Medical insurance reimbursement automatic auditing method, system and device and medium

• Main Authors: XI XIANGLIANG, CHANG SHAOYING, HU YAN
• Format: Patent
• Language: Chinese; English
• Published: 30.06.2023
• 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 discloses a medical insurance reimbursement automatic auditing method, system and device and a medium. The method comprises the following steps that a hospital system is connected with a medical insurance reimbursement auditing system; acquiring medical prescription information, and performing medical insurance reimbursement demand judgment on the medical prescription information; in response to a demand result of the medical insurance reimbursement demand judgment, executing data synchronization operation based on the hospital system, the medical insurance reimbursement auditing system and the medical prescription information; in response to a synchronization success result of the data synchronization operation, calling a medical insurance reimbursement auditing system to execute an information auditing operation; in response to an auditing passing result of the information auditing operation, executing an accounting notification operation based on the hospital system and the medical insurance