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Medical behavior monitoring method and device

A monitoring device and behavior technology, applied in the computer field, can solve problems such as damage to public interests, and achieve the effect of reducing public interest losses and preventing insurance fraud.

Active Publication Date: 2017-09-05
PING AN MEDICAL & HEALTHCARE MANAGEMENT CO LTD
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

In recent years, there have been more and more cases of fraudulent use of social security cards. For example, criminals rent social security cards to various hospitals to prepare medicines, and then resell them in different categories, which seriously damages the public interest.

Method used

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  • Medical behavior monitoring method and device
  • Medical behavior monitoring method and device
  • Medical behavior monitoring method and device

Examples

Experimental program
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Embodiment Construction

[0065] In order to make the object, technical solution and advantages of the present invention clearer, the present invention will be further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described here are only used to explain the present invention, not to limit the present invention.

[0066] figure 1 It is an application scene diagram of the medical behavior monitoring method in an embodiment. Such as figure 1 As shown, the application scenario includes a hospital terminal 10, an audit server 20, and a doctor workstation 30, wherein the hospital is connected to the audit server 20, and when the public uses a social security card to register for a doctor, issue a doctor's order, or pay a fee, the operation The hospital terminal 10 sends a corresponding medical review request to the review server 20 . The review server 20 receives the medical review request sent by the hospital...

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Abstract

The invention relates to a medical behavior monitoring method and device. The method comprises the following steps that a medical check request sent by a terminal is received, wherein the medical check request comprises a check-in check request, a medical advice check request and a fee check request; to-be-checked medical information is acquired according to the medical check request; the to-be-checked medical information is checked through a rule engine, and whether the to-be-checked medical information contains suspicious medical behaviors or not is judged, wherein the rule engine is obtained through compiling on the basis of check conditions of the to-be-checked medical information; if the to-be-checked medical information contains the suspicious medical behaviors, the to-be-checked medical information is sent to a doctor working station. The medical behavior monitoring method and device can comprehensively and accurately detect the suspicious medical behaviors, insurance fraud behaviors can be effectively prevented, and the public interest loss can be reduced.

Description

technical field [0001] The invention relates to the field of computer technology, in particular to a method and device for monitoring medical behavior. Background technique [0002] Social insurance refers to a non-profit social security system with the function of redistribution of income that the state compels most members of society to participate in order to prevent and share social risks such as old age, unemployment, disease, and death, and to achieve social security. In recent years, there have been more and more cases of fraudulent use of social security cards. For example, criminals rent social security cards to various hospitals to prepare medicines, and then resell them in different categories, which seriously damages the public interest. Contents of the invention [0003] Embodiments of the present invention provide a method and device for monitoring medical behaviors, which can effectively prevent fraudulent insurance behaviors and reduce loss of public intere...

Claims

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Application Information

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IPC IPC(8): G06F19/00
Inventor 高秀兰
Owner PING AN MEDICAL & HEALTHCARE MANAGEMENT CO LTD
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