医保通-人民人寿定制版病史理赔产品

该产品为人民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 tailored for People's Life Insurance. It caters to application scenarios related to underwriting and claims settlement of insurance companies, and provides insurance companies with service functions including data interface verification and auxiliary decision-making support.

搜集汇总

背景与挑战

背景概述

该数据集是专为中国人民人寿保险公司定制的住院核保产品，通过医保数据接口验证投保人病史信息，服务于保险核保与理赔决策场景。产品支持通过个人信息和疾病分类等参数，查询投保人既往住院记录和疾病史。