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The acceptance section which accepts the prescription data which includes the diagnostic result of resident

机译:接收包括居民诊断结果的处方数据的接​​收部分

摘要

PROBLEM TO BE SOLVED: To provide a false claims detector that detects false claims of medical treatment fee, a false claims detection method and a computer program.SOLUTION: A false claims detector designates medical institution ID of a medical institution to be detected (S11), and reads in receipt data of two patients who had medical examination in the designated medical institution (S13,14). The detector calculates a difference of inspection results of a plurality of predetermined inspection items of the read receipt data (S15), and determines whether or not all the calculated differences of the inspection results are within a predetermined range (S16). When all the differences of the inspection results are within the predetermined range (S16: YES), the detector judges that at least one of the read receipt data is receipt data having the possibility of false claim (S17).
机译:解决的问题:提供检测医疗费用的虚假索赔的虚假索赔检测器,虚假索赔检测方法和计算机程序。解决方案:虚假索赔检测器指定要检测的医疗机构的医疗机构ID(S11) ,并读取在指定医疗机构接受检查的两名患者的收据数据(S13,14)。检测器计算读取的收据数据的多个预定检查项目的检查结果之间的差异(S15),并且确定所计算出的所有检查结果之间的差异是否在预定范围内(S16)。当检查结果的所有差异都在预定范围内时(S16:是),检测器判断所读取的收据数据中的至少一个是具有错误主张可能性的收据数据(S17)。

著录项

  • 公开/公告号JP5556519B2

    专利类型

  • 公开/公告日2014-07-23

    原文格式PDF

  • 申请/专利权人 富士通株式会社;

    申请/专利号JP20100202357

  • 发明设计人 古閑 聡;

    申请日2010-09-09

  • 分类号G06Q50/22;

  • 国家 JP

  • 入库时间 2022-08-21 16:14:44

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