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Claim data processing system

  • US 20060100905A1
  • Filed: 10/17/2005
  • Published: 05/11/2006
  • Est. Priority Date: 10/20/2004
  • Status: Abandoned Application
First Claim
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1. A system for processing claim data related to provision of healthcare to a patient, comprising:

  • an interface processor for receiving claim data comprising data related to a claim for provision of healthcare to a particular patient and including a claim type identifier;

    at least one repository including;

    predetermined claim generation rules for use in generating a claim for submission to a payer institution, said claim generation rules being hierarchically organized to enable more frequently applied rules to be identified and applied first, and information associating particular rules to be applied with a particular claim type; and

    a claim processor, for generating a claim of a particular type for submission to a particular payer institution by applying claim generation rules derived from said at least one repository in a predetermined priority in response to said received claim type identifier.

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