System for Communication of Health Care Data
First Claim
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1. A system of health care management of medical testing administration between an insurer, a medical laboratory and at least one health care participant, the system comprising:
- a participant computer at which a medical test request is made pursuant to a first predefined format;
a processing system in communication with the participant'"'"'s computer, and through which the medical request is transferred;
a rules engine that is part of the processing system configured to approve the medical test request according to predetermined criteria; and
a laboratory computer operatively in communication with the processing system to receive the medical test request if approved;
wherein results of a medical test are transmitted from the laboratory computer to the processing system where the results are transmitted to an insurer computer and to the participant'"'"'s computer.
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Abstract
An apparatus for communicating health care data from a sender to a receiver is provided. The apparatus has a first computer system, a second computer system, and a rules engine. The first computer system has health care data stored therein. The second computer system is in operable communication with, and is configured to extract the health care data from, the first computer system. The rules engine normalizes the extracted health care data to a predefined format.
38 Citations
3 Claims
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1. A system of health care management of medical testing administration between an insurer, a medical laboratory and at least one health care participant, the system comprising:
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a participant computer at which a medical test request is made pursuant to a first predefined format;
a processing system in communication with the participant'"'"'s computer, and through which the medical request is transferred;
a rules engine that is part of the processing system configured to approve the medical test request according to predetermined criteria; and
a laboratory computer operatively in communication with the processing system to receive the medical test request if approved;
wherein results of a medical test are transmitted from the laboratory computer to the processing system where the results are transmitted to an insurer computer and to the participant'"'"'s computer. - View Dependent Claims (2, 3)
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Specification