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ACTUARIAL ALERTING SYSTEM AND METHOD FOR MEDICAL INSURANCE FUND

机译:医疗保险基金的自动报警系统和方法

摘要

An actuarial alerting system (10) and method for a medical insurance fund, applied to a server connected to a medical insurance database system (2). The actuarial alerting method for a medical insurance fund comprises the steps of: extracting medical insurance fund data from a medical insurance database system, performing screening and format conversion processing on the medical insurance fund data, and storing the processed medical insurance fund data into a first data repository; performing actuarial prediction on the obtained medical insurance fund data to obtain a actuarial prediction result of the medical insurance fund data, and transmitting the actuarial prediction result to a second data repository for storage; comparing the actuarial prediction result with a preset range; and generating alarm information when the actuarial prediction result exceeds the preset range and displaying the actuarial prediction result and the alarm information on a display. The present invention improves the accuracy of the actuarial prediction on a medical insurance fund, and implements effective monitoring and alerting of the operation security of the medical insurance fund.
机译:用于医疗保险基金的精算警报系统(10)和方法,应用于连接到医疗保险数据库系统(2)的服务器。用于医疗保险基金的精算警报方法包括以下步骤:从医疗保险数据库系统中提取医疗保险基金数据,对医疗保险基金数据进行筛选和格式转换处理,并将处理后的医疗保险基金数据存储到第一数据中。资料储存库;对获取的医疗保险基金数据进行精算预测,以得到医疗保险基金数据的精算预测结果,并将该精算预测结果传输至第二数据存储库进行存储。比较精算预测结果与预设范围;当精算预测结果超过预设范围时,产生告警信息,并在显示器上显示精算预测结果和告警信息。本发明提高了对医疗保险基金精算预测的准确性,对医疗保险基金的经营安全性进行了有效的监测和预警。

著录项

  • 公开/公告号WO2017152637A1

    专利类型

  • 公开/公告日2017-09-14

    原文格式PDF

  • 申请/专利权人 ANYCHECK INFORMATION TECHNOLOGIES CO. LTD.;

    申请/专利号WO2016CN104130

  • 发明设计人 ZHANG GUANJING;

    申请日2016-10-31

  • 分类号G06Q10/04;

  • 国家 WO

  • 入库时间 2022-08-21 13:29:49

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