SYSTEM FOR COMMUNICATION OF HEALTH CARE DATA
First Claim
1. A computer system that extracts health care claims data from a plurality of health care payors to identify meaningful relationships or patterns in treatments across multiple payors for improving quality of care, the computer system comprising:
- a computer configured to communicate with payor computer systems from two or more payors;
wherein the payor computer systems are of a type that includes one or more databases storing records of the health care claims data;
wherein the normalized format is of a type that displays health care data from one or more sources such that any health care data having the same meaning will be expressed in the same format despite any prior formatting;
a staging database in communication with the computer;
wherein the staging database is configured to receive the claims data from each of the payor computer systems;
wherein the claims data from each of the payor computer systems is converted into the normalized format by a normalization system comprising;
a rules engine that predetermines how each of the claims data is to appear in its respective field, and remodels any claims data not expressed as predetermined by the normalized format into the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format; and
a data analysis module in communication with the computer and configured to identify patterns or relationships in data across multiple patients.
2 Assignments
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Accused Products
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.
80 Citations
11 Claims
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1. A computer system that extracts health care claims data from a plurality of health care payors to identify meaningful relationships or patterns in treatments across multiple payors for improving quality of care, the computer system comprising:
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a computer configured to communicate with payor computer systems from two or more payors; wherein the payor computer systems are of a type that includes one or more databases storing records of the health care claims data; wherein the normalized format is of a type that displays health care data from one or more sources such that any health care data having the same meaning will be expressed in the same format despite any prior formatting; a staging database in communication with the computer; wherein the staging database is configured to receive the claims data from each of the payor computer systems; wherein the claims data from each of the payor computer systems is converted into the normalized format by a normalization system comprising;
a rules engine that predetermines how each of the claims data is to appear in its respective field, and remodels any claims data not expressed as predetermined by the normalized format into the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format; anda data analysis module in communication with the computer and configured to identify patterns or relationships in data across multiple patients. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
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Specification