SYSTEM AND METHODS FOR PERFORMING DISTRIBUTED PAYMENT TRANSACTIONS

• US 20070162306A1
• Filed: 01/11/2007
• Published: 07/12/2007
• Est. Priority Date: 01/11/2006
• Status: Abandoned Application

• Current Assignee: Elifecare Enterprises, Inc.
• Original Assignee: Elifecare Enterprises, Inc.
• Inventors: Peters, James, Austin, Gary
• Application Number:
  US11/622,388
• Publication Number:
  US 20070162306A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/00 Administration; Management
• CPC Class Codes: G06Q 10/06 Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
• CPC Class Codes: G06Q 20/10 specially adapted for electronic funds transfer [EFT] systems; specially adapted for home banking systems
• CPC Class Codes: G06Q 30/04 Billing or invoicing
• CPC Class Codes: G06Q 30/06 Buying, selling or leasing transactions
• CPC Class Codes: G06Q 40/02 Banking, e.g. interest calculation or account maintenance credit or loans G06Q40/03
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

An interoperable process and device for its practice for ensuring that a payment is made by a payor for services rendered. The process includes receiving information from at least one stakeholder indicating that a payment process should be completed. The process further includes funding a service provided by a service provider that has been provided.

Claims

1. A process of ensuring that a payment is made by a payor for services rendered comprising the steps of:

receiving information indicating that a service has been rendered by a service provider and a payment process should be completed;

exchanging information with at least one entity regarding the service rendered by the service provider and the payment process; and

directing funding of the service provided by a service provider that has been provided after determining that payment is appropriate based on the information.

2. The process according to claim 1 wherein the at least one entity comprises one of an IHR patient database, a merchant processor, e-prescriber, a collections entity, trust administrator, claims administrator, a financial institution, and a PPO re-pricer.

3. The process according to claim 1 wherein exchanging information comprises receiving at least one of claims administration data from an insurance entity, payment information from a merchant processor, patient data, collections information, and medical data.

4. The process according to claim 1 wherein the entity comprise various individuals of the medical industry.

5. The process according to claim 1 wherein the service comprises a healthcare medical visit and payment process is the payment for the service.

6. The process according to claim 1 wherein the process further comprises patient fee collection.

7. The process according to claim 1 wherein the payment process further comprises merchant payment processing.

8. The process according to claim 1 wherein the process comprises an electronic prescription processing.

9. The process according to claim 1 wherein the process comprises receiving information from an electronic check-in.

10. The process according to claim 1 further comprising the step of administering claims through at least one of a PPO or a re-pricer.

11. The process according to claim 1 further comprising the step of funding the service provider with a first advance amount.

12. The process according to claim 11 further comprising the step of funding the service provider with a remaining advance amount.

13. The process according to claim 1 further comprising the step of recording data for the RHIO or for mining various outcomes based on received data.

14. A payment processing transaction system comprising:

a platform configured to receive information indicating that a service has been rendered by a service provider and a payment process should be completed;

said platform further configured to exchange information with at least one entity regarding the service rendered by the service provider and the payment process; and

said platform further configured to direct funding of the service provided by a service provider that has been provided after determining that payment is appropriate based on the information.

15. The system according to claim 14 wherein the at least one entity comprises one of an IHR patient database, a merchant processor, e-prescriber, a collections entity, trust administrator, claims administrator, a financial institution, and a PPO re-pricer.

16. The system according to claim 14 wherein exchanging information comprises receiving at least one of claims administration data from an insurance entity, payment information from a merchant processor, patient data, collections information, and medical data.

17. A system of ensuring that a payment is made by a payor for services rendered comprising:

means for receiving information indicating that a service has been rendered by a service provider and a payment process should be completed;

means for exchanging information with at least one entity regarding the service rendered by the service provider and the payment process; and

means for directing funding of the service provided by a service provider that has been provided after determining that payment is appropriate based on the information.

18. The system according to claim 17 wherein the at least one entity comprises one of an IHR patient database, a merchant processor, e-prescriber, a collections entity, trust administrator, claims administrator, a financial institution, and a PPO re-pricer.

19. The system according to claim 17 wherein exchanging information comprises receiving at least one of claims administration data from an insurance entity, payment information from a merchant processor, patient data, collections information, and medical data.