System and methods for performing distributed transactions

• US 20070162308A1
• 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
• Application Number:
  US11/652,096
• Publication Number:
  US 20070162308A1
• 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

A system and methods is described for providing unified and secure centralizing information management to permit interoperability of disparate stakeholders in the healthcare industry access and update information under a common scheme thereby creating a more efficient delivery system for all the stakeholders such as patients, doctors, clinics, hospitals, insurance companies, pharmacies and related healthcare entities.

Claims

4-1. The system of claim 1, further comprising a network for interconnecting the stakeholders and the logically centralized database.

10. A method of providing interoperability for different types of stakeholders in the healthcare industry, the steps comprising:

identifying a type of stakeholder;

determining a need of the stakeholder;

identifying a software component to satisfy the need of the stakeholder based on the type of stakeholder;

integrating the identified software component with a medical records system associated with the stakeholder; and

exchanging data using the integrated software component by converting information in one format into a different format for access by another stakeholder to deliver a healthcare related transaction.

11. The method of claim 10, wherein the different types of stakeholders include at least any two of:

a patient, a healthcare service provider, an employer, a pharmacy, a pharmaceutical company, a clearing house, a government that regulates insurers, an association, a union, a laboratory, financial institution and an insurance company.

12. The method of claim 10, wherein the type of stakeholder includes a specialist healthcare provider.

13. The method of claim 10, further comprising customizing an existing medical records system for the stakeholder in order to communicate information with other stakeholders.

14. The method of claim 10, wherein the healthcare related transaction comprises a clean claim for an insurance related transaction.

15. The method of claim 14, wherein the clean claim is verified for completeness and accuracy prior to submission to an insurance company.

16. A method for providing interoperability in the healthcare industry that includes a system comprising:

a logically centralized database having information records related to a plurality of different stakeholders, wherein each stakeholder is a member of at least one category of stakeholders include at least a patient member, a medical provider and an insurance company;

a plurality of disparate medical records systems each provided by a different vendor and having different internal formats of data;

at least one integration component interfaced with each of the plurality of disparate medical records systems to normalize the information in each disparate medical records system and to permit access to the normalized information by the different stakeholders;

the method comprising the steps of;

querying the logically centralized database by a first stakeholder;

receiving a response from the centralized database that provides information concerning at least a second stakeholder; and

completing a healthcare related transaction based on the response.

17. The method of claim 16, wherein the healthcare related transaction comprises any one of a patient record update, a patient information lookup, a pharmaceutical patient outcome, a financial transaction, an insurance claim and a report based on aggregated data related to a plurality of patients.