Method and system for processing physician claims over a network
First Claim
1. A method for gathering, collating and sorting information items distributed among a plurality of databases containing information items regarding physician treatment/billing claims, insurance payments, and provider/patient relations over at least one communication network, said method comprising the steps of:
- (a) creating an intermediate data base of said physician treatment/billing claim data, insurance payment data, and insurance provider data, wherein information items among said databases are cross-referenced with regard to at least one common information item;
(b) filtering said intermediate data base using at least one selected information item contained in said intermediate data base to create at least one file containing cross-referenced data items relating to said at least one selected information item;
(c) reporting the cross-referenced data items;
(d) filtering the cross-referenced data items in said at least one created file to create at least one file containing additional cross-referenced data item relating to at least one additional information item;
(e) reporting the additional cross-referenced data items; and
(f) repeating steps (d) and (e) until all gathering, collating and sorting information items is complete.
2 Assignments
0 Petitions
Accused Products
Abstract
A method and system for gathering, collating and sorting information items distributed among a plurality of databases containing information items regarding physician treatment/billing claims, insurance payments, and provider/patient relations over at least one communication networks is disclosed. The method comprises the steps of creating an intermediate data base containing information items related to physician treatment/billing claim data, insurance payment data, and insurance provider. The information items are further cross-referenced with regard to at least one common information item. The information items in the intermediate data base are then filtered using at least one selected information item contained in the intermediate data base to create at least one file containing cross-referenced data items relating to the filtering criteria, and reporting a selected one of the file. In another aspect of the invention, the created files may be selectively filtered using additional filter criteria.
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Citations
21 Claims
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1. A method for gathering, collating and sorting information items distributed among a plurality of databases containing information items regarding physician treatment/billing claims, insurance payments, and provider/patient relations over at least one communication network, said method comprising the steps of:
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(a) creating an intermediate data base of said physician treatment/billing claim data, insurance payment data, and insurance provider data, wherein information items among said databases are cross-referenced with regard to at least one common information item; (b) filtering said intermediate data base using at least one selected information item contained in said intermediate data base to create at least one file containing cross-referenced data items relating to said at least one selected information item; (c) reporting the cross-referenced data items; (d) filtering the cross-referenced data items in said at least one created file to create at least one file containing additional cross-referenced data item relating to at least one additional information item; (e) reporting the additional cross-referenced data items; and (f) repeating steps (d) and (e) until all gathering, collating and sorting information items is complete. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15)
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16. A system for gathering, collating and sorting information items distributed among a plurality of databases containing information items regarding physician treatment/billing claims, insurance payments, and provider/patient relations over at least one communication networks comprising:
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(a) an input/output means operable to receive said information items over said communication network; (b) a processor means in communication with said input/output device, said processor means operable to execute code for creating an intermediate data base of said physician treatment/billing claim data, insurance payment data, and insurance provider, wherein information items among said databases are cross-referenced with regard to at least one common information item; (c) a first means to filter said intermediate data base using at least one selected information item contained in said intermediate data base to create a first file containing cross-referenced data items relating to said at least one selected information item; and (d) one or more secondary means to filter one or more selected files using additional information items contained in said selected files to create one or more additional files containing cross-referenced data. - View Dependent Claims (17, 18, 19, 20, 21)
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Specification