽核案件对应参保人的行政区域，由各行政区域的负责人获取并进行账单录入、审核、复核等后续报销流程，打破以往以组织机构为基础的数据权限管控模式。在组织机构的数据权限控制力度下个性化配置所管辖行政区域，且在配置各机构的行政区域时，需遵循组织机构的上下级关系以及行政区域的上下级关系进行组合配置。机构及行政区域配置完成后，可以对机构下的稽核人员的数据权限细化至机构下所管辖的具体的行政区域，使得在稽核的过程中可针对性的对参保人的大病理赔服务进行优化和后续管理。例如，可以将各参保地区的稽核管理权限分配至各个机构，同一个机构可同时拥有多个行政区域的稽核管理权限。
具体地，在配置好各行政区域的稽核管理权限后，当移动终端接收到的稽核请求对应的发起人不是稽核主管时，由推送模块根据结报关联保单所属承保机构找到行政区域权限与其对应的目标稽核主管，将稽核请求对应的稽核任务推送至该目标稽核主管对应的终端等待分配。当没有找到对应的目标稽核主管时，推送模块将稽核任务推送上一级行政区域的行政稽核主管进行分配。
当稽核主管将稽核任务转出至异地进行稽核时，该稽核任务直接推送至拥有目标行政区域服务权限的稽核主管对应的终端等待分配。当用户查询稽核任务时，根据当前用户所属行政区域，可查询该行政区域下所有稽核任务的明细信息。
本实施例可根据结报关联保单所属承保机构获取行政区域权限与其对应的目标稽核主管，将稽核任务推送至目标稽核主管对应的终端等待分配。或者当未获取到目标稽核主管时，将稽核任务推送上一级行政区域的行政稽核主管进行分配。实现了对稽核人员所管辖的行政区域的稽核管理权限进行灵活分配，提高了稽核的便捷性及效率。
在硬件实现上，以上判断模块100、接收模块200以及执行模块300等可以以硬件形式内嵌于或独立于数据稽核装置中，也可以以软件形式存储于数据稽核装置的存储器中，以便于处理器调用执行以上各个模块对应的操作。该处理器可以为中央处理单元（CPU)、微处理器、单片机等。
如图5所示，图5是本发明实施例方案涉及的硬件运行环境的移动终端结构示意图。
本发明实施例移动终端可以是智能手机、平板电脑、电子书阅读器、便携计算机等具有显示功能的可移动式终端设备。
如图5所示，该移动终端可以包括：处理器1001，通信总线1002，存储器1003，通信接口1004。其中，通信总线1002用于实现这些组件之间的连接通信。存储器1003可以是高速RAM存储器，也可以是稳定的存储器（non-volatile memory），例如磁盘存储器。存储器1003可选的还可以是独立于前述处理器1001的存储装置。通信接口1004可以包括用户接口（图5未示出）和/或网络接口（图5未示出），其中，用户接口可以用于连接例如显示屏和键盘等输入/输出设备，网络接口可以用于连接网络，包括有线网络和/或无线网络。
本领域技术人员可以理解，图5中示出的移动终端结构并不构成对移动终端的限定，可以包括比图示更多或更少的部件，或者组合某些部件，或者不同的部件布置。
如图5所示，作为一种计算机存储介质的存储器1003中可以包括操作系统、网络通信模块以及数据稽核程序。
在图5所示的移动终端中，处理器1001可以用于调用存储器1003中存储的数据稽核程序，并执行以下操作：
开启移动终端上预置的稽核应用程序，在所述稽核应用程序的显示界面内接收稽核请求，判断所述稽核请求对应的发起人是否为预设的稽核角色；
当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务为预设的任务时，接收分配指令对所述稽核任务进行分配处理；
当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务不是预设的任务时，在确定所述稽核任务需要转出或分配后，对所述稽核任务执行相应的转出或分配。
进一步地，处理器1001可以执行存储器1003中存储的数据稽核程序，以实现以下操作：
接收分配指令分配多个不同的子任务，判断分配的所述子任务是否为预设的任务；
当所述分配的所述子任务为预设的任务时，在所述子任务对应的主稽核人完成稽核任务后，接收所述主稽核人反馈相应的稽核任务结论。
进一步地，处理器1001可以执行存储器1003中存储的数据稽核程序，以实现以下操作：
当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否退回本地执行子任务；
当所述主稽核人退回本地执行子任务时，接收辅稽核人反馈稽核结果；
当所述主稽核人不退回本地执行子任务时，判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；
若否，则输出子任务未全部提交的相关提示信息；
若是，则接收所述主稽核人反馈相应的稽核任务结论。
进一步地，处理器1001可以执行存储器1003中存储的数据稽核程序，以实现以下操作：
当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否申请子任务；
当所述主稽核人申请子任务时，判断所述主稽核人是否要退回执行的子任务；若是，则重新判断所述主稽核人是否申请子任务；若否，则执行转出或分配处理；
当所述主稽核人未申请子任务时，则判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
进一步地，处理器1001可以执行存储器1003中存储的数据稽核程序，以实现以下操作：
当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否审核异地预设的稽核角色提交的子任务；
当主稽核人审核异地预设的稽核角色提交的子任务时，判断是否存在异地辅稽核任务；若不存在，则确定所述异地预设的稽核角色反馈完成；若存在，则当有异地预设的稽核角色审核时，接收所述异地辅稽核人反馈子任务，当没有异地预设的稽核角色审核时，确定所述异地预设的稽核角色反馈完成；
当主稽核人未审核异地预设的稽核角色提交的子任务时，则判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
进一步地，处理器1001可以执行存储器1003中存储的数据稽核程序，以实现以下操作：
当所述稽核请求对应的发起人不是预设的稽核角色时，根据结报关联保单所属承保机构获取行政区域权限与其对应的目标稽核角色，将所述稽核请求对应的稽核任务推送至所述目标稽核角色对应的终端等待分配；或者当没有获取到对应的目标稽核角色时，将所述稽核任务推送上一级行政区域的行政预设的稽核角色进行分配。
本发明实施例在开启移动终端上预置的稽核应用程序后，当在该稽核应用程序的显示界面内接收到稽核请求时，若该稽核请求对应的发起人为稽核主管，且该稽核请求对应的稽核任务为医疗巡查，则接收分配指令对稽核任务进行分配处理。若稽核请求对应的发起人为稽核主管，且稽核请求对应的稽核任务不是医疗巡查，则在确定所述稽核任务需要转出或分配后，对稽核任务执行相应的转出或分配。从而稽核人员可携带移动终端到稽核现场进行稽核，通过移动终端上预置的稽核应用程序即可实时处理稽核案件，提高了数据稽核的便捷性及效率。
本发明提供了一种计算机可读存储介质，所述计算机可读存储介质存储有一个或者多个程序，所述一个或者多个程序可被一个或者多个处理器执行，以实现以下步骤：
开启移动终端上预置的稽核应用程序，在所述稽核应用程序的显示界面内接收稽核请求，判断所述稽核请求对应的发起人是否为预设的稽核角色；
当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务为预设的任务时，接收分配指令对所述稽核任务进行分配处理；
当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务不是预设的任务时，在确定所述稽核任务需要转出或分配后，对所述稽核任务执行相应的转出或分配。
优选地，所述计算机可读存储介质存储还用于实现接收分配指令对该稽核任务进行分配处理的步骤：
接收分配指令分配多个不同的子任务，判断分配的所述子任务是否为预设的任务；
当所述分配的所述子任务为预设的任务时，在所述子任务对应的主稽核人完成稽核任务后，接收所述主稽核人反馈相应的稽核任务结论。
优选地，所述计算机可读存储介质存储还用于实现判断分配的所述子任务是否为预设的任务之后的步骤：
当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否退回本地执行子任务；
当所述主稽核人退回本地执行子任务时，接收辅稽核人反馈稽核结果；
当所述主稽核人不退回本地执行子任务时，判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；
若否，则输出子任务未全部提交的相关提示信息；
若是，则接收所述主稽核人反馈相应的稽核任务结论。
优选地，所述计算机可读存储介质存储还用于实现判断分配的所述子任务是否为预设的任务之后的步骤：
当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否申请子任务；
当所述主稽核人申请子任务时，判断所述主稽核人是否要退回执行的子任务；若是，则重新判断所述主稽核人是否申请子任务；若否，则执行转出或分配处理；
当所述主稽核人未申请子任务时，则判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
优选地，所述计算机可读存储介质存储还用于实现判断分配的所述子任务是否为预设的任务之后的步骤：
当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否审核异地预设的稽核角色提交的子任务；
当主稽核人审核异地预设的稽核角色提交的子任务时，判断是否存在异地辅稽核任务；若不存在，则确定所述异地预设的稽核角色反馈完成；若存在，则当有异地预设的稽核角色审核时，接收所述异地辅稽核人反馈子任务，当没有异地预设的稽核角色审核时，确定所述异地预设的稽核角色反馈完成；
当主稽核人未审核异地预设的稽核角色提交的子任务时，则判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
优选地，所述计算机可读存储介质存储还用于实现判断所述稽核请求对应的发起人是否为预设的稽核角色之后的步骤：
当所述稽核请求对应的发起人不是预设的稽核角色时，根据结报关联保单所属承保机构获取行政区域权限与其对应的目标稽核角色，将所述稽核请求对应的稽核任务推送至所述目标稽核角色对应的终端等待分配；或者当没有获取到对应的目标稽核角色时，将所述稽核任务推送上一级行政区域的行政预设的稽核角色进行分配。
本领域普通技术人员可以理解实现上述实施例的全部或部分步骤可以通过硬件来完成，也可以通过程序来指令相关的硬件完成，所述的程序可以存储于一种计算机可读存储介质中，上述提到的存储介质可以是只读存储器，磁盘或光盘等。
还需要说明的是，在本文中，术语“包括”、“包含”或者其任何其他变体意在涵盖非排他性的包含，从而使得包括一系列要素的过程、方法、物品或者装置不仅包括那些要素，而且还包括没有明确列出的其他要素，或者是还包括为这种过程、方法、物品或者装置所固有的要素。在没有更多限制的情况下，由语句“包括一个……”限定的要素，并不排除在包括该要素的过程、方法、物品或者装置中还存在另外的相同要素。
上述本发明实施例序号仅仅为了描述，不代表实施例的优劣。
通过以上的实施方式的描述，本领域的技术人员可以清楚地了解到上述实施例方法可借助软件加必需的通用硬件平台的方式来实现，当然也可以通过硬件，但很多情况下前者是更佳的实施方式。基于这样的理解，本发明的技术方案本质上或者说对现有技术做出贡献的部分可以以软件产品的形式体现出来，该计算机软件产品存储在一个存储介质（如ROM/RAM、磁碟、光盘）中，包括若干指令用以使得一台移动终端执行本发明各个实施例所述的方法。
以上仅为本发明的优选实施例，并非因此限制本发明的专利范围，凡是利用本发明说明书及附图内容所作的等效结构或等效流程变换，或直接或间接运用在其他相关的技术领域，均同理包括在本发明的专利保护范围内。

Claims (26)

  1. 一种数据稽核方法，其特征在于，所述数据稽核方法包括以下步骤：
    开启移动终端上预置的稽核应用程序，在所述稽核应用程序的显示界面内接收稽核请求，判断所述稽核请求对应的发起人是否为预设的稽核角色；
    当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务为预设的任务时，接收分配指令对所述稽核任务进行分配处理；
    当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务不是预设的任务时，在确定所述稽核任务需要转出或分配后，对所述稽核任务执行相应的转出或分配。
  2. 如权利要求1所述的数据稽核方法，其特征在于，所述接收分配指令对该稽核任务进行分配处理包括：
    接收分配指令分配多个不同的子任务，判断分配的所述子任务是否为预设的任务；
    当所述分配的所述子任务为预设的任务时，在所述子任务对应的主稽核人完成稽核任务后，接收所述主稽核人反馈相应的稽核任务结论。
  3. 如权利要求2所述的数据稽核方法，其特征在于，所述判断分配的所述子任务是否为预设的任务之后包括：
    当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否退回本地执行子任务；
    当所述主稽核人退回本地执行子任务时，接收辅稽核人反馈稽核结果；
    当所述主稽核人不退回本地执行子任务时，判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；
    若否，则输出子任务未全部提交的相关提示信息；
    若是，则接收所述主稽核人反馈相应的稽核任务结论。
  4. 如权利要求2所述的数据稽核方法，其特征在于，所述判断分配的所述子任务是否为预设的任务之后包括：
    当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否申请子任务；
    当所述主稽核人申请子任务时，判断所述主稽核人是否要退回执行的子任务；若是，则重新判断所述主稽核人是否申请子任务；若否，则执行转出或分配处理；
    当所述主稽核人未申请子任务时，则判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
  5. 如权利要求2所述的数据稽核方法，其特征在于，所述判断分配的所述子任务是否为预设的任务之后包括：
    当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否审核异地预设的稽核角色提交的子任务；
    当主稽核人审核异地预设的稽核角色提交的子任务时，判断是否存在异地辅稽核任务；若不存在，则确定所述异地预设的稽核角色反馈完成；若存在，则当有异地预设的稽核角色审核时，接收所述异地辅稽核人反馈子任务，当没有异地预设的稽核角色审核时，确定所述异地预设的稽核角色反馈完成；
    当主稽核人未审核异地预设的稽核角色提交的子任务时，则判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
  6. 如权利要求1所述的数据稽核方法，其特征在于，所述判断所述稽核请求对应的发起人是否为预设的稽核角色之后包括：
    当所述稽核请求对应的发起人不是预设的稽核角色时，根据结报关联保单所属承保机构获取行政区域权限与其对应的目标稽核角色，将所述稽核请求对应的稽核任务推送至所述目标稽核角色对应的终端等待分配；或者当没有获取到对应的目标稽核角色时，将所述稽核任务推送上一级行政区域的行政预设的稽核角色进行分配。
  7. 如权利要求5所述的数据稽核方法，其特征在于，所述判断所述稽核请求对应的发起人是否为预设的稽核角色之后包括：
    当所述稽核请求对应的发起人不是预设的稽核角色时，根据结报关联保单所属承保机构获取行政区域权限与其对应的目标稽核角色，将所述稽核请求对应的稽核任务推送至所述目标稽核角色对应的终端等待分配；或者当没有获取到对应的目标稽核角色时，将所述稽核任务推送上一级行政区域的行政预设的稽核角色进行分配。
  8. 一种数据稽核装置，其特征在于，所述数据稽核装置包括：
    判断模块，用于开启移动终端上预置的稽核应用程序，在所述稽核应用程序的显示界面内接收稽核请求，判断所述稽核请求对应的发起人是否为预设的稽核角色；
    接收模块，用于当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务为预设的任务时，接收分配指令对所述稽核任务进行分配处理；
    执行模块，用于当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务不是预设的任务时，在确定所述稽核任务需要转出或分配后，对所述稽核任务执行相应的转出或分配。
  9. 如权利要求8所述的数据稽核装置，其特征在于，所述接收模块包括：
    第一判断单元，用于接收分配指令分配多个不同的子任务，判断分配的所述子任务是否为预设的任务；
    第一接收单元，用于若所述子任务为预设的任务，则在所述子任务对应的主稽核人完成稽核任务后，接收所述主稽核人反馈相应的稽核任务结论。
  10. 如权利要求9所述的数据稽核装置，其特征在于，所述接收模块还包括：
    第二判断单元，用于当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否退回本地执行子任务；
    第二接收单元，用于当所述主稽核人退回本地执行子任务时，接收辅稽核人反馈稽核结果；
    第一处理单元，用于当所述主稽核人不退回本地执行子任务时，判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
  11. 如权利要求9所述的数据稽核装置，其特征在于，所述接收模块还包括：
    第三判断单元，用于当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否申请子任务；
    第二处理单元，用于当所述主稽核人申请子任务时，判断所述主稽核人是否要退回执行的子任务；若是，则重新判断所述主稽核人是否申请子任务；若否，则执行转出或分配处理；
    第三处理单元，用于当所述主稽核人未申请子任务时，则判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
  12. 如权利要求9所述的数据稽核装置，其特征在于，所述接收模块还包括：
    第四判断单元，用于当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否审核异地预设的稽核角色提交的子任务；
    第四处理单元，用于当主稽核人审核异地预设的稽核角色提交的子任务时，判断是否存在异地辅稽核任务；若不存在，则确定所述异地预设的稽核角色反馈完成；若存在，则当有异地预设的稽核角色审核时，接收所述异地辅稽核人反馈子任务，当没有异地预设的稽核角色审核时，确定所述异地预设的稽核角色反馈完成；
    第五处理单元，用于当主稽核人未审核异地预设的稽核角色提交的子任务时，则判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
  13. 如权利要求8所述的数据稽核装置，其特征在于，所述数据稽核装置还包括：
    推送模块，用于当所述稽核请求对应的发起人不是预设的稽核角色时，根据结报关联保单所属承保机构获取行政区域权限与其对应的目标稽核角色，将所述稽核请求对应的稽核任务推送至所述目标稽核角色对应的终端等待分配；或者当没有获取到对应的目标稽核角色时，将所述稽核任务推送上一级行政区域的行政预设的稽核角色进行分配。
  14. 如权利要求12所述的数据稽核装置，其特征在于，所述数据稽核装置还包括：
    推送模块，用于当所述稽核请求对应的发起人不是预设的稽核角色时，根据结报关联保单所属承保机构获取行政区域权限与其对应的目标稽核角色，将所述稽核请求对应的稽核任务推送至所述目标稽核角色对应的终端等待分配；或者当没有获取到对应的目标稽核角色时，将所述稽核任务推送上一级行政区域的行政预设的稽核角色进行分配。
  15. 一种移动终端，其特征在于，所述移动终端包括处理器及存储器，所述处理器用于执行存储器中存储的数据稽核程序，以实现以下步骤：
    开启移动终端上预置的稽核应用程序，在所述稽核应用程序的显示界面内接收稽核请求，判断所述稽核请求对应的发起人是否为预设的稽核角色；
    当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务为预设的任务时，接收分配指令对所述稽核任务进行分配处理；
    当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务不是预设的任务时，在确定所述稽核任务需要转出或分配后，对所述稽核任务执行相应的转出或分配。
  16. 如权利要求15所述的移动终端，其特征在于，所述处理器还用于执行存储器中存储的数据稽核程序，以实现接收分配指令对该稽核任务进行分配处理的步骤：
    接收分配指令分配多个不同的子任务，判断分配的所述子任务是否为预设的任务；
    当所述分配的所述子任务为预设的任务时，在所述子任务对应的主稽核人完成稽核任务后，接收所述主稽核人反馈相应的稽核任务结论。
  17. 如权利要求16所述的移动终端，其特征在于，所述处理器还用于执行存储器中存储的数据稽核程序，以实现判断分配的所述子任务是否为预设的任务之后的步骤：
    当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否退回本地执行子任务；
    当所述主稽核人退回本地执行子任务时，接收辅稽核人反馈稽核结果；
    当所述主稽核人不退回本地执行子任务时，判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；
    若否，则输出子任务未全部提交的相关提示信息；
    若是，则接收所述主稽核人反馈相应的稽核任务结论。
  18. 如权利要求16所述的移动终端，其特征在于，所述处理器还用于执行存储器中存储的数据稽核程序，以实现判断分配的所述子任务是否为预设的任务之后的步骤：
    当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否申请子任务；
    当所述主稽核人申请子任务时，判断所述主稽核人是否要退回执行的子任务；若是，则重新判断所述主稽核人是否申请子任务；若否，则执行转出或分配处理；
    当所述主稽核人未申请子任务时，则判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
  19. 如权利要求16所述的移动终端，其特征在于，所述处理器还用于执行存储器中存储的数据稽核程序，以实现判断分配的所述子任务是否为预设的任务之后的步骤：
    当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否审核异地预设的稽核角色提交的子任务；
    当主稽核人审核异地预设的稽核角色提交的子任务时，判断是否存在异地辅稽核任务；若不存在，则确定所述异地预设的稽核角色反馈完成；若存在，则当有异地预设的稽核角色审核时，接收所述异地辅稽核人反馈子任务，当没有异地预设的稽核角色审核时，确定所述异地预设的稽核角色反馈完成；
    当主稽核人未审核异地预设的稽核角色提交的子任务时，则判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
  20. 如权利要求15所述的移动终端，其特征在于，所述处理器还用于执行存储器中存储的数据稽核程序，以实现判断所述稽核请求对应的发起人是否为预设的稽核角色之后的步骤：
    当所述稽核请求对应的发起人不是预设的稽核角色时，根据结报关联保单所属承保机构获取行政区域权限与其对应的目标稽核角色，将所述稽核请求对应的稽核任务推送至所述目标稽核角色对应的终端等待分配；或者当没有获取到对应的目标稽核角色时，将所述稽核任务推送上一级行政区域的行政预设的稽核角色进行分配。
  21. 一种计算机可读存储介质，其特征在于，所述计算机可读存储介质存储有一个或者多个程序，所述一个或者多个程序可被一个或者多个处理器执行，以实现以下步骤：
    开启移动终端上预置的稽核应用程序，在所述稽核应用程序的显示界面内接收稽核请求，判断所述稽核请求对应的发起人是否为预设的稽核角色；
    当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务为预设的任务时，接收分配指令对所述稽核任务进行分配处理；
    当所述稽核请求对应的发起人为预设的稽核角色，且所述稽核请求对应的稽核任务不是预设的任务时，在确定所述稽核任务需要转出或分配后，对所述稽核任务执行相应的转出或分配。
  22. 如权利要求21所述的计算机可读存储介质，其特征在于，所述计算机可读存储介质存储还用于实现接收分配指令对该稽核任务进行分配处理的步骤：
    接收分配指令分配多个不同的子任务，判断分配的所述子任务是否为预设的任务；
    当所述分配的所述子任务为预设的任务时，在所述子任务对应的主稽核人完成稽核任务后，接收所述主稽核人反馈相应的稽核任务结论。
  23. 如权利要求22所述的计算机可读存储介质，其特征在于，所述计算机可读存储介质存储还用于实现判断分配的所述子任务是否为预设的任务之后的步骤：
    当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否退回本地执行子任务；
    当所述主稽核人退回本地执行子任务时，接收辅稽核人反馈稽核结果；
    当所述主稽核人不退回本地执行子任务时，判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；
    若否，则输出子任务未全部提交的相关提示信息；
    若是，则接收所述主稽核人反馈相应的稽核任务结论。
  24. 如权利要求22所述的计算机可读存储介质，其特征在于，所述计算机可读存储介质存储还用于实现判断分配的所述子任务是否为预设的任务之后的步骤：
    当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否申请子任务；
    当所述主稽核人申请子任务时，判断所述主稽核人是否要退回执行的子任务；若是，则重新判断所述主稽核人是否申请子任务；若否，则执行转出或分配处理；
    当所述主稽核人未申请子任务时，则判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
  25. 如权利要求22所述的计算机可读存储介质，其特征在于，所述计算机可读存储介质存储还用于实现判断分配的所述子任务是否为预设的任务之后的步骤：
    当所述分配的所述子任务不是预设的任务时，判断所述主稽核人是否审核异地预设的稽核角色提交的子任务；
    当主稽核人审核异地预设的稽核角色提交的子任务时，判断是否存在异地辅稽核任务；若不存在，则确定所述异地预设的稽核角色反馈完成；若存在，则当有异地预设的稽核角色审核时，接收所述异地辅稽核人反馈子任务，当没有异地预设的稽核角色审核时，确定所述异地预设的稽核角色反馈完成；
    当主稽核人未审核异地预设的稽核角色提交的子任务时，则判断除所述主稽核人执行的子任务外，是否所有子任务都已提交；若否，则输出子任务未全部提交的相关提示信息；若是，则接收所述主稽核人反馈相应的稽核任务结论。
  26. 如权利要求21所述的计算机可读存储介质，其特征在于，所述计算机可读存储介质存储还用于实现判断所述稽核请求对应的发起人是否为预设的稽核角色之后的步骤：
    当所述稽核请求对应的发起人不是预设的稽核角色时，根据结报关联保单所属承保机构获取行政区域权限与其对应的目标稽核角色，将所述稽核请求对应的稽核任务推送至所述目标稽核角色对应的终端等待分配；或者当没有获取到对应的目标稽核角色时，将所述稽核任务推送上一级行政区域的行政预设的稽核角色进行分配。
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