VERIFICATION PROCESSING FOR BROKERED ENGAGEMENTS
First Claim
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1. A computer-implemented method comprising:
- receiving from a consumer device a request to consult with a service provider, the request including consumer personal information, plan sponsor information, and a plan identification;
determining eligibility of a consumer associated with the request, to engage in the consultation under a service plan corresponding to the plan identification; and
while determining eligibility,determining by one or more computer systems a service provider to engage in a real-time consultation with the consumer;
receiving eligibility information that indicates the consumer'"'"'s eligibility and level of access to services and co-pays required by the plan;
adding by the one or more computer systems an entry corresponding to the consumer to a queue maintained for the service provider; and
when the entry corresponding to the consumer in the queue is at the top of the queue,causing by the one or more computer systems establishment of a real-time communication channel between a device used by the provider and the device used by the consumer.
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Abstract
Described are techniques for providing broker services to consumers and service providers. The techniques include verification of consumer eligibility to consult with a service provider and techniques for determining a consumer'"'"'s level of access and co-pays.
12 Citations
20 Claims
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1. A computer-implemented method comprising:
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receiving from a consumer device a request to consult with a service provider, the request including consumer personal information, plan sponsor information, and a plan identification; determining eligibility of a consumer associated with the request, to engage in the consultation under a service plan corresponding to the plan identification; and
while determining eligibility,determining by one or more computer systems a service provider to engage in a real-time consultation with the consumer; receiving eligibility information that indicates the consumer'"'"'s eligibility and level of access to services and co-pays required by the plan; adding by the one or more computer systems an entry corresponding to the consumer to a queue maintained for the service provider; and
when the entry corresponding to the consumer in the queue is at the top of the queue,causing by the one or more computer systems establishment of a real-time communication channel between a device used by the provider and the device used by the consumer. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A computer program product tangibly stored on a computer readable storage device for providing broker services to consumers and service providers, the computer program product comprising instructions for causing a computer to:
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receive from a consumer device a request to consult with a service provider, the request including consumer personal information, plan sponsor information, and a plan identification; determine eligibility of a consumer associated with the request, to engage in the consultation under a service plan corresponding to the plan identification; and
while determining eligibility,determine a service provider to engage in a real-time consultation with the consumer; receive eligibility information that indicates the consumer'"'"'s eligibility and level of access to services and co-pays required by the plan; add an entry corresponding to the consumer to a queue maintained for the service provider; and
when the entry corresponding to the consumer in the queue is at the top of the queue,cause establishment of a real-time communication channel between a device used by the provider and the device used by the consumer. - View Dependent Claims (12, 13, 14, 15)
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16. An apparatus comprising:
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a processor; memory in communication with the processor; and a computer program product stored on a computer readable medium for providing broker services to consumers and service providers, the computer program product comprising instructions for causing the processor to; receive from a consumer device a request to consult with a service provider, the request including consumer personal information, plan sponsor information, and a plan identification; determine eligibility of a consumer associated with the request, to engage in the consultation under a service plan corresponding to the plan identification; and
while determining eligibility,determine a service provider to engage in a real-time consultation with the consumer; receive eligibility information that indicates the consumer'"'"'s eligibility and level of access to services and co-pays required by the plan; add an entry corresponding to the consumer to a queue maintained for the service provider; and
when the entry corresponding to the consumer in the queue is at the top of the queue,cause establishment of a real-time communication channel between a device used by the provider and the device used by the consumer. - View Dependent Claims (17, 18, 19, 20)
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Specification