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System and method for improved validation for claims compliance

  • US 20030163778A1
  • Filed: 02/28/2002
  • Published: 08/28/2003
  • Est. Priority Date: 02/28/2002
  • Status: Abandoned Application
First Claim
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1. A computer-implemented method for providing electronic document exchange between a plurality of trading partners, each trading partner associated with an electronic data processing system connected to a communications link and a computer system, said method comprising the steps of:

  • transmitting a plurality of files, each having a plurality of fields for data entry, in a first file format from one of the trading partners to one of said computer systems;

    defining a portion of said fields of each said file as key fields having data corresponding to stored verification data accessible by said computer system;

    mapping at least a portion of said files received in said first file form, at into a second file format to be received by another of the trading partners wherein said first file format is unique from said second file format;

    identifying files as errored claims as a result of having incomplete or inaccurate data in any of said fields; and

    automatically editing only said key fields of said errored claims by exchanging said incomplete or inaccurate data for said stored verification data.

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