MEDICAL EXPENSE PAYMENT MANAGEMENT SYSTEM, MEDICAL EXPENSE PAYMENT MANAGEMENT METHOD, AND PROGRAM

To provide a flexible insurance service in accordance with a contractor in preparing payment for medical expenses.SOLUTION: A medical expense payment management system is configured to: perform advanced transfer processing to transfer the amount of medical expenses of a contractor to a medical insti...

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1. Verfasser: TAKIGUCHI SUSUMU
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Sprache:eng ; jpn
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Zusammenfassung:To provide a flexible insurance service in accordance with a contractor in preparing payment for medical expenses.SOLUTION: A medical expense payment management system is configured to: perform advanced transfer processing to transfer the amount of medical expenses of a contractor to a medical institution account, on the basis of a reception of medical expense bill information from a medical institution system; and collect the amount of medical expenses from a dedicated account of a financial institution that manages funds of the contractor after the processing to transfer the amount of medical expenses to the medical institution account. On the basis of a contract status information of the contractor on the advanced transfer processing, a determination is made as to whether to send a bill to an insurance company for a payment for insurance money corresponding to the amount of medical expenses paid by the advance transfer processing.SELECTED DRAWING: Figure 1 【課題】診療費の支払いに備える際に契約者に応じた柔軟な保険サービスを提供する。【解決手段】医療機関システムからの診療費請求情報の受信に基づいて契約者の診療費の医療機関口座への立替振込処理を行い、診療費の医療機関口座への振込処理後に契約者の資金を管理する金融機関の専用口座から診療費の回収を行う。契約者の立替振込処理に関する契約状況情報に基づいて、立替振込処理によって立て替えた診療費に対応する保険金の保険会社への支払い請求を行うか否かを判定する。【選択図】図1