System and method for rapid claims submission and adjudication
First Claim
Patent Images
1. A system and method for rapid submission and adjudication of healthcare claims comprising the steps of:
- a. formatting a healthcare claim form into payer approved format;
b. creating a transaction record by storing an attribute relating to said healthcare claim;
c. submitting the healthcare claim to a claim adjudication engine via the Internet;
d. updating the transaction record as to the status of the healthcare claim; and
e. sending a healthcare-claim status update to the submitter of the healthcare claim.
0 Assignments
0 Petitions
Accused Products
Abstract
A system and method for rapid claim submissions by healthcare providers is disclosed. The system and method utilizes middleware applications to obtain point of service adjudications of healthcare claims. A polling procedure that tests middleware and claim engine availability ensures that transactions are carried out in a seamless manner and real-time updates are provided to the healthcare provider.
83 Citations
2 Claims
-
1. A system and method for rapid submission and adjudication of healthcare claims comprising the steps of:
-
a. formatting a healthcare claim form into payer approved format;
b. creating a transaction record by storing an attribute relating to said healthcare claim;
c. submitting the healthcare claim to a claim adjudication engine via the Internet;
d. updating the transaction record as to the status of the healthcare claim; and
e. sending a healthcare-claim status update to the submitter of the healthcare claim.
-
-
2. A system and method for rapid submission and adjudication of healthcare claims comprising the steps of:
-
a. entering a healthcare claim into a web portal;
b. interfacing the web portal with a claim adjudication engine using a middleware application;
c. sending the healthcare claim to the claim adjudication engine via the middleware; and
d. updating in real-time the result of the claim adjudication on the web portal.
-
Specification
-
- Resources
Litigation Campaign Assessment
Thank you for your request. You will receive a custom alert email when the Litigation Campaign Assessment is available.
×
-
Current AssigneeChristian Nickerson
-
Original AssigneeChristian Nickerson
-
InventorsNickerson, Christian
-
Application NumberUS10/360,527Publication NumberTime in Patent OfficeDaysField of SearchUS Class Current705/2CPC Class CodesG06F 16/972 Access to data in other rep...G06F 40/174 Form filling; MergingG06Q 10/10 Office automation; Time man...G06Q 40/08 InsuranceG16H 40/67 for remote operationG16H 50/20 for computer-aided diagnosi...
