Claim data and document processing system
First Claim
1. A system for processing claim data related to provision of healthcare to a patient, comprising:
- an interface processor for receiving claim data related to a claim for provision of a service to a particular patient;
an attachment processor for automatically applying predetermined claim submission requirements in processing said claim data to identify;
whether an attachment document is required to be submitted together with said claim to a payer for claim reimbursement; and
a particular document to be provided together with said claim to said payer for claim reimbursement; and
a document processor for retrieving said particular document from storage for provision to said payer for claim reimbursement.
1 Assignment
0 Petitions
Accused Products
Abstract
A system which processes claim data related to provision of healthcare to a patient includes the following. An interface processor receives claim data related to a claim for provision of a service to a particular patient. An attachment processor automatically applies predetermined claim submission requirements in processing the claim data to identify: (a) whether an attachment document is required to be submitted together with the claim to a payer for claim reimbursement; and (b) which particular document is to be provided together with the claim to said payer for claim reimbursement. A document processor retrieves the particular document from storage for provision to said payer for claim reimbursement.
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Citations
26 Claims
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1. A system for processing claim data related to provision of healthcare to a patient, comprising:
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an interface processor for receiving claim data related to a claim for provision of a service to a particular patient;
an attachment processor for automatically applying predetermined claim submission requirements in processing said claim data to identify;
whether an attachment document is required to be submitted together with said claim to a payer for claim reimbursement; and
a particular document to be provided together with said claim to said payer for claim reimbursement; and
a document processor for retrieving said particular document from storage for provision to said payer for claim reimbursement. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 16, 18, 19, 21, 22, 24, 25)
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14. A system for processing data related to receiving reimbursement for provision of a service to a customer, comprising:
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an interface processor for receiving data related to a claim for reimbursement for provision of a service to a customer;
an attachment processor for automatically applying predetermined claim submission requirements in processing said claim data to identify;
whether an attachment document is required to be submitted together with said claim to a payer for claim reimbursement; and
a particular document to be provided together with said claim to said payer for claim reimbursement; and
a document processor for retrieving said particular document from storage for provision to said payer for claim reimbursement. - View Dependent Claims (17, 20, 23)
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15. A method for processing claim data related to provision of healthcare to a patient, comprising the steps of:
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receiving claim data related to a claim for provision of a service to a particular patient;
processing said claim data by automatically applying predetermined claim submission requirements for the purpose of;
identifying whether an attachment document is required to be submitted together with said claim to a payer for claim reimbursement; and
identifying a particular document to be provided together with said claim to said payer for claim reimbursement; and
retrieving said particular document from storage for provision to said payer for claim reimbursement.
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26. A method for processing data related to provision of a service to a customer, comprising the steps of:
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receiving data related to a claim for provision of a service to a particular customer;
processing said data by automatically applying predetermined claim submission requirements for the purpose of;
identifying whether an attachment document is required to be submitted together with said claim to a payer for claim reimbursement; and
identifying a particular document to be provided together with said claim to said payer for claim reimbursement; and
retrieving said particular document from storage for provision to said payer for claim reimbursement.
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Specification