diff --git a/photo_review/entity/zx_ie_settlement.py b/photo_review/entity/zx_ie_settlement.py
index ce5eccc..59f3271 100644
--- a/photo_review/entity/zx_ie_settlement.py
+++ b/photo_review/entity/zx_ie_settlement.py
@@ -23,7 +23,8 @@ class ZxIeSettlement(Base):
     personal_account_payment = Column(DECIMAL(18, 2), comment='个人账户支付')
     personal_funded_amount_str = Column(String(255), comment='自费金额字符串')
     personal_funded_amount = Column(DECIMAL(18, 2), comment='自费金额')
-    medical_insurance_type = Column(String(255), comment='医保类型')
+    medical_insurance_type_str = Column(String(255), comment='医保类型字符串')
+    medical_insurance_type = Column(String(40), comment='医保类型')
     admission_id = Column(String(50), comment='住院号')
     settlement_id = Column(String(50), comment='医保结算单号码')
     create_time = Column(DateTime, server_default=text("CURRENT_TIMESTAMP"), comment='创建时间')
diff --git a/photo_review/photo_review.py b/photo_review/photo_review.py
index f60eb0d..dd7222d 100644
--- a/photo_review/photo_review.py
+++ b/photo_review/photo_review.py
@@ -321,7 +321,7 @@ def settlement_task(pk_phhd, settlement_list):
             get_best_value_in_keys(settlement_list_ie_result, PERSONAL_ACCOUNT_PAYMENT)),
         "personal_funded_amount_str": handle_original_data(
             get_best_value_in_keys(settlement_list_ie_result, PERSONAL_FUNDED_AMOUNT)),
-        "medical_insurance_type": handle_insurance_type(
+        "medical_insurance_type_str": handle_original_data(
             get_best_value_in_keys(settlement_list_ie_result, MEDICAL_INSURANCE_TYPE)),
         "admission_id": handle_id(get_best_value_in_keys(settlement_list_ie_result, ADMISSION_ID)),
         "settlement_id": handle_id(get_best_value_in_keys(settlement_list_ie_result, SETTLEMENT_ID)),
@@ -333,6 +333,7 @@ def settlement_task(pk_phhd, settlement_list):
     settlement_data["personal_cash_payment"] = handle_decimal(settlement_data["personal_cash_payment_str"])
     settlement_data["personal_account_payment"] = handle_decimal(settlement_data["personal_account_payment_str"])
     settlement_data["personal_funded_amount"] = handle_decimal(settlement_data["personal_funded_amount_str"])
+    settlement_data["medical_insurance_type"] = handle_insurance_type(settlement_data["medical_insurance_type_str"])
     save_or_update_ie(ZxIeSettlement, pk_phhd, settlement_data)
 
 
diff --git a/photo_review/util/data_util.py b/photo_review/util/data_util.py
index ed46ca2..754f5e4 100644
--- a/photo_review/util/data_util.py
+++ b/photo_review/util/data_util.py
@@ -85,16 +85,25 @@ def parse_department(string):
     result = []
     if not string:
         return result
-    result.append(handle_department(string))
+    string = re.sub(r'\([^()]*\)|\[[^\[\]]*\]|\{[^\{\}]*\}|（[^（）]*）|[^⺀-鿿]', '', string)[:255]
+    if string == "科":
+        return result
+    result.append(string)
     string_without_num = re.sub(r'\d|一|二|三|四|五|六|七|八|九|十', '', string)
+    if string == "科":
+        return result
     if string_without_num != string:
-        result.append(handle_department(string_without_num))
-    string_without_brackets = re.sub(r'\([^()]*\)|\[[^\[\]]*\]|\{[^\{\}]*\}|（[^（）]*）', "", string_without_num)
-    if string_without_brackets != string_without_num:
-        result.append(handle_department(string_without_brackets))
-    pure_string = string_without_brackets.split("科")[0] + "科"
-    if pure_string != string_without_brackets:
-        result.append(handle_department(pure_string))
+        result.append(string_without_num)
+    pure_string = string_without_num.split("科")[0] + "科"
+    if string == "科":
+        return result
+    if pure_string != string_without_num:
+        result.append(pure_string)
+    pure_string_without_io = pure_string.replace("内", "").replace("外", "")
+    if string == "科":
+        return result
+    if pure_string_without_io != pure_string:
+        result.append(pure_string)
     return result
 
 
@@ -109,7 +118,19 @@ def handle_name(string):
 def handle_insurance_type(string):
     if not string:
         return ""
-    return string.replace(":", "").replace("：", "")[:255]
+    worker_insurance_keys = ["社保", "城保", "职"]
+    villager_insurance_keys = ["农保", "居民"]
+    migrant_worker_insurance_keys = ["农民工"]
+    no_insurance_keys = ["自费", "全费"]
+    if any(key in string for key in worker_insurance_keys):
+        return "职工医保"
+    if any(key in string for key in villager_insurance_keys):
+        return "居民医保"
+    if any(key in string for key in migrant_worker_insurance_keys):
+        return "农民工医保"
+    if any(key in string for key in no_insurance_keys):
+        return "无医保"
+    return ""
 
 
 # 处理原始数据