医保通-阳光人寿定制版病史理赔产品

该产品为阳光人寿定制版住院核保产品。服务于保险公司核保及理赔相关应用场景，为保险公司提供数据接口核验辅助决策相关服务功能。

This product is a customized inpatient underwriting product exclusively developed for Sunshine Life Insurance. It targets application scenarios related to insurance company underwriting and claims settlement, and provides insurance companies with service functions including data interface verification to support auxiliary decision-making.

搜集汇总

背景与挑战

背景概述

该数据集是阳光人寿定制的住院核保产品，通过医保数据查询投保人病史信息，辅助保险公司核保理赔决策。支持通过个人信息和时间范围等参数，核查被保险人住院记录及疾病分类情况。