Medical insurance data processing method, system and equipment based on disease types and storage medium

• Main Authors: LIU WEIQI, WANG KUN, DU YUNQIANG, LU JINBI, WEI WENTING
• Format: Patent
• Language: Chinese; English
• Published: 10.05.2019
• Subjects: CALCULATING; COMPUTING; COUNTING; DATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FORADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORYOR FORECASTING PURPOSES; HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATIONTECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING ORPROCESSING OF MEDICAL OR HEALTHCARE DATA; INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTEDFOR SPECIFIC APPLICATION FIELDS; PHYSICS; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE,COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTINGPURPOSES, NOT OTHERWISE PROVIDED FOR

The invention provides a medical insurance data processing method, system and device based on disease types and a storage medium, and the method comprises the steps: obtaining the settlement information of a case, the settlement information comprising the disease type information corresponding to the case and the total settlement cost S of the case; obtaining a standard cost C and a standard scoreA of the disease type; acquiring a preset reference cost D and a reference score E for medical insurance settlement; and determining a medical insurance settlement score R of the case according to the reference cost D, the reference score E, the standard cost C, the standard score A and the total settlement cost S. The medical insurance cost can be reasonably controlled through big data, settlement is reasonably carried out according to disease types, and the problem that current medical insurance resources are reasonably distributed is solved. 本发明提供基于病种的医保数据处理方法、系统、设备及存储介质，其中，医保数据处理方法包括：获取病例的结算信息，结算信息中包括：病例对应的病种信息，病