Method and system for processing transactions involving accounts for reimbursing medical expenses or patient responsible balances with multiple transaction substantiation modes
First Claim
1. A computer implemented method for processing a transaction involving an account for reimbursing qualified medical expenses and/or patient responsible balances (PRBs), comprising the steps of:
- receiving enrollment data of participants electing to perform payment-card transactions using accounts for reimbursing qualified medical expenses and/or PRBs;
assigning a status to the participant from one of a first and second statuses;
receiving from a goods or service provider a request to authorize payment of a qualified medical expense and/or PRB against an account associated with a participant in connection with a first sales transaction between the participant and the goods or service provider;
in response to the participant'"'"'s assigned status being of the first status, electronically performing a real-time substantiation of the first sales transaction using a computerized system, authorizing payment of the qualified medical expense and/or PRB against the associated account, and communicating to the goods or service provider authorization of payment of the qualified medical expense and/or PRB against the associated account, wherein the communicating the authorization occurs subsequently to the real-time substantiation; and
in response to the participant'"'"'s assigned status being of the second status, communicating to the goods or service provider authorization of payment of the qualified medical expense and/or PRB against the associated account, effecting the payment of the qualified medical expense and/or PRB against the associated account, and electronically performing a retrospective substantiation of the first sales transaction using a computerized system, wherein the retrospective substantiation is performed subsequently to the communication of the authorization.
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Accused Products
Abstract
The present invention relates to a method and system for processing transactions involving accounts for reimbursing medical expenses or patient responsible balances, wherein the accounts may be handled by multiple payors having multiple transaction substantiation requirements. Examples of such accounts include flexible spending accounts, health reimbursement arrangement accounts, medical savings account, health savings account and the like. The system and method of the present invention allow an employer that uses multiple payors for administering the aforementioned accounts to distinguish its employees based on their associated payors in order to determine the proper transaction substantiation requirement per each employee and associated payor without having required to collect payor data at the employee level.
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Citations
20 Claims
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1. A computer implemented method for processing a transaction involving an account for reimbursing qualified medical expenses and/or patient responsible balances (PRBs), comprising the steps of:
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receiving enrollment data of participants electing to perform payment-card transactions using accounts for reimbursing qualified medical expenses and/or PRBs; assigning a status to the participant from one of a first and second statuses; receiving from a goods or service provider a request to authorize payment of a qualified medical expense and/or PRB against an account associated with a participant in connection with a first sales transaction between the participant and the goods or service provider; in response to the participant'"'"'s assigned status being of the first status, electronically performing a real-time substantiation of the first sales transaction using a computerized system, authorizing payment of the qualified medical expense and/or PRB against the associated account, and communicating to the goods or service provider authorization of payment of the qualified medical expense and/or PRB against the associated account, wherein the communicating the authorization occurs subsequently to the real-time substantiation; and in response to the participant'"'"'s assigned status being of the second status, communicating to the goods or service provider authorization of payment of the qualified medical expense and/or PRB against the associated account, effecting the payment of the qualified medical expense and/or PRB against the associated account, and electronically performing a retrospective substantiation of the first sales transaction using a computerized system, wherein the retrospective substantiation is performed subsequently to the communication of the authorization. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A computer implemented method for processing transactions involving accounts for reimbursing qualified medical expenses and/or patient responsible balances (PRBs), comprising:
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receiving enrollment data of participants electing to perform payment-card transactions using accounts for reimbursing qualified medical expenses and/or PRBs; assigning a first status to a first participant; assigning a second status to a second participant, wherein the first status and second status cause different types of substantiation; receiving from a first goods or service provider a request to authorize payment of a qualified medical expense and/or PRB against an account associated with a first participant in connection with a first sales transaction between the first participant and the first goods or service provider; receiving from a second goods or service provider a request to authorize payment of a qualified medical expense and/or PRB against an account associated with a second participant in connection with a second sales transaction between the second participant and the second goods or service provider; in response to the participant'"'"'s assigned status being of the first status, electronically performing a real-time substantiation of the first sales transaction using a computerized system, providing authorization of payment of the qualified medical expense and/or PRB against the associated account, and communicating to the goods or service provider authorization of payment of the qualified medical expense and/or PRB against the associated account, wherein the communicating the authorization occurs subsequently to the real-time substantiation; and in response to the second participant'"'"'s assigned second status, electronically performing a second substantiation of the second sales transaction using a computerized system, the second substantiation being a retrospective substantiation of the second sales transaction, and communicating to the second goods or service provider authorization of payment of the qualified medical expense and/or PRB against the account associated with the second participant, wherein the retrospective substantiation is performed subsequently to the communication of the authorization. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18, 19, 20)
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Specification