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MEDICAL INSURANCE FUND 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保险资金风险控制方法和装置

摘要

Embodiments of the present application provide a medical insurance fund risk control method and device based on data analysis, a server, and a medium. The method comprises: determining an active area corresponding to a target user according to using trajectory information of a medical insurance card of the target user; when a target medical site comprised in the active area corresponding to the target user monitors the target user, obtaining medical information of the target user at the target medical site; according to the medical information of the target user at the target medical site, determining whether a card swiping behavior of the target user for the medical insurance card is abnormal; and if it is determined that a card swiping behavior of the target user for the medical insurance card is abnormal, adding an identifier of the target user into a tagged list. By adoption of the present application, the abnormal card swiping behavior of the user for the medical insurance card can be effectively detected for supervision, thereby reducing the loss of the medical insurance fund.
机译:本申请实施例提供了一种基于数据分析的医疗保险基金风险控制方法和装置,服务器和介质。该方法包括:根据目标用户的医疗保险卡的轨迹信息,确定目标用户对应的活动区域;当包括在与目标用户相对应的活动区域中的目标医学站点监视目标用户时,在目标医学站点处获取目标用户的医学信息;根据目标用户在目标医疗现场的医疗信息,确定目标用户对医疗保险卡的刷卡行为是否异常;如果确定所述目标用户针对所述医疗保险卡的刷卡行为异常,则将所述目标用户的标识添加到标签列表中。通过采用本申请,可以有效地检测出用户对医疗保险卡的异常刷卡行为,以进行监督,从而减少了医疗保险基金的损失。

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