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Reimbursement specification analysis system

机译:报销规格分析系统

摘要

PROBLEM TO BE SOLVED: To perform analysis such as the cause pursuit of a heterogeneous value and medical institution evaluation within a standard value by automatically and objectively extracting the standard value and the heterogeneous value on the basis of a medical fee bill. SOLUTION: An each different classification standard value and heterogeneous value extracting means 2 respectively performs statistic processing in each classification (a disease name, a medical institution, an age and the existence/ absence of prescription issuing) being a factor to decide a medical fee claim, calculates the heterogeneous value and the standard value and outputs a heterogeneous value list 6 and different classification standard value statistic data 8. An analysis evaluating and displaying means 9 analyzes the cause pursuit by making the heterogeneous value correspond to the report and medical institution evaluation, etc., by a divergence degree from the medical fee bill other than the heterogeneous value. A heterogeneous value displaying means 7 displays the list 6.
机译:解决的问题:通过基于医疗费用帐单自动,客观地提取标准值和异类值,进行分析,例如在标准值内进行异类值的原因追寻和医疗机构评估。解决方案:每个不同的分类标准值和异构值提取装置2分别在每个分类(疾病名称,医疗机构,年龄和是否开具处方)中进行统计处理,这是决定医疗费用索偿的因素然后,计算异类值和标准值,并输出异类值列表6和不同的分类标准值统计数据8。分析评估和显示装置9通过使异类值对应于报告和医疗机构评估来分析原因追踪,等等,与医疗费用帐单的差异程度不同于异类价值。异构值显示装置7显示列表6。

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