INTEGRATED HEALTHCARE AND FINANCIAL CARD

• US 20070100664A1
• Filed: 11/03/2006
• Published: 05/03/2007
• Est. Priority Date: 11/03/2005
• Status: Abandoned Application

• Current Assignee: Instamed, InstaMed Communications, LLC (JP Morgan Chase & Co)
• Original Assignee: InstaMed Communications, LLC (JP Morgan Chase & Co)
• Inventors: Marvin, William, Bentow, Brian, Seib, Christopher
• Application Number:
  US11/556,551
• Publication Number:
  US 20070100664A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 20/105 involving programming of a portable memory device, e.g. IC cards, "electronic purses"
• CPC Class Codes: G06Q 20/14 specially adapted for billing systems
• CPC Class Codes: G06Q 20/24 Credit schemes, i.e. "pay after"
• CPC Class Codes: G06Q 40/08 Insurance

Abstract

A magnetic swipe card for storing and transmitting data is described herein. The magnetic swipe card includes a magnetic stripe having at least two tracks holding encoded data. A first track at least includes data for at least one first party payment source. A second track at least includes data for healthcare eligibility information for at least one card holder, and or at least one unique identifier or a format identifier referencing healthcare eligibility information.

Claims

1. A magnetic swipe card for storing and transmitting data comprising a magnetic stripe having at least two tracks holding encoded data wherein a first track at least includes data for at least one first party payment source and a second track at least includes data for healthcare eligibility information for at least one card holder, said healthcare eligibility information further comprising at least one unique identifier or format code identifier, wherein the unique identifier or format code identifier is different from an identifier on the first track.

2. The magnetic swipe card of claim 1, wherein the at least one unique identifier is assigned by a service provider and wherein the unique identifier is a combination of characters unique to an individual holding the magnetic swipe card.

3. The magnetic swipe card of claim 1, wherein the at least one format code identifier is assigned by a service provider and wherein the format code identifier refers to a field in a database, table or reference sheet maintained by the service provider.

4. The magnetic swipe card of claim 1, wherein a unique identifier or format code identifier on the card, subscriber information on the card, patient information on the card, or a combination thereof provides a healthcare service provider with access to personal and benefit and eligibility information held by the service provider sufficient to launch a HIPAA compliant eligibility inquiry.

5. The magnetic swipe card of claim 1, wherein the at least first party payer entity is selected from a savings account, a checking account, a debit account, a credit card account, an electronic benefit transfer account, and a prepaid account.

6. The magnetic swipe card of claim 1, wherein the healthcare eligibility data on the second track comprises at least one unique identifier or format code identifier, personal data for at least one card holder, data for at least one payer entity, at least one third party payment source for the at least one card holder, and combinations thereof.

7. The magnetic swipe card of claim 1, wherein at least one payer entity is a healthcare payer entity or an insurance company.

8. The magnetic swipe card of claim 1, wherein the third party payment source is selected from government assistance, social security, cafeteria plan, gift certificate, loyalty credit, and insurance settlement account.

9. The magnetic swipe card of claim 1, wherein the first track at least comprises a field holding a first party payment account holder name or equivalent sub-fields and a field holding a first party payment account number or equivalent sub-fields.

11. The magnetic swipe card of claim 1, wherein the second track comprises fields selected from one or more subscriber ID, one or more subscriber ID qualifier, a subscriber date of birth, at least one payer entity ID, at least one payer entity qualifier, a subscriber name, a subscriber gender, a card format version number, a patient name, a patient relationship to a subscriber, a patient gender, at least one patient ID, at least one patient qualifier, and combinations thereof.

12. The magnetic swipe card of claim 1, wherein the card may be used for a financial transaction, healthcare benefit and eligibility transaction, or a combination thereof.

10. The magnetic swipe card of claim n9, wherein at least the first track is ISO/IEC compliant.

13. A method for initiating a financial transaction using a magnetic swipe card comprising:

providing a magnetic swipe card, said card comprising a magnetic stripe having at least two tracks holding encoded data wherein a first track at least includes data for at least one first party payment source and a second track at least includes data for healthcare eligibility information for at least one card holder, said healthcare eligibility information further comprising at least one unique identifier or format code identifier, wherein the at least one unique identifier or format code identifier is different from an identifier on the first track;

scanning the magnetic swipe card; and

performing at least one of a financial transaction, a healthcare benefit and eligibility transaction.

14. A method for initiating a financial transaction using a magnetic swipe card comprising:

providing a magnetic swipe card, said card comprising a magnetic stripe having at least two tracks holding encoded data wherein a first track at least includes data for at least one first party payment source and a second track at least includes data for healthcare eligibility information for at least one card holder, said healthcare eligibility information further comprising at least one unique identifier or format code identifier, wherein the at least one unique identifier or format code identifier is different from an identifier on the first track;

scanning the magnetic swipe card;

determining benefit eligibility for an individual from information provided on the card;

compiling benefit eligibility information, payment source information, and cost of services provided information;

estimating an amount for which the individual is responsible;

acquiring authorization from the individual to deduct the estimated amount from the at least one first party payment source;

submitting one or more claim to the at least one payer entity; and

deducting the amount for which the individual is responsible from the at least one first party payment source.

15. The method of claim 14, further comprising retrieving information selected from personal data for at least one card holder, eligibility and benefit data for the at least one card holder from at least one payer entity, at least one third party payment source for the at least one card holder, and combinations thereof from a service provider using the unique identifier or format code identifier on the card, subscriber information on the card, patient information on the card, or a combination thereof.

16. The method of claim 14, wherein the healthcare eligibility information for at least one card holder further comprises personal data for at least one card holder, data for at least one payer entity, data for one or more third party payment source, and combinations thereof.

17. The method of claim 14, wherein at least one of the steps of deducting or verifying eligibility information when the card is scanned occurs automatically.

18. The method of claim 14, wherein the step of acquiring authorization occurs automatically.

19. The method of claim 14, wherein the steps of determining benefit eligibility, estimating the amount for which an individual is responsible, submitting a claim, and deducting the amount for which the individual is responsible occur on a processor.

20. The method of claim 14, wherein the steps of determining benefit eligibility, estimating the amount for which an individual is responsible, submitting a claim, and deducting the amount for which the individual is responsible are completed by a service provider.

21. A system for facilitating payment using a magnetic swipe card comprising:

a magnetic swipe card comprising a magnetic stripe having at least two tracks holding encoded data wherein a first track at least includes data for at least one first party payment source and a second track at least includes data for healthcare eligibility information for at least one card holder, said healthcare eligibility information further comprising at least one unique identifier or format code identifier, wherein the unique identifier or format code identifier is different from an identifier on the first track;

a POS terminal. where the magnetic swipe card is scanned;

a processor for receiving information from the magnetic swipe card amid utilizing the information from the magnetic swipe card to determine benefit eligibility and an amount for which an individual is responsible;

a means for retrieving data for determining benefit eligibility information, personal information for at least one card holder, first party payment source information, third party payment source information, payer entity information, and combinations thereof;

a means for submitting a claim; and

a means for deducting the amount for which the individual is responsible from at least one first party payment source.

22. The system of claim 21 wherein the means for retrieving data, submitting the claim, and deducting the amount for which the individual is responsible is a service provider.