WO2020024714A1 - Medical insurance claim settlement method and device, and electronic apparatus - Google Patents

Medical insurance claim settlement method and device, and electronic apparatus Download PDF

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Publication number
WO2020024714A1
WO2020024714A1 PCT/CN2019/091626 CN2019091626W WO2020024714A1 WO 2020024714 A1 WO2020024714 A1 WO 2020024714A1 CN 2019091626 W CN2019091626 W CN 2019091626W WO 2020024714 A1 WO2020024714 A1 WO 2020024714A1
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Prior art keywords
medical insurance
medical
settled
account
settlement
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PCT/CN2019/091626
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French (fr)
Chinese (zh)
Inventor
邱岳亮
魏青格乐图
杨鑫霞
江璇
余逢行
沈伟
赵智慧
陈宏敏
耿浩
张海宁
Original Assignee
阿里巴巴集团控股有限公司
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Publication of WO2020024714A1 publication Critical patent/WO2020024714A1/en

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    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION 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
    • G06Q20/00Payment architectures, schemes or protocols
    • G06Q20/08Payment architectures
    • G06Q20/10Payment architectures specially adapted for electronic funds transfer [EFT] systems; specially adapted for home banking systems
    • G06Q20/102Bill distribution or payments
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION 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
    • G06Q20/00Payment architectures, schemes or protocols
    • G06Q20/30Payment architectures, schemes or protocols characterised by the use of specific devices or networks
    • G06Q20/34Payment architectures, schemes or protocols characterised by the use of specific devices or networks using cards, e.g. integrated circuit [IC] cards or magnetic cards
    • G06Q20/351Virtual cards
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION 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
    • G06Q20/00Payment architectures, schemes or protocols
    • G06Q20/38Payment protocols; Details thereof
    • G06Q20/40Authorisation, e.g. identification of payer or payee, verification of customer or shop credentials; Review and approval of payers, e.g. check credit lines or negative lists
    • G06Q20/401Transaction verification
    • G06Q20/4014Identity check for transactions
    • G06Q20/40145Biometric identity checks
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION 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
    • G06Q40/00Finance; Insurance; Tax strategies; Processing of corporate or income taxes
    • G06Q40/08Insurance

Definitions

  • the embodiments of the present specification relate to the field of Internet technologies, and in particular, to a method and device for medical insurance settlement and electronic equipment.
  • the normal operation process includes inserting a physical medical insurance card to identify the user's medical insurance account, clicking on the medical bill to be settled, selecting the medical insurance payment, and reconfirming the operation to perform the medical insurance settlement.
  • a method, device and electronic device for medical insurance settlement provided by embodiments of the present specification, and a method and device for acquiring cached pages and electronic device:
  • a medical insurance settlement method is provided and applied to a medical insurance platform.
  • the method includes:
  • a medical insurance settlement method is provided, which is applied to a payment platform.
  • the method includes:
  • a medical insurance platform is called to settle a medical bill to be settled in a medical insurance account corresponding to the electronic medical insurance card.
  • a medical insurance settlement device is provided and applied to a medical insurance platform.
  • the device includes:
  • a receiving unit for receiving a face image collected and uploaded by a self-service terminal
  • a recognition unit which recognizes that the face image corresponds to a user's medical insurance account
  • the settlement unit is configured to settle a medical bill to be settled in the medical insurance account.
  • a medical insurance settlement device which is applied to a payment platform, and the device includes:
  • a receiving unit for receiving a face image collected and uploaded by a self-service terminal
  • a recognition unit that recognizes a payment account corresponding to the face image
  • the settlement unit when an electronic medical insurance card is bound to the payment account, invokes a medical insurance platform to settle a medical bill to be settled in a medical insurance account corresponding to the electronic medical insurance card.
  • an electronic device including:
  • Memory for storing processor-executable instructions
  • the processor is configured as any one of the above-mentioned medical insurance settlement methods applied to a medical insurance platform.
  • an electronic device including:
  • Memory for storing processor-executable instructions
  • the processor is configured as any one of the above-mentioned medical insurance settlement methods applied to a payment platform.
  • the embodiment of the present specification provides a medical insurance settlement scheme, and a user can automatically complete the medical insurance settlement by sweeping his face without having to carry a physical medical insurance card. Throughout the settlement process, users do not need to operate self-service terminals. This solution is fast and convenient, which greatly improves the efficiency of medical insurance settlement and alleviates the problem of slow payment of traditional Chinese medical insurance in hospitals.
  • FIG. 1 is a schematic structural diagram of a medical insurance settlement system provided by an embodiment of the present specification
  • FIG. 2 is a flowchart of a medical insurance settlement method provided by an embodiment of the present specification
  • FIG. 3 is a schematic structural diagram of a medical insurance settlement system provided by an embodiment of the present specification.
  • FIG. 5 is a hardware structural diagram of a medical insurance settlement device provided by an embodiment of the present specification.
  • FIG. 6 is a schematic block diagram of a medical insurance settlement device provided by an embodiment of the present specification.
  • FIG. 7 is a hardware structural diagram of a medical insurance settlement device provided by an embodiment of the present specification.
  • FIG. 8 is a schematic block diagram of a medical insurance settlement device provided by an embodiment of the present specification.
  • first, second, third, etc. may be used in this specification to describe various information, the information should not be limited to these terms. These terms are only used to distinguish the same type of information from each other.
  • first information may also be referred to as the second information, and similarly, the second information may also be referred to as the first information.
  • word “if” as used herein can be interpreted as “at” or "when” or "in response to determination”.
  • FIG. 1 illustrates an exemplary system architecture concept applicable in this document.
  • the system architecture concept diagram may include a self-service terminal 101 and a medical insurance platform 102.
  • the user can perform medical insurance settlement through the self-service terminal 101, for example, medical expenses can be paid.
  • the medical insurance platform 102 maintains a medical insurance account of a user.
  • the medical insurance platform 102 can provide medical insurance settlement capabilities and identity verification capabilities.
  • the user can quickly complete the medical insurance settlement through the self-service terminal 101 without carrying a physical medical insurance card through a face scanning operation.
  • the method may be applied to a medical insurance platform, and the method may include the following steps:
  • Step 210 Receive a face image collected and uploaded by the self-service terminal.
  • a self-service terminal may be provided with a collection device that collects a face image, such as a camera, and a face image of the current user may be collected through the camera.
  • the self-service terminal may also upload the collected face images to the medical insurance platform.
  • the self-service terminal can be pre-installed with a face-scanning SDK, and based on the face-scanning SDK, the self-service terminal can collect the user's face image and upload the face image to the medical insurance platform.
  • the medical insurance platform referred to in this specification may specifically refer to the server corresponding to the medical insurance platform, that is, in terms of hardware, this embodiment may be executed by the server where the medical insurance platform is located.
  • the server may refer to a server, a server cluster, or a cloud service constructed by a server cluster.
  • the face scanning SDK may be provided by a medical insurance platform, or may be provided by a third party recognized by the medical insurance platform.
  • Step 220 Identify the medical insurance account of the user corresponding to the face image.
  • the medical insurance platform maintains a user's medical insurance account, and each medical insurance account collects a user's own face image in advance.
  • the user when applying for medical insurance, the user needs to provide his or her real face image; for easy differentiation, the face image may be referred to as a first face image.
  • the face image collected by the self-service terminal in the above step 210 is referred to as a second face image.
  • the medical insurance platform When the medical insurance platform receives the second face image uploaded by the self-service terminal, it can perform matching from the image library storing the first face image, and when the first person whose similarity with the second face image reaches a threshold is matched, For the face image, it can be determined that the medical insurance account corresponding to the matched first face image is the medical insurance account corresponding to the user of the second face image.
  • Step 230 Settle the medical bill to be settled in the medical insurance account.
  • the medical bill to be settled in the medical insurance account can be settled.
  • the user does not need to carry a physical medical insurance card, and can complete the medical insurance settlement by scanning his face with an autonomous device. Greatly improved the efficiency of medical insurance settlement.
  • the medical insurance platform usually needs to return the settlement information to the self-service terminal.
  • the self-service terminal can further display the settlement information.
  • the self-service terminal can display the settlement details; when the settlement fails, the self-service terminal can guide the user to perform medical insurance settlement by scanning the code, or use a physical medical insurance card to pay.
  • the self-service terminal also uploads the mobile phone number input by the user;
  • the step 230 of settling the medical bill to be settled in the medical insurance account specifically includes:
  • the medical bill to be settled in the medical insurance account is settled.
  • a mobile phone number may be bound in advance to each medical insurance account.
  • the medical insurance account After the medical insurance account is identified based on the second face image, it can also be determined whether the mobile phone number bound to the medical insurance account is the same as the mobile phone number uploaded by the autonomous device; and if the mobile phone number uploaded by the autonomous device is consistent, the execution of Medical bills to be settled.
  • the medical insurance platform cannot determine whether the current user is Which user; therefore, after the user also uploads the mobile phone number through the self-service terminal, by querying the mobile phone number bound to the two medical insurance accounts, the only one medical insurance account can be matched.
  • the input method of the mobile phone number may include voice input.
  • voice input For some inconvenient users, such as users holding children (especially when the child is asleep), users with both hands holding things are not convenient to operate self-service terminals. With this embodiment, the user may not need to use It can be completed by hand without carrying a mobile phone, medical insurance card, etc., which is convenient and fast, which greatly improves the user experience.
  • the method further includes:
  • the step 230 of settling the medical bill to be settled in the medical insurance account specifically includes:
  • the medical insurance platform when the user performs medical insurance settlement, the medical insurance platform will only settle medical bills generated by the user's current hospital.
  • the method further includes:
  • the settlement of the medical bill to be settled in the medical insurance account specifically includes:
  • the medical bill to be settled in the medical insurance account is settled.
  • the medical insurance platform when the user performs medical insurance settlement, the medical insurance platform will only settle medical bills generated by the user on that day.
  • the method further includes:
  • the non-medical insurance items in the medical bill are transferred to a payment channel for settlement.
  • the medical insurance platform may transfer to the payment channel for settlement.
  • the medical insurance platform may also be connected to the payment platform, and complete the settlement of self-funded items by calling the payment interface of the payment platform.
  • the user's medical insurance account may be bound to a payment account in advance. In this way, when the balance of the medical insurance account is insufficient or there are self-funded items, the medical insurance platform may deduct the payment account through the payment account associated with the medical insurance account.
  • the adopted hybrid settlement (medical insurance account and payment account) method allows the user to complete the settlement of self-pay and medical insurance with only one face sweep, without the need for multiple operations, further improving settlement efficiency.
  • This specification also provides another medical insurance settlement solution.
  • the following can be introduced with reference to the example shown in FIG. 3, which illustrates an exemplary system architecture concept applicable in this article.
  • the system architecture concept diagram may include a self-service terminal 301, a payment platform 302, and a medical insurance platform 303.
  • the user can perform medical insurance settlement through the self-service terminal 301, for example, medical expenses can be paid.
  • the payment platform 302 may include a bank payment system, a third-party payment platform, and the like. In this example, the payment platform 302 can provide payment capabilities and identity verification capabilities.
  • the medical insurance platform 303 maintains a user's medical insurance account; externally, it can provide medical insurance settlement capabilities.
  • the user can quickly complete the medical insurance settlement through the face scanning operation without carrying a physical medical insurance card.
  • the method may be applied to a payment platform, and the method may include the following steps:
  • Step 410 Receive a face image collected and uploaded by the self-service terminal.
  • a self-service terminal may be provided with a collection device that collects a face image, such as a camera, and a face image of the current user may be collected through the camera.
  • the self-service terminal may also upload the collected face images to a payment platform.
  • a self-service terminal can be pre-installed with a face-scanning SDK. Based on the face-scanning SDK, the self-service terminal can complete the collection of the user's face image and upload the face image to the payment platform.
  • the payment platform involved in this specification may specifically refer to the server corresponding to the payment platform, that is, in terms of hardware, this embodiment may be executed by the server where the payment platform is located.
  • the server may refer to a server, a server cluster, or a cloud service constructed by a server cluster.
  • the face scanning SDK may be provided by a payment platform, or may be provided by a third party recognized by the payment platform.
  • Step 420 Identify a payment account corresponding to the face image.
  • the payment platform maintains a payment account of a user, and each payment account collects a user's own face image in advance.
  • the face image when the user starts the face recognition function of the payment account, the user needs to provide his own real face image; in order to facilitate the distinction, the face image may be referred to as a first face image.
  • the face image collected by the self-service terminal in the above step 410 is referred to as a second face image.
  • the payment platform When the payment platform receives the second face image uploaded by the self-service terminal, it can perform matching from the image library storing the first face image, and when the first person whose similarity with the second face image reaches a threshold is matched, When the face image is determined, it can be determined that the payment account corresponding to the matched first face image is the payment account corresponding to the user of the second face image.
  • the payment platform may be divided into a plurality of modules or sub-platforms with different functions.
  • an identity authentication platform for identity identification such as ZOLOX Global Trusted Identity Platform
  • an inquiry platform for inquiring electronic medical insurance cards such as ZOLOX Global Trusted Identity Platform
  • an invoking platform for invoking medical insurance settlement such as ZigBeel, ZigBeel, ZigBeel, etc.
  • users can be represented by a unique authentication identifier such as ftoken between different sub-platforms.
  • a self-service device collects a face image
  • it can be uploaded to ZOLOX; the corresponding user is identified through ZOLOX and the user's ftoken is returned.
  • a query platform is called based on the ftoken, and the query platform can query whether the payment account corresponding to the ftoken is bound with an electronic medical insurance card.
  • the calling platform may call the medical insurance platform for medical insurance settlement based on the electronic medical insurance card.
  • Step 430 When an electronic medical insurance card is bound to the payment account, call a medical insurance platform to settle a medical bill to be settled in a medical insurance account corresponding to the electronic medical insurance card.
  • a physical medical insurance card can be bound to a payment account and an electronic medical insurance card can be generated.
  • the electronic medical insurance card may refer to a unique number of a physical medical insurance card.
  • the payment platform may call the medical insurance platform to settle the medical bills to be settled in the medical insurance account corresponding to the electronic medical insurance card.
  • the user does not need to carry a physical medical insurance card, and can complete the medical insurance settlement by scanning his face with an autonomous device. Greatly improved the efficiency of medical insurance settlement.
  • the medical insurance platform usually needs to return the settlement information to the self-service terminal.
  • the self-service terminal can further display the settlement information.
  • the self-service terminal can display the settlement details; when the settlement fails, the self-service terminal can guide the user to perform medical insurance settlement by scanning the code, or use a physical medical insurance card to pay.
  • the self-service terminal also uploads the mobile phone number input by the user;
  • step 430 when an electronic medical insurance card is bound to the payment account, calling a medical insurance platform to settle a medical bill to be settled in a medical insurance account corresponding to the electronic medical insurance card, specifically including:
  • the medical insurance platform is invoked to settle the unsettled Medical bills are settled.
  • each payment account may be bound with a mobile phone number in advance.
  • the medical insurance platform can continue to execute The medical bill to be settled in the medical insurance account corresponding to the electronic medical insurance card is settled.
  • the payment platform cannot determine whether the current user is Which user; therefore, after the user also uploaded the mobile phone number through the self-service terminal, by querying the mobile phone number bound to the two payment accounts, the only one payment account can be matched.
  • the input method of the mobile phone number may include voice input.
  • voice input For some inconvenient users, such as users holding children (especially when the child is asleep), users with both hands holding things are not convenient to operate self-service terminals. With this embodiment, the user may not need to use It can be completed by hand without carrying a mobile phone, medical insurance card, etc., which is convenient and fast, which greatly improves the user experience.
  • the method further includes:
  • the step 230 of settling the medical bill to be settled in the medical insurance account specifically includes:
  • the medical insurance platform when the user performs medical insurance settlement, the medical insurance platform will only settle medical bills generated by the user's current hospital.
  • the method further includes:
  • the settlement of the medical bill to be settled in the medical insurance account specifically includes:
  • the medical bill to be settled in the medical insurance account is settled.
  • the medical insurance platform when the user performs medical insurance settlement, the medical insurance platform will only settle medical bills generated by the user on that day.
  • the method further includes:
  • the non-medical insurance items in the medical bill are transferred to the payment account for settlement.
  • the medical insurance platform can complete the settlement of self-funded items by calling the payment interface of the payment platform.
  • the user's payment account is pre-bound with an electronic medical insurance card.
  • the medical insurance platform may deduct the payment account through the payment account associated with the electronic medical insurance card corresponding to the medical insurance account.
  • the adopted hybrid settlement (medical insurance account and payment account) method allows the user to complete the settlement of self-pay and medical insurance with only one face sweep, without the need for multiple operations, further improving settlement efficiency.
  • this specification also provides an embodiment of a medical insurance settlement device.
  • the device embodiments may be implemented by software, or may be implemented by hardware or a combination of software and hardware.
  • software implementation as an example, as a device in a logical sense, it is formed by reading the corresponding computer business program instructions in the non-volatile memory into the memory through the processor of the device in which it is located.
  • hardware as shown in FIG. 5, it is a hardware structure diagram of the device where the medical insurance settlement device is located in this specification.
  • the processor, network interface, memory, and non-volatile memory shown in FIG. 5 implementation is performed.
  • the equipment in the example is usually based on the actual functions of the medical insurance settlement, and may also include other hardware, which will not be described again.
  • FIG. 6 is a block diagram of a medical insurance settlement device provided by an embodiment of this specification and is applied to a medical insurance platform.
  • the device corresponds to the embodiment shown in FIG.
  • the receiving unit 610 receives a face image collected and uploaded by the kiosk
  • a recognition unit 620 which recognizes that the face image corresponds to a user's medical insurance account
  • a settlement unit 630 is configured to settle a medical bill to be settled in the medical insurance account.
  • the self-service machine also uploads the mobile phone number input by the user;
  • the settlement unit 630 specifically includes:
  • the input mode of the mobile phone number includes voice input.
  • the device further includes:
  • a first acquisition subunit acquiring a hospital corresponding to the self-service machine
  • a second acquisition subunit acquiring a hospital corresponding to a medical bill to be settled in the medical insurance account
  • the settlement unit 630 specifically includes:
  • the device further includes:
  • a third obtaining subunit obtaining a creation time corresponding to a medical bill to be settled in the medical insurance account
  • the settlement unit 630 specifically includes:
  • the medical bill to be settled in the medical insurance account is settled.
  • the device further includes:
  • the hybrid settlement sub-unit transfers the non-medical insurance items in the medical bill to a payment channel for settlement.
  • this specification also provides an embodiment of a medical insurance settlement device.
  • the device embodiments may be implemented by software, or may be implemented by hardware or a combination of software and hardware.
  • software implementation as an example, as a device in a logical sense, it is formed by reading the corresponding computer business program instructions in the non-volatile memory into the memory through the processor of the device in which it is located.
  • hardware as shown in FIG. 7, it is a hardware structure diagram of the equipment where the medical insurance settlement device is located in this specification.
  • the equipment in the example is usually based on the actual functions of the medical insurance settlement, and may also include other hardware, which will not be described again.
  • FIG. 8 is a block diagram of a medical insurance settlement device provided by an embodiment of the present specification and is applied to a payment platform.
  • the device corresponds to the embodiment shown in FIG. 4.
  • the device includes:
  • the receiving unit 810 receives a face image collected and uploaded by the kiosk
  • a recognition unit 820 which recognizes a third-party payment account corresponding to the face image
  • the settlement unit 830 invokes a medical insurance platform to settle a medical bill to be settled in a medical insurance account corresponding to the electronic medical insurance card when the third-party payment account is bound with an electronic medical insurance card.
  • the self-service machine also uploads the mobile phone number input by the user;
  • the settlement unit 830 specifically includes:
  • the mobile phone number bound to the third-party payment account is the mobile phone number uploaded by the self-service machine, and the third-party payment account is bound to an electronic medical insurance card, a medical insurance platform is invoked for the medical insurance account corresponding to the electronic medical insurance card The pending medical bill is settled.
  • the input mode of the mobile phone number includes voice input.
  • the device further includes:
  • a first acquisition subunit, and the medical insurance platform acquires a hospital corresponding to the self-service machine
  • a first acquisition subunit wherein the medical insurance platform acquires a hospital corresponding to a medical bill to be settled in the medical insurance account;
  • the medical insurance platform settling medical bills to be settled in a medical insurance account corresponding to the electronic medical insurance card specifically includes:
  • the medical insurance platform performs settlement of medical bills to be settled in the medical insurance account.
  • the device further includes:
  • the third acquisition subunit the medical insurance platform acquires the creation time corresponding to the medical bill to be settled in the medical insurance account;
  • the medical insurance platform settling medical bills to be settled in a medical insurance account corresponding to the electronic medical insurance card specifically includes:
  • the medical insurance platform performs settlement on the medical bills to be settled in the medical insurance account.
  • the device further includes:
  • the medical insurance platform transfers the settlement to the third-party payment account.
  • the system, device, module, or unit described in the foregoing embodiments may be specifically implemented by a computer chip or entity, or a product with a certain function.
  • a typical implementation device is a computer, and the specific form of the computer may be a personal computer, a laptop computer, a cellular phone, a camera phone, a smart phone, a personal digital assistant, a media player, a navigation device, an email sending and receiving device, and a game control Desk, tablet computer, wearable device, or a combination of any of these devices.
  • the relevant part may refer to the description of the method embodiment.
  • the device embodiments described above are only schematic, wherein the units described as separate components may or may not be physically separated, and the components shown as units may or may not be physical units, that is, may be located One place, or it can be distributed across multiple network elements. Some or all of the modules can be selected according to actual needs to achieve the purpose of the solution in this specification. Those of ordinary skill in the art can understand and implement without creative efforts.
  • the above FIG. 6 describes the internal function modules and structure of the data aggregation device.
  • the substantial execution body may be an electronic device, including:
  • Memory for storing processor-executable instructions
  • the processor is configured to:
  • the self-service machine also uploads a mobile phone number input by a user
  • the settlement of the medical bill to be settled in the medical insurance account specifically includes:
  • the input method of the mobile phone number includes voice input.
  • Optional also includes:
  • the settlement of the medical bill to be settled in the medical insurance account specifically includes:
  • Optional also includes:
  • the settlement of the medical bill to be settled in the medical insurance account specifically includes:
  • the medical bill to be settled in the medical insurance account is settled.
  • Optional also includes:
  • the non-medical insurance items in the medical bill are transferred to a payment channel for settlement.
  • the above Figure 8 describes the internal function modules and structure of the data aggregation device.
  • the substantial execution body may be an electronic device, including:
  • Memory for storing processor-executable instructions
  • the processor is configured to:
  • a medical insurance platform is called to settle a medical bill to be settled in a medical insurance account corresponding to the electronic medical insurance card.
  • the self-service machine also uploads a mobile phone number input by a user
  • calling the medical insurance platform to settle the medical bill to be settled in the medical insurance account corresponding to the electronic medical insurance card specifically includes:
  • the mobile phone number bound to the third-party payment account is the mobile phone number uploaded by the self-service machine, and the third-party payment account is bound to an electronic medical insurance card, a medical insurance platform is invoked for the medical insurance account corresponding to the electronic medical insurance card The pending medical bill is settled.
  • the input method of the mobile phone number includes voice input.
  • Optional also includes:
  • the settlement of the medical bill to be settled in the medical insurance account by the medical insurance platform specifically includes:
  • the medical insurance platform performs settlement on the medical bills to be settled in the medical insurance account.
  • Optional also includes:
  • the settlement of the medical bill to be settled in the medical insurance account specifically includes:
  • the medical bill to be settled in the medical insurance account is settled.
  • Optional also includes:
  • the non-medical insurance items in the medical bill are transferred to the third-party payment account for settlement.
  • the processor may be a central processing unit (English: Central Processing Unit, CPU for short), or other general-purpose processors, digital signal processors (English: Digital Signal Processor) , Referred to as DSP), application specific integrated circuit (English: Application Specific Integrated Circuit, referred to as ASIC), etc.
  • a general-purpose processor may be a microprocessor, or the processor may be any conventional processor, and the foregoing memory may be a read-only memory (English: read-only memory (abbreviation: ROM)), a random access memory (English : Random access memory (abbreviation: RAM), flash memory, hard disk or solid state hard disk.
  • the steps of the method disclosed in combination with the embodiments of the present invention may be directly implemented by a hardware processor, or may be performed by a combination of hardware and software modules in the processor.

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Abstract

A medical insurance claim settlement method and device, and an electronic apparatus. The method comprises: receiving a facial image captured and uploaded by a self service terminal (210); performing recognition to identify a medical insurance account of a user corresponding to the facial image (220); and settling medical bills requiring settlement in the medical insurance account (230).

Description

医保结算方法及装置和电子设备Medical insurance settlement method and device and electronic equipment 技术领域Technical field
本说明书实施例涉及互联网技术领域,尤其涉及一种医保结算方法及装置和电子设备。The embodiments of the present specification relate to the field of Internet technologies, and in particular, to a method and device for medical insurance settlement and electronic equipment.
背景技术Background technique
随着医保的普及,医保参保人员越来越多,在线下就医时,使用医保卡进行医保结算成为一种常态。With the popularization of medical insurance, there are more and more employees participating in medical insurance. When you go to the hospital offline, using medical insurance cards to settle medical insurance has become a norm.
一般的,医疗场所设置有很多供用户进行医保结算的自助终端。用户在自助终端上进行医保结算时,通常操作流程包括插入实体医保卡识别该用户的医保账户,点击待结算的医疗账单,选择医保支付,再次确认操作,从而执行医保结算。Generally, there are many self-service terminals in medical places for users to perform medical insurance settlement. When a user performs medical insurance settlement on a self-service terminal, the normal operation process includes inserting a physical medical insurance card to identify the user's medical insurance account, clicking on the medical bill to be settled, selecting the medical insurance payment, and reconfirming the operation to perform the medical insurance settlement.
可见,现有医保结算时,用户需要携带实体医保卡,并且多次操作自助终端,整个操作过程较为繁琐、效率较低。It can be seen that when the current medical insurance is settled, the user needs to carry a physical medical insurance card and operate the self-service terminal multiple times.
需要提供一种更有效率的医保结算方案。There is a need to provide a more efficient settlement plan for medical insurance.
发明内容Summary of the invention
本说明书实施例提供的一种医保结算方法及装置和电子设备,以及缓存页面的获取方法及装置和电子设备:A method, device and electronic device for medical insurance settlement provided by embodiments of the present specification, and a method and device for acquiring cached pages and electronic device:
根据本说明书实施例的第一方面,提供一种医保结算方法,应用于医保平台,所述方法包括:According to a first aspect of the embodiments of the present specification, a medical insurance settlement method is provided and applied to a medical insurance platform. The method includes:
接收自助终端采集并上传的人脸图像;Receive face images collected and uploaded by self-service terminals;
识别所述人脸图像对应用户的医保账户;Identifying the face image corresponding to the user's medical insurance account;
对所述医保账户中待结算的医疗账单进行结算。Settle medical bills to be settled in the medical insurance account.
根据本说明书实施例的第二方面,提供一种医保结算方法,应用于支付平台,所述方法包括:According to a second aspect of the embodiments of the present specification, a medical insurance settlement method is provided, which is applied to a payment platform. The method includes:
接收自助终端采集并上传的人脸图像;Receive face images collected and uploaded by self-service terminals;
识别所述人脸图像对应的支付账户;Identifying a payment account corresponding to the face image;
在所述支付账户绑定有电子医保卡时,调用医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算。When an electronic medical insurance card is bound to the payment account, a medical insurance platform is called to settle a medical bill to be settled in a medical insurance account corresponding to the electronic medical insurance card.
根据本说明书实施例的第三方面,提供一种医保结算装置,应用于医保平台,所述装置包括:According to a third aspect of the embodiments of the present specification, a medical insurance settlement device is provided and applied to a medical insurance platform. The device includes:
接收单元,接收自助终端采集并上传的人脸图像;A receiving unit for receiving a face image collected and uploaded by a self-service terminal;
识别单元,识别所述人脸图像对应用户的医保账户;A recognition unit, which recognizes that the face image corresponds to a user's medical insurance account;
结算单元,对所述医保账户中待结算的医疗账单进行结算。The settlement unit is configured to settle a medical bill to be settled in the medical insurance account.
根据本说明书实施例的第四方面,提供一种医保结算装置,应用于支付平台,所述装置包括:According to a fourth aspect of the embodiments of the present specification, a medical insurance settlement device is provided, which is applied to a payment platform, and the device includes:
接收单元,接收自助终端采集并上传的人脸图像;A receiving unit for receiving a face image collected and uploaded by a self-service terminal;
识别单元,识别所述人脸图像对应的支付账户;A recognition unit that recognizes a payment account corresponding to the face image;
结算单元,在所述支付账户绑定有电子医保卡时,调用医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算。The settlement unit, when an electronic medical insurance card is bound to the payment account, invokes a medical insurance platform to settle a medical bill to be settled in a medical insurance account corresponding to the electronic medical insurance card.
根据本说明书实施例的第五方面,提供一种电子设备,包括:According to a fifth aspect of the embodiments of the present specification, an electronic device is provided, including:
处理器;processor;
用于存储处理器可执行指令的存储器;Memory for storing processor-executable instructions;
其中,所述处理器被配置为上述任一项应用于医保平台的医保结算方法。Wherein, the processor is configured as any one of the above-mentioned medical insurance settlement methods applied to a medical insurance platform.
根据本说明书实施例的第六方面,提供一种电子设备,包括:According to a sixth aspect of the embodiments of the present specification, an electronic device is provided, including:
处理器;processor;
用于存储处理器可执行指令的存储器;Memory for storing processor-executable instructions;
其中,所述处理器被配置为上述任一项应用于支付平台的医保结算方法。Wherein, the processor is configured as any one of the above-mentioned medical insurance settlement methods applied to a payment platform.
本说明书实施例,提供了一种医保结算方案,用户通过扫脸就可以自动完成医保结算,无需携带实体医保卡。整个结算流程,用户都无需操作自助终端,该方案快速便捷,大大提升了医保结算效率,缓解医院中医保支付较慢的问题。The embodiment of the present specification provides a medical insurance settlement scheme, and a user can automatically complete the medical insurance settlement by sweeping his face without having to carry a physical medical insurance card. Throughout the settlement process, users do not need to operate self-service terminals. This solution is fast and convenient, which greatly improves the efficiency of medical insurance settlement and alleviates the problem of slow payment of traditional Chinese medical insurance in hospitals.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1是本说明书一实施例提供的医保结算系统的架构示意图;FIG. 1 is a schematic structural diagram of a medical insurance settlement system provided by an embodiment of the present specification; FIG.
图2是本说明书一实施例提供的医保结算方法的流程图;2 is a flowchart of a medical insurance settlement method provided by an embodiment of the present specification;
图3是本说明书一实施例提供的医保结算系统的架构示意图;3 is a schematic structural diagram of a medical insurance settlement system provided by an embodiment of the present specification;
图4是本说明书一实施例提供的医保结算方法的流程图;4 is a flowchart of a medical insurance settlement method provided by an embodiment of the present specification;
图5是本说明书一实施例提供的医保结算装置的硬件结构图;5 is a hardware structural diagram of a medical insurance settlement device provided by an embodiment of the present specification;
图6是本说明书一实施例提供的医保结算装置的模块示意图;6 is a schematic block diagram of a medical insurance settlement device provided by an embodiment of the present specification;
图7是本说明书一实施例提供的医保结算装置的硬件结构图;7 is a hardware structural diagram of a medical insurance settlement device provided by an embodiment of the present specification;
图8是本说明书一实施例提供的医保结算装置的模块示意图。FIG. 8 is a schematic block diagram of a medical insurance settlement device provided by an embodiment of the present specification.
具体实施方式detailed description
这里将详细地对示例性实施例进行说明,其示例表示在附图中。下面的描述涉及附图时,除非另有表示,不同附图中的相同数字表示相同或相似的要素。以下示例性实施例中所描述的实施方式并不代表与本说明书相一致的所有实施方式。相反,它们仅是与如所附权利要求书中所详述的、本说明书的一些方面相一致的装置和方法的例子。Exemplary embodiments will be described in detail herein, examples of which are illustrated in the accompanying drawings. When the following description refers to the accompanying drawings, the same numbers in different drawings represent the same or similar elements unless otherwise indicated. The implementations described in the following exemplary embodiments do not represent all implementations consistent with this specification. Rather, they are merely examples of devices and methods consistent with certain aspects of the specification, as detailed in the appended claims.
在本说明书使用的术语是仅仅出于描述特定实施例的目的,而非旨在限制本说明书。在本说明书和所附权利要求书中所使用的单数形式的“一种”、“所述”和“该”也旨在包括多数形式,除非上下文清楚地表示其他含义。还应当理解,本文中使用的术语“和/或”是指并包含一个或多个相关联的列出项目的任何或所有可能组合。The terminology used in this specification is for the purpose of describing particular embodiments only and is not intended to limit the specification. As used in this specification and the appended claims, the singular forms "a", "the" and "the" are intended to include the plural forms as well, unless the context clearly indicates otherwise. It should also be understood that the term "and / or" as used herein refers to and includes any or all possible combinations of one or more of the associated listed items.
应当理解,尽管在本说明书可能采用术语第一、第二、第三等来描述各种信息,但这些信息不应限于这些术语。这些术语仅用来将同一类型的信息彼此区分开。例如,在不脱离本说明书范围的情况下,第一信息也可以被称为第二信息,类似地,第二信息也可以被称为第一信息。取决于语境,如在此所使用的词语“如果”可以被解释成为“在……时”或“当……时”或“响应于确定”。It should be understood that although the terms first, second, third, etc. may be used in this specification to describe various information, the information should not be limited to these terms. These terms are only used to distinguish the same type of information from each other. For example, without departing from the scope of this specification, the first information may also be referred to as the second information, and similarly, the second information may also be referred to as the first information. Depending on the context, the word "if" as used herein can be interpreted as "at" or "when" or "in response to determination".
为了解决上述问题,本说明书提供给了一种医保结算方案,以下可以参考图1所示的例子介绍,图示出了本文中可以适用的示例性的系统架构概念。In order to solve the above problems, this specification provides a medical insurance settlement solution. The following can be introduced with reference to the example shown in FIG. 1, which illustrates an exemplary system architecture concept applicable in this document.
所述系统架构概念图中,各种网络节点借助网络111可以实现信息的通信,继而完 成交互和数据的处理。所述系统架构概念图可以包括自助终端101和医保平台102。In the system architecture concept diagram, various network nodes can communicate with each other through the network 111, and then complete the interaction and data processing. The system architecture concept diagram may include a self-service terminal 101 and a medical insurance platform 102.
在医疗场所,用户可以通过所述自助终端101进行医保结算,例如可以进行医疗费用支付等。In a medical place, the user can perform medical insurance settlement through the self-service terminal 101, for example, medical expenses can be paid.
所述医保平台102,维护有用户的医保账户。该示例中,所述医保平台102可以提供医保结算能力以及身份验证能力。The medical insurance platform 102 maintains a medical insurance account of a user. In this example, the medical insurance platform 102 can provide medical insurance settlement capabilities and identity verification capabilities.
用户通过自助终端101,无需携带实体医保卡,通过扫脸操作就可以快速完成医保结算。The user can quickly complete the medical insurance settlement through the self-service terminal 101 without carrying a physical medical insurance card through a face scanning operation.
接下来参照图2,介绍本说明书提供的医保结算方法的一实施例。在本实施例中,该方法可以应用于医保平台,所述方法可以包括以下步骤:Next, referring to FIG. 2, an embodiment of the medical insurance settlement method provided in this specification is described. In this embodiment, the method may be applied to a medical insurance platform, and the method may include the following steps:
步骤210:接收自助终端采集并上传的人脸图像。Step 210: Receive a face image collected and uploaded by the self-service terminal.
本实施例中,自助终端上可以按照有采集人脸图像的采集装置,例如摄像头,通过摄像头可以采集当前用户的人脸图像。In this embodiment, a self-service terminal may be provided with a collection device that collects a face image, such as a camera, and a face image of the current user may be collected through the camera.
所述自助终端还可以将采集到的人脸图像上传给医保平台。The self-service terminal may also upload the collected face images to the medical insurance platform.
通常,自助终端中可以预先安装扫脸SDK,基于该扫脸SDK自助终端就可以完成采集用户人脸图像并将人脸图像上传至医保平台。需要说明的是,本说明书中涉及的医保平台具体可以是指医保平台对应的服务端,即以硬件来看,本实施例可以是医保平台所在的服务端执行的。所述服务端可以是指服务器、服务器集群或者服务器集群构建的云服务。Generally, the self-service terminal can be pre-installed with a face-scanning SDK, and based on the face-scanning SDK, the self-service terminal can collect the user's face image and upload the face image to the medical insurance platform. It should be noted that the medical insurance platform referred to in this specification may specifically refer to the server corresponding to the medical insurance platform, that is, in terms of hardware, this embodiment may be executed by the server where the medical insurance platform is located. The server may refer to a server, a server cluster, or a cloud service constructed by a server cluster.
其中,所述扫脸SDK可以是医保平台提供的,也可以是医保平台认可的第三方提供的。The face scanning SDK may be provided by a medical insurance platform, or may be provided by a third party recognized by the medical insurance platform.
步骤220:识别所述人脸图像对应用户的医保账户。Step 220: Identify the medical insurance account of the user corresponding to the face image.
所述医保平台上维护有用户的医保账户,并且每个医保账户预先都收集有用户自己的人脸图像。The medical insurance platform maintains a user's medical insurance account, and each medical insurance account collects a user's own face image in advance.
在一实施例中,用户在办理医保时,需要提供自己真实的人脸图像;为了便于区别,可以将该人脸图像称为第一人脸图像。将上述步骤210中自助终端采集的人脸图像称为第二人脸图像。In an embodiment, when applying for medical insurance, the user needs to provide his or her real face image; for easy differentiation, the face image may be referred to as a first face image. The face image collected by the self-service terminal in the above step 210 is referred to as a second face image.
当医保平台接收到自助终端上传的第二人脸图像后,可以从存储第一人脸图像的图像库中进行匹配,当匹配到与所述第二人脸图像相似度达到阈值的第一人脸图像时,就 可以确定匹配到的第一人脸图像对应的医保账户为该第二人脸图像对应用户的医保账户。When the medical insurance platform receives the second face image uploaded by the self-service terminal, it can perform matching from the image library storing the first face image, and when the first person whose similarity with the second face image reaches a threshold is matched, For the face image, it can be determined that the medical insurance account corresponding to the matched first face image is the medical insurance account corresponding to the user of the second face image.
步骤230:对所述医保账户中待结算的医疗账单进行结算。Step 230: Settle the medical bill to be settled in the medical insurance account.
在确定了当前用户的医保账户后,就可以对所述医保账户中待结算的医疗账单进行结算。After the medical insurance account of the current user is determined, the medical bill to be settled in the medical insurance account can be settled.
通过本实施例,用户无需携带实体医保卡,通过自主设备扫脸就可以完成医保结算。大大提升了医保结算的效率。With this embodiment, the user does not need to carry a physical medical insurance card, and can complete the medical insurance settlement by scanning his face with an autonomous device. Greatly improved the efficiency of medical insurance settlement.
在一实施例中,医保平台通常需要将结算信息返回至自助终端。自助终端基进而可以展示结算信息。其中,当结算成功时,自助终端可以展示结算明细;当结算失败时,自助终端可以引导用户通过扫码进行医保结算,或者使用实体医保卡支付。In one embodiment, the medical insurance platform usually needs to return the settlement information to the self-service terminal. The self-service terminal can further display the settlement information. Among them, when the settlement is successful, the self-service terminal can display the settlement details; when the settlement fails, the self-service terminal can guide the user to perform medical insurance settlement by scanning the code, or use a physical medical insurance card to pay.
在实际应用中,由于人脸识别准确性并不能做到百分百正确,而医保结算又涉及到用户信息、资金等敏感信息,因此,为了提升结算安全,本说明书还提供了以下方案:In practice, because the accuracy of face recognition cannot be 100% correct, and medical insurance settlement involves sensitive information such as user information and funds, in order to improve settlement security, this manual also provides the following solutions:
所述自助终端还上传有用户输入的手机号;The self-service terminal also uploads the mobile phone number input by the user;
所述步骤230对所述医保账户中待结算的医疗账单进行结算,具体包括:The step 230 of settling the medical bill to be settled in the medical insurance account specifically includes:
在所述医保账户绑定的手机号为所述自助终端上传的手机号的情况下,对所述医保账户中待结算的医疗账单进行结算。In a case where the mobile phone number bound to the medical insurance account is the mobile phone number uploaded by the self-service terminal, the medical bill to be settled in the medical insurance account is settled.
该实施例中,每个医保账户预先可以绑定有手机号。In this embodiment, a mobile phone number may be bound in advance to each medical insurance account.
在根据第二人脸图像识别出医保账户之后,还可以判断该医保账户绑定的手机号是否和自主设备上传的手机号一致;在一致的情况下,才可以继续执行对所述医保账户中待结算的医疗账单进行结算。After the medical insurance account is identified based on the second face image, it can also be determined whether the mobile phone number bound to the medical insurance account is the same as the mobile phone number uploaded by the autonomous device; and if the mobile phone number uploaded by the autonomous device is consistent, the execution of Medical bills to be settled.
举例说明,假设有两个人脸非常相似的人,那么其中一个用户在进行医保结算时通过扫脸可以识别出两个医保账户,如果不进一步识别手机号,那么医保平台就无法确定当前用户到底是哪一个用户;因此,在该用户通过自助终端还上传了手机号后,通过查询这两个医保账户绑定的手机号,就可以匹配到唯一的一个医保账户了。For example, if there are two people with very similar faces, then one of the users can identify the two medical insurance accounts by scanning their faces during the medical insurance settlement. Without further identifying the mobile phone number, the medical insurance platform cannot determine whether the current user is Which user; therefore, after the user also uploads the mobile phone number through the self-service terminal, by querying the mobile phone number bound to the two medical insurance accounts, the only one medical insurance account can be matched.
在一实施例中,所述手机号的输入方式可以包括语音输入。对于某些不方便的用户,例如抱小孩的用户(特别是小孩睡着的状态下),双手都拿东西的用户等操作自助终端都很不方便,通过该实施例,用户可以完全不需要用手操作,也无需携带手机、医保卡等,就可以完成医保结算,方便快捷,大大提升了用户体验。In an embodiment, the input method of the mobile phone number may include voice input. For some inconvenient users, such as users holding children (especially when the child is asleep), users with both hands holding things are not convenient to operate self-service terminals. With this embodiment, the user may not need to use It can be completed by hand without carrying a mobile phone, medical insurance card, etc., which is convenient and fast, which greatly improves the user experience.
在一实施例中,所述方法还包括:In an embodiment, the method further includes:
获取所述自助终端对应的医院;Obtaining a hospital corresponding to the self-service terminal;
获取所述医保账户中待结算的医疗账单对应的医院;Obtaining a hospital corresponding to a medical bill to be settled in the medical insurance account;
所述步骤230对所述医保账户中待结算的医疗账单进行结算,具体包括:The step 230 of settling the medical bill to be settled in the medical insurance account specifically includes:
当所述两个医院一致时,对所述医保账户中待结算的医疗账单进行结算。When the two hospitals agree, medical bills to be settled in the medical insurance account are settled.
在该实施例中,在用户进行医保结算时,医保平台只会对用户当前所在医院产生的医疗账单进行结算。In this embodiment, when the user performs medical insurance settlement, the medical insurance platform will only settle medical bills generated by the user's current hospital.
在一实施例中,所述方法还包括:In an embodiment, the method further includes:
获取所述医保账户中待结算的医疗账单对应的创建时刻;Obtaining a creation time corresponding to a medical bill to be settled in the medical insurance account;
所述对所述医保账户中待结算的医疗账单进行结算,具体包括:The settlement of the medical bill to be settled in the medical insurance account specifically includes:
当所述创建时刻和当前时刻属于同一天时,对所述医保账户中待结算的医疗账单进行结算。When the creation time and the current time belong to the same day, the medical bill to be settled in the medical insurance account is settled.
在该实施例中,在用户进行医保结算时,医保平台只会对用户当天产生的医疗账单进行结算。In this embodiment, when the user performs medical insurance settlement, the medical insurance platform will only settle medical bills generated by the user on that day.
在实际应用中,当有些非医保项目需要自费时,还需要用户使用银行卡、现金或者支付软件进行支付。其中,银行卡需要插入自助终端的卡槽内,现金需要塞入自助终端的现金入口,支付软件需要扫描支付二维码,总之整个操作过程较为繁琐、效率较低。In practical applications, when some non-medical insurance items require self-payment, users also need to use bank cards, cash, or payment software to pay. Among them, the bank card needs to be inserted into the card slot of the self-service terminal, cash needs to be inserted into the cash entrance of the self-service terminal, and the payment software needs to scan the payment QR code. In short, the entire operation process is relatively tedious and inefficient.
为了解决上述问题,在一实施例中,所述方法还包括:In order to solve the above problem, in an embodiment, the method further includes:
将所述医疗账单中非医保项目,转由支付渠道进行结算。The non-medical insurance items in the medical bill are transferred to a payment channel for settlement.
在该实施例中,医疗账单中除了可以入医保的医疗费用,还可以存在一些不能入医保的自费项目,对于这些自费项目,医保平台可以转由支付渠道进行结算。In this embodiment, in addition to the medical expenses that can be entered into the medical insurance in the medical bill, there may also be some self-funded items that cannot be entered into the medical insurance. For these self-funded items, the medical insurance platform may transfer to the payment channel for settlement.
该实施例中,医保平台还可以与支付平台连接,通过调用支付平台的支付接口,完成自费项目的结算。具体地,用户的医保账户可以预先与支付账户绑定。如此,对于医保账户余额不足,或者存在自费项目时,医保平台可以通过医保账户关联的支付账户,对该支付账户进行扣款。In this embodiment, the medical insurance platform may also be connected to the payment platform, and complete the settlement of self-funded items by calling the payment interface of the payment platform. Specifically, the user's medical insurance account may be bound to a payment account in advance. In this way, when the balance of the medical insurance account is insufficient or there are self-funded items, the medical insurance platform may deduct the payment account through the payment account associated with the medical insurance account.
通过该实施例,采用的混合结算(医保账户和支付账户)的方式,用户只需通过一次扫脸,就可以完成自费和医保的结算,无需进行多次操作,进一步提升了结算效率。With this embodiment, the adopted hybrid settlement (medical insurance account and payment account) method allows the user to complete the settlement of self-pay and medical insurance with only one face sweep, without the need for multiple operations, further improving settlement efficiency.
本说明书还提供给了另一种医保结算方案,以下可以参考图3所示的例子介绍,图示出了本文中可以适用的示例性的系统架构概念。This specification also provides another medical insurance settlement solution. The following can be introduced with reference to the example shown in FIG. 3, which illustrates an exemplary system architecture concept applicable in this article.
所述系统架构概念图中,各种网络节点借助网络311可以实现信息的通信,继而完成交互和数据的处理。所述系统架构概念图可以包括自助终端301,支付平台302以及医保平台303。In the system architecture concept diagram, various network nodes can implement information communication through the network 311, and then complete interaction and data processing. The system architecture concept diagram may include a self-service terminal 301, a payment platform 302, and a medical insurance platform 303.
在医疗场所,用户可以通过所述自助终端301进行医保结算,例如可以进行医疗费用支付等。In a medical place, the user can perform medical insurance settlement through the self-service terminal 301, for example, medical expenses can be paid.
所述支付平台302,可以包括银行支付系统、第三方支付平台等。该示例中,所述支付平台302可以提供支付能力以及身份验证能力。The payment platform 302 may include a bank payment system, a third-party payment platform, and the like. In this example, the payment platform 302 can provide payment capabilities and identity verification capabilities.
所述医保平台303,维护有用户的医保账户;对外可以提供医保结算能力。The medical insurance platform 303 maintains a user's medical insurance account; externally, it can provide medical insurance settlement capabilities.
用户通过自助终端301,无需携带实体医保卡,通过扫脸操作就可以快速完成医保结算。Through the self-service terminal 301, the user can quickly complete the medical insurance settlement through the face scanning operation without carrying a physical medical insurance card.
接下来参照图4,介绍本说明书提供的医保结算方法的一实施例。在本实施例中,该方法可以应用于支付平台,所述方法可以包括以下步骤:Next, referring to FIG. 4, an embodiment of the medical insurance settlement method provided in this specification is described. In this embodiment, the method may be applied to a payment platform, and the method may include the following steps:
步骤410:接收自助终端采集并上传的人脸图像。Step 410: Receive a face image collected and uploaded by the self-service terminal.
本实施例中,自助终端上可以按照有采集人脸图像的采集装置,例如摄像头,通过摄像头可以采集当前用户的人脸图像。In this embodiment, a self-service terminal may be provided with a collection device that collects a face image, such as a camera, and a face image of the current user may be collected through the camera.
所述自助终端还可以将采集到的人脸图像上传给支付平台。The self-service terminal may also upload the collected face images to a payment platform.
通常,自助终端中可以预先安装扫脸SDK,基于该扫脸SDK自助终端就可以完成采集用户人脸图像并将人脸图像上传至支付平台。需要说明的是,本说明书中涉及的支付平台具体可以是指支付平台对应的服务端,即以硬件来看,本实施例可以是支付平台所在的服务端执行的。所述服务端可以是指服务器、服务器集群或者服务器集群构建的云服务。Generally, a self-service terminal can be pre-installed with a face-scanning SDK. Based on the face-scanning SDK, the self-service terminal can complete the collection of the user's face image and upload the face image to the payment platform. It should be noted that the payment platform involved in this specification may specifically refer to the server corresponding to the payment platform, that is, in terms of hardware, this embodiment may be executed by the server where the payment platform is located. The server may refer to a server, a server cluster, or a cloud service constructed by a server cluster.
其中,所述扫脸SDK可以是支付平台提供的,也可以是支付平台认可的第三方提供的。The face scanning SDK may be provided by a payment platform, or may be provided by a third party recognized by the payment platform.
步骤420:识别所述人脸图像对应的支付账户。Step 420: Identify a payment account corresponding to the face image.
所述支付平台上维护有用户的支付账户,并且每个支付账户预先都收集有用户自己的人脸图像。The payment platform maintains a payment account of a user, and each payment account collects a user's own face image in advance.
在一实施例中,用户在开启支付账户的人脸识别功能时,需要提供自己真实的人脸图像;为了便于区别,可以将该人脸图像称为第一人脸图像。将上述步骤410中自助终端采集的人脸图像称为第二人脸图像。In one embodiment, when the user starts the face recognition function of the payment account, the user needs to provide his own real face image; in order to facilitate the distinction, the face image may be referred to as a first face image. The face image collected by the self-service terminal in the above step 410 is referred to as a second face image.
当支付平台接收到自助终端上传的第二人脸图像后,可以从存储第一人脸图像的图像库中进行匹配,当匹配到与所述第二人脸图像相似度达到阈值的第一人脸图像时,就可以确定匹配到的第一人脸图像对应的支付账户为该第二人脸图像对应用户的支付账户。When the payment platform receives the second face image uploaded by the self-service terminal, it can perform matching from the image library storing the first face image, and when the first person whose similarity with the second face image reaches a threshold is matched, When the face image is determined, it can be determined that the payment account corresponding to the matched first face image is the payment account corresponding to the user of the second face image.
在一实施例中,所述支付平台可以划分有多个不同功能的模块或者子平台。例如,用于进行身份识别的身份认证平台(如ZOLOZ全球可信身份平台);用于查询电子医保卡的查询平台;用于调用医保结算的调用平台。In one embodiment, the payment platform may be divided into a plurality of modules or sub-platforms with different functions. For example, an identity authentication platform for identity identification (such as ZOLOX Global Trusted Identity Platform); an inquiry platform for inquiring electronic medical insurance cards; and an invoking platform for invoking medical insurance settlement.
。对于同一个用户,在不同子平台之间可以通过一个唯一的认证标识如ftoken表示用户。. For the same user, users can be represented by a unique authentication identifier such as ftoken between different sub-platforms.
举例说明,当自助设备采集到人脸图像后,可以上传至ZOLOZ;通过ZOLOZ识别出对应的用户,并返回该用户的ftoken。然后,基于该ftoken调用查询平台,所述查询平台可以查询所述ftoken对应的支付账户是否绑定有电子医保卡。进一步的,在查询到绑定有电子医保卡的情况下,所述调用平台可以基于该电子医保卡调用医保平台进行医保结算。For example, when a self-service device collects a face image, it can be uploaded to ZOLOX; the corresponding user is identified through ZOLOX and the user's ftoken is returned. Then, a query platform is called based on the ftoken, and the query platform can query whether the payment account corresponding to the ftoken is bound with an electronic medical insurance card. Further, in the case where an electronic medical insurance card is bound, the calling platform may call the medical insurance platform for medical insurance settlement based on the electronic medical insurance card.
步骤430:在所述支付账户绑定有电子医保卡时,调用医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算。Step 430: When an electronic medical insurance card is bound to the payment account, call a medical insurance platform to settle a medical bill to be settled in a medical insurance account corresponding to the electronic medical insurance card.
为了方便用户就医,可以将实体医保卡绑定在支付账户上,并生成一张电子医保卡。在一实施例中,所述电子医保卡可以是指实体医保卡的唯一编号。In order to facilitate users' medical treatment, a physical medical insurance card can be bound to a payment account and an electronic medical insurance card can be generated. In an embodiment, the electronic medical insurance card may refer to a unique number of a physical medical insurance card.
支付平台在确定了当前用户的电子医保卡之后,就可以调用医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算。After determining the electronic medical insurance card of the current user, the payment platform may call the medical insurance platform to settle the medical bills to be settled in the medical insurance account corresponding to the electronic medical insurance card.
通过本实施例,用户无需携带实体医保卡,通过自主设备扫脸就可以完成医保结算。大大提升了医保结算的效率。With this embodiment, the user does not need to carry a physical medical insurance card, and can complete the medical insurance settlement by scanning his face with an autonomous device. Greatly improved the efficiency of medical insurance settlement.
在一实施例中,医保平台通常需要将结算信息返回至自助终端。自助终端基进而可以展示结算信息。其中,当结算成功时,自助终端可以展示结算明细;当结算失败时,自助终端可以引导用户通过扫码进行医保结算,或者使用实体医保卡支付。In one embodiment, the medical insurance platform usually needs to return the settlement information to the self-service terminal. The self-service terminal can further display the settlement information. Among them, when the settlement is successful, the self-service terminal can display the settlement details; when the settlement fails, the self-service terminal can guide the user to perform medical insurance settlement by scanning the code, or use a physical medical insurance card to pay.
在实际应用中,由于人脸识别准确性并不能做到百分百正确,而医保结算又涉及到用户信息、资金等敏感信息,因此,为了提升结算安全,本说明书还提供了以下方案:In practice, because the accuracy of face recognition cannot be 100% correct, and medical insurance settlement involves sensitive information such as user information and funds, in order to improve settlement security, this manual also provides the following solutions:
所述自助终端还上传有用户输入的手机号;The self-service terminal also uploads the mobile phone number input by the user;
所述步骤430在所述支付账户绑定有电子医保卡时,调用医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算,具体包括:In step 430, when an electronic medical insurance card is bound to the payment account, calling a medical insurance platform to settle a medical bill to be settled in a medical insurance account corresponding to the electronic medical insurance card, specifically including:
在所述支付账户绑定的手机号为所述自助终端上传的手机号,并且所述支付账户绑定有电子医保卡时,调用医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算。When the mobile phone number bound to the payment account is the mobile phone number uploaded by the self-service terminal, and the payment account is bound to an electronic medical insurance card, the medical insurance platform is invoked to settle the unsettled Medical bills are settled.
该实施例中,每个支付账户预先可以绑定有手机号。In this embodiment, each payment account may be bound with a mobile phone number in advance.
在根据第二人脸图像识别出支付账户之后,还可以判断该支付账户绑定的手机号是否和自主设备上传的手机号一致;在一致的情况下,才可以继续执行调用医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算。After the payment account is identified according to the second face image, it can also be determined whether the mobile phone number bound to the payment account is the same as the mobile phone number uploaded by the autonomous device; if they are consistent, the medical insurance platform can continue to execute The medical bill to be settled in the medical insurance account corresponding to the electronic medical insurance card is settled.
举例说明,假设有两个人脸非常相似的人,那么其中一个用户在进行医保结算时通过扫脸可以识别出两个支付账户,如果不进一步识别手机号,那么支付平台就无法确定当前用户到底是哪一个用户;因此,在该用户通过自助终端还上传了手机号后,通过查询这两个支付账户绑定的手机号,就可以匹配到唯一的一个支付账户了。For example, suppose there are two people with very similar faces, then one of the users can identify two payment accounts by scanning their faces during the medical insurance settlement. Without further identifying the mobile phone number, the payment platform cannot determine whether the current user is Which user; therefore, after the user also uploaded the mobile phone number through the self-service terminal, by querying the mobile phone number bound to the two payment accounts, the only one payment account can be matched.
在一实施例中,所述手机号的输入方式可以包括语音输入。对于某些不方便的用户,例如抱小孩的用户(特别是小孩睡着的状态下),双手都拿东西的用户等操作自助终端都很不方便,通过该实施例,用户可以完全不需要用手操作,也无需携带手机、医保卡等,就可以完成医保结算,方便快捷,大大提升了用户体验。In an embodiment, the input method of the mobile phone number may include voice input. For some inconvenient users, such as users holding children (especially when the child is asleep), users with both hands holding things are not convenient to operate self-service terminals. With this embodiment, the user may not need to use It can be completed by hand without carrying a mobile phone, medical insurance card, etc., which is convenient and fast, which greatly improves the user experience.
在一实施例中,所述方法还包括:In an embodiment, the method further includes:
获取所述自助终端对应的医院;Obtaining a hospital corresponding to the self-service terminal;
获取所述医保账户中待结算的医疗账单对应的医院;Obtaining a hospital corresponding to a medical bill to be settled in the medical insurance account;
所述步骤230对所述医保账户中待结算的医疗账单进行结算,具体包括:The step 230 of settling the medical bill to be settled in the medical insurance account specifically includes:
当所述两个医院一致时,对所述医保账户中待结算的医疗账单进行结算。When the two hospitals agree, medical bills to be settled in the medical insurance account are settled.
在该实施例中,在用户进行医保结算时,医保平台只会对用户当前所在医院产生的医疗账单进行结算。In this embodiment, when the user performs medical insurance settlement, the medical insurance platform will only settle medical bills generated by the user's current hospital.
在一实施例中,所述方法还包括:In an embodiment, the method further includes:
获取所述医保账户中待结算的医疗账单对应的创建时刻;Obtaining a creation time corresponding to a medical bill to be settled in the medical insurance account;
所述对所述医保账户中待结算的医疗账单进行结算,具体包括:The settlement of the medical bill to be settled in the medical insurance account specifically includes:
当所述创建时刻和当前时刻属于同一天时,对所述医保账户中待结算的医疗账单进行结算。When the creation time and the current time belong to the same day, the medical bill to be settled in the medical insurance account is settled.
在该实施例中,在用户进行医保结算时,医保平台只会对用户当天产生的医疗账单进行结算。In this embodiment, when the user performs medical insurance settlement, the medical insurance platform will only settle medical bills generated by the user on that day.
在实际应用中,当有些非医保项目需要自费时,还需要用户使用银行卡、现金或者支付软件进行支付。其中,银行卡需要插入自助终端的卡槽内,现金需要塞入自助终端的现金入口,支付软件需要扫描支付二维码,总之整个操作过程较为繁琐、效率较低。In practical applications, when some non-medical insurance items require self-payment, users also need to use bank cards, cash, or payment software to pay. Among them, the bank card needs to be inserted into the card slot of the self-service terminal, cash needs to be inserted into the cash entrance of the self-service terminal, and the payment software needs to scan the payment QR code. In short, the entire operation process is relatively tedious and inefficient.
为了解决上述问题,在一实施例中,所述方法还包括:In order to solve the above problem, in an embodiment, the method further includes:
针对所述医疗账单中非医保项目,转由所述支付账户进行结算。The non-medical insurance items in the medical bill are transferred to the payment account for settlement.
在该实施例中,医疗账单中除了可以入医保的医疗费用,还可以存在一些不能入医保的自费项目,对于这些自费项目,医保平台可以转由所述支付平台进行结算,所述支付平台直接可以从该用户的支付账户中扣除自费项目的费用。In this embodiment, in addition to the medical expenses that can be entered into the medical insurance in the medical bill, there may also be some self-funded items that cannot be entered into the medical insurance. The cost of self-funded items can be deducted from the user's payment account.
该实施例中,由于支付平台与医保平台连接,医保平台通过调用支付平台的支付接口,可以完成自费项目的结算。具体地,用户的支付账户预先绑定有电子医保卡。如此,对于医保账户余额不足,或者存在自费项目时,医保平台可以通过医保账户对应的电子医保卡关联的支付账户,对该支付账户进行扣款。In this embodiment, since the payment platform is connected to the medical insurance platform, the medical insurance platform can complete the settlement of self-funded items by calling the payment interface of the payment platform. Specifically, the user's payment account is pre-bound with an electronic medical insurance card. In this way, when the balance of the medical insurance account is insufficient or there are self-funded items, the medical insurance platform may deduct the payment account through the payment account associated with the electronic medical insurance card corresponding to the medical insurance account.
通过该实施例,采用的混合结算(医保账户和支付账户)的方式,用户只需通过一次扫脸,就可以完成自费和医保的结算,无需进行多次操作,进一步提升了结算效率。With this embodiment, the adopted hybrid settlement (medical insurance account and payment account) method allows the user to complete the settlement of self-pay and medical insurance with only one face sweep, without the need for multiple operations, further improving settlement efficiency.
与前述图2所示的医保结算方法实施例相对应,本说明书还提供了医保结算装置的实施例。所述装置实施例可以通过软件实现,也可以通过硬件或者软硬件结合的方式实现。以软件实现为例,作为一个逻辑意义上的装置,是通过其所在设备的处理器将非易失性存储器中对应的计算机业务程序指令读取到内存中运行形成的。从硬件层面而言,如图5所示,为本说明书医保结算装置所在设备的一种硬件结构图,除了图5所示 的处理器、网络接口、内存以及非易失性存储器之外,实施例中装置所在的设备通常根据医保结算实际功能,还可以包括其他硬件,对此不再赘述。Corresponding to the foregoing embodiment of the medical insurance settlement method shown in FIG. 2, this specification also provides an embodiment of a medical insurance settlement device. The device embodiments may be implemented by software, or may be implemented by hardware or a combination of software and hardware. Taking software implementation as an example, as a device in a logical sense, it is formed by reading the corresponding computer business program instructions in the non-volatile memory into the memory through the processor of the device in which it is located. In terms of hardware, as shown in FIG. 5, it is a hardware structure diagram of the device where the medical insurance settlement device is located in this specification. In addition to the processor, network interface, memory, and non-volatile memory shown in FIG. 5, implementation is performed. The equipment in the example is usually based on the actual functions of the medical insurance settlement, and may also include other hardware, which will not be described again.
请参见图6,为本说明书一实施例提供的医保结算装置的模块图,应用于医保平台,所述装置对应了图2所示实施例,所述装置包括:Please refer to FIG. 6, which is a block diagram of a medical insurance settlement device provided by an embodiment of this specification and is applied to a medical insurance platform. The device corresponds to the embodiment shown in FIG.
接收单元610,接收自助机采集并上传的人脸图像;The receiving unit 610 receives a face image collected and uploaded by the kiosk;
识别单元620,识别所述人脸图像对应用户的医保账户;A recognition unit 620, which recognizes that the face image corresponds to a user's medical insurance account;
结算单元630,对所述医保账户中待结算的医疗账单进行结算。A settlement unit 630 is configured to settle a medical bill to be settled in the medical insurance account.
在一可选的实施例中:In an alternative embodiment:
所述自助机还上传有用户输入的手机号;The self-service machine also uploads the mobile phone number input by the user;
所述结算单元630,具体包括:The settlement unit 630 specifically includes:
在所述医保账户绑定的手机号为所述自助机上传的手机号的情况下,对所述医保账户中待结算的医疗账单进行结算。When the mobile phone number bound to the medical insurance account is the mobile phone number uploaded by the kiosk, settle the medical bill to be settled in the medical insurance account.
在一可选的实施例中:In an alternative embodiment:
所述手机号的输入方式包括语音输入。The input mode of the mobile phone number includes voice input.
在一可选的实施例中:In an alternative embodiment:
所述装置还包括:The device further includes:
第一获取子单元,获取所述自助机对应的医院;A first acquisition subunit, acquiring a hospital corresponding to the self-service machine;
第二获取子单元,获取所述医保账户中待结算的医疗账单对应的医院;A second acquisition subunit, acquiring a hospital corresponding to a medical bill to be settled in the medical insurance account;
所述结算单元630,具体包括:The settlement unit 630 specifically includes:
当所述两个医院一致时,对所述医保账户中待结算的医疗账单进行结算。When the two hospitals agree, medical bills to be settled in the medical insurance account are settled.
在一可选的实施例中:In an alternative embodiment:
所述装置还包括:The device further includes:
第三获取子单元,获取所述医保账户中待结算的医疗账单对应的创建时刻;A third obtaining subunit, obtaining a creation time corresponding to a medical bill to be settled in the medical insurance account;
所述结算单元630,具体包括:The settlement unit 630 specifically includes:
当所述创建时刻和当前时刻属于同一天时,对所述医保账户中待结算的医疗账单进行结算。When the creation time and the current time belong to the same day, the medical bill to be settled in the medical insurance account is settled.
在一可选的实施例中:In an alternative embodiment:
所述装置还包括:The device further includes:
混合结算子单元,将所述医疗账单中非医保项目,转由支付渠道进行结算。The hybrid settlement sub-unit transfers the non-medical insurance items in the medical bill to a payment channel for settlement.
与前述图4所示的医保结算方法实施例相对应,本说明书还提供了医保结算装置的实施例。所述装置实施例可以通过软件实现,也可以通过硬件或者软硬件结合的方式实现。以软件实现为例,作为一个逻辑意义上的装置,是通过其所在设备的处理器将非易失性存储器中对应的计算机业务程序指令读取到内存中运行形成的。从硬件层面而言,如图7所示,为本说明书医保结算装置所在设备的一种硬件结构图,除了图7所示的处理器、网络接口、内存以及非易失性存储器之外,实施例中装置所在的设备通常根据医保结算实际功能,还可以包括其他硬件,对此不再赘述。Corresponding to the foregoing embodiment of the medical insurance settlement method shown in FIG. 4, this specification also provides an embodiment of a medical insurance settlement device. The device embodiments may be implemented by software, or may be implemented by hardware or a combination of software and hardware. Taking software implementation as an example, as a device in a logical sense, it is formed by reading the corresponding computer business program instructions in the non-volatile memory into the memory through the processor of the device in which it is located. In terms of hardware, as shown in FIG. 7, it is a hardware structure diagram of the equipment where the medical insurance settlement device is located in this specification. In addition to the processor, network interface, memory, and non-volatile memory shown in FIG. 7, The equipment in the example is usually based on the actual functions of the medical insurance settlement, and may also include other hardware, which will not be described again.
请参见图8,为本说明书一实施例提供的医保结算装置的模块图,应用于支付平台,所述装置对应了图4所示实施例,所述装置包括:Please refer to FIG. 8, which is a block diagram of a medical insurance settlement device provided by an embodiment of the present specification and is applied to a payment platform. The device corresponds to the embodiment shown in FIG. 4. The device includes:
接收单元810,接收自助机采集并上传的人脸图像;The receiving unit 810 receives a face image collected and uploaded by the kiosk;
识别单元820,识别所述人脸图像对应的第三方支付账户;A recognition unit 820, which recognizes a third-party payment account corresponding to the face image;
结算单元830,在所述第三方支付账户绑定有电子医保卡时,调用医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算。The settlement unit 830 invokes a medical insurance platform to settle a medical bill to be settled in a medical insurance account corresponding to the electronic medical insurance card when the third-party payment account is bound with an electronic medical insurance card.
在一可选的实施例中:In an alternative embodiment:
所述自助机还上传有用户输入的手机号;The self-service machine also uploads the mobile phone number input by the user;
所述结算单元830,具体包括:The settlement unit 830 specifically includes:
在所述第三方支付账户绑定的手机号为所述自助机上传的手机号,并且所述第三方支付账户绑定有电子医保卡时,调用医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算。When the mobile phone number bound to the third-party payment account is the mobile phone number uploaded by the self-service machine, and the third-party payment account is bound to an electronic medical insurance card, a medical insurance platform is invoked for the medical insurance account corresponding to the electronic medical insurance card The pending medical bill is settled.
在一可选的实施例中:In an alternative embodiment:
所述手机号的输入方式包括语音输入。The input mode of the mobile phone number includes voice input.
在一可选的实施例中:In an alternative embodiment:
所述装置还包括:The device further includes:
第一获取子单元,医保平台获取所述自助机对应的医院;A first acquisition subunit, and the medical insurance platform acquires a hospital corresponding to the self-service machine;
第一获取子单元,所述医保平台获取所述医保账户中待结算的医疗账单对应的医院;A first acquisition subunit, wherein the medical insurance platform acquires a hospital corresponding to a medical bill to be settled in the medical insurance account;
所述医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算,具体包括:The medical insurance platform settling medical bills to be settled in a medical insurance account corresponding to the electronic medical insurance card specifically includes:
当所述两个医院一致时,所述医保平台对所述医保账户中待结算的医疗账单进行结算。When the two hospitals are consistent, the medical insurance platform performs settlement of medical bills to be settled in the medical insurance account.
在一可选的实施例中:In an alternative embodiment:
所述装置还包括:The device further includes:
第三获取子单元,医保平台获取所述医保账户中待结算的医疗账单对应的创建时刻;The third acquisition subunit, the medical insurance platform acquires the creation time corresponding to the medical bill to be settled in the medical insurance account;
所述医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算,具体包括:The medical insurance platform settling medical bills to be settled in a medical insurance account corresponding to the electronic medical insurance card specifically includes:
当所述创建时刻和当前时刻属于同一天时,所述医保平台对所述医保账户中待结算的医疗账单进行结算。When the creation time and the current time belong to the same day, the medical insurance platform performs settlement on the medical bills to be settled in the medical insurance account.
在一可选的实施例中:In an alternative embodiment:
所述装置还包括:The device further includes:
针对所述医疗账单中非医保项目,所述医保平台转由所述第三方支付账户进行结算。For the non-medical insurance items in the medical bill, the medical insurance platform transfers the settlement to the third-party payment account.
上述实施例阐明的系统、装置、模块或单元,具体可以由计算机芯片或实体实现,或者由具有某种功能的产品来实现。一种典型的实现设备为计算机,计算机的具体形式可以是个人计算机、膝上型计算机、蜂窝电话、相机电话、智能电话、个人数字助理、媒体播放器、导航设备、电子邮件收发设备、游戏控制台、平板计算机、可穿戴设备或者这些设备中的任意几种设备的组合。The system, device, module, or unit described in the foregoing embodiments may be specifically implemented by a computer chip or entity, or a product with a certain function. A typical implementation device is a computer, and the specific form of the computer may be a personal computer, a laptop computer, a cellular phone, a camera phone, a smart phone, a personal digital assistant, a media player, a navigation device, an email sending and receiving device, and a game control Desk, tablet computer, wearable device, or a combination of any of these devices.
上述装置中各个单元的功能和作用的实现过程具体详见上述方法中对应步骤的实现过程,在此不再赘述。For details about the implementation process of the functions and functions of the units in the foregoing device, see the implementation process of the corresponding steps in the foregoing method for details, and details are not described herein again.
对于装置实施例而言,由于其基本对应于方法实施例,所以相关之处参见方法实施例的部分说明即可。以上所描述的装置实施例仅仅是示意性的,其中所述作为分离部件说明的单元可以是或者也可以不是物理上分开的,作为单元显示的部件可以是或者 也可以不是物理单元,即可以位于一个地方,或者也可以分布到多个网络单元上。可以根据实际的需要选择其中的部分或者全部模块来实现本说明书方案的目的。本领域普通技术人员在不付出创造性劳动的情况下,即可以理解并实施。As for the device embodiment, since it basically corresponds to the method embodiment, the relevant part may refer to the description of the method embodiment. The device embodiments described above are only schematic, wherein the units described as separate components may or may not be physically separated, and the components shown as units may or may not be physical units, that is, may be located One place, or it can be distributed across multiple network elements. Some or all of the modules can be selected according to actual needs to achieve the purpose of the solution in this specification. Those of ordinary skill in the art can understand and implement without creative efforts.
以上图6描述了数据汇总装置的内部功能模块和结构示意,其实质上的执行主体可以为一种电子设备,包括:The above FIG. 6 describes the internal function modules and structure of the data aggregation device. The substantial execution body may be an electronic device, including:
处理器;processor;
用于存储处理器可执行指令的存储器;Memory for storing processor-executable instructions;
其中,所述处理器被配置为:The processor is configured to:
接收自助机采集并上传的人脸图像;Receive face images collected and uploaded by the kiosk;
识别所述人脸图像对应用户的医保账户;Identifying the face image corresponding to the user's medical insurance account;
对所述医保账户中待结算的医疗账单进行结算。Settle medical bills to be settled in the medical insurance account.
可选的,所述自助机还上传有用户输入的手机号;Optionally, the self-service machine also uploads a mobile phone number input by a user;
所述对所述医保账户中待结算的医疗账单进行结算,具体包括:The settlement of the medical bill to be settled in the medical insurance account specifically includes:
在所述医保账户绑定的手机号为所述自助机上传的手机号的情况下,对所述医保账户中待结算的医疗账单进行结算。When the mobile phone number bound to the medical insurance account is the mobile phone number uploaded by the kiosk, settle the medical bill to be settled in the medical insurance account.
可选的,所述手机号的输入方式包括语音输入。Optionally, the input method of the mobile phone number includes voice input.
可选的,还包括:Optional, also includes:
获取所述自助机对应的医院;Obtaining a hospital corresponding to the self-service machine;
获取所述医保账户中待结算的医疗账单对应的医院;Obtaining a hospital corresponding to a medical bill to be settled in the medical insurance account;
所述对所述医保账户中待结算的医疗账单进行结算,具体包括:The settlement of the medical bill to be settled in the medical insurance account specifically includes:
当所述两个医院一致时,对所述医保账户中待结算的医疗账单进行结算。When the two hospitals agree, medical bills to be settled in the medical insurance account are settled.
可选的,还包括:Optional, also includes:
获取所述医保账户中待结算的医疗账单对应的创建时刻;Obtaining a creation time corresponding to a medical bill to be settled in the medical insurance account;
所述对所述医保账户中待结算的医疗账单进行结算,具体包括:The settlement of the medical bill to be settled in the medical insurance account specifically includes:
当所述创建时刻和当前时刻属于同一天时,对所述医保账户中待结算的医疗账单进行结算。When the creation time and the current time belong to the same day, the medical bill to be settled in the medical insurance account is settled.
可选的,还包括:Optional, also includes:
将所述医疗账单中非医保项目,转由支付渠道进行结算。The non-medical insurance items in the medical bill are transferred to a payment channel for settlement.
以上图8描述了数据汇总装置的内部功能模块和结构示意,其实质上的执行主体可以为一种电子设备,包括:The above Figure 8 describes the internal function modules and structure of the data aggregation device. The substantial execution body may be an electronic device, including:
处理器;processor;
用于存储处理器可执行指令的存储器;Memory for storing processor-executable instructions;
其中,所述处理器被配置为:The processor is configured to:
接收自助机采集并上传的人脸图像;Receive face images collected and uploaded by the kiosk;
识别所述人脸图像对应的第三方支付账户;Identifying a third-party payment account corresponding to the face image;
在所述第三方支付账户绑定有电子医保卡时,调用医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算。When an electronic medical insurance card is bound to the third-party payment account, a medical insurance platform is called to settle a medical bill to be settled in a medical insurance account corresponding to the electronic medical insurance card.
可选的,所述自助机还上传有用户输入的手机号;Optionally, the self-service machine also uploads a mobile phone number input by a user;
所述在所述第三方支付账户绑定有电子医保卡时,调用医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算,具体包括:When the third-party payment account is bound with an electronic medical insurance card, calling the medical insurance platform to settle the medical bill to be settled in the medical insurance account corresponding to the electronic medical insurance card specifically includes:
在所述第三方支付账户绑定的手机号为所述自助机上传的手机号,并且所述第三方支付账户绑定有电子医保卡时,调用医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算。When the mobile phone number bound to the third-party payment account is the mobile phone number uploaded by the self-service machine, and the third-party payment account is bound to an electronic medical insurance card, a medical insurance platform is invoked for the medical insurance account corresponding to the electronic medical insurance card The pending medical bill is settled.
可选的,所述手机号的输入方式包括语音输入。Optionally, the input method of the mobile phone number includes voice input.
可选的,还包括:Optional, also includes:
获取所述自助机对应的医院;Obtaining a hospital corresponding to the self-service machine;
获取所述医保账户中待结算的医疗账单对应的医院;Obtaining a hospital corresponding to a medical bill to be settled in the medical insurance account;
所述医保平台对所述医保账户中待结算的医疗账单进行结算,具体包括:The settlement of the medical bill to be settled in the medical insurance account by the medical insurance platform specifically includes:
当所述两个医院一致时,医保平台对所述医保账户中待结算的医疗账单进行结算。When the two hospitals are consistent, the medical insurance platform performs settlement on the medical bills to be settled in the medical insurance account.
可选的,还包括:Optional, also includes:
获取所述医保账户中待结算的医疗账单对应的创建时刻;Obtaining a creation time corresponding to a medical bill to be settled in the medical insurance account;
所述对所述医保账户中待结算的医疗账单进行结算,具体包括:The settlement of the medical bill to be settled in the medical insurance account specifically includes:
当所述创建时刻和当前时刻属于同一天时,对所述医保账户中待结算的医疗账单进行结算。When the creation time and the current time belong to the same day, the medical bill to be settled in the medical insurance account is settled.
可选的,还包括:Optional, also includes:
针对所述医疗账单中非医保项目,转由所述第三方支付账户进行结算。The non-medical insurance items in the medical bill are transferred to the third-party payment account for settlement.
在上述电子设备的实施例中,应理解,该处理器可以是中央处理单元(英文:Central Processing Unit,简称:CPU),还可以是其他通用处理器、数字信号处理器(英文:Digital Signal Processor,简称:DSP)、专用集成电路(英文:Application Specific Integrated Circuit,简称:ASIC)等。通用处理器可以是微处理器或者该处理器也可以是任何常规的处理器等,而前述的存储器可以是只读存储器(英文:read-only memory,缩写:ROM)、随机存取存储器(英文:random access memory,简称:RAM)、快闪存储器、硬盘或者固态硬盘。结合本发明实施例所公开的方法的步骤可以直接体现为硬件处理器执行完成,或者用处理器中的硬件及软件模块组合执行完成。In the above embodiment of the electronic device, it should be understood that the processor may be a central processing unit (English: Central Processing Unit, CPU for short), or other general-purpose processors, digital signal processors (English: Digital Signal Processor) , Referred to as DSP), application specific integrated circuit (English: Application Specific Integrated Circuit, referred to as ASIC), etc. A general-purpose processor may be a microprocessor, or the processor may be any conventional processor, and the foregoing memory may be a read-only memory (English: read-only memory (abbreviation: ROM)), a random access memory (English : Random access memory (abbreviation: RAM), flash memory, hard disk or solid state hard disk. The steps of the method disclosed in combination with the embodiments of the present invention may be directly implemented by a hardware processor, or may be performed by a combination of hardware and software modules in the processor.
本说明书中的各个实施例均采用递进的方式描述,各个实施例之间相同相似的部分互相参见即可,每个实施例重点说明的都是与其他实施例的不同之处。尤其,对于电子设备实施例而言,由于其基本相似于方法实施例,所以描述的比较简单,相关之处参见方法实施例的部分说明即可。Each embodiment in this specification is described in a progressive manner, and the same or similar parts between the various embodiments can be referred to each other. Each embodiment focuses on the differences from other embodiments. In particular, for the embodiment of the electronic device, since it is basically similar to the method embodiment, the description is relatively simple, and for the relevant parts, refer to the description of the method embodiment.
本领域技术人员在考虑说明书及实践这里公开的发明后,将容易想到本说明书的其它实施方案。本说明书旨在涵盖本说明书的任何变型、用途或者适应性变化,这些变型、用途或者适应性变化遵循本说明书的一般性原理并包括本说明书未公开的本技术领域中的公知常识或惯用技术手段。说明书和实施例仅被视为示例性的,本说明书的真正范围和精神由下面的权利要求指出。Those skilled in the art will readily contemplate other embodiments of the present specification after considering the specification and practicing the invention disclosed herein. This description is intended to cover any variations, uses, or adaptations of this specification. These modifications, uses, or adaptations follow the general principles of this specification and include the common general knowledge or conventional technical means in the technical field not disclosed in this specification. . It is intended that the specification and examples be considered as exemplary only, with a true scope and spirit of the specification being indicated by the following claims.
应当理解的是,本说明书并不局限于上面已经描述并在附图中示出的精确结构,并且可以在不脱离其范围进行各种修改和改变。本说明书的范围仅由所附的权利要求来限制。It should be understood that this description is not limited to the precise structure that has been described above and illustrated in the accompanying drawings, and that various modifications and changes can be made without departing from the scope thereof. The scope of this description is limited only by the following claims.

Claims (16)

  1. 一种医保结算方法,应用于医保平台,所述方法包括:A medical insurance settlement method applied to a medical insurance platform, the method includes:
    接收自助终端采集并上传的人脸图像;Receive face images collected and uploaded by self-service terminals;
    识别所述人脸图像对应用户的医保账户;Identifying the face image corresponding to the user's medical insurance account;
    对所述医保账户中待结算的医疗账单进行结算。Settle medical bills to be settled in the medical insurance account.
  2. 根据权利要求1所述的方法,所述自助终端还上传有用户输入的手机号;The method according to claim 1, wherein the self-service terminal further uploads a mobile phone number input by a user;
    所述对所述医保账户中待结算的医疗账单进行结算,具体包括:The settlement of the medical bill to be settled in the medical insurance account specifically includes:
    在所述医保账户绑定的手机号为所述自助终端上传的手机号的情况下,对所述医保账户中待结算的医疗账单进行结算。In a case where the mobile phone number bound to the medical insurance account is the mobile phone number uploaded by the self-service terminal, the medical bill to be settled in the medical insurance account is settled.
  3. 根据权利要求2所述的方法,所述手机号的输入方式包括语音输入。The method according to claim 2, wherein the input mode of the mobile phone number includes voice input.
  4. 根据权利要求1所述的方法,所述方法还包括:The method according to claim 1, further comprising:
    获取所述自助终端对应的医院;Obtaining a hospital corresponding to the self-service terminal;
    获取所述医保账户中待结算的医疗账单对应的医院;Obtaining a hospital corresponding to a medical bill to be settled in the medical insurance account;
    所述对所述医保账户中待结算的医疗账单进行结算,具体包括:The settlement of the medical bill to be settled in the medical insurance account specifically includes:
    当所述两个医院一致时,对所述医保账户中待结算的医疗账单进行结算。When the two hospitals agree, medical bills to be settled in the medical insurance account are settled.
  5. 根据权利要求1所述的方法,所述方法还包括:The method according to claim 1, further comprising:
    获取所述医保账户中待结算的医疗账单对应的创建时刻;Obtaining a creation time corresponding to a medical bill to be settled in the medical insurance account;
    所述对所述医保账户中待结算的医疗账单进行结算,具体包括:The settlement of the medical bill to be settled in the medical insurance account specifically includes:
    当所述创建时刻和当前时刻属于同一天时,对所述医保账户中待结算的医疗账单进行结算。When the creation time and the current time belong to the same day, the medical bill to be settled in the medical insurance account is settled.
  6. 根据权利要求1所述的方法,所述方法还包括:The method according to claim 1, further comprising:
    将所述医疗账单中非医保项目,转由支付渠道进行结算。The non-medical insurance items in the medical bill are transferred to a payment channel for settlement.
  7. 一种医保结算方法,应用于支付平台,所述方法包括:A medical insurance settlement method applied to a payment platform, the method includes:
    接收自助终端采集并上传的人脸图像;Receive face images collected and uploaded by self-service terminals;
    识别所述人脸图像对应的支付账户;Identifying a payment account corresponding to the face image;
    在所述支付账户绑定有电子医保卡时,调用医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算。When an electronic medical insurance card is bound to the payment account, a medical insurance platform is called to settle a medical bill to be settled in a medical insurance account corresponding to the electronic medical insurance card.
  8. 根据权利要求7所述的方法,所述自助终端还上传有用户输入的手机号;The method according to claim 7, wherein the self-service terminal further uploads a mobile phone number input by a user;
    所述在所述支付账户绑定有电子医保卡时,调用医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算,具体包括:When the electronic medical insurance card is bound to the payment account, calling the medical insurance platform to settle the medical bill to be settled in the medical insurance account corresponding to the electronic medical insurance card specifically includes:
    在所述支付账户绑定的手机号为所述自助终端上传的手机号,并且所述支付账户绑 定有电子医保卡时,调用医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算。When the mobile phone number bound to the payment account is the mobile phone number uploaded by the self-service terminal, and the payment account is bound to an electronic medical insurance card, the medical insurance platform is invoked to settle the pending payment in the medical insurance account corresponding to the electronic medical insurance card. Medical bills are settled.
  9. 根据权利要求8所述的方法,所述手机号的输入方式包括语音输入。The method according to claim 8, wherein the input mode of the mobile phone number includes voice input.
  10. 根据权利要求7所述的方法,所述方法还包括:The method according to claim 7, further comprising:
    获取所述自助终端对应的医院;Obtaining a hospital corresponding to the self-service terminal;
    获取所述医保账户中待结算的医疗账单对应的医院;Obtaining a hospital corresponding to a medical bill to be settled in the medical insurance account;
    所述对所述医保账户中待结算的医疗账单进行结算,具体包括:The settlement of the medical bill to be settled in the medical insurance account specifically includes:
    当所述两个医院一致时,对所述医保账户中待结算的医疗账单进行结算。When the two hospitals agree, medical bills to be settled in the medical insurance account are settled.
  11. 根据权利要求7所述的方法,所述方法还包括:The method according to claim 7, further comprising:
    获取所述医保账户中待结算的医疗账单对应的创建时刻;Obtaining a creation time corresponding to a medical bill to be settled in the medical insurance account;
    所述对所述医保账户中待结算的医疗账单进行结算,具体包括:The settlement of the medical bill to be settled in the medical insurance account specifically includes:
    当所述创建时刻和当前时刻属于同一天时,对所述医保账户中待结算的医疗账单进行结算。When the creation time and the current time belong to the same day, the medical bill to be settled in the medical insurance account is settled.
  12. 根据权利要求7所述的方法,所述方法还包括:The method according to claim 7, further comprising:
    针对所述医疗账单中非医保项目,转由所述支付账户进行结算。The non-medical insurance items in the medical bill are transferred to the payment account for settlement.
  13. 一种医保结算装置,应用于医保平台,所述装置包括:A medical insurance settlement device applied to a medical insurance platform, the device includes:
    接收单元,接收自助终端采集并上传的人脸图像;A receiving unit for receiving a face image collected and uploaded by a self-service terminal;
    识别单元,识别所述人脸图像对应用户的医保账户;A recognition unit, which recognizes that the face image corresponds to a user's medical insurance account;
    结算单元,对所述医保账户中待结算的医疗账单进行结算。The settlement unit is configured to settle a medical bill to be settled in the medical insurance account.
  14. 一种医保结算装置,应用于支付平台,所述装置包括:A medical insurance settlement device applied to a payment platform, the device includes:
    接收单元,接收自助终端采集并上传的人脸图像;A receiving unit for receiving a face image collected and uploaded by a self-service terminal;
    识别单元,识别所述人脸图像对应的支付账户;A recognition unit that recognizes a payment account corresponding to the face image;
    结算单元,在所述支付账户绑定有电子医保卡时,调用医保平台对所述电子医保卡对应的医保账户中待结算的医疗账单进行结算。The settlement unit, when an electronic medical insurance card is bound to the payment account, invokes a medical insurance platform to settle a medical bill to be settled in a medical insurance account corresponding to the electronic medical insurance card.
  15. 一种电子设备,包括:An electronic device includes:
    处理器;processor;
    用于存储处理器可执行指令的存储器;Memory for storing processor-executable instructions;
    其中,所述处理器被配置为上述权利要求1-6中任一项所述的方法。Wherein, the processor is configured as the method according to any one of claims 1-6.
  16. 一种电子设备,包括:An electronic device includes:
    处理器;processor;
    用于存储处理器可执行指令的存储器;Memory for storing processor-executable instructions;
    其中,所述处理器被配置为上述权利要求7-12中任一项所述的方法。Wherein, the processor is configured as the method according to any one of claims 7-12.
PCT/CN2019/091626 2018-08-02 2019-06-18 Medical insurance claim settlement method and device, and electronic apparatus WO2020024714A1 (en)

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