JP4842517B2 - Receipt processing system - Google Patents

Description

  The present invention relates to a system for computer-processing a receipt created by a medical institution that treats an insured person.

  When a medical institution conducts medical care that applies health insurance (government insurance, national health insurance, mutual aid association, etc.), the medical institution receives a receipt from the insurance association to which the patient is enrolled. Prepare and send the receipt to the Social Insurance Medical Fee Payment Fund (National Health Insurance Association). In the social insurance medical fee payment fund, the contents of the received receipt are examined, and the medical insurance association to which the patient joins is charged with the medical fee based on the number of medical points indicated in the reviewed receipt. For example, as shown in FIG. 2, the receipt used for this claim corresponds to the insurance number, the location and name of the insurance medical institution, the name of the patient who is the insured, the date of birth, the sex, the name of the sickness, and the content of the medical treatment. The medical score, the name of the drug used for treatment, and the amount used are printed on a sheet according to a predetermined format, and are held and managed by a social insurance medical fee payment fund or a health insurance association.

By the way, since the above-mentioned receipt is managed as a document, it is not possible to perform a smooth computer process, and in order to store the receipt for a long period of time, its storage location and cost are necessary, and these are problems. It was.
Accordingly, an object of the present invention is to provide a system for electronically managing a receipt.

The present invention adopts the following configuration in order to solve the above points.
The form processing system according to the present invention includes a data acquisition apparatus that acquires image data by reading a form, a central apparatus that includes a storage unit that stores image data acquired by the data acquisition apparatus, and a storage unit that stores the image data. A form processing system comprising a terminal that reads out image data and displays it on a display unit, and can input character data corresponding to the image data displayed on the display unit via the input unit, and the data acquisition device includes: As a switchable operation mode, there is a cancel input mode used when rereading a form that has already been read in order to delete the image data stored in the storage unit of the control apparatus. When the data acquisition device switched to the mode reads the form and acquires the image data, the data acquisition device Obtained by the image data, when it is compared with each image data stored in the storage unit both data match, and deletes the image data from the storage unit.

The data acquisition apparatus includes a character recognition unit that acquires character data by recognizing image data acquired by reading a form.
The overall device stores the image data and the character data acquired by the data acquisition device in association with each other in the storage unit.

The data acquisition apparatus includes a printing unit that prints a serial number on the form when the form is read.
The overall device stores the image data and character data acquired by the data acquisition device and a serial number in a storage unit in association with each other.

The form is a receipt.

  According to the receipt processing system of the present invention, a transmission path is provided between the branch and the management center, and the character data and image data of the receipt sent from the medical institution having jurisdiction to the branch can be acquired. The data acquisition device to be acquired, the medical office computer processing device that calculates the amount data by checking the medical fee amount based on the acquired character data, and each data collected in units of receipts are integrated for each insurer. And a correction device that corrects or inputs character data corresponding to the image data, or cancels each data managed by the overall device, based on the image data that is overall managed by the overall device. A management center that obtains each data managed by the central device and maintains and manages the data so that it can be provided to the insurer. By providing the device, it is possible to manage the contents of the receipt as computing processable electronic data, and provides the insurer.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

  As shown in FIG. 1, the receipt processing system 100 of the present invention includes a branch 10 and a management center 50 for a WAN (Wide Area Network) such as an IP-VPN (Internet Protocol-Virtual Private Network). The branch 10 is connected to the transmission line 30, and the data acquisition device 11 such as a non-contact type image acquisition device or an OCR processing device for acquiring the character data and image data of the receipt, and each acquired data are received. A central device 12 for overall management for each insurer, a correction workstation 13 as a correction device for correcting and canceling data managed by the overall device, and a medical fee check based on the acquired character data And the medical office computer processing device 14 for calculating the amount data, and the management center 50 manages each data managed by the overall device. And a management device 51 that acquires and manages the data so as to be provided to the insurer.

  Receipts to be computer processed include a computerized receipt printed with the contents entered by the person in charge at the medical institution, a handwritten receipt written by the person in charge of the medical institution based on a predetermined receipt template, and these The data acquisition device 11 acquires image data and character data in accordance with the type of the above-described receipt. At this time, the data acquisition device 11 gives a numbering as a processing serial number to the processed receipt and prints it on the back side of the receipt. Thereby, the receipt can be managed in the subsequent processing based on the assigned numbering.

  Here, the data acquisition device 11 (OCR processing device and non-contact type image acquisition device) will be described. The OCR processing apparatus treats a print receipt on which OCR-recognizable characters are printed, obtains image data of the receipt, performs character recognition, obtains character data, and performs numbering printing on the receipt. In the above character recognition, information capable of identifying each insurer is acquired, and the receipt is classified for each insurer.

  The non-contact type image acquisition apparatus targets a so-called handwritten receipt on which no OCR-recognizable character is printed, acquires image data of the handwritten receipt, and performs numbering printing on the handwritten receipt. The handwritten receipt is classified in advance for each insurer, and is read by designating the insurer.

  By the way, when the OCR processing device and the non-contact type image acquisition device do not have a numbering printing function, a numbering printing device may be provided to perform numbering printing separately. The number to be associated is associated with the data acquired by character recognition.

  Further, the data acquired by the non-contact type image acquisition device does not include character data, and is handled in the same manner as the OCR processing device described above except for the handling of the character data. Character data corresponding to the image data acquired by the non-contact type image acquisition apparatus is input by the correction workstation 13.

  In addition to acquiring image data and character data, the data acquisition device 11 superimposes information indicating that character recognition could not be performed, check digit, and information indicating the type of processed receipt by attaching to image data and the like. Output to the device 12. The attached information is referred to by a correction workstation 13 to be described later, and the correction workstation 13 corrects character data based on image data and inputs character data.

An input control device 15 is connected between the data acquisition device 11 and the overall device 12, and the input control device 15 includes a data processing server 16, an acquisition data disk array device 17, as shown in FIG. The acquired data disk array device 17 is a RAID (Redundant Arrays of RAID) that improves access speed and protects data by alternately writing a plurality of hard disks like a single hard disk.
Independent (Inexpensive) Disks) data is retained and managed. The data processing server 16 acquires character data and image data from the data acquisition device 11, and performs control for causing the acquired data disk array device 17 to temporarily hold and manage the data and data acquisition from the central device 12. In response to the request, control is performed to read character data and image data temporarily held and managed by the acquired data disk array device 17 and to output the read data to the overall device 12.

  By providing the input control device 15, when the data acquired by the data acquisition device 11 is received and processed by the central device 12, concentration can be prevented, and a large number of data acquisition devices 11 are connected to the central device 12. Data obtained by each data acquisition device 11 can be received.

As shown in FIG. 1, the central device 12 is connected to a data acquisition device 11, a correction workstation 13, and a medical office computer processing device 14, and centralizes various data transmitted between the devices. To manage.
As shown in FIG. 3, the central device 12 includes a central server 18, a central management disk array device 19 as a temporary storage unit, and a high-speed tape device 20 called LTO (Linear Tape Open). Yes.

The central server 18 performs control to collect character data, image data, and later-described amount data for each receipt, and hold and manage various data collected in units of receipts by the central management disk array device 19 for each insurer.
The overall management disk array device 19 holds various data collected in units of receipts hierarchically for each insurer.
The high-speed tape device 20 is provided to back up various data held and managed by the overall management disk array device 19, and when a failure occurs in the overall management disk array device 19, the data lost due to the failure is restored. Sometimes used.

The correction workstation 13 includes a display input unit (not shown) for canceling various data held and managed by the overall device 12, correcting character data, or inputting character data.
The display input unit displays a reception image screen based on the image data and accepts an input operation from the operator.
For example, when the data acquisition device 11 cannot recognize the contents of an item with a receipt and the character data of the item cannot be acquired, or in order to reflect the handwritten correction contents of the assessment correction receipt corrected by the assessment, By referring to the image screen of the receipt at the correction workstation 13, when the character of the item content is input, the character data reflecting the input is corrected.

  The correction workstation 13 has a function of deleting data to be held and managed by the overall device 12 in addition to the correction of character data. For example, in the calculation process of the medical fee amount to be described later, It is possible to access the overall device 12 that holds the data and delete the data by the operation of the operator. As a result, various data of a modified receipt or a newly recreated receipt can be reacquired by the data acquisition device 11 and re-maintained and managed by the overall device 12.

  As shown in FIG. 3, the medical office computer processing device 14 includes a medical office computer server 21 and a computer disk array device 22, and the medical office computer server 21 receives character data received from the overall device 12. The medical disk array device 22 is controlled to acquire data such as the medical fee amount to be paid to the medical institution and the medical score necessary for calculating the amount charged to the insurer and temporarily store the data in the computer disk array device 22. Do. In addition, the medical office computer server 21 calculates a payment amount and a billing amount based on data held in the computer disk array device 22, and performs control to hold the result as money data in the computer disk array device 22. .

The calculation processing of the amount data may be performed in the commissioned calculation center of the external organization, or the branch and the commissioned calculation center may be connected by ISDN (Integrated Services Digital Network) as shown in FIG.
Further, the calculation processing of the money amount data may be performed by a plurality of medical office computer processing apparatuses 14 as shown in FIG.

Each device in the branch 10 is connected via a network switch indicated as L2 switch or L3 switch in FIG. 3, and a management device 51 of the management center 50 is connected to a WAN connected to the L3 switch. Yes.
The management center 50 is constructed of a plurality of devices so that the entire management center system can be operated without any failure even when a failure occurs. Specifically, as shown in FIG. A server 52, a plurality of medium creation control devices 53 communicatively connected to each central processing server 52, an operation monitoring workstation 54 that monitors their operation, and an FC (Fiber Channel) to each central processing server 52. A plurality of management center high-speed tape devices 55 and a plurality of management center disk array devices 56 and a search server 57 are connected to each other via a repeater for communication in accordance with a standard referred to as a search server 57.

  The central processing server 52 obtains character data, image data, and money amount data held by the central unit 12 of each branch via the L3 switch shown in FIG. The acquired various data is held and managed for each insurer by the management center high-speed tape device 55, the management center disk array device 56, and the like via a relay. Various data acquired by the central processing server 52 is transmitted to the medium creation control device 53 via another L3 switch shown in FIG. 4, and the medium creation control device 53 provides a large amount of data such as DVD and CD for each insurer. Recorded on a capacity medium. The recorded media is duplicated as needed to be distributed to the administrative offices of government officials, mutual aid associations, administrative organizations and insurance associations. The recorded medium is stored in the management center 50 for later examination of the receipt contents.

The search server 57 is a device for searching various data held and managed by the management center high-speed tape device 55 and the management center disk array device.
A LAN to which a plurality of central processing servers 52, a medium creation control device 53, a management center high-speed tape device 55, and a management center disk array device 56 are connected is constructed in the management center 50, and the operation monitoring workstation 54 is connected to the LAN. Monitor the operation of each connected device. Thereby, various data can be distributed and acquired from a large number of branches, and the acquired various data can be distributed and managed for each insurer.

Here, the operation mode of the management apparatus 51 will be described in detail.
Each central processing server 52 of the management device 51 is assigned a number for identifying the insurer in charge of holding and managing various data held and managed for each insurer by the overall device 12, and based on the identification number Thus, the data from the overall device 12 is held and managed. In order for the central processing server 52 to hold and manage the data of the insurer in charge, the overall device 12 is provided with an insurer correspondence table. In this insurer correspondence table, as shown in FIG. 5, a number for identifying an insurer and a transmission destination number indicating the number of the central processing server 52 assigned to each insurer (identification number) are associated. ing.

When the central apparatus 12 outputs various data to be held and managed to the central processing server 52 of the management apparatus 51, the central apparatus 12 designates the central processing server 52 as a transmission destination based on the insurer correspondence table, and directs the central processing server 52 to the central processing server 52. Output the data.
For example, if a plurality of insurers are insurers A to Z, the first machine of the central processing server 52 of the management device 51 includes various data (character data, image data) corresponding to the insurers A to E. , Money data) is held and managed, and the second machine of the central processing server 52 holds and manages various data corresponding to the insurers F to J, and the third machine of the central processing server 52 contains the insurer. Various data corresponding to K to insurer P is held and managed, and the fourth machine of the central processing server 52 holds and manages various data corresponding to insurer Q to insurer Z.

  As a result, when the central apparatus 12 outputs the various types of data that it holds and manages to the management apparatus 51, the management apparatus 51 designates the number of the central processing server 52 that is the output destination based on the insurer correspondence table. The distributed processing can be performed by a plurality of central processing servers 52.

Next, the operation of the receipt processing system 100 will be described.
Image data and character data of a computerized receipt, handwritten receipt, and assessment correction receipt are acquired by the data acquisition device 11 (step S100). At this time, each receipt is sorted for each type, the operator causes the data acquisition device to start the data acquisition by specifying a receipt type. Simultaneously with the data acquisition, a numbering as a processing serial number is given and the numbering is printed on the receipt.
The acquired various data and numbering data are sent to the overall device 12 via the input control device 15, and are held and managed by the overall device 12 (step S110).

The acquired various data are displayed on the correction workstation 13 so as to be corrected.
When the operator operates the correction workstation 13 to recognize characters such as a handwriting receipt or an assessment correction receipt by the data acquisition device 11, the character data corresponding to the content determined to be unrecognizable is displayed on the screen of the image data. Based on this, correction or input is performed (step S120).

Thereafter, the overall processing device 12 transmits, to the medical office computer processing device 14, data for calculating the payment amount and the billing amount of the medical fee together with the processing serial number in the character data appropriately corrected by the correction workstation 13 ( Step S130).
When the consignment calculation center receives data for calculation from the medical office computer processing apparatus 14, it calculates a payment amount and a billing amount based on the data (step S140).
It is determined whether or not suspicion has occurred in this process (step S150). When suspicion has occurred, this is notified to the branch from the commissioned calculation center together with the process serial number, and the operator of the branch uses the correction workstation 13. The image data and character data of the receipt in which the suspicion has occurred are deleted from the overall device 12 (step S160).

Here, the notification processing from the commissioned calculation center will be described in detail.
When an error is detected during processing at the entrusted calculation center, the medical office computer processing unit 14 is notified that the error has occurred together with the processing sequence number of the receipt that caused the error. When the processing is normally completed at the commissioned calculation center, the medical office computer processing device 14 is notified of the amount data together with the processing serial number. When receiving the error notification, the medical office computer processing device 14 prints error information including the processing serial number and the billing payment data with a printing device (not shown). The operator of the medical office computer processing apparatus 14 can accurately recognize that an error has occurred and its processing sequence number by printing the error information on a sheet.

  By the way, when the medical office computer processing device 14 receives the error notification, the medical office computer processing device 14 may notify the correction workstation 13 to that effect, and based on this notification, the operator of the correction workstation 13 performs the process in which the error has occurred. It is possible to promptly delete the processing sequence number data to the overall device 12 holding the sequence number data.

The deletion process described above is also referred to as a cancel input process. After the OCR processing device cancels the operation mode of the OCR processing device and switches to the input mode, the receipt in which the error has occurred is read again. Data in which the data obtained by re-reading and the data held in the overall device 12 match are deleted.

  When the consignment calculation center calculates the payment amount and the billing amount, the result is output to the medical office computer processing device 14 as the amount data, and when the amount data is sent from the medical office computer processing device 14 to the overall device 12, The amount data is held and managed in units of one receipt together with image data and character data (step S170). At this time, it is held and managed for each insurer indicated in the receipt.

Various data managed for each insurer by the overall device 12 is sent to the management device 51 of the management center 50 for each insurer (step S180).
In the management device 51, when the data sent from each branch is collected for each insurer based on the processing sequence number, the data is recorded on a medium such as a DVD (step S190).

  By the way, recording on the medium is performed at regular intervals, such as every month. In other words, at the end of the month, each branch processes all the receipt processing, that is, from the receipt reading described above to the calculation processing request to the consignment calculation center, until the calculation result received from the consignment calculation center is transmitted to the management center 30. Performed after all processing is complete. Therefore, after the receipt data that stays disappears, “Monthly end notice” is transmitted from the central unit 12 of each branch to the central processing server 52 of the management center 30, and “Monthly end” is sent from all the branches. After the “notification” is received by the central processing server 52, recording on the medium is performed.

  As described above, according to the receipt processing system 100 of the present invention, image data and character data of a receipt are acquired, a medical billing amount is checked based on the character data, and the processing result is acquired as amount data. A management apparatus that centrally manages the data together with the amount data for each insurer, and a correction workstation that corrects or cancels the data that is centrally managed by the management apparatus, It is possible to manage the contents of the receipt as electronic data that can be computerized at the branch and the management center by acquiring each data managed in the management system and managing the data so that the data can be provided to the insurer. .

  In this embodiment, the processing result from the consignment calculation center is once notified to the management center 30 via the branch 10, but the processing notification that has been normally completed in the consignment calculation center is directly received from the consignment calculation center. You may make it notify to the management center 30. FIG. For example, when all of the data requested for the amount calculation to the consignment calculation center are normally completed, all the amount data and processing serial numbers are notified from the consignment calculation center to the central processing server 52 of the management center 30, and the medical office of the requesting branch The computer processing device 14 is also notified that the processing has been completed normally. When the normal completion is notified to the central device 12 via the medical office computer processing device, the central device 12 sends the image data and character data corresponding to the processing serial number that has been normally completed to the central processing server 52 of the management center 30. Notice. The central processing server 52 associates image data, character data, and amount data with the processing serial number, and holds and manages these data.

  By the way, when an error occurs in the commissioned calculation center, as described above, the medical office computer processing device 14 is notified of the error together with the receipt processing serial number that caused the error, and the receipt is canceled. Process.

It is a system configuration figure of the receipt processing system of the present invention. It is a figure which shows a receipt. It is a system block diagram in a branch. It is a system configuration | structure figure of a management center. It is a figure which shows the data transmission method based on an insurer correspondence table. It is a flowchart of the receipt processing system of this invention.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Branch 11 Data acquisition apparatus 12 Supervision apparatus 13 Correction workstation 14 Medical office computer processing apparatus 15 Input control apparatus 16 Data processing server 17 Acquisition data disk array apparatus 18 Central server 19 Central management disk array apparatus 20 High-speed tape apparatus 21 Medical office computer Machine server 22 computer disk array device 30 transmission path 50 management center 51 management device 52 centralized processing server 53 medium creation control device 54 operation monitoring workstation 55 management center high-speed tape device 56 management center disk array device 57 search server

Claims (6)

A data acquisition device that reads a form to acquire image data, a central device that has a storage unit that stores image data acquired by the data acquisition device, and reads and displays image data stored in the storage unit of the central device A form processing system comprising: a terminal that can display character data corresponding to the image data displayed on the display unit and input character data via the input unit;
The data acquisition device has a cancel input mode used when reading a form that has already been read in order to delete the image data stored in the storage unit of the overall device as a switchable operation mode,
When the data acquisition device whose operation mode is switched to the cancel input mode reads the form to acquire image data, the overall device acquires the image data acquired by the data acquisition device and the storage unit A form processing system that compares image data and deletes the image data from the storage unit when both data match. The form processing system according to claim 1, wherein the data acquisition apparatus includes a character recognition unit that acquires character data by recognizing image data acquired by reading a form. The form processing according to claim 1, wherein the overall device stores the image data and the character data acquired by the data acquisition device in association with each other in the storage unit. system. The form processing system according to claim 1, wherein the data acquisition apparatus includes a printing unit that prints a serial number on the form when the form is read. The said supervising apparatus matches the said image data and the said character data acquired with the said data acquisition apparatus, and the said serial number, and memorize | stores in the said memory | storage part, The any one of Claims 1, 2, 4 characterized by the above-mentioned. The form processing system described in the section. The form processing system according to claim 1, wherein the form is a receipt.

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