Method and system for matching a service seeker with a service provider

• US 20030187691A1
• Filed: 03/28/2002
• Published: 10/02/2003
• Est. Priority Date: 03/28/2002
• Status: Abandoned Application

• Current Assignee: Health Net Incorporated (Centene Corporation)
• Original Assignee: Health Net Incorporated (Centene Corporation)
• Inventors: Berlin, Bernard M., Dutt, Amitabh K.
• Application Number:
  US10/113,536
• Publication Number:
  US 20030187691A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 30/02 Marketing; Price estimation or determination; Fundraising
• CPC Class Codes: G06Q 50/22 Social work or social welfare, e.g. community support activities or counselling services
• CPC Class Codes: G16H 20/00 ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
• CPC Class Codes: G16H 70/00 ICT specially adapted for the handling or processing of medical references

Abstract

A referral system in which input by a service seeker describing a need provides accurate, consistent, and reliable referrals to qualified service providers. The referral system is created and maintained by a host having extensive knowledge and experience in the field in which referrals are being sought by service seekers. Through this knowledge base and experience, the host is able to derive an accurate, comprehensive list of needs from which a service seekers can select the specific service being sought. The host also derives a list of needs that can be serviced by a service provider by examining qualitative and/or quantitative factors of a service provider. This needs list is derived for each service provider. This is also done most effectively by a host having extensive knowledge and experience in the relevant field. The host takes the selected needs of the service seekers, along with information such as the service seeker'"'"'s geographic location, and provides a list of one or more service providers most appropriate for the service seeker. The referral system can be used in the health care industry where the host is a health service organization. The service seeker is a health care consumer seeking mental or physical health services from a qualified health care provider.

Claims

1. A method of creating a referral system for referring a service seeker to a service provider, the method comprising:

creating a plurality of needs;

creating at least one specialty by examining a first set of factors characterizing the service provider;

matching the at least one specialty of the service provider with at least one need from the plurality of needs thereby creating a service provider/need correlation; and

making the service provider/need correlation available to a plurality of service seekers through the referral system.

2. A method as recited in claim 1 wherein creating a plurality of needs further includes examining historical data provided by previous service seekers.

3. A method as recited in claim 2 wherein the historical data is examined by a host having knowledge of a field in which the service provider provides a service.

4. A method as recited in claim 1 wherein the service seeker is a health care consumer and the service provider is a health care provider.

5. A method as recited in claim 4 wherein the referral system is created and maintained by a health care organization familiar with the health care field and using the historical data to create the plurality of needs.

6. A method as recited in claim 5 wherein the health care organization derives the at least one specialty of the service provider using a set of qualitative factors characterizing to the service provider.

7. A method as recited in claim 5 wherein the health care organization creates the at least one specialty of the service provider using a set of quantitative factors characterizing to the service provider.

8. A method as recited in claim 1 wherein the service provider/need correlation is stored on a computer system wherein the correlation is accessible to a plurality of service seekers.

9. A method of referring a service seeker to a service provider, the method comprising:

entering one or more needs from a list of needs, wherein the list of needs is derived from historical need data;

selecting from a list of one or more service providers qualified to handle the one or more needs, wherein qualifications of a service provider are based on a set of qualitative data; and

obtaining contact information for one or more service providers.

10. A method as recited in claim 9 wherein the list of needs is compiled by a host having access to a knowledge base in a field in which the service seeker is seeking a service provider.

11. A method as recited in claim 9 wherein the list of needs is compiled by a host having experience communicating with service seekers seeking services in a particular field.

12. A method as recited in claim 9 wherein the qualifications of a service provider are evaluated based on a set of quantitative data.

13. A method as recited in claim 9 wherein the list of needs is derived from previous communications with service seekers relating to needs of the service seekers.

14. A method of creating a health care consumer referral system for referring a health care consumer to a health care provider, the method comprising:

creating a list of conditions from which the consumer selects one or more conditions;

deriving for a health care provider a sublist of conditions for which the health care provider is qualified to handle each condition in the sublist; and

making the list of conditions available to the consumer whereby selecting a condition results in informing the consumer of one or more health care providers qualified for treating the selected condition.

15. A method as recited in claim 14 wherein the health care consumer referral system is created by a health care organization having access to knowledge of health care consumer conditions in the health care field wherein such knowledge is used by the health care organization to derive the list of conditions.

16. A method as recited in claim 15 further comprising using data known about the health care provider and the knowledge of health care consumer conditions to derive the sublist of conditions for a health care provider.

17. A method of creating a consumer and health care provider referral system for referring a consumer to a health care provider, the method comprising:

creating a list of conditions utilizing a knowledge base of a host from which a consumer selects one or more conditions, the knowledge base derived from previous input from a plurality of consumers;

creating a sublist of conditions for a health care provider based on qualifications of the provider; and

making the list of conditions available to the consumer whereby selecting one or more conditions results in obtaining one or more health care providers suitable for treating the selected one or more conditions.

18. A method as recited in claim 17 wherein the list of conditions is a list of mental health conditions.

19. A method as recited in claim 17 wherein the list of conditions is a list of physical health conditions.

20. A method as recited in claim 17 wherein the list of conditions is a list of mental health and physical health conditions.

21. A method as recited in claim 17 wherein creating a sublist of conditions for a health care provider further includes deriving one or more specialties of the health care provider using a quantitative set of criteria.

22. A method as recited in claim 21 wherein deriving one or more specialties for the health care provider using a quantitative set of criteria further includes using a qualitative set of criteria.

23. A method of creating a consumer and health care provider referral system for referring a consumer to a health care provider, the method comprising:

creating a list of conditions using a knowledge base of a host from which a consumer selects one or more conditions;

creating a sublist of conditions for a health care provider; and

making the list of conditions available to the consumer whereby selecting one or more conditions results in displaying one or more health care providers suitable for treating the selected one or more conditions.

24. A method as recited in claim 23 wherein the knowledge base of the host is derived from condition data provided by a plurality of consumers.

25. A method of using a service seeker/service provider referral system comprising:

entering a need;

entering a geographic area;

obtaining a list of qualified service providers suitable for handling the need; and

entering appointment information for a selected service provider.

26. A method as recited in claim 25 wherein the need is a mental health condition or a physical health condition.

27. A method as recited in claim 25 wherein the need is in the legal field.

28. A method as recited in claim 25 further including contacting one of the service providers to schedule an appointment.

29. A method as recited in claim 25 further comprising presenting a list of needs from which a service seeker can select a need.

30. A computer system for referring a service seeker to a service provider comprising:

one or more processors; and

one or more memory storage areas containing;

a list of needs made available to a service seeker;

a plurality of specialty lists, a specialty list associated with a service provider; and

a plurality of service provider-specific needs lists, a service provider-specific needs list associated with a service provider and containing one or more needs that can be handled by the service provider.

31. A referral system comprising:

a plurality of needs from which a service seeker can select one or more needs for which a referral is sought, the plurality of needs being derived in part from historical data;

a plurality of specialty lists, a specialty list corresponding to a service provider and derived by examining a first set of factors;

a matching engine for matching a specialty from the specialty list with a need from the plurality of needs thereby creating a service provider/need correlation; and

a graphical user interface for displaying data to a service seeker.

32. A referral system as recited in claim 31 wherein the plurality of needs is derived from previous communications with service seekers.

33. A referral system as recited in claim 32 wherein the plurality of needs is comprised of mental health conditions.

34. A referral system as recited in claim 32 wherein the plurality of needs is comprised of physical health conditions.

35. A referral system as recited in claim 31 wherein the specialty list corresponding to a service provider is created from a set of qualitative factors and a set of quantitative factors relating to the service provider.

36. A referral system as recited in claim 31 wherein the service provider/need correlation is created from the specialty list corresponding to the service provider.