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SYSTEM FOR COMMUNICATION OF HEALTH CARE DATA

  • US 20100241458A1
  • Filed: 04/15/2010
  • Published: 09/23/2010
  • Est. Priority Date: 10/11/2000
  • Status: Active Grant
First Claim
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1. A computer system for transmitting healthcare data from a provider to one of a plurality of healthcare payers, the system comprising:

  • a routing engine in communication with at least one provider computer system and a plurality of healthcare payer computer systems;

    wherein the routing engine is configured to receive uploaded healthcare data in a data file from the provider computer system;

    wherein the routing engine as part of the routing system, is also configured to route the healthcare data to the plurality of healthcare payer computers;

    wherein the routing engine is further configured to validate the received data file and determine whether there are multiple transactions in the data file and separate any of the multiple transactions;

    wherein for each transaction, the routing engine is configured to determine the identity of one of the plurality of healthcare payer computers;

    wherein the routing engine further comprises a healthcare payer configuration file containing identities and routing addresses of the healthcare payer computers;

    wherein the healthcare payer configuration file can pair the transactions with their corresponding healthcare payer computers; and

    wherein the routing engine is configured to send the transactions to their corresponding healthcare payer computers.

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