Medical practitioner credentialing system
First Claim
1. A method for selectively generating a provider application form from a plurality of selectable different provider application formats comprising the steps of:
- (a) generating credentialing profile information for a plurality of physicians in a common format and storing said information in a physician database, said physician database comprising a common data base source for said information for said plurality of selectable provider application formats;
(b) storing a plurality of said different provider application formats in a provider database, said different provider application formats requiring data, said required data being a subset of the credentialing profile information for a selected physician stored in said physician database;
(c) selecting a desired provider application format and automatically inputting the subset of credentialing profile information taken from said physician database for a selected physician required by said selected provider application format into a provider application form associated with said selected format; and
(d) selectively generating the particular provider application form in said selected format, wherein the form includes information inputted from the subset of the stored physician credentialing information.
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Abstract
A system and method for selectively generating provider application forms required to be submitted to health care provider organizations by physicians and related health care professionals. Physician credentialing profiles containing physician credentialing information are stored into a system database together with a plurality of different provider application formats associated with particular application forms which are completed selected data extracted from the common information contained in the stored physician credentialing profiles. The method automatically inputs a subset of physician credentialing information required by a particular selected provider application format into the provider application form associated with that format and generates the particular provider application form.
132 Citations
18 Claims
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1. A method for selectively generating a provider application form from a plurality of selectable different provider application formats comprising the steps of:
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(a) generating credentialing profile information for a plurality of physicians in a common format and storing said information in a physician database, said physician database comprising a common data base source for said information for said plurality of selectable provider application formats; (b) storing a plurality of said different provider application formats in a provider database, said different provider application formats requiring data, said required data being a subset of the credentialing profile information for a selected physician stored in said physician database; (c) selecting a desired provider application format and automatically inputting the subset of credentialing profile information taken from said physician database for a selected physician required by said selected provider application format into a provider application form associated with said selected format; and (d) selectively generating the particular provider application form in said selected format, wherein the form includes information inputted from the subset of the stored physician credentialing information. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A physician credentialing system comprising:
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(a) means for generating in a common format and storing a plurality of physician credentialing profiles in a physician database, the profiles comprising physician credentialing information each profile including the physician'"'"'s name, address, practice specialties, appointment status, hospital associations, educational background, internships, and residency programs; (b) means for storing a plurality of different provider application formats in a provider database, the provider application formats requiring data, the required data being a subset of the credentialing profiling information for a selected physician stored in said physician database; (c) means for selecting a desired provider application format from said plurality of stored formats and for automatically inputting the subset of physician credentialing information required by said particular selected provider application format into a provider application form associated with said selected format; and (d) means for generating the selected particular provider application form, wherein the form includes information inputted from the subset of the stored physician credentialing information. - View Dependent Claims (11, 12, 13, 14, 15, 16, 17, 18)
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Specification