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Facilitating payments to health care providers

  • US 7,970,626 B2
  • Filed: 12/29/2005
  • Issued: 06/28/2011
  • Est. Priority Date: 07/08/2005
  • Status: Expired due to Fees
First Claim
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1. A method comprising:

  • receiving, using a computing device, information corresponding to a claim by a healthcare provider for services rendered to a patient;

    placing a hold, using the computing device, on at least one account of the patient, wherein the hold is placed for a mutually agreed upon time period between a financial institution and an insurer;

    receiving, using the computing device, a message from the insurer including information regarding a negotiated rate of the claim, an insurer portion of the claim, and an authorization code;

    matching, using the computing device, the authorization code with a stored code associated with the claim;

    releasing, using the computing device, the hold after receiving the message from the insurer;

    tendering payment, using the computing device and based at least in part on the message from the insurer, of a patient portion of the claim;

    determining, using the computing device, whether the claim requires manual processing or whether the claim can be processed automatically; and

    awarding, using the computing device, incentive points to an incentive points account of the patient based at least in part on whether the claim requires manual processing.

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  • 5 Assignments
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