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

• Current Assignee: Healthtrio LLC (Spok Holdings, Inc.)
• Original Assignee: Healthtrio LLC (Spok Holdings, Inc.)
• Inventors: Wallen, J. Dominic, Hasan, Malik M.
• Granted Patent: US 8,639,531 B2
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/00 Administration; Management
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

A system for transmitting healthcare data from a provider to one of a plurality of healthcare payers is provided. The system includes a routing system, and routing engine. The routing engine is in communication with at least one provider computer system and a plurality of healthcare payer computer systems. The routing engine is configured to receive uploaded healthcare data from the provider computer system send the data to one of the plurality of healthcare payer computers.

Claims

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.

2. The computer system of claim 1, wherein healthcare data from the provider can be transmitted to the routing system as the data is being entered from the provider;

and wherein that entered data is then distributed to the corresponding payer.

3. The computer system of claim 1, wherein selected healthcare data is extracted from the data files to populate a personal or electronic health record.

4. The computer system of claim 3, wherein rules are applied to select certain healthcare data including demographic data, visit/encounter information, conditions and illnesses, surgeries and procedures, medication information, lab and other types of results, immunization information, clinical notes and summaries, such as discharge summaries.