Billing process for botanicals, supplements and homeopathic remedies
First Claim
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1. A method of doing business by encoding, documenting and processing the procedures of alternative healthcare provider treatment, using a computer system having a programmable memory and a central processing unit comprising the steps of:
- programming a computer system having a programmable memory and a central processing unit for operating a business;
inputting and encoding a patient pool in the computer system;
inputting and encoding a procedure claim from an alternative health provider for treating a patient in the patient pool;
inputting and encoding a data base of a plurality of alternative healthcare providers to yield an alternative practice type (APT) code to identify the provider;
choosing and retrieving an APT from the APT data base and matching with the provider'"'"'s procedure claim;
inputting and encoding a database of alternative billing codes (ABC) for each of the plurality of alternative healthcare provider categories to yield a standard alternative billing code (ABC) data base;
choosing and retrieving an ABC from the ABC data base and comparing to the APT for a diagnostic match with the performed procedure;
providing a provider data (PD) data base by regional location based on zip codes;
selecting a provider from the PD data base;
connecting the ABC product codes with a Universal Product Code (UPC) and a National Drug Code (NDC) for detailed information, and calculating the cost of the procedure;
generating a specific ABC cost and comparing with a diagnosis code to form a comparison table of costs for the procedure; and
sending the comparison table to an insurer or a third party administrator for payment to the alternative health care provider.
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Abstract
A business method for billing customers for alternative botanical, supplemental and homeopathic remedies by electronically creating unique codes for these remedies and an electronic connection to the universal product codes and the national drug codes.
38 Citations
2 Claims
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1. A method of doing business by encoding, documenting and processing the procedures of alternative healthcare provider treatment, using a computer system having a programmable memory and a central processing unit comprising the steps of:
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programming a computer system having a programmable memory and a central processing unit for operating a business;
inputting and encoding a patient pool in the computer system;
inputting and encoding a procedure claim from an alternative health provider for treating a patient in the patient pool;
inputting and encoding a data base of a plurality of alternative healthcare providers to yield an alternative practice type (APT) code to identify the provider;
choosing and retrieving an APT from the APT data base and matching with the provider'"'"'s procedure claim;
inputting and encoding a database of alternative billing codes (ABC) for each of the plurality of alternative healthcare provider categories to yield a standard alternative billing code (ABC) data base;
choosing and retrieving an ABC from the ABC data base and comparing to the APT for a diagnostic match with the performed procedure;
providing a provider data (PD) data base by regional location based on zip codes;
selecting a provider from the PD data base;
connecting the ABC product codes with a Universal Product Code (UPC) and a National Drug Code (NDC) for detailed information, and calculating the cost of the procedure;
generating a specific ABC cost and comparing with a diagnosis code to form a comparison table of costs for the procedure; and
sending the comparison table to an insurer or a third party administrator for payment to the alternative health care provider.
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2. A programmed computer assembly for encoding, documenting and processing the procedures of alternative healthcare provider treatment comprising:
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a computer having a programmable memory and a central processing unit;
a program installed on the computer having;
means for inputting and encoding a database of a plurality of alternative healthcare providers, wherein each is categorized by an alphanumeric indicia to yield an alternative practice type (APT) code database;
means for inputting and encoding a database of alternative billing codes (ABC) for each of the plurality of alternative healthcare providers by an alphanumeric indicia to yield a standard alternative billing code (ABC) database;
means for inputting and encoding a database of provider data (PD) comprising;
(1) each provider'"'"'s zip code;
(2) each provider'"'"'s specialty;
(3) ABC product codes with any modifying information;
(4) a universal product code (UPC) for each product and labeled with a UPC;
(5) a national drug code (NDC) for each product labeled with a NDC;
(6) calculating an average fee by provider specialty and region; and
(7) generating specific provider data;
means for processing the associated APT code, the associated ABC code, and the generated the PD code;
means for generating an ABC from the associated APT code, the associated ABC code, and the generated PD code;
means for comparing the generated ABC string by diagnosis from the International Classification of Diseases'"'"' conventional procedural treatment strings to form a comparison table; and
means for publishing the comparison table for sending the comparison results to an alternative health care provider.
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Specification