CN115099823B - An online refund system - Google Patents

Abstract

The invention discloses an online refund system, comprising: the refund application module is used for receiving refund application; the bill application judging module is used for judging whether to apply for the electronic bill; the refund proportion judging module is used for judging the total refund or partial refund of the fee; the fee refund module is used for refunding fees; the electronic bill full-withdrawal module is used for voiding the virtual bill number when the electronic bill is not applied and the cost is full-withdrawn; the electronic bill part withdrawing module is used for generating a new virtual bill number or generating a new electronic bill number and voiding the original virtual bill number when the electronic bill is not applied and is partially withdrawn; the applied electronic bill complete-returning module is used for voiding the electronic bill number when the applied electronic bill is completely returned; the applied electronic bill part returning module is used for generating a new electronic bill number and voiding the original electronic bill number when the applied electronic bill is partially returned. The invention is beneficial to improving the refund efficiency, realizing the trace operation of recording and improving the working efficiency of the system.

Description

An online refund system

Technical Field

The present invention relates to the field of medical system management, and more specifically, to an online refund system.

Background technique

In most existing hospitals, when patients apply for a refund, they need to hold various receipts and wait in line for a long time at the manual cashier counter. The hospital will then submit the refund request to the higher authorities for review. For the hospital, this wastes a lot of manpower and material resources and increases the pressure on the hospital to receive patients. For patients, the interaction experience with the hospital is poor, the refund request cannot be responded to as soon as possible, and they need to go back and forth to the hospital many times to inquire about the progress of the refund, resulting in low refund efficiency.

Summary of the invention

The present invention aims to overcome at least one defect (shortcoming) of the above-mentioned prior art and provide an online refund system to address the problem of low efficiency of offline refund in hospitals.

The technical solution adopted by the present invention is an online refund system, comprising:

A refund application module, used to receive a refund application for a charging record, the refund application including bill application information and refund ratio information, the bill application information including: the charging record has not applied for an electronic bill or the charging record has applied for an electronic bill, the refund ratio information includes: full refund or partial refund, the charging record includes a virtual bill number and an electronic bill number, the virtual bill number corresponds to a charging record for which an electronic bill has not been applied, and the electronic bill number corresponds to a charging record for which an electronic bill has been applied;

A bill application judgment module, used to judge whether the charging record is applied for an electronic bill according to the bill application information;

A refund ratio determination module, used to determine whether the charging record is a full refund or a partial refund according to the refund ratio information;

A refund module, used to refund fees according to the refund ratio information;

A full refund module for not applying for electronic invoices is used to invalidate the virtual invoice number of the charging record after the refund module returns the fee when the invoice application judgment module determines that the charging record does not apply for electronic invoices and the refund ratio judgment module determines that the charging record is a full refund of fees;

The partial refund module for not applying for electronic invoice is used to generate a new virtual invoice number or a new electronic invoice number after the refund module returns the fee, and to invalidate the virtual invoice number of the charging record when the invoice application judgment module determines that the charging record has not applied for electronic invoice and the refund ratio judgment module determines that the charging record is a partial refund;

A module for fully refunding electronic invoices applied for is used to, when the invoice application judgment module determines that the charging record has applied for an electronic invoice, and the refund ratio judgment module determines that the charging record is a full refund of fees, after the refund module returns the fees, invalidate the electronic invoice number applied for the charging record;

The partial refund module for applied electronic invoices is used to generate a new electronic invoice number and invalidate the applied electronic invoice number for the charging record after the refund module returns the fee when the invoice application judgment module determines that the charging record has applied for an electronic invoice and the refund ratio judgment module determines that the charging record is for a partial refund.

Furthermore, the bill application information also includes: the charging record has not printed a paper bill or the charging record has printed a paper bill;

The refund system also includes:

A receipt printing judgment module, used to judge whether the charging record is printed as a paper receipt according to the receipt application information;

The charging record also includes a paper ticket number, and the paper ticket number corresponds to the charging record of the printed paper ticket;

A printed paper receipt full refund module is used to, when the receipt printing judgment module determines that the charging record has printed a paper receipt, and the refund ratio judgment module determines that the charging record is a full refund, after the refund module returns the fee, cancel the paper receipt number of the charging record;

The module for partially refunding printed paper receipts is used to generate a new electronic receipt number and invalidate the paper receipt number of the charging record after the refund module returns the fee when the receipt printing judgment module determines that the charging record has printed a paper receipt and the refund ratio judgment module determines that the charging record is for a partial refund.

The present invention provides an online refund system. When patients apply for refunds, they can apply for refunds online at any time and anywhere through the refund system, so that they no longer need to queue for a long time offline for manual refunds, which is conducive to greatly improving the refund efficiency, reducing the waste of human resources, and promoting the intelligent development of the medical system. In addition, the present invention can effectively execute different refund processing methods for different refund applications of patients, with high intelligence and strong flexibility. At the same time, in the present invention, according to the specific invoice application information and the refund ratio information, a full refund module for non-applied electronic invoices, a partial refund module for non-applied electronic invoices, a full refund module for applied electronic invoices, a partial refund module for applied electronic invoices, a full refund module for printed paper invoices and a partial refund module for printed paper invoices are set. When the charging record is a full refund, the virtual invoice number or electronic invoice number or paper invoice number of the charging record is invalidated. When the charging record is a partial refund, a new virtual invoice number or electronic invoice number is generated and the virtual invoice number or electronic invoice number or paper invoice number of the original charging record is invalidated, so as to leave traces of all charging and refund records, effectively ensure the accuracy and traceability of charging records and refund operations, speed up the query speed, and improve the practicality and work efficiency of the system.

Furthermore, the refund application also includes refund method information and payment method information. The refund method information includes: online refund or offline refund, and the payment method information includes: medical insurance or self-payment.

The refund system also includes:

A refund method determination module, configured to determine whether the charging record is an online refund or an offline refund according to the refund method information when the bill printing determination module determines that the charging record has been printed as a paper bill;

A payment method determination module is used to determine whether the payment method of the charging record is medical insurance or self-payment according to the payment method information;

The printed paper receipt full refund module is also used to prompt the mailing of the printed paper receipt of the charging record before the refund module returns the fee when the refund method judgment module judges that the charging record is refunded online and the payment method judgment module judges that the payment method of the charging record is self-paid;

The module for partially refunding printed paper receipts is also used to prompt the mailing of the printed paper receipts of the charging records before the refund module returns the fees when the refund method judgment module determines that the charging record is refunded online and the payment method judgment module determines that the payment method of the charging record is self-paid.

In the case where the patient's charging record that needs to be refunded has printed paper receipts, the patient can choose to make an online system refund or an offline manual refund. When the patient chooses an online refund, the patient needs to mail the printed paper receipts of the charging record back to the hospital so that the hospital can process the refund and recycle the paper receipts of the original charging record for verification and other operations. In the present invention, a full refund module for printed paper receipts and a partial refund module for printed paper receipts are set. In this case, it also plays a beneficial role in reminding patients to mail paper receipts.

Furthermore, the refund system also includes:

The medical insurance validity period judgment module is used to judge whether the medical insurance is within the validity period when the payment method judgment module judges that the payment method of the charging record is medical insurance, specifically including: judging whether the medical insurance approval document is within the validity period, whether the medical insurance has subsequent business, and whether the medical insurance is a cross-month business;

The refund module is further configured to receive the review success information of the medical insurance system before refunding the fee when the payment method judgment module judges that the payment method of the charging record is medical insurance, and the medical insurance validity period judgment module judges that the medical insurance approval document is within the validity period, there is no subsequent business of the medical insurance, and the medical insurance is not a cross-month business;

The refund module is also used to confirm that the refund method is offline refund when the payment method judgment module determines that the payment method of the charging record is medical insurance, and the medical insurance validity period judgment module determines that the medical insurance approval document is not within the validity period, or the medical insurance has subsequent business, or the medical insurance is a cross-month business.

Furthermore, the refund application also includes payment method information, and the payment method information includes: cash, bank card, medical insurance card or third-party payment;

The refund system also includes:

A payment method determination module is used to determine, based on the payment method information, whether the payment method of the charging record is cash, bank card, medical insurance card or third-party payment, and whether the payment method of the charging record allows the fee to be refunded in the original way;

A remittance information acquisition module, used to acquire remittance information when the payment method determination module determines that the payment method of the charging record does not allow the fees to be refunded by the original route;

An information reminder module, used for sending a refund completion information reminder when the payment method determination module determines that the payment method of the charging record does not allow the fees to be refunded by the original route, and after the refund module returns the fees;

The refund module is used to refund the fee according to the refund ratio information, specifically including:

When the payment method determination module determines that the payment method of the charging record allows the fees to be refunded by the original route, it is used to refund the fees by the original route according to the refund ratio information and the payment method information;

When the payment method determination module determines that the payment method of the charging record does not allow the fees to be refunded by the original route, it is used to refund the fees according to the refund ratio information and the remittance information.

Furthermore, the refund application also includes a request for partially stamped paper bills, and the refund system also includes:

A partially refunded bill judgment module is used to judge whether it is necessary to send back the paper bill with the partially refunded stamp when the refund ratio judgment module judges that the charging record is a partial refund, the payment method judgment module judges that the payment method of the charging record is medical insurance, and the medical insurance validity period judgment module judges that the medical insurance approval document is not within the validity period, or the medical insurance has subsequent business, or the medical insurance is a cross-month business;

The module for returning partially returned bills is used to return the partially returned paper bills after the refund module returns the fees when the module for judging partially returned bills judges that the partially returned paper bills need to be returned.

Furthermore, the refund system also includes:

The offline refund reservation module is used to receive the reservation information of the offline refund time or receive the modification of the reservation information of the offline refund time when the refund method is offline refund.

When the refund method in the patient's refund application is offline refund, the system of the present invention also provides an offline refund reservation module, which makes reservations for offline refunds in advance, so as to avoid the patient having to spend a lot of time queuing in advance when choosing offline refunds, thereby speeding up the patient's refund efficiency. At the same time, the offline refund reservation module can also be used to receive the patient's modification of the appointment time, improve the flexibility of the patient's appointment, and bring greater convenience to the patient.

Furthermore, the refund system also includes:

The refund query module is used to query the refund progress and refund results of the refund module. The setting of the refund query module can enable patients to continuously understand the refund results and progress in real time, realize the visualization of the refund situation, and improve the patient's refund experience.

Furthermore, the charging record also includes the identity information of the patient of the bill, the refund application also includes the identity information of the person applying for the refund, and the refund system also includes:

An agent judgment module is used to compare whether the patient identity information of the bill and the identity information of the applicant for refund are consistent after the refund application module receives the refund application for the charging record and before the refund module returns the fee. If so, it is determined that the refund is not an agent refund, and if not, it is determined that the refund is an agent refund;

The identity information verification module is specifically used to: when the agency judgment module determines that the refund is handled on behalf of the patient, the original patient's identity information is additionally provided to verify whether the provided original patient's identity information is consistent with the patient information on the bill;

The refund module is specifically used for:

When the agency judgment module determines that the refund is not an agency refund, the refund is made according to the refund ratio information;

And when the agency judgment module determines that the refund is an agency refund, and the identity information verification module verifies that the original patient identity information provided is consistent with the bill patient information, the fee is refunded according to the refund ratio information.

In the present invention, the refund application may be processed by the patient himself or by someone else designated by the patient to process it on his behalf. When the agent judgment module compares the patient identity information on the bill and the identity information of the person applying for refund and they are consistent, it is determined that the refund application is processed by the patient himself, and the normal refund operation can be performed through the refund module. If the agent judgment module compares the patient identity information on the bill and the identity information of the person applying for refund and they are inconsistent, it is determined that the refund is processed by someone else, and the agent is required to provide the original patient identity information again. After the identity information verification module verifies that the provided original patient identity information is consistent with the patient information on the bill, the refund operation is implemented. This method has the feature of leaving traces of the agent, which is conducive to future verification, and can effectively prevent other people from impersonating others to make illegal refunds, causing economic losses to payers, and effectively improve the security performance of the refund system.

Furthermore, the charging record also includes the executing department and the examination items, and the refund system also includes:

The department confirmation module is used to send the refund application to the execution department corresponding to the charging record for refund confirmation after the refund application module receives the refund application for the charging record, receive the refund confirmation result, and link with the examination item reservation platform to cancel the reservation status of the examination item corresponding to the charging record;

The refund module is specifically used to refund the fees according to the refund ratio information after the department confirmation module receives the refund confirmation result.

In the present invention, a department confirmation module is also provided. The refund module can perform the corresponding refund operation only after receiving the refund confirmation result from the department confirmation module, thereby realizing the real-time terminal confirmation of the charging record corresponding to the department, and further reviewing the patient's refund application. Meanwhile, the operation of leaving a trace is also facilitated for the subsequent tracing and accountability of the refund operation. At the same time, the department confirmation module can also link with the examination project reservation platform to cancel the reservable status of the examination project corresponding to the charging record that needs to be refunded, so as to prevent the patient from having applied for a refund but still making an appointment for the examination project.

Compared with the prior art, the present invention has the following beneficial effects:

The present invention is an online refund system that can execute different refund operations according to different refund applications, which is beneficial to improving refund efficiency, reducing waste of human resources, and promoting the intelligent development of the medical system; at the same time, the multiple partial refund or full refund modules in the present invention can invalidate the virtual invoice number or electronic invoice number or paper invoice number of the original charging record or generate a new virtual invoice number or electronic invoice number in correspondence with different refund applications, so as to leave traces of all charging and refund records, effectively ensure the accuracy and traceability of charging records and refund operations, and speed up the query speed, thereby improving the practicality of the system and work efficiency.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG1 is a structural block diagram of the present invention.

Description of the drawings: refund application module 110, bill application judgment module 120, refund ratio judgment module 130, refund module 140, full refund module 150 for unapplied electronic bills, partial refund module 160 for unapplied electronic bills, full refund module 170 for applied electronic bills, partial refund module 180 for applied electronic bills, bill printing judgment module 190, full refund module 210 for printed paper bills, partial refund module 220 for printed paper bills, refund method judgment module 230, payment method judgment module 240, medical insurance validity period judgment module 250, remittance information acquisition module 260, partially refunded bill judgment module 270, partially refunded bill mailing module 280, offline refund appointment module 290, refund inquiry module 310, identity information verification module 320, department confirmation module 330, payment method judgment module 340, information reminder module 350, agency judgment module 360, etc.

Detailed ways

The drawings of the present invention are only for illustrative purposes and should not be construed as limiting the present invention. In order to better illustrate the following embodiments, some parts of the drawings may be omitted, enlarged or reduced, and do not represent the size of the actual product; it is understandable to those skilled in the art that some well-known structures and their descriptions in the drawings may be omitted.

As shown in FIG1 , this embodiment provides an online refund system, including:

The refund application module 110 is used to receive a refund application for a charging record, wherein the refund application includes bill application information and refund ratio information, wherein the bill application information includes: the charging record does not apply for an electronic bill or the charging record has applied for an electronic bill, and the refund ratio information includes: full refund or partial refund, wherein the charging record includes a virtual bill number and an electronic bill number, wherein the virtual bill number corresponds to a charging record for which an electronic bill has not been applied, and the electronic bill number corresponds to a charging record for which an electronic bill has been applied;

The bill application judgment module 120 is used to judge whether the charging record is applied for an electronic bill according to the bill application information;

A refund ratio determination module 130 is used to determine whether the charging record is a full refund or a partial refund according to the refund ratio information;

A refund module 140, configured to refund fees according to the refund ratio information;

The full refund module 150 for not applying for electronic invoices is used to invalidate the virtual invoice number of the charging record after the refund module 140 returns the fee when the invoice application judgment module 120 judges that the charging record does not apply for electronic invoices and the refund ratio judgment module 130 judges that the charging record is a full refund of fees;

The partial refund module 160 for not applying for electronic invoice is used to generate a new virtual invoice number or a new electronic invoice number after the refund module 140 returns the fee, and to invalidate the virtual invoice number of the charging record when the invoice application judgment module 120 judges that the charging record does not apply for electronic invoice and the refund ratio judgment module 130 judges that the charging record is a partial refund;

The electronic invoice full refund module 170 is used to cancel the electronic invoice number applied for the charging record after the refund module 140 returns the fee when the invoice application judgment module 120 judges that the charging record has applied for an electronic invoice and the refund ratio judgment module 130 judges that the charging record is a full refund of the fee;

The partial refund module 180 for applied electronic invoices is used to generate a new electronic invoice to invalidate the electronic invoice number applied for the charging record after the refund module 140 returns the fee when the invoice application judgment module 120 determines that the charging record has applied for an electronic invoice and the refund ratio judgment module 130 determines that the charging record is for a partial refund.

Furthermore, the bill application information also includes: the charging record has not printed a paper bill or the charging record has printed a paper bill;

The refund system also includes:

The receipt printing judgment module 190 is used to judge whether the charging record is printed as a paper receipt according to the receipt application information;

The charging record also includes a paper ticket number, and the paper ticket number corresponds to the charging record of the printed paper ticket;

The printed paper receipt full refund module 210 is used to cancel the paper receipt number of the charging record after the refund module 140 returns the fee when the receipt printing judgment module 190 judges that the charging record has printed a paper receipt and the refund ratio judgment module 130 judges that the charging record is a full refund of the fee;

The printed paper invoice partial refund module 220 is used to generate a new electronic invoice number and invalidate the paper invoice number of the charging record after the refund module 140 returns the fee when the invoice printing judgment module 190 determines that the charging record has been printed with a paper invoice and the refund ratio judgment module 130 determines that the charging record is a partial refund.

This embodiment provides an online refund system. When patients apply for refunds, they can apply for refunds online anytime and anywhere through the refund system, so they no longer need to queue for a long time offline for manual refunds, which is conducive to greatly improving the refund efficiency, reducing the waste of human resources, and promoting the intelligent development of the medical system. In addition, this embodiment can effectively execute different refund processing methods for different refund applications of patients, with high intelligence and strong flexibility. At the same time, in this embodiment, according to the specific invoice application information and the refund ratio information, a full refund module 150 for unapplied electronic invoices, a partial refund module 160 for unapplied electronic invoices, a full refund module 170 for applied electronic invoices, a partial refund module 180 for applied electronic invoices, a full refund module 210 for printed paper invoices and a partial refund module 220 for printed paper invoices are set. When the charging record is a full refund, the virtual invoice number, electronic invoice number or paper invoice number of the charging record is invalidated. When the charging record is a partial refund, a new virtual invoice number or electronic invoice number is generated and the virtual invoice number, electronic invoice number or paper invoice number of the original charging record is invalidated, so as to leave traces of all charging and refund records, effectively ensure the accuracy and traceability of charging records and refund operations, speed up the query speed, and improve the practicality and work efficiency of the system.

Furthermore, the refund application also includes refund method information and payment method information. The refund method information includes: online refund or offline refund, and the payment method information includes: medical insurance or self-payment.

The refund system also includes:

The refund method determination module 230 is used to determine whether the charging record is an online refund or an offline refund according to the refund method information when the bill printing determination module 190 determines that the charging record has been printed as a paper bill;

The payment method determination module 240 is used to determine whether the payment method of the charging record is medical insurance or self-payment according to the payment method information;

The printed paper receipt full refund module 210 is also used to prompt the mailing of the printed paper receipt of the charging record before the refund module 140 returns the fee when the refund method determination module 230 determines that the charging record is refunded online and the payment method determination module 240 determines that the payment method of the charging record is self-paid;

The printed paper receipt partial refund module 220 is also used to prompt the mailing of the printed paper receipt of the charging record before the refund module 140 returns the fee when the refund method judgment module 230 judges that the charging record is refunded online and the payment method judgment module 240 judges that the payment method of the charging record is self-paid.

In the case where the charging record that the patient needs to refund has printed paper receipts, the patient can choose to refund the fee through the online system or through manual refund offline. When the refund method selected by the patient is online refund, the patient needs to mail the printed paper receipts of the charging record back to the hospital so that the hospital can process the refund and recover the original paper receipts of the charging record for verification and other operations. In this embodiment, the printed paper receipt full refund module 210 and the printed paper receipt half refund module 220 are set. In this case, they also play a beneficial role in reminding patients to mail paper receipts. In addition, in the case where the charging record has printed paper receipts and refunds are made online, the patient also needs to sign a letter of commitment to mail the receipts. In this embodiment, the printed paper receipt full refund module 210 and the printed paper receipt partial refund module 220 can also be set to obtain the signed letter of commitment to mail the receipts by the patient.

Furthermore, the refund system also includes:

The medical insurance validity period determination module 250 is used to determine whether the medical insurance is within the validity period when the payment method determination module 240 determines that the payment method of the charging record is medical insurance, specifically including: determining whether the medical insurance approval document is within the validity period, whether the medical insurance has subsequent business, and whether the medical insurance is a cross-month business;

The refund module 140 is further configured to receive the review success information of the medical insurance system before refunding the fee when the payment method determination module 240 determines that the payment method of the charging record is medical insurance, and the medical insurance validity period determination module 250 determines that the medical insurance approval document is within the validity period, the medical insurance has no subsequent business, and the medical insurance is not a cross-month business;

The refund module 140 is also used to confirm that the refund method is offline refund when the payment method judgment module 240 judges that the payment method of the charging record is medical insurance, and the medical insurance validity period judgment module 250 judges that the medical insurance approval document is not within the validity period, or the medical insurance has subsequent business, or the medical insurance is a cross-month business.

Furthermore, the refund application also includes payment method information, and the payment method information includes: cash, bank card, medical insurance card or third-party payment;

The refund system also includes:

The payment method determination module 340 is used to determine whether the payment method of the charging record is cash, bank card, medical insurance card or third-party payment according to the payment method information, and whether the payment method of the charging record allows the fee to be refunded by the original route;

A remittance information acquisition module 260, for acquiring remittance information when the payment method determination module 340 determines that the payment method of the charging record does not allow the fees to be refunded in the original way;

An information reminder module 350 is used to send a refund completion information reminder when the payment method determination module 340 determines that the payment method of the charging record does not allow the fee to be refunded by the original route, and the refund module 140 returns the fee;

The refund module 140 is used to refund the fee according to the refund ratio information, specifically including:

When the payment method determination module 340 determines that the payment method of the charging record allows the fees to be refunded by the original route, it is used to refund the fees by the original route according to the refund ratio information and the payment method information;

When the payment method determination module 340 determines that the payment method of the charging record does not allow the fees to be refunded by the original route, it is used to refund the fees according to the refund ratio information and the remittance information.

Furthermore, the refund application also includes a request for partially stamped paper bills, and the refund system also includes:

The partially stamped bill judgment module 270 is used to judge whether it is necessary to send back the paper bill with the partially stamped bill when the refund ratio judgment module 130 judges that the charging record is a partial refund, the payment method judgment module 240 judges that the payment method of the charging record is medical insurance, and the medical insurance validity period judgment module judges that the medical insurance approval document is not within the validity period, or the medical insurance has subsequent business, or the medical insurance is a cross-month business;

The partially returned bill returning module 280 is used to return the partially returned paper bill after the refund module 140 returns the fee when the partially returned bill judging module 270 judges that the partially returned paper bill needs to be returned.

Furthermore, the refund system also includes:

The offline refund reservation module 290 is used to receive the reservation information of the offline refund time or receive the modification of the reservation information of the offline refund time when the refund method is offline refund.

When the refund method in the patient's refund application is offline refund, this embodiment also sets an offline refund reservation module 290, which makes an appointment for offline refund in advance. Patients who make an appointment through the offline refund reservation module 290 can take precedence over patients who queue up for refund on site offline, so as to avoid the need for patients to spend a lot of time queuing up in advance when choosing offline refund, thereby speeding up the patient's refund efficiency on the other hand. At the same time, the offline refund reservation module 290 can also be used to receive the patient's modification of the appointment time, improve the flexibility of the patient's appointment, and bring greater convenience to the patient. In addition, the offline refund reservation module 290 can also be used to judge the number of offline refund defaults. If it is judged that the patient has failed to make an offline refund through the offline refund reservation module 290 for more than three times, the offline refund reservation module 290 will not be able to receive the appointment information of the offline refund time again, so as to prevent the patient from repeatedly defaulting and causing confusion in the order of offline appointments.

Furthermore, the refund system also includes:

The refund query module 310 is used to query the refund progress and refund result of the refund module 140. The setting of the refund query module 310 can enable patients to continuously understand the refund result and progress in real time, realize the visualization of the refund situation, and improve the patient's refund experience.

Furthermore, the charging record also includes the identity information of the patient of the bill, the refund application also includes the identity information of the person applying for the refund, and the refund system also includes:

The agent determination module 360 is used to compare whether the patient identity information of the bill and the identity information of the applicant for refund are consistent after the refund application module 110 receives the refund application for the charging record and before the refund module 140 returns the fee. If so, it is determined that the refund is not an agent refund, and if not, it is determined that the refund is an agent refund;

The identity information verification module 320 is specifically used to: when the agency judgment module 360 determines that the refund is handled on behalf of the patient, provide the original patient's identity information to verify whether the provided original patient's identity information is consistent with the patient information on the bill;

The refund module 140 is specifically used for:

When the agency judgment module 360 determines that the refund is not an agency refund, the refund is made according to the refund ratio information;

And when the agent judgment module 360 determines that the refund is handled by the agent, and the identity information verification module 320 verifies that the original patient identity information provided is consistent with the bill patient information, the fee is refunded according to the refund ratio information. In this embodiment, the refund application may be handled by the patient himself or the patient designates another person to handle it on his behalf. When the agent judgment module compares the bill patient identity information and the identity information of the person applying for the refund, it is determined that the refund application is handled by the patient himself, and the normal refund operation can be performed through the refund module. If the agent judgment module compares the bill patient identity information and the identity information of the person applying for the refund, it is inconsistent, and it is determined that the refund is handled by someone else, then the agent needs to provide the original patient identity information again, and after the identity information verification module verifies that the original patient identity information provided is consistent with the bill patient information, the refund operation is implemented. This method has the characteristics of leaving traces of the agent, which is conducive to future verification, and can effectively prevent other people from impersonating and illegally refunding, causing economic losses to the payer, and effectively improve the security performance of the refund system. Specifically, in this embodiment, the identity information of the patient on the ticket, the identity information of the person applying for refund, and the identity information of the original patient may include identity proof, air signature, portrait information collection such as face recognition, and agreement to the refund service agreement.

Furthermore, the charging record also includes the executing department and the examination items, and the refund system also includes:

The department confirmation module 330 is used to send the refund application to the execution department corresponding to the charging record for refund confirmation after the refund application module 110 receives the refund application for the charging record, receive the refund confirmation result, and link with the examination item reservation platform to cancel the reservation status of the examination item corresponding to the charging record;

The refund module 140 is specifically used to refund the fees according to the refund ratio information after the department confirmation module 330 receives the refund confirmation result.

In this embodiment, a department confirmation module 330 is set. The refund module 140 can perform the corresponding refund operation only after receiving the refund confirmation result of the department confirmation module 340, so as to realize the real-time terminal confirmation of the department corresponding to the charging record, further review the patient's refund application, and leave a trace at the same time, which is also conducive to the traceability and accountability of the refund operation later. At the same time, the department confirmation module 330 can also link with the examination project reservation platform to cancel the reservable status of the examination project corresponding to the charging record that needs to be refunded, so as to prevent the patient from having applied for a refund but still making an appointment for the examination project.

Obviously, the above embodiments of the present invention are merely examples for clearly illustrating the technical solution of the present invention, and are not intended to limit the specific implementation methods of the present invention. Any modifications, equivalent substitutions and improvements made within the spirit and principles of the claims of the present invention shall be included in the protection scope of the claims of the present invention.

Claims (8)

1. An on-line refund system, comprising:

The refund application module is used for receiving refund application of the charge record, the refund application comprises bill application information and refund proportion information, and the bill application information comprises: the charging record does not apply for the electronic bill or the charging record applies for the electronic bill, and the refund proportion information comprises: the fee is completely returned or partially returned, the fee collection records comprise virtual bill numbers and electronic bill numbers, the virtual bill numbers correspond to fee collection records of electronic bills which are not applied, and the electronic bill numbers correspond to fee collection records of electronic bills which are applied;

the bill application judging module is used for judging whether the charging record applies for the electronic bill according to the bill application information;

The refund proportion judging module is used for judging whether the charge record is a full refund or a partial refund according to the refund proportion information;

the refund module is used for refunding the fees according to the refund proportion information;

The electronic bill full-withdrawal module is used for canceling the virtual bill number of the charging record after the charge withdrawal module returns the charge when the bill application judging module judges that the charging record does not apply for the electronic bill and the withdrawal proportion judging module judges that the charging record is the charge full withdrawal;

the electronic bill part returning module is used for generating a new virtual bill number or a new electronic bill number after the fee returning module returns fees when the bill application judging module judges that the fee record does not apply for the electronic bill and the returning proportion judging module judges that the fee record is part of the fee returning, and canceling the virtual bill number of the fee record;

The applied electronic bill full-returning module is used for canceling the electronic bill number applied by the charging record after the charging module returns the charge when the bill application judging module judges that the charging record is applied for the electronic bill and the returning proportion judging module judges that the charging record is the full-returning of the charge;

the applied electronic bill part returning module is used for generating a new electronic bill number and canceling the applied electronic bill number of the charging record after the charging module returns the charge when the bill application judging module judges that the charging record is applied for the electronic bill and the returning proportion judging module judges that the charging record is part of returning charge;

The bill application information further includes: the charging record is not printed with a paper bill or the charging record is printed with a paper bill;

the refund system further includes:

the bill printing judging module is used for judging whether the charging record prints paper bills according to the bill application information;

the charging record also comprises a paper bill number, and the paper bill number corresponds to the charging record of the printed paper bill;

The printed paper bill full-returning module is used for voiding the paper bill number of the charge record after the charge returning module returns the charge when the bill printing judging module judges that the charge record is printed with the paper bill and the returning proportion judging module judges that the charge record is full-returning;

the printed paper bill part returning module is used for generating a new electronic bill number and canceling the paper bill number of the charge record after the charge returning module returns the charge when the bill printing judging module judges that the charge record is a part of the charge returning;

The charging record also comprises bill patient identity information, the charging application also comprises application charging person identity information, and the charging system also comprises:

The payment application module is used for receiving payment application of the payment record, comparing whether the identity information of the bill patient is consistent with the identity information of the person applying for payment after the payment application module receives the payment application of the payment record, if so, judging that the payment is not a payment, and if not, judging that the payment is a payment;

The identity information verification module is specifically used for: when the current generation judgment module judges that the current generation is a generation withdrawal, additionally providing the original patient identity information, and verifying whether the provided original patient identity information is consistent with the bill patient information;

The refund module is specifically configured to:

When the agent judgment module judges that the agent is not agent withdrawal, carrying out fee withdrawal according to the withdrawal proportion information;

And when the agent judgment module judges that the agent returns fees, and the identity information verification module verifies that the provided original patient identity information is consistent with the bill patient information, returning fees according to the returning proportion information.

2. The online payment system of claim 1, wherein the payment application further comprises payment mode information, the payment mode information comprising: and the payment mode information comprises the following steps of: medical insurance or self-fee;

the refund system further includes:

The bill printing judging module is used for judging whether the bill is on-line bill withdrawal or off-line bill withdrawal according to the bill withdrawing mode information when the bill printing judging module judges that the bill is printed on the bill record;

The payment mode judging module is used for judging whether the payment mode of the charging record is medical insurance or self-payment according to the payment mode information;

The printed paper bill full-returning module is further used for prompting mailing of the printed paper bill of the charge record before the charge returning module returns the charge when the charge returning mode judging module judges that the charge recording and the charge collecting mode are self-charged;

And the printed paper bill part returning module is also used for prompting mailing of the printed paper bill of the charge record before the charge returning module returns the charge when the charge returning mode judging module judges that the charge recording and the charge collecting mode are self-charged.

3. An online refund system of claim 2, wherein the refund system further comprises: the medical insurance validity period judging module is used for judging whether the medical insurance is in the validity period or not when the payment mode judging module judges that the payment mode of the charging record is medical insurance, and specifically comprises the following steps: judging whether the medical insurance wholesale is in the validity period, whether the medical insurance has subsequent service or not and whether the medical insurance is a cross-month service or not;

The fee refund module is further configured to receive verification success information of the medical insurance system before performing fee refund when the fee refund module determines that the fee refund is a medical insurance and the medical insurance validity period determination module determines that the medical insurance batch is within a validity period, that the medical insurance has no subsequent service and that the medical insurance is not a month-crossing service;

And the fee refund module is further used for confirming that the fee refund mode is offline fee refund when the fee refund mode judging module judges that the fee refund mode of the fee record is medical insurance and the medical insurance validity judging module judges that the medical insurance batch is not in the validity period or that the medical insurance has subsequent service or that the medical insurance is a month-crossing service.

4. An online payment system according to claim 3, wherein the payment application further includes payment means information including: cash, bank card, medical insurance card or third party payment;

the refund system further includes:

The payment mode judging module is used for judging whether the payment mode of the charging record is cash, a bank card, a medical insurance card or a third party payment according to the payment mode information and judging whether the payment mode of the charging record allows the original way refund of the fee;

the money transfer information acquisition module is used for acquiring money transfer information when the payment mode judgment module judges that the payment mode of the charging record does not allow the fee to be returned in an original way;

the information reminding module is used for sending a refund completion information reminding after the payment mode judging module judges that the payment mode of the charge record does not allow the original refund of the charge and the refund module returns the charge;

The refund module is configured to refund fees according to the refund proportion information, and specifically includes:

When the payment mode judging module judges that the payment mode of the charging record allows the original refund of the fee, the charging module is used for refunding the fee in the original way according to the refund proportion information and the payment mode information;

And when the payment mode judging module judges that the payment mode of the charging record does not allow the original refund of the fee, the payment mode judging module is used for refunding the fee according to the refund proportion information and the remittance information.

5. An online refund system of claim 3, wherein the refund application further includes a cover portion refund paper ticket request message, the refund system further comprising:

The part of seal returning bill judging module is used for judging whether the paper bill with the seal returned part is required to be sent back when the refund proportion judging module judges that the charge record is a part of refund and the payment mode judging module judges that the charge record is a medical insurance, and the medical insurance validity period judging module judges that the medical insurance batch is not in the validity period, or the medical insurance has a follow-up service, or the medical insurance is a cross-month service;

And the part of the seal returning bill sending back module is used for sending back the paper bill with the seal returned part after the fee returning module returns the fee when the part of the seal returning bill judging module judges the paper bill with the seal returned part is required to be sent back.

6. An online refund system of claim 2, further comprising:

and the offline refund reservation module is used for receiving reservation information of offline refund time or receiving modification of the reservation information of the offline refund time when the refund mode is offline refund.

7. An online refund system according to any of claims 1-6, further comprising:

and the fee refund inquiry module is used for inquiring the fee refund progress and fee refund result of the fee refund module.

8. An online refund system according to any of claims 1-6, wherein said refund record further comprises an executive department and an inspection item, said refund system further comprising:

The department confirming module is used for sending the refund application to an execution department corresponding to the charge record to carry out refund confirmation after the refund application module receives the refund application of the charge record, receiving refund confirmation results, and linking the check item reservation platform to cancel the reserved state of the check item corresponding to the charge record;

The fee refund module is specifically configured to refund fees according to the refund proportion information after the department confirmation module receives the fee refund confirmation result.