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Method and apparatus for a generic mechanism for adjudication of claims in a claims processing system

  • US 20060095303A1
  • Filed: 11/04/2004
  • Published: 05/04/2006
  • Est. Priority Date: 11/04/2004
  • Status: Abandoned Application
First Claim
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1. A method in a data processing system for adjudication of claims in a claims processing system, the method comprising:

  • receiving at least one claim submission from a host system;

    converting the at least one claim submission to at least one generic message;

    validating the at least one generic message;

    converting the at least one valid generic message to at least one formatted message, wherein the at least one formatted message is formatted using a format designated by a clearing house application; and

    sending at least one formatted message to the clearing house application for adjudication.

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