Cross-system claim settlement data processing method and device and related equipment

Abstract

The invention relates to a cross-system claim settlement data processing method and device, electronic equipment and a computer readable medium. The method comprises the following steps: obtaining a claim settlement request of an external system, wherein the claim settlement request comprises initial claim settlement parameters; performing field conversion on the initial claim settlement parameteraccording to a preset mapping table to obtain a target claim settlement parameter; converting the initial claim settlement parameters into a target claim settlement parameter group; obtaining a multi-way tree architecture, and determining a target node and a target hierarchy of the claim settlement request in the multi-way tree architecture according to the target claim settlement parameter group; processing the target claim settlement parameter according to a calculation algorithm of the target node to obtain a processing result of the target node; and summarizing the processing results of the target nodes according to the upward hierarchical sequence of the target hierarchies to obtain a claim settlement result of the claim settlement request. The technical scheme provided by the invention can provide a set of efficient, easy-to-configure, easy-to-expand and automatic-to-execute cross-system calculation engine.

Description

technical field [0001] The present disclosure relates to the field of computer technology, in particular, to a cross-system claim data processing method, device, electronic equipment, and computer-readable medium. Background technique [0002] In the scenario where cross-system claims data adjustment is required, for example, the original system of the critical illness handling business system is the social insurance system, and the current system is the commercial insurance system. Since the definition of adjustment parameters, the import of claims data, and the process of adjustment execution are all based on the parameter system of the social insurance system, it will be out of touch with the commercial insurance parameter system to be entered in the commercial insurance system, such as insurance plans, insurance types, responsibilities, and elements. When going online, not only do you need to configure parameters such as insurance plans, but you also need to manually con...

AI Technical Summary

Problems solved by technology

The configuration process is cumbersome and complicated, relying on human experience, and it is impossible to avoid errors caused by human errors

Moreover, the adjustment process based on the original system cannot be realized systematically, and the adjustment execution efficiency is low

Adjustment verification rules, algorithms, etc. are solidified in the code, which is highly coupled and cannot be reused

This will increase the cost of development, implementation and maintenance

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