Method And Apparatus For Generating Proxy Eligibility Data
First Claim
Patent Images
1. A method comprising:
- receiving input data comprising at least one of a) claim data, or b) an attributed patient list; and
with a processor, generating proxy eligibility data based on the input data, wherein the proxy eligibility data comprises eligibility data by patient.
3 Assignments
0 Petitions
Accused Products
Abstract
A method, apparatus, and computer program product are described herein for generating proxy eligibility data. Input data may be received, such as claim data from a health plan and/or provider organization, or attributed patient lists including patient identifiers of patients currently eligible for coverage in an Accountable Care Organization (ACO). Patient eligibility data may be determined based on the input data, and may be used in generating cost, quality, and/or utilization, metrics, and assessing risk for provider organizations.
5 Citations
23 Claims
-
1. A method comprising:
-
receiving input data comprising at least one of a) claim data, or b) an attributed patient list; and with a processor, generating proxy eligibility data based on the input data, wherein the proxy eligibility data comprises eligibility data by patient. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15)
-
-
16. 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 input data comprising at least one of;
a) claim data, or b) an attributed patient list; andgenerate proxy eligibility data based on the input data, wherein the proxy eligibility data comprises eligibility data by patient. - View Dependent Claims (17, 18, 19)
-
-
20. A computer program product comprising at least one non-transitory computer-readable storage medium having computer-executable program code instructions stored therein, the computer-executable program code instructions comprising program code instructions to:
-
receive input data comprising at least one of;
a) claim data, or b) an attributed patient list; andgenerate proxy eligibility data based on the input data, wherein the proxy eligibility data comprises eligibility data by patient. - View Dependent Claims (21, 22, 23)
-
Specification