Clinical care utilization management system

Data processing: financial – business practice – management – or co – Automated electrical financial or business practice or... – Health care management

Reexamination Certificate

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C705S003000, C706S045000

Reexamination Certificate

active

07860729

ABSTRACT:
A computer implemented system for generating an electronic record of a patient clinical encounter in clinical chart format for submission for review by a health care reviewing organization. The system includes a selection interface module adapted to facilitate the selection of one or more reasons for the patient clinical encounter and/or one or more diagnoses. The system also includes a verification module for determining an authorization level for the diagnosis and/or reason for the encounter by referring to data in identified fields. The verification module determines the authorization level prior to the submission of the clinical record via a web browser on the client side to a server computer. The selection interface module facilitates selection of criteria prompts in a prompt pop-up button list by the display of a clickable navigator text field. The navigator field describes prompts selected to meet criteria for the diagnosis and/or reason for the encounter.

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