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SYSTEM AND METHOD FOR MANAGEMENT OF HEALTH CARE SERVICES

  • US 20100010828A1
  • Filed: 01/07/2009
  • Published: 01/14/2010
  • Est. Priority Date: 03/21/2001
  • Status: Abandoned Application
First Claim
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1. A system for managing health care comprising:

  • means for communicating between at least one consumer of health care services and other stakeholders in health care services, the other stakeholders including at least one health care benefits plan and insurer, at least one health care provider, at least one contributor of a defined contribution to the at least one consumer;

    the means for communication further comprising;

    means for insuring compliance with government regulation or other rules affecting items in the group including the administration of health care benefits, the provision of health care services, and the management of data concerning consumers of health care benefits and health care transactions associated with the same;

    means for determining eligibility of the at least one consumer for a particular health care service to be provided by the at least one health care provider; and

    means for processing claims on behalf of the at least one consumer for payment of or reimbursement for the particular health care service provided by the at least one health care provider.

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