Systems and methods for automatically generating bids for medical services and goods
First Claim
1. A computer implemented method for reducing costs for medical imaging services, the method comprising:
- (a) maintaining service provider information which includes, for each of a plurality of medical imaging services providers within a payor'"'"'s network, a list of medical imaging services that are provided by the service provider and a corresponding fee charged for each of the medical imaging services;
(b) receiving, from a referrer, an order for a recommended medical imaging service for a patient, wherein the payor is responsible for paying at least a portion the fee charged for the recommended medical imaging service;
(c) automatically generating bids, for performing the recommended medical imaging service, on behalf of service providers that are capable of performing the recommended medical imaging service, said bids being automatically generated based on the maintained service provider information, and(d) selecting at least one said bid.
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Abstract
Computer implemented methods and systems for reducing costs for medical goods or service. In accordance with an embodiment, a host system maintains service provider information which includes, for each of a plurality of medical imaging service providers within a payor'"'"'s network, a list of medical imaging services that are provided by the service provider and a corresponding fee charged for each of the medical imaging services. In response to receiving an order, from a referrer, for a recommended medical imaging service, the system automatically generates bids, for performing the recommended medical imaging service, on behalf of service providers that are capable of performing the recommended medical imaging service. Such bids are automatically generated based on the maintained service provider information. The system also selects at least one bid. Where more than one bid is selected, a patient can be given the option of making the final selection.
46 Citations
20 Claims
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1. A computer implemented method for reducing costs for medical imaging services, the method comprising:
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(a) maintaining service provider information which includes, for each of a plurality of medical imaging services providers within a payor'"'"'s network, a list of medical imaging services that are provided by the service provider and a corresponding fee charged for each of the medical imaging services; (b) receiving, from a referrer, an order for a recommended medical imaging service for a patient, wherein the payor is responsible for paying at least a portion the fee charged for the recommended medical imaging service; (c) automatically generating bids, for performing the recommended medical imaging service, on behalf of service providers that are capable of performing the recommended medical imaging service, said bids being automatically generated based on the maintained service provider information, and (d) selecting at least one said bid. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
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12. A system for reducing costs for medical imaging services, the method comprising:
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one or more database for maintaining service provider information which includes, for each of a plurality of medical imaging services providers within a payor'"'"'s network, a list of medical imaging services that are provided by the service provider and a corresponding fee charged for each of the medical imaging services; one or more processor to receive, from a referrer, an order for a recommended medical imaging service for a patient, wherein the payor is responsible for paying at least a portion the fee charged for the recommended medical imaging service; automatically generate bids, for performing the recommended medical imaging service, on behalf of service providers that are capable of performing the recommended medical imaging service, said bids being automatically generated based on the maintained service provider information, and select at least one said bid. - View Dependent Claims (13, 14, 15, 16, 17)
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18. A computer implemented method for reducing costs for obtaining medical goods or services, the method comprising:
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(a) maintaining information which includes, for each of a plurality of medical good or service providers within a payor'"'"'s network, a list of medical goods or services that are provided by the provider and a corresponding fee charged for each of the medical goods or services; (b) receiving, from a referrer, an order for a recommended medical good or service for a patient, wherein the payor is responsible for paying at least a portion the fee charged for the recommended medical good or service; (c) automatically generating bids, for providing the recommended medical good or service, on behalf of service providers that are capable of providing the recommended medical good or service, said bids being automatically generated based on the maintained service provider information, and (d) selecting at least one said bid. - View Dependent Claims (19, 20)
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Specification