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Insurance data processing method and device

A data processing and data technology, applied in the computer field, can solve the problems of low claim settlement accuracy, low claim settlement efficiency, high labor intensity, etc.

Active Publication Date: 2018-09-07
PING AN TECH (SHENZHEN) CO LTD
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  • Summary
  • Abstract
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AI Technical Summary

Problems solved by technology

[0003] Based on this, it is necessary to provide an insurance data processing method and device for the problems of high labor intensity, low claim settlement efficiency and low claim settlement accuracy in traditional medical insurance claims

Method used

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  • Insurance data processing method and device
  • Insurance data processing method and device
  • Insurance data processing method and device

Examples

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Embodiment Construction

[0048] In order to make the object, technical solution and advantages of the present invention clearer, the present invention will be described in further 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.

[0049] Such as figure 1 As shown, a method for processing insurance data includes the following steps:

[0050] Step 102: The terminal obtains the input policy number through the claim settlement business system, and obtains the corresponding scene information according to the policy number. The scene information includes multiple responsibility attributes and the corresponding responsibility attribute value of each responsibility attribute.

[0051]Specifically, the scenario information corresponds to the policy liability, including multiple liability attributes corresponding to the policy liabil...

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Abstract

The invention relates to an insurance data processing method and device. The insurance data processing method comprises the steps that a terminal obtains an input insurance policy number and obtains corresponding scene information according to the insurance policy number, wherein the scene information comprises a plurality of responsibility attributes and responsibility attribute values corresponding to the responsibility attributes; the terminal obtains an input responsibility attribute value, obtains a matched responsibility attribute in the scene information according to the input responsibility attribute value and compares the input responsibility attribute value with the responsibility attribute value corresponding to the obtained responsibility attribute; if the input responsibilityattribute value is the same as the responsibility attribute value of the obtained responsibility attribute, claim payment rule data corresponding to pre-stored scene information is read; and the claimpayment rule data is processed to obtain a claim payment value, a claim payment instruction is generated, and the claim payment instruction is sent to a payment platform. The insurance data processing method improves the medical insurance claim settlement efficiency and improves the claim settlement accuracy. Correspondingly, the invention further provides an insurance data processing device, computer equipment and a computer readable storage medium.

Description

technical field [0001] The invention relates to the field of computers, in particular to an insurance data processing method and device. Background technique [0002] The traditional medical insurance claim settlement method is manual settlement of claims. When medical insurance claims are settled, professionals with insurance knowledge, legal knowledge, and medical claim settlement knowledge are required to review claims bills, verify insurance liabilities, and adjust insurance amounts. The manual labor intensity of personnel is high, the efficiency of claim settlement is low, and the time limit for claim settlement is long, and the accuracy of claim settlement is easily affected by the experience of claimants, and the accuracy of claim settlement is low. Contents of the invention [0003] Based on this, it is necessary to provide an insurance data processing method and device for the problems of high labor intensity, low claim efficiency and low claim precision in tradit...

Claims

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Application Information

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IPC IPC(8): G06Q10/06G06Q20/08G06Q40/08
CPCG06Q10/0637G06Q20/085G06Q40/08
Inventor 王燕梁效栋
Owner PING AN TECH (SHENZHEN) CO LTD
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