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SYSTEM AND METHOD FOR MEETING PAYER PROTOCOLS

  • US 20080288280A1
  • Filed: 05/15/2007
  • Published: 11/20/2008
  • Est. Priority Date: 05/15/2007
  • Status: Abandoned Application
First Claim
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1. A method of processing healthcare service data to determine if additional content data is required, the method comprising:

  • receiving healthcare service data;

    receiving at least one protocol from at least one knowledge source comprising at least one protocol derived by automated learning from historical healthcare service data;

    applying the at least one protocol to the healthcare service data to determine if additional content data is required to meet the at least one protocol;

    generating a response indicative of the content data required to meet the at least one protocol, upon determining that additional content data is required; and

    generating a response indicative of the next workflow step, upon determining that no additional content data is required.

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