目前,各地研发应用的医保智能审核系统是以医保经办机构为主导进行开发的,是在医保经办机构已有的医保管理信息系统(其中包括医保政策库等核心要素)的基础上,引入专业软件公司进行技术合作,选用专业软件公司提供的医学知识库。在整个医保智能审核系统中,专业软件公司及其提供的医学知识库只是作为其中的一种技术支持,而不占主导地位。也就是说,各地医保智能审核系统并不是以软件技术公 At present, the R & D and application of health insurance intelligent audit system is based on health care agencies led by the development, is in the health insurance agencies have the health insurance management information system (including medical insurance policy base and other core elements), based on the introduction Professional software companies for technical cooperation, the selection of professional software companies to provide the medical knowledge base. Throughout the Medicare audit system, specialized software companies and the medical knowledge base they provide serve as one of the technical supports, not the dominant one. In other words, medical insurance around the audit system is not based on software technology