The Design And Implementation Of The Feixian Medical Insurance System Settlement Module

Feixian Medical insurance information system has played a huge role in the actual work, but as people living standard rise and development of city, the medical insurance management standards become more strict, the medical insurance information system is put forward the more strict requirements, need their continuous development and improvement.Against this background, the county conducted a re-construction cost of medical insurance system, the author participated as a project manager in the research and development process of the system key modules in clearing module. In this paper, as a subject of study, the specific content of the work and research results include:Describes the background Feixian medical insurance system, the study of the current status of the relevant domestic and foreign health insurance summary and analysis, which made the content and organization of this paper; for this paper, the development of technologies, include J2EE, C/S architecture and SQL database SERVER brief overview and analysis.In accordance with the waterfall model of software development, from the overall analysis of the Feixian County Medical Insurance Bureau of the main tasks and settlement needs; from functionality, using use case diagrams, for clearing module of medical information, medical treatment approval, medical expenses audit, analyze the designated medical institutions and medical card billing management functional requirements; audit services to medical expenses and medical card management business, for example on the related business processes analysis.The system requirements analysis, design the system design objectives and principles clearing module; as a medical insurance billing module subsystem, so the overall architecture and network structure and health care system consistent with this article on these two specific architecture design; focus on the medical information management module, management module approval of medical treatment, medical expenses audit management module, designated medical institutions and medical card billing management module management module design class diagram, sequence diagram related to the design and data input and output design; details on clearing module interface design and communication terminal design; according to the database design process, in the form of ER diagram of the system health insurance settlement, the conceptual structure of the insured are designed to basic information about Medicare card, Medicare user basic information, designated medical institutions month settlement and other information data table design example.In accordance with the requirements analysis and system module design, realization of the principles proposed system, respectively, medical information management module, management module approval of medical treatment, medical expenses audit management module, designated medical institutions and medical card billing management module management module to achieve functional interface; design system testing methods to log into the system, the unit Medicare accounts, medical institutions designated settlement month, retired designated medical institutions by the end of disbursement information inquiry, hospital costs charged auditing function example test; the test results were analyzed.The system has been put into practical operation stage, from the current operating conditions and the actual use effect, clearing module normal operation of the whole system, it is possible to realize the cost of health care system audit, treatment approval, all kinds of billing and cost allocation management, reaches a predetermined target, improve efficiency and management efficiency.