Contract compliance monitoring system

• US 20030050804A1
• Filed: 09/09/2002
• Published: 03/13/2003
• Est. Priority Date: 09/07/2001
• Status: Abandoned Application

• Current Assignee: Michael C. Hendershot
• Original Assignee: Michael C. Hendershot
• Inventors: Hendershot, Michael C.
• Application Number:
  US10/238,507
• Publication Number:
  US 20030050804A1
• Time in Patent Office: Days
• US Class Current: 705/4
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/08 Insurance

Abstract

This invention relates to a contract compliance monitoring system for comprehensive review of insurance claims and calculation of baselines for insurance claim reimbursement comprising a) import services, b) calculation services, c) reporting and report management services, d) analysis services, e) data manipulation services, f) external interface services, g) contract and confirmation document management services, h) security processing and confirmation. This invention further relates to a contract compliance monitoring system for comprehensive review of medical insurance claims and calculation of baselines for medical insurance claim reimbursement. This invention also relates to a contract compliance electronic monitoring system for compliance with contract terms for insurance claim baseline reimbursement. The method uses an external data processor and a web-based simple object access protocol and related subroutines for requesting the user'"'"'s contract information, requesting and reviewing all parameters including the required data, calculations, interface, security level, confirmation, analysis of compliance and contract terms, and generating reports required by the user and providing the said services.

Claims

1. A contract compliance monitoring system comprising:

a.) import services;

b.) calculation services;

c.) reporting/report management services;

d.) analysis services;

e.) data manipulation services;

f.) external interface services;

g.) contract/confirmation document management services;

h.) security processing and confirmation;

for comprehensive review of insurance claims and calculation of baselines for insurance claim reimbursement using a web-based simple object access protocol and related subroutines for said services and security processing and confirmation and an external data processor.

2. A contract compliance monitoring system comprising:

a.) import services;

b.) calculation services;

c.) reporting/report management services;

d.) analysis services;

e.) data manipulation services;

f.) external interface services;

g.) contract confirmation document management services;

h.) security processing and confirmation;

for comprehensive review of medical insurance claims and calculation of baselines for medical insurance claim reimbursement using a web-based simple object access protocol and related subroutines for said services and security processing and confirmation and an external data processor.

3. A method of providing a contract compliance electronic monitoring system for compliance of contract terms for insurance claim baseline reimbursement for users comprising the steps of:

a.) requesting the user'"'"'s contract information;

b.) requesting and reviewing the parameters including the required data, calculations, interface, security level, confirmation, and analysis of the compliance and contract terms; and

c.) generating the reports requested by the user wherein said method uses an external data processor and a web-based simple object access protocol and related sub-routines for said steps of requesting the user'"'"'s contract information, requesting and reviewing the said parameters, and generating said reports.