Medical expense restriction rule generation method

• Main Authors: WU YUE, HUANG XIANGHUA, LYU LIANGZHONG
• Format: Patent
• Language: Chinese; English
• Published: 01.09.2017
• Subjects: CALCULATING; COMPUTING; COUNTING; DATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FORADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORYOR FORECASTING PURPOSES; PHYSICS; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE,COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTINGPURPOSES, NOT OTHERWISE PROVIDED FOR

The invention relates to a medical expense restriction rule generation method. The method comprises: step one, receiving first medical expense restriction information; step two, analyzing the first medical expense restriction information and extracting first restriction subject information and first restriction range information; step three, classifying the first medical expense restriction information based on the first restriction subject information to generate first classification restriction information; and step 4, layering the first classification restriction information based on the first restriction range information, setting an expense information threshold range for each layer of first classification restriction information, and generating a first medical expense restriction rule. The medical expense restriction rule generated by the medical expense restriction rule generation method has advantages of clearly-defined type and clear layer and the thus the medical expenses can be controlled reasonabl