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MEDICAL TREATMENT ITEM RISK CONTROL METHOD AND DEVICE BASED ON DATA ANALYSIS, SERVER, AND MEDIUM

机译:基于数据分析,服务器和介质的医疗项目风险控制方法和装置

摘要

Embodiments of the present application provide a medical treatment item risk control method and device based on data analysis, a server, and a medium. The method comprises: determining a target medical treatment item meeting a preset condition from among multiple medical treatment items, and determining a patient examination rule corresponding to the target medical treatment item; if a purchase instruction of a target user for the target medical treatment item sent by a terminal is detected, obtaining first user information of the target user according to an instruction of the patient examination rule; after the target medical treatment item is initiated, obtaining second user information of the target user; determining, according to the first user information and the second user information, whether the target user has falsely created an item; and if it is determined that the target user has falsely created an item, adding the identifier of the target user into a tagged list. By adoption of the present application, the user having falsely created an item can be effectively identified for timely supervision, thereby reducing the loss of medical insurance funds.
机译:本申请实施例提供了一种基于数据分析的医疗项目风险控制方法和装置,服务器和介质。该方法包括:从多个医疗项目中确定满足预设条件的目标医疗项目;确定与该目标医疗项目相对应的患者检查规则;如果检测到终端发送的目标医疗项目的目标用户购买指令,则根据患者检查规则的指示获取目标用户的第一用户信息;在启动目标医疗项目后,获取目标用户的第二用户信息;根据第一用户信息和第二用户信息,确定目标用户是否错误创建了商品;如果确定目标用户错误地创建了商品,则将目标用户的标识添加到标签列表中。通过采用本申请,可以有效地识别错误地创建了物品的用户以进行及时的监督,从而减少了医疗保险资金的损失。

著录项

  • 公开/公告号WO2020082809A1

    专利类型

  • 公开/公告日2020-04-30

    原文格式PDF

  • 申请/专利号WO2019CN95053

  • 发明设计人 GAO XIULAN;

    申请日2019-07-08

  • 分类号G06Q10/10;G06K9;

  • 国家 WO

  • 入库时间 2022-08-21 11:11:40

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