Electronic healthcare identification generation and management
First Claim
1. A system for generating healthcare information and reconciliation comprising:
- a data store comprising patient data, healthcare provider data, and insurance carrier data, healthcare network data, healthcare related data, and benefit plan data;
a healthcare identification and reconciliation engine operable on the data store to generate in real-time one or more electronic healthcare cards/documents having healthcare identification and management information thereon that is representative of one or more items comprising current contractual obligations existing between cooperating parties of a healthcare system and healthcare related data; and
a means for presenting the electronic healthcare cards/documents.
3 Assignments
0 Petitions
Accused Products
Abstract
A system and method for generating healthcare identification and reconciliation information and are provided. In an illustrative implementation, a computer-implemented healthcare information and reconciliation platform (HIRP) maintains a HIR engine which is operable on various data including but not limited to patient data, network data, plan data, insurance carrier/payor data, and healthcare provider data. In an illustrative operation, the HIR engine can receive input data representative of a participating user'"'"'s benefit plan. The HIR engine can process the inputted data and correlate the inputted data against healthcare provider data, benefit plan data, healthcare network data and insurance carrier/payor data to generate and/or store an electronic healthcare card/document representative of the most up-to-date contractual obligations between the cooperating parties (e.g., healthcare provider, benefit plan administrator, healthcare network, insurance carrier, and the covered person/patient) and healthcare related information.
42 Citations
25 Claims
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1. A system for generating healthcare information and reconciliation comprising:
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a data store comprising patient data, healthcare provider data, and insurance carrier data, healthcare network data, healthcare related data, and benefit plan data;
a healthcare identification and reconciliation engine operable on the data store to generate in real-time one or more electronic healthcare cards/documents having healthcare identification and management information thereon that is representative of one or more items comprising current contractual obligations existing between cooperating parties of a healthcare system and healthcare related data; and
a means for presenting the electronic healthcare cards/documents. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19)
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20. A computer-implemented interactive method for generating current healthcare identification and reconciliation information, comprising:
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providing a graphical user interface operable to receive and display healthcare information;
receiving data from the graphical user interface representative of a participating user'"'"'s current benefit plan information;
correlating the received data against one or more of healthcare provider data, healthcare network data, benefit plan data and insurance carrier/payor data to produce verified healthcare information for the participating user; and
generating an electronic healthcare card/document having verified healthcare information representative of one or more items comprising healthcare related data and current relationships between cooperating parties comprising any of healthcare providers, benefit plan administrators, healthcare networks, insurance carriers/payors, and participating users. - View Dependent Claims (21, 22, 23, 24)
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25. A computer-readable medium that contains instructions which, when executed by a processor, causes the processor to perform an interactive method for generating healthcare identification and reconciliation information comprising the steps of:
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providing a graphical user interface operable to receive and display healthcare information;
receiving data from the graphical user interface representative of a participating user'"'"'s current benefit plan information;
correlating the received data against one or more data comprising any of healthcare provider data, healthcare network data, benefit plan data and insurance carrier/payor data to produce verified healthcare information for the participating user;
generating an electronic healthcare card/document having verified healthcare information representative of one or more current relationships between cooperating parties comprising any of healthcare providers, benefit plan administrators, healthcare networks, insurance carriers/payors, and participating users.
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Specification