Method for electronic examination of medical fees

Abstract

Disclosed is a method for electronic examination of medical fees, and more particularly to a method for electronic examination of medical fees using a system for electronic examination of medical fees. The system includes a transmit/receive server, a bill examination server, a management terminal and examiner terminals, and communicates with each medical institution server and a national health insurance corporation server. The bill examination server checks any error in medical bills and specifications received from each medical institution server through description inspection, automatic inspection, specialist inspection and computational examination. The bill examination server returns, corrects or adjusts any erroneous bill or specification, or inserts a message into the erroneous bill or specification. The management terminal distributes medical bills and specifications on which computational examination has been completed to the examiner terminals. Each examiner terminal produces a statement of examination adjustment according to the examination results inputted by an examiner during on-screen examination and sends the statement to the bill examination server. Then the bill examination server generates an examination decision file based on the examination results and sends the file to the corresponding medical institution server and simultaneously to the national health insurance corporation server.