INSURANCE ESTIMATING SYSTEM
First Claim
1. A computerized method for estimating treatment related amounts, including treatment costs, contract allowable amounts, and patient payable amounts, of a health care provider for a health care patient to receive a health care product/service comprising:
- supplying a computer system that runs computer software, said computer software performing said computerized method for estimating said treatment related amounts of said health care provider for said health care patient to receive said health care product/service, said computer system having computer readable storage media for storing said computer software as well as data entry information, said estimated treatment related amounts including estimated treatment costs, an estimated allowable amount, and an estimated patient payable amount;
entering facility information for a facility that is to provide said health care product/service to said health care patient into said computer software;
entering patient information about said health care patient into said computer software;
entering insurance information about health insurance provided by an insurance company that covers said health care patient into said computer software;
entering health care code information about said health care product/service that is to be provided to said health care patient into said computer software;
entering insurance benefits information for said health insurance that covers said health care patient into said computer software;
performing estimation calculations in said computer software prior to said health care patient being discharged from said facility and prior to final costs for said health care product/service being available from said insurance company such that said estimated treatment related amounts to receive said health care product/service are calculated by taking into account said facility information, said patient information, said insurance information, said insurance benefits information, and said health care code information;
creating an estimation report in said computer program that shows said estimated treatment related amounts for said health care patient to receive said health care product/service prior to said health care patient being dismissed from said facility; and
delivering said estimation report to an interested party.
10 Assignments
0 Petitions
Accused Products
Abstract
Disclosed is a computerized method and system for estimating treatment costs for a health care product and/or service for a health care patient. The estimate of health care costs is calculated before the patient is discharged from the facility providing the health care product or service. The estimate of health care costs may also be performed prior to any treatment or admission to the health care facility of the health care patient. The estimate of treatment costs may include a patient payable amount that estimates the cost of the health care product/service that will be the patient'"'"'s responsibility. The health care patient may be billed for the health care product or service prior to discharging the health care patient and/or prior to providing the health care product or service to the health care patient. If desired, a loan for the estimated patient payable amount may be arranged and/or provided to the health care patient to pay for the patient'"'"'s portion of the cost for the health care product and/or service.
-
Citations
24 Claims
-
1. A computerized method for estimating treatment related amounts, including treatment costs, contract allowable amounts, and patient payable amounts, of a health care provider for a health care patient to receive a health care product/service comprising:
-
supplying a computer system that runs computer software, said computer software performing said computerized method for estimating said treatment related amounts of said health care provider for said health care patient to receive said health care product/service, said computer system having computer readable storage media for storing said computer software as well as data entry information, said estimated treatment related amounts including estimated treatment costs, an estimated allowable amount, and an estimated patient payable amount; entering facility information for a facility that is to provide said health care product/service to said health care patient into said computer software; entering patient information about said health care patient into said computer software; entering insurance information about health insurance provided by an insurance company that covers said health care patient into said computer software; entering health care code information about said health care product/service that is to be provided to said health care patient into said computer software; entering insurance benefits information for said health insurance that covers said health care patient into said computer software; performing estimation calculations in said computer software prior to said health care patient being discharged from said facility and prior to final costs for said health care product/service being available from said insurance company such that said estimated treatment related amounts to receive said health care product/service are calculated by taking into account said facility information, said patient information, said insurance information, said insurance benefits information, and said health care code information; creating an estimation report in said computer program that shows said estimated treatment related amounts for said health care patient to receive said health care product/service prior to said health care patient being dismissed from said facility; and delivering said estimation report to an interested party. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19)
-
-
20. An insurance estimation system for estimating treatment related amounts, including treatment costs, contract allowable amounts, and patient payable amounts of a health care provider for a health care patient to receive a health care product/service comprising:
-
a computer system that runs computer software of said insurance estimation system that estimates said treatment related amounts, said computer system having computer readable storage media for storing said computer software as well as data entry information, said estimated treatment related amounts including estimated treatment costs, an estimated allowable amount, and an estimated patient payable amount; a facility input that accepts entry of facility information for a facility that is to provide said health care product/service to said health care patient into said computer software; a patient information input that accepts entry of patient information about said health care patient into said computer software; an insurance information input that accepts entry of insurance information about health insurance provided by an insurance company that covers said health care patient into said computer software; an insurance benefits information input that accepts entry of insurance benefits information for said health insurance that covers said health care patient into said computer software; a health care code information input that accepts entry of health care code information about said health care product/service that is to be provided to said health care patient into said computer software; an estimate calculation process that performs estimation calculations in said computer software prior to said health care patient being discharged from said facility and prior to final costs for said health care product/service being available from said insurance company such that said estimated treatment related amounts to receive said health care product/service are calculated by taking into account said facility information, said patient information, said insurance information, said insurance benefits information, and said health care code information; an estimate report creation process that creates an estimation report in said computer program that shows said estimated treatment related amounts for said health care patient to receive said health care product/service prior to said health care patient being dismissed from said facility; and an estimate delivery process that delivers said estimation report to an interested party. - View Dependent Claims (21, 22, 23)
-
-
24. An insurance estimation system for estimating treatment related amounts, including treatment costs, contract allowable amounts, and patient payable amounts of a health care provider for a health care patient to receive a health care product/service comprising:
-
means for running computer software of said insurance estimation system; means for entering facility information for a facility that is to provide said health care product/service to said health care patient into said computer software; means for entering patient information about said health care patient into said computer software; means for entering insurance information about health insurance provided by an insurance company that covers said health care patient into said computer software; means for entering insurance benefits information for said health insurance that covers said health care patient into said computer software; means for entering health care code information about said health care product/service that is to be provided to said health care patient into said computer software; means for performing estimation calculations in said computer software prior to said health care patient being discharged from said facility and prior to final costs for said health care product/service being available from said insurance company such that said estimated treatment related amounts to receive said health care product/service are calculated by taking into account said facility information, said patient information, said insurance information, said insurance benefits information, and said health care code information; creating an estimation report in said computer program that shows said estimated treatment related amounts for said health care patient to receive said health care product/service prior to said health care patient being dismissed from said facility; and means for delivering said estimation report to an interested party.
-
Specification