JP7562728B2 - Qualification verification system, qualification verification device, qualification verification method, and program - Google Patents

Description

The present invention relates to a qualification verification system, a qualification verification device, a qualification verification method, and a program.

Patent Document 1 discloses a reception system for a medical facility that reads consultation code information, including patient identification information and terminal identification information of the mobile terminal, from a mobile terminal carried by a user, accepts the patient for consultation based on the patient identification information contained in the read consultation code information, and, based on the terminal identification information contained in the read consultation code information, checks with a management server whether credit card payment is possible, and if card payment is possible, executes a reception process to register payment of medical expenses by credit card after the consultation is completed.

JP 2021-108020 A

Incidentally, in order to receive insured medical treatment, the patient's medical insurance card must be checked at the counter of a medical institution such as a hospital or a pharmacy.
However, the technology described in Patent Literature 1 can accept patients and process medical expenses, but cannot confirm eligibility information such as the medical insurance to which the patient is enrolled or the patient's maximum payment limit. Thus, there is a problem in that it is not convenient enough to confirm eligibility information at medical institutions.

The present invention has been made in consideration of the above points, and aims to provide a qualification verification system, a qualification verification device, a qualification verification method, and a program that can improve the convenience of verifying qualification information.

The present invention has been made to solve the above problems, and one aspect of the present invention is an eligibility confirmation system that includes an identification information acquisition unit that acquires identification information, a patient information identification unit that identifies patient information of a patient corresponding to the identification information based on the identification information, an eligibility confirmation unit that uses the patient information to confirm eligibility for health insurance to which the patient belongs, and a reception unit that accepts medical treatment based on the eligibility confirmation result for the health insurance to which the patient belongs.

Another aspect of the present invention is an eligibility confirmation device that includes an identification information acquisition unit that acquires identification information, an eligibility confirmation unit that uses patient information of a patient corresponding to the identification information to confirm the eligibility of the health insurance to which the patient subscribes, and a notification unit that notifies a notification destination related to the patient of a notification based on the eligibility confirmation result of the health insurance to which the patient subscribes.

Another aspect of the present invention is an eligibility verification method executed by a computer, the eligibility verification method having an identification information acquisition process for acquiring identification information, a patient information identification process for identifying patient information corresponding to the identification information based on the identification information, an eligibility verification process for verifying eligibility for health insurance to which the patient is enrolled using the patient information, and a reception process for accepting medical treatment based on the eligibility verification result for the health insurance to which the patient is enrolled.

Another aspect of the present invention is an eligibility verification method executed by a computer, the eligibility verification method having an identification information acquisition process for acquiring identification information, an eligibility verification process for verifying eligibility for health insurance to which the patient belongs using patient information corresponding to the identification information, and a notification process for sending a notification based on the eligibility verification result for the health insurance to which the patient belongs to a notification destination related to the patient.

Another aspect of the present invention is a program for causing a computer to execute an identification information acquisition step of acquiring identification information, a patient information identification step of identifying patient information of a patient corresponding to the identification information based on the identification information, an eligibility confirmation step of confirming eligibility for health insurance to which the patient belongs using the patient information, and a reception step of accepting medical treatment based on the eligibility confirmation result for the health insurance to which the patient belongs.

The present invention can improve the convenience of checking qualification information at medical institutions and other facilities.

1 is a system configuration diagram showing an example of a configuration of a qualification verification system according to an embodiment of the present invention. 1 is a block diagram showing an example of a configuration of an entrance terminal device according to an embodiment of the present invention; 2 is a block diagram showing an example of a configuration of a reception terminal device according to the embodiment of the present invention. FIG. 5 is a diagram showing an example of patient information stored in a storage unit of the reception terminal device according to the embodiment of the present invention. FIG. 1 is a block diagram showing an example of a configuration of an online qualification confirmation terminal device according to an embodiment of the present invention. 1 is a block diagram showing an example of a configuration of a qualification information management device according to an embodiment of the present invention. FIG. 4 is a diagram showing an example of a display screen of an entrance terminal device according to an embodiment of the present invention. FIG. 11 is a diagram showing another example of the display screen of the entrance terminal device according to the embodiment of the present invention. FIG. 11 is a diagram showing another example of the display screen of the entrance terminal device according to the embodiment of the present invention. FIG. 11 is a diagram showing another example of the display screen of the entrance terminal device according to the embodiment of the present invention. 1 is a sequence diagram showing the flow of a process for verifying qualification information of a returning patient in the qualification verification system according to an embodiment of the present invention. FIG. 1 is a sequence diagram showing the flow of a process for verifying qualification information of a new patient in a qualification verification system according to an embodiment of the present invention. 5 is a flowchart showing an example of a process flow of an entrance terminal device according to the embodiment of the present invention. 10 is a flowchart showing an example of a process flow of a reception terminal device according to the embodiment of the present invention. 10 is a flowchart showing an example of a processing flow of an online qualification confirmation terminal device according to an embodiment of the present invention. 5 is a flowchart showing an example of a process flow of a qualification information management device according to an embodiment of the present invention.

<Embodiment>
Hereinafter, an embodiment of the present invention will be described with reference to the drawings.
<Configuration of qualification verification system>
First, the configuration of the qualification verification system will be described.
FIG. 1 is a system configuration diagram showing an example of the configuration of a qualification verification system according to an embodiment of the present invention.
The eligibility confirmation system SYS is a system for accepting medical treatment at medical institutions such as hospitals and pharmacies, and for confirming the eligibility information of the medical insurance to which the patient is enrolled at the time of acceptance. The eligibility information of the medical insurance to which the patient is enrolled is, for example, information on whether the patient is eligible to receive partial coverage of medical expenses from the medical insurance, i.e., information on whether the medical institution can claim a portion of the medical expenses from the medical insurance.

In the qualification verification system SYS, the patient's patient card contains identification information 100. The identification information 100 is identification information for identifying the patient card. For example, the identification information is a two-dimensional code such as a QR code (registered trademark).
The identification information 100 is generated and issued for each medical institution by inputting and registering in advance information required for confirming the qualification information online via the web, a chatbot, or at the reception desk of the medical institution, etc. The identification information 100 may be affixed or printed on an existing patient card, or may be displayed on a user's terminal device.

The entitlement confirmation system SYS includes an entrance terminal device 200, a reception terminal device 300, an online entitlement confirmation terminal device 400, and a credential information management device 500. The entrance terminal device 200 is connected to the reception terminal device 300 so as to be able to communicate via wired or wireless communication. The reception terminal device 300 is connected to the online entitlement confirmation terminal device 400 so as to be able to communicate via wired or wireless communication. The online entitlement confirmation terminal device 400 is connected to the entitlement information management device 500 via the network NW so as to be able to communicate via wired or wireless communication.

The entrance terminal device 200 is a terminal device provided at the entrance of a medical institution or the like. The entrance terminal device 200 is a terminal device that can be operated by a patient. The entrance terminal device 200 has an identification information reading device. The patient has the identification information 100 read by the identification information reading device, and the entrance terminal device 200 acquires the identification information and accepts the patient for treatment.

The reception terminal device 300 is a terminal device that can be operated by a medical professional. Medical professionals include doctors, nurses, pharmacists, nurses, office workers, and other people who work in the medical field. The reception terminal device 300 is a terminal device that can manage reservation information and patient information, and can handle reception and settlement using qualification information. The reception terminal device 300 can also inquire about the patient's medical insurance qualification information and the like via the online qualification confirmation terminal device 400. For example, the reception terminal device 300 uses the identification information acquired by the entrance terminal device 200 to identify patient information linked to the identification information. The reception terminal device 300 uses the identified patient information to confirm the patient's medical insurance qualification information.

The online eligibility confirmation terminal device 400 is a terminal device that inquires of the eligibility information management device 500 about the eligibility information of the medical insurance of the patient in response to a request from the reception terminal device 300. For example, the online eligibility confirmation terminal device 400 inquires of the eligibility information management device 500 about the eligibility information based on the health insurance information linked to the patient information. The online eligibility confirmation terminal device 400 also generates a notification based on the eligibility confirmation result and notifies the notification destination related to the patient. The notification destination related to the patient is a notification destination registered in advance by the patient, and is an email address, application ID, etc. of the patient's terminal device, the terminal device of the patient's family, the terminal device of the care manager in charge of the patient, etc. The notification based on the eligibility confirmation result is a reservation reminder for medical treatment, a notification indicating that eligibility confirmation has been performed, a notification indicating that medical treatment has been accepted, a notification indicating that the patient has visited a medical institution, etc.

The credential information management device 500 is a management device that manages the latest credential information, including the medical insurance subscribed to and itemized charges, information on specific medical examinations, medical treatment information, drug information, insured person numbers, serial numbers of electronic certificates, etc., for each individual. The credential information management device 500 transmits credential information, etc. to the online credential confirmation terminal device 400 in response to an inquiry about credential information from the online credential confirmation terminal device 400.

In this way, the eligibility verification system SYS is a system that acquires identification information, identifies the patient information of the patient corresponding to the identification information based on the acquired identification information, uses the identified patient information to verify the eligibility of the health insurance to which the patient belongs, and accepts medical treatment based on the results of the eligibility verification for the health insurance to which the patient belongs.

As a result, the eligibility verification system SYS can reduce the hassle and administrative costs for medical professionals caused by erroneous billing and input that occurs when patients visit a hospital with an expired health insurance card. It also reduces the hassle for patients of having to present their health insurance cards, personal identification cards, etc. Therefore, the eligibility verification system SYS can improve convenience for medical professionals and patients when checking eligibility information at medical institutions.

Next, we will explain the entrance terminal device 200.

<Configuration of entrance terminal device 200>
FIG. 2 is a block diagram showing an example of the configuration of the entrance terminal device 200 according to the embodiment of the present invention.
The entrance terminal device 200 includes an input unit 210 , an output unit 220 , a communication unit 230 , and a control unit 240 .

<Input Unit 210>
The input unit 210 is an input device such as a mouse, a keyboard, a touch panel, a volume control button, a power button, a setting button, an infrared receiver, an identification information reader, etc. The input unit 210 reads the identification information 100. The input unit 210 outputs the read identification information to the control unit 240.

<Output Unit 220>
The output unit 220 is an output device such as a display device, a speaker, etc. The output unit 220 outputs various information output from the control unit 240.

<Communication unit 230>
The communication unit 230 has a function of communicating with the reception terminal device 300. The communication unit 230 outputs various information received from the reception terminal device 300 to the control unit 240. In addition, the communication unit 230 transmits information input from the control unit 240 to the reception terminal device 300.

<Control Unit 240>
The control unit 240 has a function of controlling the entrance terminal device 200. The control unit 240 controls the entrance terminal device 200 by reading various data, applications, programs, etc. stored in the storage unit.

The processing of the control unit 240 will now be described in more detail.
The control unit 240 includes an identification information acquisition unit 241 .

<Identification information acquisition unit 241>
The identification information acquisition unit 241 acquires the identification information read by the identification information reader, and transmits the acquired identification information to the reception terminal device 300 via the communication unit 230.

Next, we will explain the reception terminal device 300.

<Reception Terminal Device 300>
FIG. 3 is a block diagram showing an example of the configuration of the reception terminal device 300 according to the embodiment of the present invention.
The reception terminal device 300 includes an input section 310 , an output section 320 , a communication section 330 , a control section 340 , an imaging section 350 , and a storage section 360 .

<Input Unit 310>
The input unit 310 is an input device such as a mouse, a keyboard, a touch panel, a volume control button, a power button, a setting button, an infrared receiver, a personal identification card reader, etc. The input unit 310 outputs input information to the control unit 340.

<Output Unit 320>
The output unit 320 is an output device such as a display device, a speaker, etc. The output unit 320 outputs various information output from the control unit 340.

<Communication unit 330>
The communication unit 330 has a function of communicating with the entrance terminal device 200 and the online qualification confirmation terminal device 400. The communication unit 330 outputs various information received from the entrance terminal device 200 to the control unit 340. The communication unit 330 also transmits various information input from the control unit 340 to the entrance terminal device 200. The communication unit 330 also outputs various information received from the online qualification confirmation terminal device 400 to the control unit 340. The communication unit 330 also transmits various information input from the control unit 340 to the online qualification confirmation terminal device 400.

<Imaging unit 350>
The imaging unit 350 has a function of photographing the face of the patient. Specifically, the imaging unit 350 photographs an image of the patient's face to be used for matching the face on a personal identification card or the like with the face of the patient. The imaging unit 350 outputs an image signal representing the photographed image to the control unit 340.

<Storage unit 360>
The storage unit 360 has a function of storing various data, applications, and programs.
The storage unit 360 will now be described in more detail.
The storage unit 360 includes a patient information storage unit 361 .

<Patient information storage unit 361>
The patient information storage unit 361 stores patient information. This will be described with reference to FIG.
FIG. 4 is a diagram showing an example of patient information stored in the storage unit of the reception terminal device according to the embodiment of the present invention.
The patient information includes identification information, a patient card ID, a patient ID, a patient name, a patient name in kana, a date of birth, a gender, qualification information, a date and time of qualification acquisition, insurance inquiry information, and a date and time of reception. and an email address are associated with each other.
The identification information is information used to confirm the qualification information online, such as a two-dimensional code. The patient card ID is information for identifying the patient card to which the identification information is associated. The patient ID is information for identifying the patient. Patient name is the patient's name. Patient name kana is the patient's name in katakana. Date of birth is the patient's date of birth. Gender is the patient's gender. The credential information is the presence or absence of medical insurance credential information that was checked by online credential information confirmation at the time of the patient's previous admission. The credential acquisition date and time is the date and time when the patient's medical insurance credential information was acquired. The insurance inquiry information is information for inquiring about the patient's medical insurance qualification information. The reception date and time is the date and time when the patient's consultation was accepted. The email address is the notification destination related to the patient. , the email address to which the patient will be notified.
In addition, the patient information may use the same ID for the patient ID and the patient card ID, or may not use the patient ID. If the patient ID is not used for the patient information, the patient ID will be used in the following explanation. For processing, the patient registration card ID may be used instead.

In the example shown in Figure 4, for example, the "Identification Information" on the second line is "22222", the "Appointment Card ID" is "K1111", the "Patient ID" is "P0111", the "Patient Name" is "Yamada Hanako", the patient name in kana is "Yamada Hanako", the "Date of Birth" is "19500101", the gender is "Female", the "Qualification Information" is "OK", the qualification acquisition date and time is "202302010910", the insurance inquiry information is "123-1234567-00", the reception date and time is "202302010900", and the "Email Address" is "yamadahanako@aaa.bb.cc". For example, the "identification information" on the third line is "33333", the "patient card ID" is "K1112", the "patient ID" is "P0112", the "patient name" is "Yamada Taro", the patient name in kana is "Yamada Taro", the "date of birth" is "19550102", the gender is "male", the "qualification information" is "NG", the qualification acquisition date and time is "202302021330", the insurance inquiry information is "321-7654321-00", the reception date and time is "202302021320", and the "email address" is "yamadatarou@aaa.bb.cc".

Here, "Credentials" and "OK" indicate that there is medical insurance credential information that was checked by online credential information confirmation when the patient was admitted. Also, "Credentials" and "NG" indicate that there is no medical insurance credential information that was checked by online credential information confirmation when the patient was admitted.

In addition, patient information may be associated with notification destination information related to the patient.

Returning to Figure 3, we will explain the configuration of the reception terminal device 300.

<Control Unit 340>
The control unit 340 has a function of controlling the reception terminal device 300. The control unit 340 reads out various data, applications, programs, etc. stored in the storage unit 360 and controls the reception terminal device 300.

The processing of the control unit 340 will now be described in more detail.
The control unit 340 includes an identification information acquisition unit 341 , a patient information confirmation unit 342 , a query information generation unit 343 , a qualification information acquisition unit 344 , a patient information update unit 345 , a notification unit 346 , and a patient reception unit 347 .

<Identification information acquisition unit 341>
The identification information acquisition unit 341 acquires the identification information input from the entrance terminal device 200 via the communication unit 330. The identification information acquisition unit 341 outputs the acquired identification information to the patient information confirmation unit 342.

<Patient information confirmation unit 342>
When the identification information is input from the identification information acquisition unit 341, the patient information confirmation unit 342 confirms whether or not identification information corresponding to the patient information stored in the patient information storage unit 361 is stored. When identification information is stored in the patient information stored in the patient information storage unit 361, the patient information confirmation unit 342 identifies the patient information corresponding to the identification information. The patient information confirmation unit 342 outputs the identified patient information to the inquiry information generation unit 343. The patient information confirmation unit 342 accepts a medical examination for the identified patient information. In addition, the patient information confirmation unit 342 acquires the current time based on the acceptance of the examination, and outputs the current time to the patient information update unit 345 as the acceptance date and time.

<Inquiry information generation unit 343>
When the patient information is input from the patient information confirmation unit 342, the inquiry information generation unit 343 generates inquiry information including the identification information and the insurance inquiry information corresponding to the identification information. The obtained inquiry information is transmitted to the online qualification confirmation terminal device 400 via the communication unit 330 .

<Qualification information acquisition unit 344>
The qualification information acquisition unit 344 acquires the patient's name, including the patient's name in kana, date of birth, and sex, input from the online qualification confirmation terminal device 400 via the communication unit 330 as a result of the inquiry of the inquiry information generated by the inquiry information generation unit 343. The qualification information acquisition unit 344 acquires the arbitrary information and the patient information such as the patient's name in kana, date of birth, and sex associated with the insurance inquiry information stored in the patient information storage unit 361. The qualification information acquisition unit 344 compares the information with the information and determines whether the qualification information is present (OK or NG). The qualification information acquisition unit 344 outputs the determination result as to whether the qualification information is present to the patient information update unit 345 and the notification unit 346.

<Patient information update section 345>
When the reception date and time is input from the patient information confirmation unit 342, the patient information update unit 345 updates and stores the reception date and time of the patient information stored in the patient information storage unit 361.
When the patient information update unit 345 receives the determination result of the presence or absence of qualification information from the qualification information acquisition unit 344, it updates the qualification information and qualification acquisition date and time of the patient information stored in the patient information storage unit 361 and stores them.

<Notification unit 346>
When the qualification information is input from the qualification information acquisition unit 344, the notification unit 346 generates a completion notification indicating that the verification of the qualification information has been completed, and causes the output unit 320 to output it.

<Patient Reception Section 347>
When a new patient performs a reception operation at the entrance terminal device 200, the patient reception unit 347 issues a reception number to accept the new patient.

Next, we will explain the online qualification verification terminal device 400.

<Online qualification verification terminal device 400>
FIG. 5 is a block diagram showing an example of the configuration of the online qualification confirmation terminal device 400 according to the embodiment of the present invention.
The online qualification confirmation terminal device 400 includes an input section 410 , an output section 420 , a communication section 430 , a control section 440 , and a storage section 450 .

<Input Unit 410>
The input unit 410 is an input device such as a mouse, a keyboard, a touch panel, a volume control button, a power button, a setting button, an infrared receiving unit, etc. The input unit 410 outputs various types of input information to the control unit 440.

<Output Unit 420>
The output unit 420 is an output device such as a display device, a speaker, etc. The output unit 420 outputs various information output from the control unit 440.

<Communication unit 430>
The communication unit 430 has a function of communicating with the reception terminal device 300 and the credential management device 500. The communication unit 430 outputs various information received from the reception terminal device 300 to the control unit 440. The communication unit 430 also transmits various information input from the control unit 440 to the reception terminal device 300. The communication unit 430 also outputs various information received from the credential management device 500 to the control unit 440. The communication unit 430 also transmits various information input from the control unit 440 to the credential management device 500.

<Storage unit 450>
The storage unit 450 has a function of storing various data, applications, and programs.
The storage unit 450 will now be described in more detail.
The storage unit 450 includes a query result storage unit 451 .

<Query result storage unit 451>
The inquiry result storage unit 451 stores the inquiry result. The inquiry result is stored by associating the inquiry information acquired from the reception terminal device 300 via the communication unit 430 with the inquiry result obtained by inquiring the qualification information management device 500 based on the inquiry information.

<Control Unit 440>
The control unit 440 has a function of controlling the online qualification confirmation terminal device 400. The control unit 440 reads out various data, applications, programs, etc. stored in the storage unit 450 and controls the online qualification confirmation terminal device 400.

The processing of the control unit 440 will now be described in more detail.
The control unit 440 includes a query information acquisition unit 441 , a qualification query unit 442 , a query result acquisition unit 443 , a patient information query unit 444 , and a notification information generation unit 445 .

<Inquiry information acquisition unit 441>
The inquiry information acquisition unit 441 acquires the inquiry information received from the reception terminal device 300 via the communication unit 430. The inquiry information acquisition unit 441 outputs the acquired inquiry information to the qualification inquiry unit 442.

<Qualification Inquiry Unit 442>
When the query information is input from the query information acquisition unit 441, the qualification query unit 442 uses the query information to inquire about the qualification information of the qualification information management device 500 via the communication unit 430. In addition, the qualification query unit 442 stores the query information in the query result storage unit 451.

<Inquiry result acquisition unit 443>
The inquiry result acquisition unit 443 acquires the inquiry result from the qualification information management device 500 via the communication unit 430 as a response to the inquiry information. The inquiry result acquisition unit 443 associates the acquired inquiry result with the inquiry information. The query result acquisition unit 443 stores the query result in the query result storage unit 451. The query result acquisition unit 443 receives a response to the query information from the qualification information management device 500 in the form of data in an XML (Extensible Markup Language) format, for example. , and stores arbitrary information including the patient's name in kana, date of birth, and sex from the XML format data in the query result storage unit 451 as a query result. The query result acquisition unit 443 also stores the query result in the patient information query unit 444. Output to.

<Patient information inquiry unit 444>
When the patient information inquiry unit 444 receives the inquiry result from the inquiry result acquisition unit 443, it inquires of the reception terminal device 300 about information on the notification destination related to the patient of the identification information corresponding to the inquiry result. When the patient information inquiry unit 444 acquires information on the notification destination related to the patient from the reception terminal device 300 via the communication unit 430, it outputs the acquired information on the notification destination related to the patient to the notification information generation unit 445.

<Notification information generation unit 445>
When the notification information generating unit 445 receives notification destination information related to the patient from the patient information inquiry unit 444, the notification information generating unit 445 generates a notification based on the result of the qualification confirmation. The notification based on the notification information is transmitted via the communication unit 430 to a notification destination indicated by the notification destination information related to the patient.

<Credential information management device 500>
FIG. 6 is a block diagram showing an example of the configuration of a qualification information management device 500 according to an embodiment of the present invention.
The qualification information management device 500 includes an input unit 510 , an output unit 520 , a communication unit 530 , a control unit 540 , and a qualification information storage unit 550 .

<Input Unit 510>
The input unit 510 is an input device such as a mouse, a keyboard, a touch panel, a volume control button, a power button, a setting button, an infrared receiving unit, etc. The input unit 510 outputs various types of input information to the control unit 540.

<Output Unit 520>
The output unit 520 is an output device such as a display device, a speaker, etc. The output unit 520 outputs various information output from the control unit 540.

<Communication unit 530>
The communication unit 530 has a function of communicating with the online qualification confirmation terminal device 400. The communication unit 530 outputs various information received from the online qualification confirmation terminal device 400 to the control unit 540. The communication unit 530 also transmits various information input from the control unit 540 to the online qualification confirmation terminal device 400.

<Memory Unit>
The storage unit has a function of storing various data, applications, and programs.
The storage unit will now be described in more detail.
The storage unit includes a qualification information storage unit 550 .

<Credential information storage unit 550>
The qualification information storage unit 550 stores the qualification information.

<Control Unit 540>
The control unit 540 has a function of controlling the qualification information management device 500. The control unit 540 controls the qualification information management device 500 by reading various data, applications, programs, etc. stored in the storage unit.

The processing of the control unit 540 will now be described in more detail.
The control unit 540 includes a qualification information confirmation unit 541 , a notification information generation unit 542 , and a result notification unit 543 .

<Qualification Information Verification Unit 541>
The qualification information confirmation unit 541 acquires query information from the online qualification confirmation terminal device 400 via the communication unit 530. The qualification information confirmation unit 541 uses the identification information and qualification information included in the acquired query information to confirm the qualification information stored in the qualification information storage unit 550. The qualification information confirmation unit 541 acquires, as a confirmation result, qualification information corresponding to the query information from the qualification information storage unit 550. The qualification information confirmation unit 541 outputs the acquired qualification information and query information to the notification information generation unit 542.

<Notification information generation unit 542>
When the qualification information and the inquiry information are input from the qualification information confirmation unit 541 , the notification information generation unit 542 generates notification information in which the identification information is associated with the qualification information acquired by the qualification information confirmation unit 541 . The notification information generating unit 542 outputs the generated notification information to the result notifying unit 543 .

<Result notification unit 543>
The result notifying section 543 transmits the notification information input from the notification information generating section 542 as a query result to the online qualification confirmation terminal device 400 via the communication section 530 .

Next, we will explain the hardware configuration of the online qualification verification terminal device 400.

<Hardware Configuration>
Next, a description will be given of the hardware configuration of the online qualification confirmation terminal device 400. Note that a description of the hardware configurations of the entrance terminal device 200, the reception terminal device 300, and the qualification information management device 500 will be omitted, but they have the same configuration as the hardware configuration of the online qualification confirmation terminal device 400.

The online qualification confirmation terminal device 400 includes a CPU, a storage medium interface unit, a storage medium, an input device, an output device, a ROM (Read Only Memory), a RAM (Random Access Memory), an auxiliary storage unit, and a network interface unit. The CPU, the storage medium interface unit, the input device, the output device, the ROM, the RAM, the auxiliary storage unit, and the network interface unit are connected to each other via a bus.
The term "CPU" as used herein refers to a processor in general, and includes not only a device called a CPU in the narrow sense, but also, for example, a GPU or DSP. The CPU as used herein is not limited to being realized by a single processor, and may be realized by combining multiple processors of the same or different types.

<CPU>
The CPU reads and executes the programs stored in the auxiliary storage unit, ROM, and RAM, and also reads various data stored in the auxiliary storage unit, ROM, and RAM, and writes various data to the auxiliary storage unit and RAM, thereby controlling the online qualification confirmation terminal device 400. The CPU also reads various data stored in the storage medium via the storage medium interface unit, and writes various data to the storage medium.
<Storage medium>
The storage medium is a portable storage medium such as a magneto-optical disk, a flexible disk, or a flash memory, and stores various types of data.

<Storage medium interface unit>
The storage medium interface unit is an interface for reading and writing data from and to a storage medium.

<Input device>
The input device is an input device such as a mouse, a keyboard, a touch panel, a volume control button, a power button, a setting button, an infrared receiver, or an IC card reader.

<Output device>
The output device is an output device such as a display unit and a speaker.

<ROM, RAM>
The ROM and RAM store programs for operating each functional unit of the online qualification confirmation terminal device 400 and various data.

<Auxiliary Storage Unit>
The auxiliary storage unit is a hard disk drive, a flash memory, or the like, and stores programs for operating each functional unit of the online qualification confirmation terminal device 400 and various data.

<Network Interface>
The network interface unit has a communication interface and is connected to the network NW via wireless communication.

Next, we will explain an example of a display screen on the entrance terminal device 200.

<Example of the display screen of the entrance terminal device 200>
Fig. 7 is a diagram showing an example of a display screen of the entrance terminal device 200 according to an embodiment of the present invention. Fig. 8, Fig. 9, and Fig. 10 are each a diagram showing other examples of the display screen of the entrance terminal device 200 according to an embodiment of the present invention.

The display screen example shown in FIG. 7 is displayed as a reception screen on the entrance terminal device 200. The display screen displays a "new" operator, which indicates a new patient, and a "returning" operator, which indicates a first or returning patient. As an explanation, each operator displays "first-time patients at our hospital (those who do not have a patient card)" for "new patients" and "first or returning patients (those who have a patient card)" for "returning patients." When a patient operates the appropriate "new" or "returning" operator, the display screen transitions.

The example shown in FIG. 8 is an example of a display screen of a patient registration card information acceptance screen that is displayed when a selection operation is performed on the "New" operation button on the display screen example shown in FIG.
The new patient reception screen displays a "reception number" indicating that a new patient has been received, and displays a message indicating that a new patient has been received, such as a message saying, "We have received a new patient based on the above information. Please proceed to reception and complete the procedure for issuing a patient card." This message is a message that urges the patient to proceed to reception after the new patient reception process is complete. Then, when the patient selects the "OK" operator, or when a predetermined time has elapsed since the display screen shown in FIG. 8 was displayed, the display screen transitions to the example display screen shown in FIG. 7.

The example shown in FIG. 9 is an example of a display screen of a patient registration card reception screen that is displayed when a selection operation is performed on the "revisit" operation button on the display screen example shown in FIG.
The patient appointment card reception screen displays the following explanatory text: "The two-dimensional code on the patient appointment card will be read. Please bring the two-dimensional code close." Then, by selecting the "OK" operator, reading of the two-dimensional code by the reading unit of the identification information reading device provided in the entrance terminal device 200 begins. For example, when reading begins, LEDs arranged around the reading unit are lit up to prompt the patient to read the two-dimensional code. Then, when identification information is obtained by reading the two-dimensional code, the display screen transitions.

The example shown in FIG. 10 is an example of a display screen of a patient registration card reception screen that is displayed after the display screen example shown in FIG. 9 and when reading of the two-dimensional code is completed.
As a result of the identification information being properly read, the patient information corresponding to the patient card number corresponding to the identification information is displayed in the "patient card number,""name," and "date of birth" fields on the patient card reception screen, and information indicating that reception has been completed, "Your appointment has been registered based on the above information. Please proceed to reception," is displayed. Then, when the patient selects the "OK" operator, or when a predetermined time has elapsed since the display screen shown in Fig. 10 was displayed, the display screen transitions to the example display screen shown in Fig. 7.

Next, we will explain the processing flow of the qualification verification system SYS.

FIG. 11 is a sequence diagram showing the flow of a process for verifying qualification information of a returning patient in the qualification verification system SYS according to an embodiment of the present invention.
In step ST101, the entrance terminal device 200 displays a reception screen and receives an operation by the patient.
In step ST102, the entrance terminal device 200 reads the two-dimensional code operated by the patient and acquires the identification information.
In step ST 103 , the entrance terminal device 200 transmits the acquired identification information to the reception terminal device 300 .

In step ST<b>104 , the reception terminal device 300 checks whether or not the patient information corresponding to the identification information acquired from the entrance terminal device 200 is stored in the patient information storage section 361 .
In step ST105, the reception terminal device 300 transmits the confirmation result of the patient information to the entrance terminal device 200.

In step ST106, the entrance terminal device 200 displays the patient information on the display screen based on the confirmation result sent from the reception terminal device 300.

In step ST107, the reception terminal device 300 generates inquiry information for inquiring about the qualification information, including the patient information corresponding to the identification information, as a result of the confirmation of the patient information. The reception terminal device 300 transmits the generated inquiry information to the online qualification confirmation terminal device 400.

In step ST108, the online qualification confirmation terminal device 400 queries the qualification information management device 500 for qualification information based on the query information.

In step ST109, the qualification information management device 500 acquires the relevant qualification information from the qualification information stored in the qualification information storage unit 550 based on the inquiry information.
In step ST110, the qualification information management device 500 transmits the qualification information to the online qualification confirmation terminal device 400 as a qualification confirmation result.

In step ST111, the online qualification confirmation terminal device 400 transmits the qualification information corresponding to the inquiry information acquired from the qualification information management device 500 to the reception terminal device 300. In addition, the online qualification confirmation terminal device 400 acquires information on the notification destination related to the patient from the reception terminal device 300, and notifies the notification destination related to the patient of a notification based on the qualification confirmation result.

In step ST112, when the reception terminal device 300 acquires the qualification information corresponding to the inquiry information, the patient information update unit 345 of the reception terminal device 300 updates the qualification information in the record of the corresponding patient in the patient information storage unit 361, and the reception process is completed.

FIG. 12 is a sequence diagram showing the flow of a process for verifying qualification information of a new patient in the qualification verification system according to the embodiment of the present invention.
In step ST201, the entrance terminal device 200 displays a reception screen and receives an operation by the patient.
In step ST202, the entrance terminal device 200 receives a notice that a new patient has arrived, that is, receives an application for medical treatment from the new patient.
In step ST203, the entrance terminal device 200 transmits to the reception terminal device 300 a notification that the accepted patient is a new patient.
In step ST204, the reception terminal device 300 receives the new patient and issues a reception number in the patient reception section 347.
In step ST205, the reception terminal device 300 transmits to the entrance terminal device 200 a message indicating that the new patient has been accepted, and the reception process for the new patient is completed. After that, the entrance terminal device 200 displays a message indicating that the reception is complete, as shown in FIG. 8, urging the patient to proceed to reception.

Next, we will explain the processing flow of the entrance terminal device.

Figure 13 is a flowchart showing an example of the processing flow of the entrance terminal device 200 according to an embodiment of the present invention.

In step S101, the entrance terminal device 200 displays a reception screen. Then, the entrance terminal device 200 executes the process of step ST102.

In step S102, the entrance terminal device 200 checks whether the patient is a new patient or not based on the patient's operation on the reception screen. If the patient is not a new patient, i.e., if the patient is a first or returning patient who has a patient card (step S102; NO), the entrance terminal device 200 executes the process of step S103. On the other hand, if the patient is a new patient, i.e., if the patient does not have a patient card (step S102; YES), the entrance terminal device 200 executes the process of step S106.

In step S103, the entrance terminal device 200 reads the two-dimensional code on the patient registration card and obtains the identification information. The entrance terminal device 200 then executes the process of step S104.

In step S104, the entrance terminal device 200 transmits the acquired identification information to the reception terminal device 300. Then, the entrance terminal device 200 executes the process of step S105.

In step S105, the entrance terminal device 200 acquires the confirmation result of the patient information from the reception terminal device 300. The entrance terminal device 200 displays the acquired confirmation result. Then, the entrance terminal device 200 ends the process related to FIG. 13.

In step S106, the entrance terminal device 200 accepts that a new patient has arrived. The entrance terminal device 200 then executes the process of step S107.

In step S107, the entrance terminal device 200 transmits to the reception terminal device 300 a notification that a new patient has been accepted.

In step S108, the entrance terminal device 200 displays the reception number received from the reception terminal device 300. The entrance terminal device 200 then executes processing for the new patient. Thereafter, the processing in FIG. 13 ends.

Here, a specific example will be described using the patient information in the patient information storage unit 361 shown in FIG. 13 and FIG.
Assume that a patient, "Yamada Hanako," comes to the hospital for a follow-up visit.
In this case, the patient "Yamada Hanako" is registered in the patient information stored in the patient information storage unit 361. For example, the patient "Yamada Hanako" is "Identification Information""22222" in the record on the second line of the patient information shown in Fig. 4, and the patient name is "Yamada Hanako".

Because patient "Yamada Hanako" is not a new patient, the entrance terminal device 200 operates the reception screen as if she were a returning patient (step S102). The entrance terminal device 200 reads the two-dimensional code on the patient's appointment card and obtains the identification information "22222" (step S103). The entrance terminal device 200 transmits the obtained identification information "22222" to the reception terminal device 300 (step S104). The entrance terminal device 200 obtains the individual pieces of information linked to the identification information "22222", namely the appointment card ID "K1111", the patient's name "Yamada Hanako", and the date of birth "19500101", from the patient information stored in the patient information storage unit 361 of the reception terminal device 300, and displays the results on the display screen (step S105).

On the other hand, if the patient is a new patient, the patient operates the entrance terminal device 200 as a new patient on the reception screen (step S102). The entrance terminal device 200 accepts that the new patient has arrived (step S106) and transmits this to the reception terminal device 300 (step S107). The entrance terminal device 200 receives a new patient reception completion notification from the reception terminal device 300 and displays the reception number on the display screen (step S108).

Next, the flow of processing by the reception terminal device 300 will be described.
FIG. 14 is a flowchart showing an example of a process flow of the reception terminal device 300 according to an embodiment of the present invention.

In step S200, the reception terminal device 300 determines the information received from the entrance terminal device 200. Specifically, the reception terminal device 300 determines whether the received information is identification information or new patient reception notification information. If the received information is identification information (S200; YES), the reception terminal device 300 executes the process of step S201. On the other hand, if the received information is new patient reception notification information (step S200; NO), the reception terminal device 300 executes the process of step S206.

In step S201, if the information received from the entrance terminal device 200 is identification information, the reception terminal device 300 acquires the identification information. Then, the reception terminal device 300 executes the process of step S202.

In step S202, the reception terminal device 300 checks whether or not patient information corresponding to the acquired identification information is stored in the patient information storage unit 361. If patient information corresponding to the identification information is stored in the patient information storage unit 361 (step S202; YES), the reception terminal device 300 executes the process of step S203. On the other hand, if patient information corresponding to the identification information is not stored in the patient information storage unit 361 (step S202; NO), the reception terminal device 300 executes the process of step S209.

In step S203, the reception terminal device 300 notifies the entrance terminal device 200 of the confirmation result indicating that the patient information has been registered. At the same time, the patient information update unit 345 of the reception terminal device 300 registers the date and time when the patient associated with the identification number accepted the examination as the acceptance date and time in the patient information stored in the patient information storage unit 361. Then, the reception terminal device 300 executes the process of step S204.

In step S204, the reception terminal device 300 transmits inquiry information based on the patient information to the online qualification confirmation terminal device 400 and confirms the qualification information. Then, the reception terminal device 300 executes the process of step S205.

In step S205, the credential information acquisition unit 344 of the reception terminal device 300 acquires the result of the credential information confirmation acquired from the online credential confirmation terminal device 400, and compares it with the information of the corresponding record of the patient information stored in the patient information storage unit 361 to determine whether or not the credential information exists. Then, the patient information update unit 345 of the reception terminal device 300 registers the credential information in the patient information storage unit 361. Then, the processing related to FIG. 14 is terminated.

In step S206, the reception terminal device 300 receives information from the entrance terminal device 200 indicating that a new patient has been accepted. The reception terminal device 300 then executes the process of step S207.

In step S207, the reception terminal device 300 issues a reception number corresponding to the new patient. Then, the reception terminal device 300 executes the process of step S208.

In step S208, the reception terminal device 300 notifies the entrance terminal device 200 of a completion notification indicating that the reception of the new patient has been completed and the reception number. Then, the process shown in FIG. 14 ends.

In step S209, the reception terminal device 300 notifies the entrance terminal device 200 that no matching identification information was found. Then, the process shown in FIG. 14 ends.

Here, a specific example will be described using the patient information in the patient information storage unit 361 shown in FIG. 14 and FIG.
For example, if the information received from the entrance terminal device 200 is the identification information "22222", the reception terminal device 300 acquires the identification information "22222" (step S201). It determines whether the identification information "22222" is stored in the patient information storage unit 361, and determines that it is registered as the second line record of the patient information shown in Fig. 4 (step S202). The reception terminal device 300 notifies the entrance terminal device 200 of the information associated with the identification information "22222", that is, the patient card ID "K1111", the patient name "Yamada Hanako", and the date of birth "19500101".

At this time, the reception terminal device 300 registers the reception date and time “202302010900” in the patient record corresponding to the identification information “22222” in the patient information storage unit 361 of the reception terminal device 300 .
The reception terminal device 300 generates insurance inquiry information "123-1234567-00" which is inquiry information for the patient ID "P0111" in the inquiry information generation unit 343 as inquiry information based on the patient information, and transmits it to the online qualification confirmation terminal device 400 (step S204). The reception terminal device 300 also confirms that the confirmation results of the patient's name in kana "YAMADA HANAKOH", date of birth "19500101", and gender "female" have been returned (step S204). The reception terminal device 300 registers "OK" as the qualification information in the patient information stored in the patient information storage unit 361 of the reception terminal device 300, and "202302010910" as the qualification acquisition date and time in the record of the patient corresponding to the identification information "22222".

On the other hand, we will explain the case where the patient "Yamada Taro" who is registered as the record on the third line of the patient information shown in Figure 4 is accepted at the reception terminal device 300, but the qualification information is not accepted.

The reception terminal device 300 generates insurance inquiry information "321-7654321-00", which is inquiry information for patient ID "P0112", in the inquiry information generation unit 343 as inquiry information based on the patient information, and sends it to the online eligibility confirmation terminal device (step S204). If the patient's name in kana, date of birth, and gender are not returned from the online eligibility confirmation terminal device 400, the reception terminal device 300 registers "NG" as the eligibility information and "202302021330" as the eligibility acquisition date and time in the patient record corresponding to the patient information identification information "33333" stored in the patient information storage unit 361 of the reception terminal device 300.

Next, the processing flow of the online qualification verification terminal device 400 will be explained.

Figure 15 is a flowchart showing an example of the processing flow of the online qualification verification terminal device 400 according to an embodiment of the present invention.

In step S301, the online qualification confirmation terminal device 400 acquires inquiry information from the reception terminal device 300. Then, the online qualification confirmation terminal device 400 executes the process of step S302.

In step S302, the online qualification confirmation terminal device 400 inquires about the qualification information from the qualification information management device 500 based on the inquiry information. Then, the online qualification confirmation terminal device 400 executes the process of step S303.

In step S303, the online qualification confirmation terminal device 400 acquires the query result of the qualification information from the qualification information management device 500. The acquired query result is stored in the query result storage unit 451 in association with the query information. Then, the online qualification confirmation terminal device 400 executes the process of step S304.

In step S304, the online qualification confirmation terminal device 400 notifies the reception terminal device 300 of the inquiry result. The online qualification confirmation terminal device 400 also acquires information on the notification destination related to the patient from the reception terminal device 300, and notifies the notification destination related to the patient of a notification based on the qualification confirmation result. The online qualification confirmation terminal device 400 then ends the processing related to FIG. 15.

Next, the processing flow of the credential information management device 500 will be explained.

Figure 16 is a flowchart showing an example of the processing flow of the credential information management device 500 according to an embodiment of the present invention.

In step S401, the credential information management device 500 acquires inquiry information from the online credential confirmation terminal device 400. Then, the credential information management device 500 executes the process of step S402.

In step S402, the credential information management device 500 queries the credential information stored in the credential information storage unit 550 based on the query information. Then, the credential information management device 500 executes the process of step S403.

In step S403, the credential information management device 500 notifies the online credential confirmation terminal device 400 of the credential information obtained as a result of the inquiry in XML format. Then, the credential information management device 500 ends the processing related to FIG. 16.

As described above, the eligibility confirmation system SYS according to this embodiment includes an identification information acquisition unit (241, 341) that acquires identification information, a patient information identification unit (patient information confirmation unit 342) that identifies the patient information of the patient corresponding to the identification information based on the identification information, an eligibility confirmation unit (query information generation unit 343, eligibility inquiry unit 442) that uses the patient information to confirm the eligibility of the health insurance to which the patient belongs, and a reception unit (notification unit 346, notification information generation unit 445) that accepts medical treatment based on the eligibility confirmation result of the health insurance to which the patient belongs.

As a result, the eligibility verification system SYS can reduce the hassle and administrative costs for medical professionals caused by erroneous billing and input that occurs when patients visit a hospital with an expired health insurance card. It also reduces the hassle for patients of having to present their health insurance cards, personal identification cards, etc. Therefore, the eligibility verification system SYS can improve convenience for medical professionals and patients when checking eligibility information at medical institutions.

In addition, reception at medical institutions must be performed by a medical professional through visual inspection and questioning at the reception terminal device 300. In this embodiment, by configuring the identification information acquisition unit (241, 341) with the entrance terminal device 200 and the reception terminal device 300, the patient qualification confirmation process can be started from the time the patient arrives at the medical institution. Therefore, it is expected that the entire reception process can be performed efficiently.

In addition, the reception unit (notification information generation unit 445) notifies the notification destination related to the patient of a notification based on the qualification confirmation result.

This makes it possible to prevent unauthorized verification of credentials. It also enables the patient's family and care managers to recognize that the patient is visiting the hospital. In addition, the patient can receive reminders about appointments. This improves convenience for both medical staff and patients.

In addition, in the case of a new patient, the entrance terminal device 200 sends information to the reception terminal device 300 indicating that the new patient has been accepted, so the overall efficiency of the reception process for new patients at the reception terminal device 300 can be expected to improve. In the process shown in FIG. 13, the reception terminal device 300 issues a reception number in step ST204 and displays the reception number in step ST205, but the processes of steps ST204 and ST205 may be omitted. Also, instead of the process of step ST204, the entrance terminal device 200 may issue a reception number, and the entrance terminal device 200 may send the reception number to the reception terminal device 300 in step ST203 to notify that the new patient has been accepted.

The above describes in detail the embodiments of the present invention with reference to the drawings, but the specific configuration is not limited to the above, and various design changes can be made without departing from the spirit of the present invention.

For example, in the above embodiment, an example was described in which the system is configured with devices such as the entrance terminal device 200, the reception terminal device 300, the online qualification confirmation terminal device 400, and the qualification information management device 500. However, one aspect of the present invention may be realized by a device that combines some or all of these devices, or a device in which some of these devices are rearranged.

In addition, the programs that run on the entrance terminal device 200, the reception terminal device 300, the online qualification confirmation terminal device 400, and the qualification information management device 500 in one aspect of the present invention may be programs that control one or more processors such as a CPU (Central Processing Unit) (programs that make a computer function) so as to realize the functions shown in the above-mentioned embodiments and modifications related to one aspect of the present invention. The computer here also includes a quantum computer. The information handled by each of these devices is temporarily stored in a RAM (Random Access Memory) during processing, and then stored in various storage devices such as a flash memory or a HDD (Hard Disk Drive), and may be read, modified, and written by the CPU, etc. as necessary.

In addition, some or all of the entrance terminal device 200, the reception terminal device 300, the online qualification confirmation terminal device 400, and the qualification information management device 500 in each of the above-mentioned embodiments and variations may be realized by a computer having one or more processors. In that case, the program for realizing this control function may be recorded on a computer-readable recording medium, and the program recorded on this recording medium may be read into a computer system and executed to realize the function.

The "computer system" referred to here is the computer system built into the entrance terminal device 200, the reception terminal device 300, the online qualification confirmation terminal device 400, and the qualification information management device 500, and includes hardware such as the OS and peripheral devices. Also, the "computer-readable recording medium" refers to portable media such as flexible disks, optical magnetic disks, ROMs, and CD-ROMs, and storage devices such as hard disks built into the computer system.

Furthermore, "computer-readable recording medium" may also include something that dynamically holds a program for a short period of time, such as a communication line when transmitting a program via a network such as the Internet or a communication line such as a telephone line, or something that holds a program for a certain period of time, such as volatile memory inside a computer system that serves as a server or client in such a case. The above program may also be one that realizes part of the functions described above, or one that can realize the functions described above in combination with a program already recorded in the computer system.

In addition, in each of the above-mentioned embodiments and modifications, the entrance terminal device 200, the reception terminal device 300, the online qualification confirmation terminal device 400, and the qualification information management device 500 may be partly or entirely realized as an LSI, which is typically an integrated circuit, or may be realized as a chip set. In addition, each functional block of the entrance terminal device 200, the reception terminal device 300, the online qualification confirmation terminal device 400, and the qualification information management device 500 in each of the above-mentioned embodiments and modifications may be individually chipped, or partly or entirely integrated into a chip. The integrated circuit method is not limited to LSI, and may be realized by a dedicated circuit and/or a general-purpose processor. In addition, if an integrated circuit technology that replaces LSI appears due to advances in semiconductor technology, it is also possible to use an integrated circuit based on that technology.

Although the above describes in detail each embodiment and modification as one aspect of the present invention with reference to the drawings, the specific configuration is not limited to each embodiment and modification, and also includes design changes within the scope of the gist of the present invention. Furthermore, various modifications of one aspect of the present invention are possible within the scope of the claims, and embodiments obtained by appropriately combining the technical means disclosed in different embodiments are also included in the technical scope of the present invention. Also included are configurations in which elements described in the above embodiments and modifications are substituted with elements that have the same effect.

SYS Eligibility confirmation system 100 Identification information 200 Entrance terminal device 210 Input section 220 Output section 230 Communication section 240 Control section 241 Identification information acquisition section 300 Reception terminal device 310 Input section 320 Output section 330 Communication section 340 Control section 341 Identification information acquisition section 342 Patient information confirmation section 343 Enquiry information generation section 344 Eligibility information acquisition section 345 Patient information update section 346 Notification section 347 Patient reception section 350 Imaging section 360 Storage section 361 Patient information storage section 400 Online eligibility confirmation terminal device 410 Input section 420 Output section 430 Communication section 440 Control section 441 Enquiry information acquisition section 442 Eligibility inquiry section 443 Enquiry result acquisition section 444 Patient information inquiry section 445 Notification information generation section 450 Storage section 451 Enquiry result storage section 500 Certification information management device 510 Input unit 520 Output unit 530 Communication unit 540 Control unit 541 Certification information confirmation unit 542 Notification information generation unit 543 Result notification unit 550 Certification information storage unit

Claims (6)

An eligibility verification system including an entrance terminal device and a reception terminal device,
The entrance terminal device is
an identification information acquisition unit that acquires a two-dimensional code as identification information used for verifying qualifications when a patient is admitted to a medical institution ;
Equipped with
The reception terminal device
a patient information identification unit that identifies patient information including identification information for identifying a patient, the patient information corresponding to the patient appointment card ID based on the patient appointment card ID corresponding to the two-dimensional code acquired from the entrance terminal;
an eligibility verification unit that uses the patient information to verify eligibility for health insurance to which the patient is enrolled;
a reception unit that receives medical treatment based on the result of the eligibility confirmation of the health insurance to which the patient is enrolled;
A qualification verification system that includes: The reception unit notifies a notification based on the result of the qualification confirmation to a notification destination registered in advance by the patient.
2. The entitlement verification system of claim 1. an identification information acquisition unit that acquires a two-dimensional code as identification information used for verifying qualifications from an entrance terminal device when a patient is admitted to a medical institution;
an eligibility verification unit that verifies eligibility for health insurance to which the patient is enrolled by using patient information including identification information for identifying a patient, the identification information corresponding to the patient card ID corresponding to the two-dimensional code ;
A notification unit that notifies a notification destination related to the patient of a notification based on the eligibility confirmation result of the health insurance to which the patient is enrolled;
An entitlement verification device comprising: 1. A computer implemented method for verifying credentials, comprising:
an identification information acquisition process for acquiring a two-dimensional code as identification information used for verifying qualifications from an entrance terminal device at a medical institution when a patient is admitted to a medical institution for treatment;
a patient information identification step of identifying patient information including identification information for identifying a patient corresponding to the patient appointment card ID based on the patient appointment card ID corresponding to the two-dimensional code ;
an eligibility verification step of verifying eligibility for health insurance to which the patient is enrolled using the patient information;
a reception step of receiving medical treatment based on the result of the eligibility confirmation of the health insurance to which the patient belongs;
A method of verifying eligibility. 1. A computer implemented method for verifying credentials, comprising:
an identification information acquisition process for acquiring a two-dimensional code as identification information used for verifying qualifications from an entrance terminal device at a medical institution when a patient is admitted to a medical institution for treatment;
an eligibility verification process for verifying eligibility for health insurance to which the patient is enrolled, using patient information including identification information for identifying a patient, the identification information corresponding to the patient card ID corresponding to the two-dimensional code;
a notification step of notifying a notification destination associated with the patient based on the result of the eligibility verification of the health insurance to which the patient subscribes;
A method of verifying eligibility. On the computer,
an identification information acquisition step of acquiring a two-dimensional code as identification information used for verifying qualifications from an entrance terminal device at a medical institution when the patient is admitted to the medical institution;
a patient information identification step of identifying patient information including identification information for identifying a patient corresponding to the patient appointment card ID based on the patient appointment card ID corresponding to the two-dimensional code ;
an eligibility verification step of verifying eligibility for health insurance to which the patient subscribes using the patient information;
a reception step of receiving medical treatment based on the eligibility confirmation result of the health insurance to which the patient belongs;
A program for executing.

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