Data processing: financial – business practice – management – or co – Automated electrical financial or business practice or... – Health care management
Reexamination Certificate
2004-05-06
2011-11-22
O'Connor, Gerald J. (Department: 3686)
Data processing: financial, business practice, management, or co
Automated electrical financial or business practice or...
Health care management
Reexamination Certificate
active
08065162
ABSTRACT:
A method and system of submitting healthcare claims for adjudication at the point of service is provided. The system provides methods and secure central storage for providers of healthcare services to maintain user created and maintained patient lists, provider location lists, and superbill forms for healthcare claims submission according to the user's unique and individual requirements. The system transmits completed healthcare claims while protecting patient privacy, and provides real-time adjudication of the claims, giving an almost instantaneous claim result in the form of a patient summary receipt back to the point of service at the healthcare provider's location. This is achieved through a real-time interface with the enterprise server claims adjudication engine. Customized lists and superbill forms as required by the individual user are also stored on the enterprise server.
REFERENCES:
patent: 5704044 (1997-12-01), Tarter et al.
patent: 5915241 (1999-06-01), Giannini
patent: 5930759 (1999-07-01), Moore et al.
patent: 5933809 (1999-08-01), Hunt et al.
patent: 5956690 (1999-09-01), Haggerson et al.
patent: 5991750 (1999-11-01), Watson
patent: 6067522 (2000-05-01), Warady et al.
patent: 6117073 (2000-09-01), Jones et al.
patent: 6125350 (2000-09-01), Dirbas
patent: 6182047 (2001-01-01), Dirbas
patent: 6208973 (2001-03-01), Boyer et al.
patent: 6338039 (2002-01-01), Lonski et al.
patent: 6341265 (2002-01-01), Provost et al.
patent: 6343271 (2002-01-01), Peterson et al.
patent: 6370544 (2002-04-01), Krebs et al.
patent: 7072842 (2006-07-01), Provost et al.
patent: 7263493 (2007-08-01), Provost et al.
patent: 2001/0027403 (2001-10-01), Peterson et al.
patent: 2001/0034616 (2001-10-01), Giannini
patent: 2001/0037224 (2001-11-01), Eldridge et al.
patent: 2001/0051880 (2001-12-01), Schurenberg et al.
patent: 2002/0019754 (2002-02-01), Peterson et al.
patent: 2002/0022972 (2002-02-01), Costello
patent: 2002/0077854 (2002-06-01), Porterfield
patent: 2002/0091549 (2002-07-01), Provost et al.
patent: 2002/0169955 (2002-11-01), Bryant, Jr. et al.
patent: 2002/0198741 (2002-12-01), Randazzo
patent: 2004/0064386 (2004-04-01), Goguen et al.
Blue Cross and Blue Shield of South Carolina
Killough B. Craig
Nguyen Hiep V
O'Connor Gerald J.
LandOfFree
Provider data management and claims editing and settlement... does not yet have a rating. At this time, there are no reviews or comments for this patent.
If you have personal experience with Provider data management and claims editing and settlement..., we encourage you to share that experience with our LandOfFree.com community. Your opinion is very important and Provider data management and claims editing and settlement... will most certainly appreciate the feedback.
Profile ID: LFUS-PAI-O-4311680