Medical network management article of manufacture
First Claim
1. An article of manufacture for use with a data processing system, comprising a storage medium having stored therein a medical provider information stored program, and a medical provider database describing clinical services or procedures available from each provider by clinical codes or procedure codes in said data processing system, said data processing system being configured by said medical provider information stored program when executed by said data processing system to use said clinical codes or said procedural codes to identify a medical provider from said medical provider database for providing a specific medical service to a patient.
3 Assignments
0 Petitions
Accused Products
Abstract
In a medical network management system (NMS) (20), health plan beneficiaries access a team of health care professionals over the telephone to help them assess their health needs and select appropriate care. The NMS (20) is implemented with an article of manufacture for use with a data processing system (13). A storage medium (15) has stored therein a medical provider information stored program (22) and a medical provider database (24). The medical provider database describes clinical services or procedures available from each provider by clinical codes or procedure codes. The data processing system (13) is configured by the medical provider information stored program (22) when executed by the data processing system (13) to use the clinical codes or procedure codes to identify a medical provider from the medical provider database for providing a specific medical service to a patient.
202 Citations
7 Claims
- 1. An article of manufacture for use with a data processing system, comprising a storage medium having stored therein a medical provider information stored program, and a medical provider database describing clinical services or procedures available from each provider by clinical codes or procedure codes in said data processing system, said data processing system being configured by said medical provider information stored program when executed by said data processing system to use said clinical codes or said procedural codes to identify a medical provider from said medical provider database for providing a specific medical service to a patient.
- 6. An article of manufacture for use with a data processing system, comprising a storage medium having stored therein a medical provider information stored program, said data processing system including a medical care provider database describing providers and clinical services, procedures, or other health care available from each provider by clinical codes or procedure codes stored in said data processing system, wherein providers include physicians, clinics, hospitals, therapists, dentists, and nurses, and providers are described by stored background information in said memory, practice information including at least one of location, billing information, and language spoken, said data processing system being configured by said medical provider information stored program when executed by said data processing system to use at least one of said clinical codes or said procedural codes to identify a medical provider from said medical provider database for providing a specific medical service to a patient, wherein said clinical codes or said procedural codes are based on at least one of the International Classification of Diseases (ICD), the Physician'"'"'s Current Procedural Terminology (CPT), Current Dental Terminology (CDT), and the Diagnostic and Statistical Manual of Mental Disorders (DSM), and wherein said clinical or procedural codes prospectively describe the availability of said clinical services from each provider or provider location.
Specification