Design and Application of an End-to-end Commercial Health Insurance Claims Platform in Hospital
Objective To improve the efficiency of medical service and the medical experience of patients with commercial health insurance,aiming at the problems of"difficult claim settlement,complicated procedures and slow reimbursement".Methods Under the premise of ensuring information security,a unified interface standard and service process were established to realize data connectivity among hospitals,medical insurance and commercial insurance,and to open up data islands between hospitals and insurance companies.Results It became the first hospital in Hubei Province to successfully build the first end-to-end health insurance claims platform,and realized the"one-window"and"one-stop"settlement of medical insurance,commercial insurance and self-payment when hospital patients were discharged.Conclusion Provider commercial insurance"one-stop"settlement service is an important measure for hospitals to carry out convenient and beneficial services through"Internet+medical health"and improve patient service experience,which greatly saves the time and energy of commercial insurance patients,and achieves the goal of"maximum one visit to the doctor and settlement"for commercial insurance patients.
commercial health insuranceInternet plus healthcarehealthcare securityone-stop settlement platforminstant claims
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