Design and Application of Automatic Calculating System of Medical Insurance
PAN Dazhao
ZHANG Xin
REN Huipeng
Abstract：Objective To reprogram the original background automatic calculating system for adapting new requirement and higher demand of automatic calculating and medical expense audit in medical insurance patients when medical insurance expense audit system was on-line.Methods Based on the initial functions of the original back-end calculating system,the algorithm was modified and new control rules were added,so that the calculating results met the requirements of the related rules of the medical insurance audit platform.Results After testing,decimal point of date-based pricing,frequency of single-day pricing and other problems were effectively eliminated by modified system.Conclusion Comparing with the original system,upgraded medical insurance smart audit satisfies part requirements,improvs the audit efficiency of hospital medical insurance administration,and reduces the manual feedback workload of medical insurance office on irregular data.
Keywords：Medical insuranceIntelligent supervisionAutomatic calculatingMedical expense auditPower-Builder programming
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 51-54 )