EOB distribution system

• US 20020194027A1
• Filed: 06/17/2002
• Published: 12/19/2002
• Est. Priority Date: 06/18/2001
• Status: Abandoned Application

• Current Assignee: Thomas L. Smith
• Original Assignee: Thomas L. Smith
• Inventors: Smith, Thomas L.
• Application Number:
  US10/172,846
• Publication Number:
  US 20020194027A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/08 Insurance

Abstract

An explanation of benefits file (EOB file) sharing and distribution system includes at least two EOB file generating sources and a central EOB file storage database in information transmission connection with the at least two EOB file generating sources, the central EOB file storage database operative to receive EOB files from the at least two EOB file generating sources, organize the EOB files within the central EOB file storage database and store the EOB files in the central EOB file storage database. At least one medical care provider is in access-controlled information transmission connection with the central EOB file storage database via the remote data transfer system such that the at least one medical care provider can access and review EOB files which are related to the medical care provider and which are stored in the central EOB file storage database.

Claims

1. An explanation of benefits/remittance advice file (EOB file) sharing and distribution system comprising:

at least two EOB file generating sources;

a central EOB file storage database in electronic information transmission connection with said at least two EOB file generating sources, said central EOB file storage database operative to receive EOB files from said at least two EOB file generating sources, organize said EOB files within said central EOB file storage database and store said EOB files in said central EOB file storage database such that said EOB files are accessible via a remote data transfer means;

at least one medical care provider in access-controlled electronic information transmission connection with said central EOB file storage database via said remote data transfer means such that said at least one medical care provider can access EOB files stored in said central EOB file storage database; and

said at least two EOB file generating sources, said central EOB file storage database and said at least one medical care provider cooperating to transfer information via said EOB files such that information regarding patients is accessible by said at least one medical care provider free of requiring separate reports submitted from said at least two EOB file generating sources to said at least one medical care provider.

2. The EOB file sharing and distribution system of claim 1 wherein said at least two EOB file generating sources comprise insurance company benefit providers.

3. The EOB file sharing and distribution system of claim 1 wherein said central EOB file storage database is stored on a computer.

4. The EOB file sharing and distribution system of claim 3 wherein said central EOB file storage database further comprises proprietary software operative to map pertinent information from each of said EOB files stored within said central EOB file storage database so that said at least one medical care provider can log onto said central EOB file storage database and access all of the EOB files connected to said at least one medical care provider.

5. The EOB file sharing and distribution system of claim 1 wherein said remote data transfer means is selected from the group consisting of a LAN, a WAN, the Internet and the World Wide Web.

6. The EOB file sharing and distribution system of claim 1 wherein said EOB files further comprise patient insurance information and remittance advice records.

7. A method of sharing and distributing explanation of benefits/remittance advice files (EOB file) comprising the steps:

providing at least two EOB file generating sources, a central EOB file storage database and at least one medical care provider;

connecting said at least two EOB file generating sources and said central EOB file storage database in electronic information transmission connection;

connecting said central EOB file storage database and said at least one medical care provider in electronic information transmission connection;

transmitting EOB files from said at least two EOB file generating sources to said central EOB file storage database;

organizing and sorting said EOB files within said central EOB file storage database whereby selected ones of said EOB files are accessible and retrievable through a database search means;

controlling access to EOB files within said central EOB file storage database whereby said at least one medical care provider can access selected EOB files stored in said central EOB file storage database; and

transferring EOB files from said central EOB file storage database to said at least one medical care provider such that insurance information regarding patients is accessible by said at least one medical care provider free of requiring separate reports submitted from said at least two EOB file generating sources to said at least one medical care provider.

8. A medical patient insurance information file sharing and distribution system comprising:

at least two medical patient insurance providers;

a central EOB file storage database in electronic information transmission connection with said at least two medical patient insurance providers, said central medical patient insurance information file storage database operative to receive medical patient insurance information files from said at least two medical patient insurance providers, organize said medical patient insurance information files within said central EOB file storage database and store said medical patient insurance information files in said central medical patient insurance information file storage database such that said medical patient insurance information files are accessible via a remote data transfer means;

at least one medical care provider in access-controlled electronic information transmission connection with said central medical patient insurance information file storage database via said remote data transfer means such that said at least one medical care provider can access medical patient insurance information files stored in said central medical patient insurance information file storage database; and

said at least two medical patient insurance providers, said central medical patient insurance information file storage database and said at least one medical care provider cooperating to transfer information via said medical patient insurance information files such that insurance information regarding patients is accessible by said at least one medical care provider free of requiring separate reports submitted from said at least two medical patient insurance providers to said at least one medical care provider.