Medical services and goods exchange
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 of the fee charged for the recommended medical imaging service;
(c) identifying, based on the maintained service provider information, service providers that are capable of performing the recommended medical imaging service; and
(d) selecting at least one service provider capable of performing the recommended medical imaging service.
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Accused Products
Abstract
Computer implemented methods and systems for reducing costs for medical goods and services. In an embodiment, a host system maintains service provider information, which includes, for each of a plurality of medical imaging services providers within the payor'"'"'s network, a list of medical imaging services that are provided by the service provider and a corresponding fee charged for each medical imaging service. In response to receiving an order, from a referrer, for a recommended medical imaging service for a patient, the system identifies, based on the service provider information, service providers capable of performing the recommended medical imaging service. The system also selects at least one service provider capable of performing the recommended medical imaging service. Where more than one service provider is selected, a patient can be given the option of making a final selection of which service provider will perform the medical imaging service for the patient.
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Citations
31 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 of the fee charged for the recommended medical imaging service; (c) identifying, based on the maintained service provider information, service providers that are capable of performing the recommended medical imaging service; and (d) selecting at least one service provider capable of performing the recommended medical imaging service. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29)
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30. A machine readable medium having instructions stored thereon that when executed by one or more processor cause a system to:
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have access to maintained 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; 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; identify, based on the maintained service provider information, service providers that are capable of performing the recommended medical imaging service; and select at least one service provider from the service providers identified as being capable of performing the recommended medical imaging service.
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31. A system for reducing costs for medical imaging services, the system comprising:
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one or more database to maintain service provider information which includes, for each of a plurality of medical imaging services providers within the 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; identify, based on the maintained service provider information, service providers that are capable of performing the recommended medical imaging service; and select at least one service provider from the service providers identified as being capable of performing the recommended medical imaging service.
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Specification