WO2018233367A1 - Case registration method and apparatus, terminal, and computer readable storage medium - Google Patents
Case registration method and apparatus, terminal, and computer readable storage medium Download PDFInfo
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- WO2018233367A1 WO2018233367A1 PCT/CN2018/083675 CN2018083675W WO2018233367A1 WO 2018233367 A1 WO2018233367 A1 WO 2018233367A1 CN 2018083675 W CN2018083675 W CN 2018083675W WO 2018233367 A1 WO2018233367 A1 WO 2018233367A1
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- case
- field
- request
- verification
- filing
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- 238000000034 method Methods 0.000 title claims abstract description 74
- 238000012795 verification Methods 0.000 claims abstract description 119
- 230000008676 import Effects 0.000 claims abstract description 95
- 238000013507 mapping Methods 0.000 claims abstract description 29
- 238000012552 review Methods 0.000 claims description 24
- 230000004048 modification Effects 0.000 claims description 10
- 238000012986 modification Methods 0.000 claims description 10
- 239000000284 extract Substances 0.000 claims description 9
- 238000012550 audit Methods 0.000 claims description 6
- 238000004891 communication Methods 0.000 description 10
- 230000008569 process Effects 0.000 description 10
- 230000001960 triggered effect Effects 0.000 description 8
- 230000006870 function Effects 0.000 description 3
- 238000012545 processing Methods 0.000 description 3
- 238000013500 data storage Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000008520 organization Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 230000009466 transformation Effects 0.000 description 1
Classifications
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- 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
- G06Q50/00—Information and communication technology [ICT] specially adapted for implementation of business processes of specific business sectors, e.g. utilities or tourism
- G06Q50/10—Services
- G06Q50/18—Legal services
Definitions
- the present application relates to the field of computer technologies, and in particular, to a filing method, apparatus, terminal, and computer readable storage medium.
- the main purpose of the present application is to provide a method, device, terminal and computer readable storage medium for solving the problem of the existing filing method, low filing efficiency and poor intelligence.
- the present application provides a filing method, the filing method comprising:
- the report entry is displayed in the preset interface of the claim system
- Each verification case is used to review the corresponding cases.
- the claim settlement plan is generated based on the amount of the compensation corresponding to the case.
- the present application further provides a filing device, the filing device comprising:
- a display module configured to display a report entry in a preset interface of the claims system when receiving the case import request
- the comparison module is configured to extract corresponding data fields in each imported case, and compare the extracted data fields with the pre-stored mapping table to determine a verification rule corresponding to each data field;
- the audit module is used to review each case by using each verification rule.
- the claim scheme is generated based on the amount of the claim corresponding to the case.
- the present application further provides a terminal, where the terminal includes a memory, a processor, and a filing program stored on the memory and operable on the processor, the filing program being The steps of the filing method as described above are implemented when the processor executes.
- the present application further provides a computer readable storage medium, where the computer readable storage medium stores a filing program, and the filing program is executed by a processor to implement the filing method as described above. step.
- the technical solution proposed by the present application first displays a report entry in a preset interface of the claims system when receiving the case import request, and then imports a batch case from the report entry, and extracts corresponding data from each imported case. Field, and compare each extracted data field with the pre-stored mapping table to determine the verification rule corresponding to each data field, and finally use each verification rule to review each case, and when the verification is correct, based on the case The corresponding compensation amount is generated to generate a claim plan.
- this application examines the case through the verification rules of each case, and carries out subsequent filing, realizing the batch filing of the claims plan, without having to manually file each case separately, and improve the claims. The efficiency and intelligence of filing the case saves manpower.
- FIG. 1 is a schematic structural diagram of a terminal in a hardware operating environment involved in a solution according to an embodiment of the present application
- FIG. 2 is a schematic flow chart of a first embodiment of a method for filing a case according to the present application
- FIG. 3 is a schematic flow chart of a second embodiment of a filing method of the present application.
- the solution of the embodiment of the present application is mainly: when receiving the case import request, first displaying the report entry in the preset interface of the claim system, then importing the batch case from the report entry, and extracting from the imported cases. Corresponding data fields, and comparing the extracted data fields with the pre-stored mapping table to determine the verification rules corresponding to the respective data fields, and finally using the respective verification rules to review the corresponding cases, when the verification is correct A claim settlement plan is generated based on the amount of the claim corresponding to the case. In order to solve the problem of poor intelligence and low efficiency in the existing filing method.
- FIG. 1 is a schematic structural diagram of a terminal in a hardware operating environment involved in an embodiment of the present application.
- the device in the embodiment of the present application may be a PC, or 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 device may include a processor 1001, such as a CPU, a communication bus 1002, a user interface 1003, a network interface 1004, and a memory 1005.
- the communication bus 1002 is used to implement connection communication between these components.
- the user interface 1003 can include a display, an input unit such as a keyboard, and the optional user interface 1003 can also include a standard wired interface, a wireless interface.
- the network interface 1004 can optionally include a standard wired interface, a wireless interface (such as a WI-FI interface).
- the memory 1005 may be a high speed RAM memory or a stable memory (non-volatile) Memory), such as disk storage.
- the memory 1005 can also optionally be a storage device independent of the aforementioned processor 1001.
- the device may also include a camera, RF (Radio) Frequency, RF) circuits, sensors, audio circuits, WiFi modules, and more.
- RF Radio
- RF Radio Frequency
- FIG. 1 does not constitute a limitation to the device, and may include more or less components than those illustrated, or a combination of certain components, or different component arrangements.
- an operating system, a network communication module, a user interface module, and a filing program may be included in the memory 1005 as a computer readable storage medium.
- the operating system is a program for managing and controlling terminal and software resources, and supports operation of a network communication module, a user interface module, a filing program, and other programs or software; a network communication module is used to manage and control the network interface 1002; and a user interface module is used.
- the user interface 1003 is managed and controlled.
- the network interface 1004 is mainly used to connect to the claims system platform, and performs data communication with the claims system platform;
- the user interface 1003 is mainly used to connect the client (user end) and perform data communication with the client;
- the terminal invokes the filing program stored in the memory 1005 by the processor 1001 and executes the steps of the filing method as described below.
- FIG. 2 is a schematic flow chart of a preferred embodiment of the method for filing a case of the present application.
- the filing method includes:
- the filing method is applied to a terminal, and the terminal is a terminal as shown in FIG.
- the terminal is provided with a claim system, and the claim system is used for reporting and filing.
- step S10 when the case import request is received, the report entry is displayed in the preset interface of the claim system.
- the triggering manner of the case import request includes:
- the terminal displays a preset interface of the claim system, such as a main interface, when the user clicks a preset case import button in the main interface to trigger a case import request.
- a preset interface of the claim system such as a main interface
- the terminal receives the report request sent by the third party in the service interface of the claim system, performs risk check on the report request, and triggers the case import request based on the report request when the verification is successful. Specifically, receiving the report request sent by the third party, first identifying the parameter information of the report request, extracting the pre-stored judgment rule based on the parameter information, and verifying the parameter information according to the determination rule, if the parameter is detected The information matches the judgment rule, and the verification is determined to be successful. When the verification is successful, a case flag is added to the report request to trigger the case import request according to the added case flag.
- the terminal Upon receiving the case import request, the terminal displays the report entry in the preset interface of the claim system, and the report entry can be imported into the batch case at one time.
- the implementation manner of the step S10 includes:
- the terminal when the terminal receives the request for importing the case in the preset interface of the claim system, the terminal directly displays the batch report entry in the current interface.
- the user can import the case based on the batch report entry.
- the third party can send a case to the report entry through the service interface of the claim system.
- Step S20 importing a batch case from the report entry.
- the terminal When the terminal receives the batch case from the report entry, the received batch case is imported into the claim system, and the imported batch case is cached in the cache area.
- the case of batch import is mainly for the case that the insurance policy has a high frequency of occurrence and a small amount of risk in different policies under the same policy or the same insurance.
- the terminal imports a batch case from the report entry, it is via CSV (Comma-Separated). Values, character-separated values) are imported.
- the claim system in this embodiment supports an extensible import template, that is, the report entry is available for the operator to set and import the claim data, and can record and download the original data.
- Step S30 extracting corresponding data fields in each imported case, and comparing the extracted data fields with the pre-stored mapping table to determine a verification rule corresponding to each data field;
- the terminal After the terminal imports the batch case from the report entry, the terminal extracts the data field corresponding to each case in each imported case, and then compares the extracted fields with the mapping table prestored by the terminal.
- the data storage field and the corresponding verification rule are stored in the pre-stored mapping table, where a data field corresponds to a verification rule, a data field corresponds to multiple verification rules, or A plurality of data fields correspond to a verification rule, which is specifically set according to actual conditions.
- the verification rules corresponding to the respective data fields may be determined according to the mapping table.
- step S40 each of the corresponding cases is reviewed by using each verification rule.
- the claim settlement plan is generated based on the amount of the compensation corresponding to the case.
- each verification rule can be used to review each case, that is, whether each data field in each case satisfies the corresponding verification rule.
- each case in the comparison process between each data field and the verification rule, if the ratio of the number of data fields satisfying the verification rule to the total data field of the case reaches a preset threshold, the case is considered to be correct, and Determining the amount of the claim, in order to generate a corresponding claim plan according to the amount of the case, specifically: after the case is verified by using each check rule, the amount of the case is compensated according to the amount of compensation previously arranged in the case. Add to the case table to generate the corresponding claims plan.
- the case in the claim system also has a query function, specifically:
- the query condition corresponding to the query instruction is determined, and the query condition includes a batch number query, an import start and end time query (limited 7-day range), a batch status query, an organization query, and the like. Moreover, when the case is queried, the query can be performed in a preset order, such as in chronological order.
- the technical solution proposed by the embodiment when receiving the case import request, first displays the report entry in the preset interface of the claim system, and then imports the batch case from the report entry, and extracts corresponding items from the imported cases. Data field, and compare each extracted data field with a pre-stored mapping table to determine a verification rule corresponding to each data field, and finally use each verification rule to review each case, and when the verification is correct, based on The amount of compensation corresponding to the case generates a claim settlement plan.
- this application examines the case through the verification rules of each case, and carries out subsequent filing, realizing the batch filing of the claims plan, without having to manually file each case separately, and improve the claims.
- the efficiency and intelligence of filing the case saves manpower.
- the method further includes:
- Step S50 after a case import failure occurs, obtaining a case that the import fails;
- Step S60 storing the failed import case into the preset storage area, and generating a case list based on the case of the failed import, so as to download the corresponding case based on the case list.
- the terminal imports the batch case from the report entry, if the case import fails, the terminal stores the failed import case in the preset storage area, and the terminal fails to import the case.
- Obtaining identification information corresponding to the case where the identification information may be a case name or a case number, to generate a case list according to the obtained identification information, and subsequently, the corresponding case may be downloaded from the preset storage area based on the case list. To prevent the case from failing to import, the case could not be found.
- the failed import case is stored, and the case that the import failed is found according to the case list for downloading and viewing.
- the third embodiment of the method of filing is different from the first embodiment of the method of filing.
- the method further includes:
- Step A when receiving a call request of a third party in a service interface of the claim system, determining a call request sent by the third party;
- Step B detecting a request type of the call request, and if the request type is one of preset types, receiving a report request of the third party;
- Step C Perform a risk check on the report request, and after the verification succeeds, trigger the case import request based on the report request.
- the terminal before the terminal displays the report entry in the preset interface of the claim system according to the case import request, the terminal first determines the trigger mode of the case import request, and if the trigger mode of the case import request is triggered by a third party, then The third party first calls the service interface of the terminal to establish the communication connection.
- the third party refers to a partner and can be represented by other devices.
- the method further includes: before the step A, the method further includes:
- Step D registering a transaction code for the third party, so that the third party invokes the service interface through the transaction code.
- the terminal needs to register a transaction code (tradecode) for the third party, and the transaction code is unique, and the third party interacts with the terminal's claim system through the transaction code to call The service interface of the claims system.
- a transaction code tradecode
- the existing third parties are different.
- the service interface is preferably a restful interface. Through the restful interface, different types of third parties can call the service interface without setting different interfaces for different third parties, which improves the high availability of data calls.
- the service data in the claim system in the present embodiment has a specific form of data in the json format, so that each third party can call and receive data.
- the terminal When the terminal receives the call request of the third party in the service interface of the claim system, the terminal first determines the call request sent by the third party.
- the call request sent by the third party is determined, which may be Determining the type of the request corresponding to the call request, specifically, determining the type identifier included in the call request to determine whether the request type of the call request is one of the preset types, and if it is one of the preset types, the third party is considered
- the call request sent is reasonable, and the preset type is set according to the actual situation, and is not limited herein.
- the terminal receives the report request of the third party.
- the report request includes information such as the time of the case, the time of the insurance, the policy number, and the amount of the payment.
- the terminal After receiving the report request sent by the third party, the terminal performs a risk check on the report request. After the verification succeeds, the case import request is triggered based on the report request, that is, the case flag is added in the report request. The case import request is triggered based on the added case flag.
- the step of performing risk verification on the report request includes:
- the terminal first identifies the parameter information carried in the report request, and the parameter information, such as the case time, the time of the insurance, the policy number, etc., after extracting the parameter information, extracts the judgment rule according to the parameter information, and then according to the parameter information.
- the judgment rule verifies the parameter information.
- the judgment rule is the existing policy number in the system, and the parameter information is verified according to the judgment rule, which is actually comparing the policy number with each existing policy number in the system. To determine whether the policy number exists, if the policy number exists, it is considered that the parameter information matches the judgment rule, and the verification is determined to be successful. Other parameter information and the verification method of the judgment rule are not described in detail.
- the case import request may be triggered based on the report request, and the report entry is displayed in the preset interface of the claim system based on the case import request, and the subsequent entry is performed.
- the operation process, the subsequent operation process has been detailed in the above, and will not be described here.
- the service interface is first set in the claims system, and the transaction code is set to the third party, and the third party terminal that does not have the claim settlement capability can also be implemented by the third party through the service interface.
- the fourth embodiment of the filing method is different from the first embodiment of the filing method in that, before the step A, the method further includes:
- Step E extracting a data field in the preset claim application data, and comparing the extracted data field with the pre-stored field;
- Step F when the data field matches the pre-stored field, determining that the data field is a basic field
- Step G when the data field does not match the pre-stored field, determine that the data field is an extended field, and add the field to the system;
- Step H mapping the basic field and the extended field under a transaction code to map a verification rule corresponding to the basic field and the extended field;
- step I the basic field and the extended field are associated with the corresponding verification rule for subsequent review of the case.
- the claim application data refers to the claim data having the public basis, and after obtaining the claim application data, the data field is extracted from the claim application data, such as the application time, the application for the claim partner, the application for the payment amount, etc., and then The extracted data field is compared with the pre-stored field.
- the data field is considered to be a basic field, and when the data field does not match the pre-stored field, the data field is considered to be an extended field. And add this field to the system.
- the base field and the extension field are mapped under the transaction code. Since the transaction code can uniquely represent the third party, the base field and the extension field are mapped under the transaction code, optionally Determining the current transaction code, configuring a verification rule for the base field of the transaction code, and configuring another verification rule for the extension field of the transaction code to map the verification corresponding to the base field and the extension field of the transaction code. The rule finally stores the base field and the extended field in association with the corresponding verification rule to obtain a mapping table for subsequent review of the case associated with the transaction code.
- mapping table in the system before the terminal files the case in the claims system, so that the subsequent review of the case can be carried out through the mapping table, thereby realizing the automatic review of the case and improving the filing of the case. Convenience.
- the verification rule Upon receiving the verification rule modification instruction, the verification rule is adjusted and/or added or deleted according to the verification rule modification instruction.
- the filing device includes:
- a display module configured to display a report entry in a preset interface of the claims system when receiving the case import request
- the comparison module is configured to extract corresponding data fields in each imported case, and compare the extracted data fields with the pre-stored mapping table to determine a verification rule corresponding to each data field;
- the audit module is used to review each case by using each verification rule.
- the claim scheme is generated based on the amount of the claim corresponding to the case.
- the filing device may be a terminal, and the terminal is a terminal as shown in FIG. 1 .
- the terminal is provided with a claim system, and the claim system is used for reporting and filing.
- the triggering manner of the case import request includes:
- the terminal displays a preset interface of the claim system, such as a main interface, when the user clicks a preset case import button in the main interface to trigger a case import request.
- a preset interface of the claim system such as a main interface
- the terminal receives the report request sent by the third party in the service interface of the claim system, performs risk check on the report request, and triggers the case import request based on the report request when the verification is successful. Specifically, receiving the report request sent by the third party, first identifying the parameter information of the report request, extracting the pre-stored judgment rule based on the parameter information, and verifying the parameter information according to the determination rule, if the parameter is detected The information matches the judgment rule, and the verification is determined to be successful. When the verification is successful, a case flag is added to the report request to trigger the case import request according to the added case flag.
- the terminal Upon receiving the case import request, the terminal displays the report entry in the preset interface of the claim system, and the report entry can be imported into the batch case at one time.
- the implementation manner of the display module for displaying the report entry in the preset interface of the claim system when receiving the case import request includes:
- the terminal when the terminal receives the request for importing the case in the preset interface of the claim system, the terminal directly displays the batch report entry in the current interface.
- the user can import the case based on the batch report entry.
- the third party can send a case to the report entry through the service interface of the claim system.
- the terminal When the terminal receives the batch case from the report entry, the received batch case is imported into the claim system, and the imported batch case is cached in the cache area.
- the case of batch import is mainly for the case that the insurance policy has a high frequency of occurrence and a small amount of risk in different policies under the same policy or the same insurance.
- the terminal imports a batch case from the report entry, it is via CSV (Comma-Separated). Values, character-separated values) are imported.
- the claim system in this embodiment supports an extensible import template, that is, the report entry is available for the operator to set and import the claim data, and can record and download the original data.
- the terminal After the terminal imports the batch case from the report entry, the terminal extracts the data field corresponding to each case in each imported case, and then compares the extracted fields with the mapping table prestored by the terminal.
- the data storage field and the corresponding verification rule are stored in the pre-stored mapping table, where a data field corresponds to a verification rule, a data field corresponds to multiple verification rules, or A plurality of data fields correspond to a verification rule, which is specifically set according to actual conditions.
- the verification rules corresponding to the respective data fields may be determined according to the mapping table.
- each verification rule can be used to review each case, that is, whether each data field in each case satisfies the corresponding verification rule.
- each case in the comparison process between each data field and the verification rule, if the ratio of the number of data fields satisfying the verification rule to the total data field of the case reaches a preset threshold, the case is considered to be correct, and Determining the amount of the claim, in order to generate a corresponding claim plan according to the amount of the case, specifically: after the case is verified by using each check rule, the amount of the case is compensated according to the amount of compensation previously arranged in the case. Add to the case table to generate the corresponding claims plan.
- the case in the claim system also has a query function, specifically:
- the query condition corresponding to the query instruction is determined, and the query condition includes a batch number query, an import start and end time query (limited 7-day range), a batch status query, an organization query, and the like. Moreover, when the case is queried, the query can be performed in a preset order, such as in chronological order.
- the technical solution proposed by the embodiment when receiving the case import request, first displays the report entry in the preset interface of the claim system, and then imports the batch case from the report entry, and extracts corresponding items from the imported cases. Data field, and compare each extracted data field with a pre-stored mapping table to determine a verification rule corresponding to each data field, and finally use each verification rule to review each case, and when the verification is correct, based on The amount of compensation corresponding to the case generates a claim settlement plan.
- this application examines the case through the verification rules of each case, and carries out subsequent filing, realizing the batch filing of the claims plan, without having to manually file each case separately, and improve the claims.
- the efficiency and intelligence of filing the case saves manpower.
- the obtaining module is configured to obtain a case that the import failed after the case fails to be imported;
- the first storage module is configured to store the failed import case into the preset storage area, and generate a case list based on the failed import case, so as to download the corresponding case based on the case list.
- the terminal imports the batch case from the report entry, if the case import fails, the terminal stores the failed import case in the preset storage area, and the terminal fails to import the case.
- Obtaining identification information corresponding to the case where the identification information may be a case name or a case number, to generate a case list according to the obtained identification information, and subsequently, the corresponding case may be downloaded from the preset storage area based on the case list. To prevent the case from failing to import, the case could not be found.
- the failed import case is stored, and the case that the import failed is found according to the case list for downloading and viewing.
- a judging module configured to determine, when the third party call request is received in the service interface of the claim system, the call request sent by the third party;
- a detecting module configured to detect a request type of the calling request, and if the request type is one of preset types, receiving a report request of the third party;
- the verification module is configured to perform a risk check on the report request, and after the verification succeeds, trigger the case import request based on the report request.
- the terminal before the terminal displays the report entry in the preset interface of the claim system according to the case import request, the terminal first determines the trigger mode of the case import request, and if the trigger mode of the case import request is triggered by a third party, then The third party first calls the service interface of the terminal to establish the communication connection.
- the third party refers to a partner and can be represented by other devices.
- the device further comprises:
- a registration module for registering a transaction code for the third party to cause the third party to invoke the service interface via a transaction code.
- the terminal needs to register a transaction code (tradecode) for the third party, and the transaction code is unique, and the third party interacts with the terminal's claim system through the transaction code to call The service interface of the claims system.
- a transaction code tradecode
- the existing third parties are different.
- the service interface is preferably a restful interface. Through the restful interface, different types of third parties can call the service interface without setting different interfaces for different third parties, which improves the high availability of data calls.
- the service data in the claim system in the present embodiment has a specific form of data in the json format, so that each third party can call and receive data.
- the terminal When the terminal receives the call request of the third party in the service interface of the claim system, the terminal first determines the call request sent by the third party.
- the call request sent by the third party is determined, which may be Determining the type of the request corresponding to the call request, specifically, determining the type identifier included in the call request to determine whether the request type of the call request is one of the preset types, and if it is one of the preset types, the third party is considered
- the call request sent is reasonable, and the preset type is set according to the actual situation, and is not limited herein.
- the terminal receives the report request of the third party.
- the report request includes information such as the time of the case, the time of the insurance, the policy number, and the amount of the payment.
- the terminal After receiving the report request sent by the third party, the terminal performs a risk check on the report request. After the verification succeeds, the case import request is triggered based on the report request, that is, the case flag is added in the report request. The case import request is triggered based on the added case flag.
- the verification module is further configured to identify parameter information of the report request, extract a pre-stored determination rule based on the parameter information, and verify the parameter information according to the determination rule; If the parameter information matches the determination rule, it is determined that the verification is successful.
- the terminal first identifies the parameter information carried in the report request, and the parameter information, such as the case time, the time of the insurance, the policy number, etc., after extracting the parameter information, extracts the judgment rule according to the parameter information, and then according to the parameter information.
- the judgment rule verifies the parameter information.
- the judgment rule is the existing policy number in the system, and the parameter information is verified according to the judgment rule, which is actually comparing the policy number with each existing policy number in the system. To determine whether the policy number exists, if the policy number exists, it is considered that the parameter information matches the judgment rule, and the verification is determined to be successful. Other parameter information and the verification method of the judgment rule are not described in detail.
- the case import request may be triggered based on the report request, and the report entry is displayed in the preset interface of the claim system based on the case import request, and the subsequent entry is performed.
- the operation process, the subsequent operation process has been detailed in the above, and will not be described here.
- the service interface is first set in the claims system, and the transaction code is set to the third party, and the third party terminal that does not have the claim settlement capability can also be implemented by the third party through the service interface.
- the extracting module is configured to extract a data field in the preset claim application data, and compare the extracted data field with the pre-stored field;
- a determining module configured to determine that the data field is a basic field when the data field matches the pre-stored field
- the determining module is further configured to: when the data field does not match the pre-stored field, determine that the data field is an extended field, and add the field to the system;
- mapping module configured to map the basic field and the extended field under a transaction code to map a verification rule corresponding to the basic field and the extended field;
- the second storage module is configured to store the basic field and the extended field in association with the corresponding verification rule, so as to subsequently review the case.
- the claim application data refers to the claim data having the public basis, and after obtaining the claim application data, the data field is extracted from the claim application data, such as the application time, the application for the claim partner, the application for the payment amount, etc., and then The extracted data field is compared with the pre-stored field.
- the data field is considered to be a basic field, and when the data field does not match the pre-stored field, the data field is considered to be an extended field. And add this field to the system.
- the base field and the extension field are mapped under the transaction code. Since the transaction code can uniquely represent the third party, the base field and the extension field are mapped under the transaction code, optionally Determining the current transaction code, configuring a verification rule for the base field of the transaction code, and configuring another verification rule for the extension field of the transaction code to map the verification corresponding to the base field and the extension field of the transaction code. The rule finally stores the base field and the extended field in association with the corresponding verification rule to obtain a mapping table for subsequent review of the case associated with the transaction code.
- mapping table in the system before the terminal files the case in the claims system, so that the subsequent review of the case can be carried out through the mapping table, thereby realizing the automatic review of the case and improving the filing of the case. Convenience.
- a modification module configured to: when the verification rule modification instruction is received, modify the verification rule according to the verification rule modification instruction, and/or add or delete the verification rule.
- the embodiment of the present application further provides a computer readable storage medium, where the computer readable storage medium stores a filing program, and when the filing program is executed by the processor, the steps of the filing method as described above are implemented.
- the foregoing embodiment method can be implemented by means of software plus a necessary general hardware platform, and of course, can also be through hardware, but in many cases, the former is better.
- Implementation Based on such understanding, the technical solution of the present application, which is essential or contributes to the prior art, may be embodied in the form of a software product stored in a storage medium (such as ROM/RAM, disk,
- the optical disc includes a number of instructions for causing a terminal device (which may be a mobile phone, a computer, a server, an air conditioner, or a network device, etc.) to perform the methods described in various embodiments of the present application.
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Abstract
Description
Claims (20)
- 一种立案方法,其特征在于,所述立案方法包括: A method for filing a case, characterized in that the method of filing includes:在接收到案件导入请求时,在理赔系统的预设界面中显示报案入口;When receiving the case import request, the report entry is displayed in the preset interface of the claim system;从所述报案入口导入批量案件;Importing a batch of cases from the report entry;在导入的各个案件中抽取出对应的数据字段,并将抽取的各个数据字段与预存的映射表进行比对,以确定各个数据字段对应的校验规则;Extracting corresponding data fields in each imported case, and comparing the extracted data fields with the pre-stored mapping table to determine a verification rule corresponding to each data field;采用各个校验规则对对应的各个案件进行审核,在审核无误时,基于案件对应的赔款金额,生成理赔方案。Each verification case is used to review the corresponding cases. When the verification is correct, the claim settlement plan is generated based on the amount of the compensation corresponding to the case.
- 如权利要求1所述的立案方法,其特征在于,所述从所述报案入口导入批量案件的步骤之后,所述方法还包括:The method according to claim 1, wherein after the step of importing a batch case from the report entry, the method further comprises:在有案件导入失败后,获取导入失败的案件;After the case has failed to import, obtain the case that the import failed;将导入失败的案件存储到预设存储区中,并基于导入失败的案件生成案件清单,以便后续基于所述案件清单下载对应的案件。The failed import case is stored in the preset storage area, and a case list is generated based on the case of the failed import, so that the corresponding case is downloaded based on the case list.
- 如权利要求1所述的立案方法,其特征在于,所述在接收到案件导入请求时,在理赔系统的预设界面中显示报案入口的步骤之前,所述方法还包括:The method according to claim 1, wherein the method further comprises: before the step of displaying the report entry in the preset interface of the claim system when the case import request is received, the method further comprises:在理赔系统的服务接口中接收到第三方的调用请求时,对所述第三方发送的调用请求进行判断;When receiving a call request from a third party in a service interface of the claims system, determining a call request sent by the third party;检测所述调用请求的请求类型,若所述请求类型是预设类型之一,接收所述第三方的报案请求;Detecting a request type of the call request, and if the request type is one of preset types, receiving a report request of the third party;对所述报案请求进行风险校验,校验成功后,基于所述报案请求触发所述案件导入请求。Performing a risk check on the report request, and after the verification succeeds, triggering the case import request based on the report request.
- 如权利要求3所述的立案方法,其特征在于,所述在理赔系统的服务接口中接收到第三方的调用请求时,对所述第三方发送的调用请求进行判断的步骤之前,所述方法还包括:The method according to claim 3, wherein said method is performed before said step of determining a call request sent by said third party when receiving a call request from a third party in a service interface of the claims system Also includes:为所述第三方注册交易代码,以使所述第三方通过交易代码调用所述服务接口。Registering a transaction code for the third party to cause the third party to invoke the service interface via a transaction code.
- 如权利要求3所述的立案方法,其特征在于,所述对所述报案请求进行风险校验的步骤包括:The method for filing a claim according to claim 3, wherein the step of performing risk verification on the report request comprises:识别所述报案请求的参数信息;Identifying parameter information of the report request;基于所述参数信息提取预存的判断规则;Extracting a pre-stored determination rule based on the parameter information;根据所述判断规则校验所述参数信息;And verifying the parameter information according to the determining rule;若检测到所述参数信息与所述判断规则匹配,则确定校验成功。If it is detected that the parameter information matches the determination rule, it is determined that the verification is successful.
- 如权利要求3所述的立案方法,其特征在于,所述在理赔系统的服务接口中接收到第三方的调用请求时,对所述第三方发送的调用请求进行判断的步骤之前,所述方法还包括:The method according to claim 3, wherein said method is performed before said step of determining a call request sent by said third party when receiving a call request from a third party in a service interface of the claims system Also includes:在预设理赔申请数据中抽取数据字段,将抽取的数据字段与预存字段进行比对;Extracting a data field in the preset claim application data, and comparing the extracted data field with the pre-stored field;当数据字段与预存字段匹配时,确定所述数据字段为基础字段;Determining that the data field is a basic field when the data field matches the pre-stored field;当数据字段与预存字段不匹配时,确定所述数据字段为扩展字段,并将该字段添加在系统中;When the data field does not match the pre-stored field, determining that the data field is an extended field, and adding the field to the system;对所述基础字段和所述扩展字段在交易代码下进行映射,以映射出基础字段和扩展字段对应的校验规则;Mapping the base field and the extension field under a transaction code to map a verification rule corresponding to the base field and the extension field;将基础字段和扩展字段与对应的校验规则进行关联存储,以便后续对案件进行审核。The base field and the extended field are stored in association with the corresponding verification rule for subsequent review of the case.
- 如权利要求3所述的立案方法,其特征在于,所述服务接口为restful接口。The filing method according to claim 3, wherein the service interface is a restful interface.
- 如权利要求1所述的立案方法,其特征在于,所述方法还包括:The method according to claim 1, wherein the method further comprises:在接收到校验规则修改指令时,根据所述校验规则修改指令对校验规则进行调整和/或增删。Upon receiving the verification rule modification instruction, the verification rule is adjusted and/or added or deleted according to the verification rule modification instruction.
- 一种立案装置,其特征在于,所述立案装置包括:A filing device, characterized in that the filing device comprises:显示模块,用于在接收到案件导入请求时,在理赔系统的预设界面中显示报案入口;a display module, configured to display a report entry in a preset interface of the claims system when receiving the case import request;导入模块,用于从所述报案入口导入批量案件;Importing a module for importing a batch case from the report entry;比对模块,用于在导入的各个案件中抽取出对应的数据字段,并将抽取的各个数据字段与预存的映射表进行比对,以确定各个数据字段对应的校验规则;The comparison module is configured to extract corresponding data fields in each imported case, and compare the extracted data fields with the pre-stored mapping table to determine a verification rule corresponding to each data field;审核模块,用于采用各个校验规则对对应的各个案件进行审核,在审核无误时,基于案件对应的赔款金额,生成理赔方案。The audit module is used to review each case by using each verification rule. When the audit is correct, the claim scheme is generated based on the amount of the claim corresponding to the case.
- 如权利要求9所述的立案装置,其特征在于,所述装置还包括:The filing device of claim 9 further comprising:获取模块,用于在有案件导入失败后,获取导入失败的案件;The obtaining module is configured to obtain a case that the import failed after the case fails to be imported;第一存储模块,用于将导入失败的案件存储到预设存储区中,并基于导入失败的案件生成案件清单,以便后续基于所述案件清单下载对应的案件。The first storage module is configured to store the failed import case into the preset storage area, and generate a case list based on the failed import case, so as to download the corresponding case based on the case list.
- 如权利要求9所述的立案装置,其特征在于,所述装置还包括:The filing device of claim 9 further comprising:判断模块,用于在理赔系统的服务接口中接收到第三方的调用请求时,对所述第三方发送的调用请求进行判断;a judging module, configured to determine, when the third party call request is received in the service interface of the claim system, the call request sent by the third party;检测模块,用于检测所述调用请求的请求类型,若所述请求类型是预设类型之一,接收所述第三方的报案请求;a detecting module, configured to detect a request type of the calling request, and if the request type is one of preset types, receiving a report request of the third party;校验模块,用于对所述报案请求进行风险校验,校验成功后,基于所述报案请求触发所述案件导入请求。The verification module is configured to perform a risk check on the report request, and after the verification succeeds, trigger the case import request based on the report request.
- 如权利要求11所述的立案装置,其特征在于,所述装置还包括:The filing device of claim 11 further comprising:注册模块,用于为所述第三方注册交易代码,以使所述第三方通过交易代码调用所述服务接口。a registration module for registering a transaction code for the third party to cause the third party to invoke the service interface via a transaction code.
- 如权利要求11所述的立案装置,其特征在于,所述校验模块,还用于识别所述报案请求的参数信息;基于所述参数信息提取预存的判断规则;根据所述判断规则校验所述参数信息;若检测到所述参数信息与所述判断规则匹配,则确定校验成功。The filing device according to claim 11, wherein the verification module is further configured to identify parameter information of the report request; extract a pre-stored determination rule based on the parameter information; and verify according to the determination rule The parameter information; if it is detected that the parameter information matches the determination rule, it is determined that the verification is successful.
- 如权利要求11所述的立案装置,其特征在于,所述装置还包括:The filing device of claim 11 further comprising:抽取模块,用于在预设理赔申请数据中抽取数据字段,将抽取的数据字段与预存字段进行比对;The extracting module is configured to extract a data field in the preset claim application data, and compare the extracted data field with the pre-stored field;确定模块,用于当数据字段与预存字段匹配时,确定所述数据字段为基础字段;a determining module, configured to determine that the data field is a basic field when the data field matches the pre-stored field;所述确定模块,还用于当数据字段与预存字段不匹配时,确定所述数据字段为扩展字段,并将该字段添加在系统中;The determining module is further configured to: when the data field does not match the pre-stored field, determine that the data field is an extended field, and add the field to the system;映射模块,用于对所述基础字段和所述扩展字段在交易代码下进行映射,以映射出基础字段和扩展字段对应的校验规则;a mapping module, configured to map the basic field and the extended field under a transaction code to map a verification rule corresponding to the basic field and the extended field;第二存储模块,用于将基础字段和扩展字段与对应的校验规则进行关联存储,以便后续对案件进行审核。The second storage module is configured to store the basic field and the extended field in association with the corresponding verification rule, so as to subsequently review the case.
- 如权利要求11所述的立案装置,其特征在于,所述服务接口为restful接口。The filing device of claim 11 wherein said service interface is a restful interface.
- 如权利要求11所述的立案装置,其特征在于,所述装置还包括:The filing device of claim 11 further comprising:修改模块,用于在接收到校验规则修改指令时,根据所述校验规则修改指令对校验规则进行调整和/或增删。And a modification module, configured to: when the verification rule modification instruction is received, modify the verification rule according to the verification rule modification instruction, and/or add or delete the verification rule.
- 一种终端,其特征在于,所述终端包括存储器、处理器及存储在所述存储器上并可在所述处理器上运行的立案程序,所述立案程序被所述处理器执行时实现如权利要求1所述的立案方法的步骤。A terminal, comprising: a memory, a processor, and a file program stored on the memory and operable on the processor, the file program being executed by the processor, such as a right The steps of the filing method described in claim 1.
- 一种终端,其特征在于,所述终端包括存储器、处理器及存储在所述存储器上并可在所述处理器上运行的立案程序,所述立案程序被所述处理器执行时实现如权利要求2所述的立案方法的步骤。A terminal, comprising: a memory, a processor, and a file program stored on the memory and operable on the processor, the file program being executed by the processor, such as a right The steps of the filing method described in claim 2.
- 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上存储有立案程序,所述立案程序被处理器执行时实现如权利要求1所述的立案方法的步骤。A computer readable storage medium, characterized in that the computer readable storage medium stores a filing program, and the filing program is executed by a processor to implement the steps of the filing method according to claim 1.
- 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上存储有立案程序,所述立案程序被处理器执行时实现如权利要求2所述的立案方法的步骤。 A computer readable storage medium, characterized in that the computer readable storage medium stores a filing program, and the filing program is executed by a processor to implement the steps of the filing method according to claim 2.
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