Workers' compensation information processing system
First Claim
1. A workers'"'"' compensation system including:
- an injury report system operably connected between a provider computer system and payer computer system, the injury report system configured to produce electronically, injury medical reports to the payer computer system;
a worker'"'"'s compensation claims verification system operably connected between the provider computer system and the payer computer system, the workers'"'"' compensation claims verification system configured to receive information concerning a workers'"'"' compensation claim, but not including a workers'"'"' compensation claim number for said claim, and responsive to said information, determine electronically, the presence or absence of the workers'"'"' compensation claim number in an associated database;
a bill submission system operably connected to electronically receive bills from the provider computer system, wherein on a condition that the presence of the workers'"'"' compensation claim number is determined, the workers'"'"' compensation claim number is included in the received bills; and
a payment status system operably connected between the provider computer system and the payer computer system and checking the status of the received bills.
16 Assignments
0 Petitions
Accused Products
Abstract
A workers'"'"' compensation medical reporting system including software accessed at a provider computer, the software adapted to prompt the provider to input the data concerning a workers'"'"' compensation claim, the software adapted to send an electronic workers'"'"' compensation claim, the software adapted to send an electronic workers'"'"' compensation treatment report electronically across the Internet to a payer computer; and electronic report filtering software accessed at the payer computer, the electronic report filtering software adapted to direct the electronic report as a result of predetermined criteria, electronic workers'"'"' compensation medical treatment reports that meet a human review criteria are automatically set to a case manager for review, other electronic workers'"'"' compensation medical treatment reports are automatically directed to be processed.
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Citations
10 Claims
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1. A workers'"'"' compensation system including:
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an injury report system operably connected between a provider computer system and payer computer system, the injury report system configured to produce electronically, injury medical reports to the payer computer system; a worker'"'"'s compensation claims verification system operably connected between the provider computer system and the payer computer system, the workers'"'"' compensation claims verification system configured to receive information concerning a workers'"'"' compensation claim, but not including a workers'"'"' compensation claim number for said claim, and responsive to said information, determine electronically, the presence or absence of the workers'"'"' compensation claim number in an associated database; a bill submission system operably connected to electronically receive bills from the provider computer system, wherein on a condition that the presence of the workers'"'"' compensation claim number is determined, the workers'"'"' compensation claim number is included in the received bills; and a payment status system operably connected between the provider computer system and the payer computer system and checking the status of the received bills. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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Specification