Medical data draft for tracking and evaluating medical treatment
First Claim
1. A medical data draft to be used by a health care provider to authorize payment thereto for a particular procedure performed on a patient, said payment being drawn from a bank account of an insurance provider, said patient being a member of a health plan provided by said insurance provider, said medical data draft comprising:
- a first portion preprinted with spaces for insurance membership information of said patient;
a second portion preprinted with information pertaining to a bank draft, including the identifies of the payor and of the bank, and spaces for the date, the amount of the payment, and the name and other identifying indicia of the payee, wherein said payor is said insurance provider and said payee is said health care provider; and
a third portion distinct from said first and second portions and preprinted with information pertaining to the medical status of said patient and the procedure performed by said health care provider;
wherein said health care provider is authorized for a payment from said insurance provider based upon information input by said health care provider in said third portion, andwhereby completed medical data drafts can be used by said insurance provider to perform a quality review of health care services rendered by said health care provider.
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Accused Products
Abstract
The method and apparatus of this invention permit quality review by medical insurers of ambulatory patient care by gathering medical data on each and every ambulatory visit and by providing a unique data transmission system to timely and accurately report the data for analysis. Negotiable medical data drafts are provided to participating medical care providers, who are authorized to issue the draft to themselves and sign the draft at the conclusion of each patient'"'"'s visit. In exchange for immediate partial payment for services rendered, the medical service provider is required to enter the requested medical data summarizinq the patient'"'"'s visit on the data entry portions of the negotiable medical data draft. Deposit in its bank of the medical data draft by the medical care provider returns to the provider immediate cash and places the medical data in a transmission system designed and monitored for accurate and reliable handling. After making archival copies of the medical data draft, the medical data drafts are ultimately returned by the insurer'"'"'s bank to the insurer. The medical data available on the medical data draft may be analyzed by the insurer for quality review purposes. Establishment of a comprehensive data base, based on the data available from medical data drafts, enables insurers and medical professionals to examine the level of health care across the population at a level of detail previously impossible. Implementation of the method and apparatus of this invention should permit significant cost savings for the health care insurance system.
209 Citations
9 Claims
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1. A medical data draft to be used by a health care provider to authorize payment thereto for a particular procedure performed on a patient, said payment being drawn from a bank account of an insurance provider, said patient being a member of a health plan provided by said insurance provider, said medical data draft comprising:
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a first portion preprinted with spaces for insurance membership information of said patient; a second portion preprinted with information pertaining to a bank draft, including the identifies of the payor and of the bank, and spaces for the date, the amount of the payment, and the name and other identifying indicia of the payee, wherein said payor is said insurance provider and said payee is said health care provider; and a third portion distinct from said first and second portions and preprinted with information pertaining to the medical status of said patient and the procedure performed by said health care provider; wherein said health care provider is authorized for a payment from said insurance provider based upon information input by said health care provider in said third portion, and whereby completed medical data drafts can be used by said insurance provider to perform a quality review of health care services rendered by said health care provider. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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Specification
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- Resources
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Current AssigneeRex K. Kessler, Woodrow B. Kessler
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Original AssigneeRex K. Kessler, Woodrow B. Kessler
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InventorsKessler, Rex K., Kessler, Woodrow B.
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Primary Examiner(s)Rosenbaum, Mark
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Assistant Examiner(s)Bryant, David P.
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Application NumberUS07/975,984Time in Patent Office592 DaysField of Search283/67, 283/57, 283/58, 283/54, 283/900, 235/449, 235/493, 235/494, 382/7, 902/4US Class Current283/54CPC Class CodesB42D 25/29 Securities; Bank notesY10S 283/90 Medical record
