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Medical insurance risk item analysis method and device, terminal and readable medium

An analysis method and risk technology, applied in the field of risk analysis, can solve problems such as low accuracy, inability to discover high-risk projects in time, and reduce the timeliness of medical insurance high-risk project regulation, so as to achieve the effect of improving accuracy and efficiency

Pending Publication Date: 2019-03-19
PING AN MEDICAL & HEALTHCARE MANAGEMENT CO LTD
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  • Abstract
  • Description
  • Claims
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AI Technical Summary

Problems solved by technology

Due to the increasing amount of medical insurance data, manual methods cannot quickly determine the target risk items (high-risk items) in the medical insurance data, and the accuracy of identifying high-risk items is low, which may easily lead to The high-risk items in the medical insurance data cannot be discovered in time, and the timeliness of regulating the high-risk items in the medical insurance is reduced

Method used

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  • Medical insurance risk item analysis method and device, terminal and readable medium
  • Medical insurance risk item analysis method and device, terminal and readable medium
  • Medical insurance risk item analysis method and device, terminal and readable medium

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Embodiment Construction

[0028] The following will clearly and completely describe the technical solutions in the embodiments of the application with reference to the drawings in the embodiments of the application. Apparently, the described embodiments are only some of the embodiments of the application, not all of them. Based on the embodiments in this application, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the scope of protection of this application.

[0029] The terms "first", "second" and the like in the specification and claims of the present application and the above drawings are used to distinguish different objects, rather than to describe a specific order. Furthermore, the terms "include" and "have", as well as any variations thereof, are intended to cover a non-exclusive inclusion. For example, a process, method, system, product or device comprising a series of steps or units is not limited to the listed steps or units, bu...

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Abstract

The embodiment of the invention provides a medical insurance risk project analysis method and device, a terminal and a readable medium, and the method comprises the steps: obtaining risk data of a plurality of medical insurance risk projects in medical insurance data of a target region; analyzing the risk data of the plurality of medical insurance risk projects according to a preset risk contribution degree analysis method, and determining a risk contribution degree of each risk project in the plurality of medical insurance risk projects; determining a target risk project according to the riskcontribution degree of each risk project; and analyzing the target risk project to obtain a target risk influence factor of the target risk project, thereby improving the accuracy of determining thetarget risk project.

Description

technical field [0001] The application relates to the technical field of risk analysis, in particular to a method device, terminal and readable medium for analyzing medical insurance risk items. Background technique [0002] At present, in terms of medical insurance (medical insurance) risk management and control in the medical insurance fund system, manual methods are usually used to search for risks in medical insurance data. Due to the increasing amount of medical insurance data, manual methods cannot quickly determine the target risk items (high-risk items) in the medical insurance data, and the accuracy of identifying high-risk items is low, which may easily lead to The high-risk items in the medical insurance data cannot be discovered in time, and the timeliness of regulating the high-risk items in the medical insurance is reduced. Contents of the invention [0003] The embodiments of the present application provide a medical insurance risk item analysis method devi...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G06Q10/06G06Q40/08
CPCG06Q10/0635G06Q40/08
Inventor 唐晶茆炜杰宋意
Owner PING AN MEDICAL & HEALTHCARE MANAGEMENT CO LTD
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