Method of product procurement and cash flow including a manufacturer, a transaction facilitator, and third party payor
First Claim
1. A method of providing a device, the cost of which is covered by a third party payor, to a health care facility and obtaining payment for the device from the third party payor, the method comprising the steps of:
- submitting a request for the device from the health care facility to the third party payor for authorization of payment;
relaying the request for the device from the third party payor to a transaction facilitator, the transaction facilitator being separate from the health care facility;
utilizing the transaction facilitator for contacting a manufacturer for the device to order the device requested by the health care facility without communication between the health care facility and the manufacturer, wherein the manufacturer delivers the device to the health care facility without billing the health care facility;
generating a cost claim for the device from the transaction facilitator to the third party payor;
receiving payment at the transaction facilitator for the claim from the third party payor; and
transferring funds from the transaction facilitator to the manufacturer for payment for the device.
0 Assignments
0 Petitions
Accused Products
Abstract
A method of order placement and product delivery between a healthcare facility and a third party payor, such as an insurance provider, in which a transaction facilitator submits the order for a prescribed medical device and generates a claim from the transaction facilitator to the insurance company. The healthcare facility initially contacts the insurance provider to obtain authorization for a prescribed medical device and medical procedure. Upon granting authorization, the insurance provider contacts the transaction facilitator to select the medical device. The transaction facilitator orders the medical device and arranges for delivery from manufacturer to the healthcare facility. Upon implantation, the transaction facilitator bills the insurance provider. At no time does the healthcare facility receive a bill from the manufacturer, thereby eliminating the bill for the medical device from the healthcare facility to the insurance provider.
-
Citations
20 Claims
-
1. A method of providing a device, the cost of which is covered by a third party payor, to a health care facility and obtaining payment for the device from the third party payor, the method comprising the steps of:
-
submitting a request for the device from the health care facility to the third party payor for authorization of payment; relaying the request for the device from the third party payor to a transaction facilitator, the transaction facilitator being separate from the health care facility; utilizing the transaction facilitator for contacting a manufacturer for the device to order the device requested by the health care facility without communication between the health care facility and the manufacturer, wherein the manufacturer delivers the device to the health care facility without billing the health care facility; generating a cost claim for the device from the transaction facilitator to the third party payor; receiving payment at the transaction facilitator for the claim from the third party payor; and transferring funds from the transaction facilitator to the manufacturer for payment for the device. - View Dependent Claims (2, 3, 4, 5, 19)
-
-
6. A method of providing a prescribed medical device covered by insurance to a healthcare facility and obtaining payment for the medical device from an insurance provider, the method comprising the steps of:
-
submitting a request for the medical device from the healthcare facility to the insurance provider for authorization; relaying the request for the medical device from the insurance provider to a transaction facilitator, the transaction facilitator being separate from the health care facility; utilizing the transaction facilitator to electronically contact a manufacturer for the medical device to order the medical device requested by the health care facility without communication between the health care facility and the manufacturer, wherein the manufacturer delivers the medical device to the healthcare facility without billing the health care facility; generating a claim for the medical device from the transaction facilitator to the insurance provider; receiving payment at the transaction facilitator for the claim from the insurance provider; and transferring funds from the transaction facilitator to the device manufacturer for payment for the medical device. - View Dependent Claims (7, 8, 9, 10, 20)
-
-
11. A method of providing a device for use with a patient, the cost of which is covered by a third party payor, to a healthcare facility, the method comprising the steps of:
-
electronically submitting a request for a proposed treatment and a preferred device from the healthcare facility to the third party payor; providing electronic authorization from the third party payor to the healthcare facility for the proposed treatment; upon authorization, relaying the request for the preferred device from the third party payor to a transaction facilitator; utilizing the transaction facilitator to contact a manufacturer for the device to order the device, wherein the manufacturer delivers the device to the health care facility without billing the health care facility; generating a claim for the device from the transaction facilitator to the third party payor without billing the healthcare facility; receiving payment at the transaction facilitator for the claim from the third party payor; and transferring funds from the transaction facilitator to the manufacturer for payment for the device. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18)
-
Specification