CONCEPTS FOR VIEWING AND ACCESSING CLAIM VERSIONS

• US 20130262976A1
• Filed: 03/30/2012
• Published: 10/03/2013
• Est. Priority Date: 03/29/2012
• Status: Abandoned Application

• Current Assignee: Change Healthcare Holdings, LLC (UnitedHealth Group Incorporated)
• Original Assignee: Mckesson Financial Holdings Limited (McKesson Corp.)
• Inventors: WEBER, TRACY ANN, GALIK, MARK, BELANGER, CHRISTINE
• Application Number:
  US13/434,918
• Publication Number:
  US 20130262976A1
• Time in Patent Office: Days
• US Class Current: 715/229
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 50/10 Services

Abstract

Systems, methods, apparatus, and computer program products are provided for accessing, navigating, and displaying multiple versions of claims in an efficient and customer-friendly manner. In various embodiments, claims can be processed and stored such that they can be displayed via an interface in a graphical format (e.g., textual, circular, hierarchical, etc.).

Claims

1. A method for viewing claim versions, the method comprising:

receiving, via one or more processors, a first version of a claim;

storing, via the one or more processors, the first version of the claim in association with (a) a date and a time, (b) an external claim identifier, and (c) a first internal claim identifier corresponding to the first version of the claim;

receiving, via the one or more processors, a second version of the claim; and

storing, via the one or more processors, the second version of the claim in association with (a) a date and a time, (b) the external claim identifier, and (c) a second internal claim identifier corresponding to the second version of the claim.

2. The method of claim 1 further comprising causing display (a) of at least a portion of the first version of the claim, (b) of at least a portion of the second version of the claim, and (c) the relationship between the first version of the claim and the second version of the claim in a graphical format based at least in part on the external claim identifier.

3. The method of claim 2 further comprising indicating the second version of the claim as the current version of the claim.

4. The method of claim 3 further comprising:

processing the second version of the claim in accordance with one or more claims processing rules; and

storing the processed second version of the claim as a third version of the claim, wherein the third version of the claim is stored in association with (a) a date and a time the second version of the claim was processed, (b) the external claim identifier, and (c) the second internal claim identifier corresponding to the second version of the claim.

5. The method of claim 4 further comprising indicating the third version of the claim as the current version of the claim.

6. The method of claim 5 further comprising causing display (a) of at least a portion of the first version of the claim, (b) of at least a portion of the second version of the claim, (c) of at least a portion of the third version of the claim, and (d) the relationship between the first version of the claim, the second version of the claim, and the third version of the claim in a graphical format based at least in part on the external identifier and the second internal claim identifier.

7. The method of claim 1 further comprising:

receiving input requesting display of information associated with the second version of the claim; and

causing display of the information associated with the second version of the claim.

8. The method of claim 1, wherein the graphical format indicates that the information associated with the second version of the claim is being displayed.

9. The method of claim 1 further comprising populating a claim version name field for the first version of the claim.

10. The method of claim 1 further comprising:

determining a total number of claim versions associated with the external claim identifier; and

causing display of the total number of claim versions associated with the external claim identifier.

11. The method of claim 1 further comprising causing display of an indication that the first version of the claim is locked.

12. The method of claim 1 further comprising causing display of an indication that a specific action has been performed for the claim.

17. The computer program product of claim 1 further comprising an executable portion configured to indicate the third version of the claim as the current version of the claim.

18. The computer program product of claim 17 further comprising an executable portion configured to cause display (a) of at least a portion of the first version of the claim, (b) of at least a portion of the second version of the claim, (c) of at least a portion of the third version of the claim, and (d) the relationship between the first version of the claim, the second version of the claim, and the third version of the claim in a graphical format based at least in part on the external identifier and the second internal claim identifier.

13. A computer program product for viewing claim versions, the computer program product comprising at least one non-transitory computer-readable storage medium having computer-readable program code portions stored therein, the computer-readable program code portions comprising:

an executable portion configured to receive a first version of a claim;

an executable portion configured to store the first version of the claim in association with (a) a date and a time, (b) an external claim identifier, and (c) a first internal claim identifier corresponding to the first version of the claim;

an executable portion configured to receive a second version of the claim; and

an executable portion configured to store the second version of the claim in association with (a) a date and a time, (b) the external claim identifier, and (c) a second internal claim identifier corresponding to the second version of the claim.

14. The computer program product of claim 13 further comprising an executable portion configured to cause display (a) of at least a portion of the first version of the claim, (b) of at least a portion of the second version of the claim, and (c) the relationship between the first version of the claim and the second version of the claim in a graphical format based at least in part on the external claim identifier.

15. The computer program product of claim 14 further comprising an executable portion configured to indicate the second version of the claim as the current version of the claim.

16. The computer program product of claim 15 further comprising:

an executable portion configured to process the second version of the claim in accordance with one or more claims processing rules; and

an executable portion configured to store the processed second version of the claim as a third version of the claim, wherein the third version of the claim is stored in association with (a) a date and a time the second version of the claim was processed, (b) the external claim identifier, and (c) the second internal claim identifier corresponding to the second version of the claim.

19. The computer program product of claim 13 further comprising:

an executable portion configured to receive input requesting display of information associated with the second version of the claim; and

an executable portion configured to cause display of the information associated with the second version of the claim.

20. The computer program product of claim 13, wherein the graphical format indicates that the information associated with the second version of the claim is being displayed.

21. The computer program product of claim 13 further comprising an executable portion configured to populate a claim version name field for the first version of the claim.

22. The computer program product of claim 13 further comprising:

an executable portion configured to determine a total number of claim versions associated with the external claim identifier; and

an executable portion configured to cause display of the total number of claim versions associated with the external claim identifier.

23. The computer program product of claim 13 further comprising an executable portion configured to cause display of an indication that the first version of the claim is locked.

24. The computer program product of claim 13 further comprising an executable portion configured to cause display of an indication that a specific action has been performed for the claim.

25. An apparatus comprising at least one processor and at least one memory including computer program code, the at least one memory and the computer program code configured to, with the processor, cause the apparatus to at least:

receive a first version of a claim;

store the first version of the claim in association with (a) a date and a time, (b) an external claim identifier, and (c) a first internal claim identifier corresponding to the first version of the claim;

receive a second version of the claim; and

store the second version of the claim in association with (a) a date and a time, (b) the external claim identifier, and (c) a second internal claim identifier corresponding to the second version of the claim.

26. The apparatus of claim 25, wherein the memory and computer program code are further configured to, with the processor, cause the apparatus to cause display (a) of at least a portion of the first version of the claim, (b) of at least a portion of the second version of the claim, and (c) the relationship between the first version of the claim and the second version of the claim in a graphical format based at least in part on the external claim identifier.

27. The apparatus of claim 26, wherein the memory and computer program code are further configured to, with the processor, cause the apparatus to indicate the second version of the claim as the current version of the claim.

28. The apparatus of claim 27, wherein the memory and computer program code are further configured to, with the processor, cause the apparatus to:

process the second version of the claim in accordance with one or more claims processing rules; and

store the processed second version of the claim as a third version of the claim, wherein the third version of the claim is stored in association with (a) a date and a time the second version of the claim was processed, (b) the external claim identifier, and (c) the second internal claim identifier corresponding to the second version of the claim.

29. The apparatus of claim 28, wherein the memory and computer program code are further configured to, with the processor, cause the apparatus to indicate the third version of the claim as the current version of the claim.

30. The apparatus of claim 29, wherein the memory and computer program code are further configured to, with the processor, cause the apparatus to cause display (a) of at least a portion of the first version of the claim, (b) of at least a portion of the second version of the claim, (c) of at least a portion of the third version of the claim, and (d) the relationship between the first version of the claim, the second version of the claim, and the third version of the claim in a graphical format based at least in part on the external identifier and the second internal claim identifier.

31. The apparatus of claim 25, wherein the memory and computer program code are further configured to, with the processor, cause the apparatus to:

receive input requesting display of information associated with the second version of the claim; and

cause display of the information associated with the second version of the claim.

32. The apparatus of claim 25, wherein the graphical format indicates that the information associated with the second version of the claim is being displayed.

33. The apparatus of claim 25, wherein the memory and computer program code are further configured to, with the processor, cause the apparatus to populate a claim version name field for the first version of the claim.

34. The apparatus of claim 25, wherein the memory and computer program code are further configured to, with the processor, cause the apparatus to:

an executable portion configured to determine a total number of claim versions associated with the external claim identifier; and

an executable portion configured to cause display of the total number of claim versions associated with the external claim identifier.

35. The apparatus of claim 25, wherein the memory and computer program code are further configured to, with the processor, cause the apparatus to cause display of an indication that the first version of the claim is locked.

36. The apparatus of claim 25, wherein the memory and computer program code are further configured to, with the processor, cause the apparatus to cause display of an indication that a specific action has been performed for the claim.