System for communication of health care data
DC CAFCFirst Claim
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1. A computer system to process health care data from one or more health care records from one or more sources related to a patient in order to communicate that health care data to a participant, the computer system comprising:
- a computer configured to communicate with one or more databases that stores one or more health care records containing a plurality of health care data related to the patient;
wherein the databases are selected from a group consisting of an insurer database and a provider database;
wherein the computer is configured to communicate with the plurality of health care data related to the patient of a type where each of the health care data is displayed in a separate field;
wherein any of the plurality of health care data related to the patient which are intended to have the same meaning, are expressed in either different formats, or have not previously been subject to a normalized format;
wherein the normalized format is of a type that displays health care data from one or more sources associated with a single patient such that any health care data associated with that patient having the same meaning is expressed in the same format despite any prior formatting;
a rules engine that establishes the normalized format for health care data associated with the patient and predetermines how each of the plurality of selected health care data is to appear in its respective field to send to the participant;
wherein fields in the normalized format that correspond to the fields containing the health care data for the patient not expressed as predetermined by the normalized format is remodeled to be expressed as predetermined by the normalized format becoming normalized data; and
wherein the computer is configured to transfer the normalized data over a data network to a participant computer system.
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Abstract
An apparatus for communicating health care data from a sender to a receiver is provided. The apparatus has a first computer system, a second computer system, and a rules engine. The first computer system has health care data stored therein. The second computer system is in operable communication with, and is configured to extract the health care data from, the first computer system. The rules engine normalizes the extracted health care data to a predefined format.
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Citations
355 Claims
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1. A computer system to process health care data from one or more health care records from one or more sources related to a patient in order to communicate that health care data to a participant, the computer system comprising:
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a computer configured to communicate with one or more databases that stores one or more health care records containing a plurality of health care data related to the patient; wherein the databases are selected from a group consisting of an insurer database and a provider database; wherein the computer is configured to communicate with the plurality of health care data related to the patient of a type where each of the health care data is displayed in a separate field; wherein any of the plurality of health care data related to the patient which are intended to have the same meaning, are expressed in either different formats, or have not previously been subject to a normalized format; wherein the normalized format is of a type that displays health care data from one or more sources associated with a single patient such that any health care data associated with that patient having the same meaning is expressed in the same format despite any prior formatting; a rules engine that establishes the normalized format for health care data associated with the patient and predetermines how each of the plurality of selected health care data is to appear in its respective field to send to the participant; wherein fields in the normalized format that correspond to the fields containing the health care data for the patient not expressed as predetermined by the normalized format is remodeled to be expressed as predetermined by the normalized format becoming normalized data; and wherein the computer is configured to transfer the normalized data over a data network to a participant computer system. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 265, 287, 312, 355)
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17. A computer system to communicate health care data between health care participants, the computer system comprising:
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an intermediary computer system configured to communicate with one or more health care record databases that store records of health care data and operated by one or more insurer computer systems; wherein the intermediary computer system is configured to receive a request from a participant computer system and wherein the request initiates extracting the health care data from the insurer computer system; wherein the intermediary computer system is configured to receive the health care data associated with a health care record extracted from the one or more health care record databases, as a plurality of selected health care data; wherein the plurality of selected health care data the intermediary computer system is configured to receive is of a type that each of the plurality of selected health care data is displayed in a separate field and all collectively stored in the one or more health care record databases; wherein any of the plurality of selected health care data associated with the health care record having the same meanings is expressed in different formats; wherein the plurality of selected health care data the intermediary computer system is configured to receive is of a type that is organized for use by the insurer but has not previously been subject to a normalized format; and wherein the normalized format is of a type that displays health care data from one or more sources such that any health care data associated with a health care record having the same meaning will be expressed in the same format despite any prior formatting; a staging database that is part of the intermediary computer system and that is configured to receive the plurality of selected health care data from the one or more insurer computer systems; wherein receipt of the plurality of selected health care data by the intermediary computer allows initiation of processing of the plurality of selected health care data to the normalized format; a normalization system that interacts with the staging database and is configured to remodel the plurality of selected health care data into the normalized format, the normalization system comprising; a rules engine that establishes the predefined format and predetermines how each of the plurality of selected health care data is to appear in its respective field for the participant; wherein fields in the normalized format that correspond to the fields containing the selected health care data from the one or more insurer databases are identified; wherein any of the plurality of selected health care data that is not expressed as predetermined by the normalized format is remodeled so all the plurality of selected health care data of the health care record is expressed as predetermined by the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format; and wherein the plurality of selected health care data on the intermediary system is replaced with normalized data; and wherein the intermediary system is configured to transfer the normalized data over a data network to the participant computer system. - View Dependent Claims (18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 52, 59)
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39. A computer system that processes health care data from two or more health care records related to a single patient from one or more sources in order to communicate that health care data to a participant, the computer system comprising:
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a computer configured to communicate with one or more insurer databases that stores more than one health care record; wherein each health care record contains a plurality of health care data related to the single patient; wherein the plurality of health care data related to the single patient is subject to a normalized format of a type that displays health care data from one or more sources associated with the single patient such that any health care data associated with that patient having the same meaning is expressed in the same format despite any prior formatting; a rules engine that normalizes the data so any health care data related to the patient having the same meaning is expressed in the same format as normalized data; wherein the normalized data is accessible over a data network to a participant computer to allow the single patient or the participant to actively manage the single patient'"'"'s health care. - View Dependent Claims (40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 53, 54, 55, 56, 57, 58, 60, 74)
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61. A computer system to communicate health care data between health care participants, the computer system comprising:
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an intermediary computer system configured to communicate with one or more health care record databases that store records of health care data; wherein the health care record databases are selected from a group consisting of an insurer database and a provider database; wherein the intermediary computer system is configured to receive a request from a participant computer system and wherein the request initiates extracting the health care data; wherein the intermediary computer system is configured to receive the health care data associated with a health care record extracted from the one or more health care record databases, as a plurality of selected health care data; wherein the plurality of selected health care data the intermediary computer system is configured to receive is of a type that each of the plurality of selected health care data is displayed in a separate field and all collectively stored in the one or more health care record databases; wherein any of the plurality of selected health care data associated with the health care record having the same meanings is expressed in different formats; wherein the plurality of selected health care data the intermediary computer system is configured to receive is of a type that is organized for use by the insurer or provider but has not previously been subject to a normalized format; and wherein the normalized format is of a type that displays health care data from one or more sources such that any health care data associated with a health care record having the same meaning will be expressed in the same format despite any prior formatting; a staging database that is part of the intermediary computer system and that is configured to receive the plurality of selected health care data; wherein receipt of the plurality of selected health care data by the intermediary computer allows initiation of processing of the plurality of selected health care data to the normalized format; a normalization system that interacts with the staging database and is configured to remodel the plurality of selected health care data into the normalized format, the normalization system comprising; a rules engine that establishes the predefined format and predetermines how each of the plurality of selected health care data is to appear in its respective field for the participant; wherein fields in the normalized format that correspond to the fields containing the selected health care data are identified; wherein any of the plurality of selected health care data that is not expressed as predetermined by the normalized format is remodeled so all the plurality of selected health care data of the health care record is expressed as predetermined by the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format; and wherein the plurality of selected health care data on the intermediary system is replaced with normalized data; and wherein the intermediary system is configured to transfer the normalized data over a data network to the participant computer system. - View Dependent Claims (62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 75, 76, 77, 78, 79, 80, 81, 82, 96)
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83. A computer system to communicate health care data between health care participants, the computer system comprising:
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an intermediary computer system configured to communicate with two or more health care record databases that store records of health care data; wherein the health care record databases are selected from a group consisting of an insurer database and a provider database; wherein the intermediary computer system is configured to receive a request from a participant computer system and wherein the request initiates extracting the health care data; wherein the intermediary computer system is configured to receive the health care data associated with a health care record extracted from the two or more health care record databases, as a plurality of selected health care data; wherein the plurality of selected health care data the intermediary computer system is configured to receive is of a type that each of the plurality of selected health care data is displayed in a separate field and all collectively stored in the two or more health care record databases; wherein any of the plurality of selected health care data associated with the health care record having the same meanings is expressed in different formats; wherein the plurality of selected health care data the intermediary computer system is configured to receive is of a type that is organized for use by the insurer or provider but has not previously been subject to a normalized format; and wherein the normalized format is of a type that displays health care data from one or more sources such that any health care data associated with a health care record having the same meaning will be expressed in the same format despite any prior formatting; a staging database that is part of the intermediary computer system and that is configured to receive the plurality of selected health care data; wherein receipt of the plurality of selected health care data by the intermediary computer allows initiation of processing of the plurality of selected health care data to the normalized format; a normalization system that interacts with the staging database and is configured to remodel the plurality of selected health care data into the normalized format, the normalization system comprising; a rules engine that establishes the predefined format and predetermines how each of the plurality of selected health care data is to appear in its respective field for the participant; wherein fields in the normalized format that correspond to the fields containing the selected health care data are identified; wherein any of the plurality of selected health care data that is not expressed as predetermined by the normalized format is remodeled so all the plurality of selected health care data of the health care record is expressed as predetermined by the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format; and wherein the plurality of selected health care data on the intermediary system is replaced with normalized data; and wherein the intermediary system is configured to transfer the normalized data over a data network to the participant computer system. - View Dependent Claims (84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 97, 98, 99, 100, 101, 102, 103)
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104. A computer system to communicate health care data between health care participants, the computer system comprising:
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an intermediary computer system configured to communicate with two or more health care record databases that store records of health care data operated by one or more insurer computer systems; wherein the intermediary computer system is configured to receive a request from a participant computer system and wherein the request initiates extracting the health care data from the insurer computer systems; wherein the intermediary computer system is configured to receive the health care data associated with a health care record extracted from the two or more health care record databases, as a plurality of selected health care data; wherein the plurality of selected health care data the intermediary computer system is configured to receive is of a type that each of the plurality of selected health care data is displayed in a separate field and all collectively stored in the two or more health care record databases; wherein any of the plurality of selected health care data associated with the health care record having the same meanings is expressed in different formats; wherein the plurality of selected health care data the intermediary computer system is configured to receive is of a type that is organized for use by the insurer but has not previously been subject to a normalized format; and wherein the normalized format is of a type that displays health care data from one or more sources such that any health care data associated with a health care record having the same meaning will be expressed in the same format despite any prior formatting; a staging database that is part of the intermediary computer system and that is configured to receive the plurality of selected health care data; wherein receipt of the plurality of selected health care data by the intermediary computer allows initiation of processing of the plurality of selected health care data to the normalized format; a normalization system that interacts with the staging database and is configured to remodel the plurality of selected health care data into the normalized format, the normalization system comprising; a rules engine that establishes the predefined format and predetermines how each of the plurality of selected health care data is to appear in its respective field for the participant; wherein fields in the normalized format that correspond to the fields containing the selected health care data are identified; wherein any of the plurality of selected health care data that is not expressed as predetermined by the normalized format is remodeled so all the plurality of selected health care data of the health care record is expressed as predetermined by the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format; and wherein the plurality of selected health care data on the intermediary system is replaced with normalized data; and wherein the intermediary system is configured to transfer the normalized data over a data network to the participant computer system. - View Dependent Claims (105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124)
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125. A computer system to process health care data from one or more health care records from one or more sources related to a patient in order to communicate that health care data to a participant, the computer system comprising:
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a computer configured to communicate with one or more databases that stores one or more health care records containing a plurality of health care data related to the patient; wherein the databases are selected from a group consisting of an insurer database and a provider database; wherein the computer is configured to communicate with the plurality of health care data related to the patient of a type where each of the health care data is displayed in a separate field; wherein any of the plurality of health care data related to the patient which are intended to have the same meaning, are expressed in either different formats, or have not previously been subject to a normalized format; wherein the normalized format is of a type that displays health care data from one or more sources associated with a single patient such that any health care data associated with that patient having the same meaning is expressed in the same format despite any prior formatting; a staging database that is part of the computer and is configured to receive the plurality of health care data; a rules engine that establishes the normalized format for health care data associated with the patient and predetermines how each of the plurality of selected health care data is to appear in its respective field to send to the participant; wherein fields in the normalized format that correspond to the fields containing the health care data for the patient not expressed as predetermined by the normalized format is remodeled to be expressed as predetermined by the normalized format becoming normalized data; and wherein the computer is configured to transfer the normalized data over a data network to a participant computer system. - View Dependent Claims (126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 161, 162, 163)
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141. A computer system to process health care data from one or more health care records from one or more sources related to a patient in order to communicate that health care data to a participant, the computer system comprising:
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a computer configured to communicate with one or more databases that stores one or more health care records containing a plurality of health care data related to the patient; wherein the databases are selected from insurer databases; wherein the computer is configured to communicate with the plurality of health care data related to the patient of a type where each of the health care data is displayed in a separate field; wherein any of the plurality of health care data related to the patient which are intended to have the same meaning, are expressed in either different formats, or have not previously been subject to a normalized format; wherein the normalized format is of a type that displays health care data from one or more sources associated with a single patient such that any health care data associated with that patient having the same meaning is expressed in the same format despite any prior formatting; a rules engine that establishes the normalized format for health care data associated with the patient and predetermines how each of the plurality of selected health care data is to appear in its respective field to send to the participant; wherein fields in the normalized format that correspond to the fields containing the health care data for the patient not expressed as predetermined by the normalized format is remodeled to be expressed as predetermined by the normalized format becoming normalized data; and wherein the computer is configured to transfer the normalized data over a data network to a participant computer system. - View Dependent Claims (142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157)
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158. A computer system to communicate health care data between health care participants, the computer system comprising:
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an intermediary computer system configured to communicate with one or more health care record databases that store records of health care data and operated by one or more insurer computer systems; wherein the intermediary computer system is configured to receive a request from a participant computer system and wherein the request initiates extracting the health care data from the insurer computer system; wherein the intermediary computer system is configured to receive the health care data associated with a health care record extracted from the one or more health care record databases, as a plurality of selected health care data; wherein the plurality of selected health care data the intermediary computer system is configured to receive is of a type that each of the plurality of selected health care data is displayed in a separate field and all collectively stored in the one or more health care record databases; wherein any of the plurality of selected health care data associated with the health care record having the same meanings is expressed in different formats; wherein the plurality of selected health care data the intermediary computer system is configured to receive is of a type that is organized for use by the insurer but has not previously been subject to a normalized format; and wherein the normalized format is of a type that displays health care data from one or more sources such that any health care data associated with a health care record having the same meaning will be expressed in the same format despite any prior formatting; wherein receipt of the plurality of selected health care data by the intermediary computer allows initiation of processing of the plurality of selected health care data to the normalized format; a normalization system that is configured to remodel the plurality of selected health care data into the normalized format, the normalization system comprising; a rules engine that establishes the predefined format and predetermines how each of the plurality of selected health care data is to appear in its respective field for the participant; wherein fields in the normalized format that correspond to the fields containing the selected health care data from the one or more insurer databases are identified; wherein any of the plurality of selected health care data that is not expressed as predetermined by the normalized format is remodeled so all the plurality of selected health care data of the health care record is expressed as predetermined by the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format; and wherein the plurality of selected health care data on the intermediary system is replaced with normalized data; and wherein the intermediary system is configured to transfer the normalized data over a data network to the participant computer system. - View Dependent Claims (159, 160, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, 174, 175, 176, 177, 178, 179)
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180. A computer system to communicate health care data between health care participants, the computer system comprising:
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an intermediary computer system configured to communicate with one or more health care record databases that store records of health care data; wherein the health care record databases are from insurer databases; wherein the intermediary computer system is configured to receive a request from a participant computer system and wherein the request initiates extracting the health care data; wherein the intermediary computer system is configured to receive the health care data associated with a health care record extracted from the one or more health care record databases, as a plurality of selected health care data; wherein the plurality of selected health care data the intermediary computer system is configured to receive is of a type that each of the plurality of selected health care data is displayed in a separate field and all collectively stored in the one or more health care record databases; wherein any of the plurality of selected health care data associated with the health care record having the same meanings is expressed in different formats; wherein the plurality of selected health care data the intermediary computer system is configured to receive is of a type that is organized for use by the insurer but has not previously been subject to a normalized format; and wherein the normalized format is of a type that displays health care data from one or more sources such that any health care data associated with a health care record having the same meaning will be expressed in the same format despite any prior formatting; a staging database that is part of the intermediary computer system and that is configured to receive the plurality of selected health care data; wherein receipt of the plurality of selected health care data by the intermediary computer allows initiation of processing of the plurality of selected health care data to the normalized format; a normalization system that interacts with the staging database and is configured to remodel the plurality of selected health care data into the normalized format, the normalization system comprising; a rules engine that establishes the predefined format and predetermines how each of the plurality of selected health care data is to appear in its respective field for the participant; wherein fields in the normalized format that correspond to the fields containing the selected health care data are identified; wherein any of the plurality of selected health care data that is not expressed as predetermined by the normalized format is remodeled so all the plurality of selected health care data of the health care record is expressed as predetermined by the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format; and wherein the plurality of selected health care data on the intermediary system is replaced with normalized data; and wherein the intermediary system is configured to transfer the normalized data over a data network to the participant computer system. - View Dependent Claims (181, 182, 183, 184, 185, 186, 187, 188, 189, 192, 193, 194, 195, 196, 197, 198, 199, 200, 201)
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190. The computer system of 180, wherein a request by the participant computer system initiates extraction of the plurality of health care data.
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191. The computer system of 180, further comprising a provider computer system that makes a request that initiates extracting the plurality of health care data.
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202. A computer system to communicate health care data between health care participants, the computer system comprising:
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an intermediary computer system configured to communicate with one or more health care record databases that store records of health care data; wherein the health care record databases are from at least one insurer database; wherein the intermediary computer system is configured to receive a request from a participant computer system and wherein the request initiates extracting the health care data; wherein the intermediary computer system is configured to receive the health care data associated with a health care record extracted from the one or more health care record databases, as a plurality of selected health care data; wherein the plurality of selected health care data the intermediary computer system is configured to receive is of a type that each of the plurality of selected health care data is displayed in a separate field and all collectively stored in the one or more health care record databases; wherein any of the plurality of selected health care data associated with the health care record having the same meanings is expressed in different formats; wherein the plurality of selected health care data the intermediary computer system is configured to receive is of a type that is organized for use by the insurer but has not previously been subject to a normalized format; and wherein the normalized format is of a type that displays health care data from one or more sources such that any health care data associated with a health care record having the same meaning will be expressed in the same format despite any prior formatting; a staging database that is part of the intermediary computer system and that is configured to receive the plurality of selected health care data; wherein receipt of the plurality of selected health care data by the intermediary computer allows initiation of processing of the plurality of selected health care data to the normalized format; a normalization system that interacts with the staging database and is configured to remodel the plurality of selected health care data into the normalized format, the normalization system comprising; a rules engine that establishes the predefined format and predetermines how each of the plurality of selected health care data is to appear in its respective field for the participant; wherein fields in the normalized format that correspond to the fields containing the selected health care data are identified; wherein any of the plurality of selected health care data that is not expressed as predetermined by the normalized format is remodeled so all the plurality of selected health care data of the health care record is expressed as predetermined by the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format; and wherein the plurality of selected health care data on the intermediary system is replaced with normalized data; and wherein the intermediary system is configured to transfer the normalized data over a data network to the participant computer system. - View Dependent Claims (203, 204, 205, 206, 207, 208, 209, 210, 211, 212, 213, 214, 215, 216, 217, 218, 219, 220, 221, 222, 223)
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224. A computer system to communicate health care data between health care participants, the computer system comprising:
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an intermediary computer system configured to communicate with one or more health care record databases that store records of health care data; wherein the health care record databases are selected from a group consisting of an insurer database and a provider database; wherein the intermediary computer system is configured to receive a request from a participant computer system and wherein the request initiates extracting the health care data; wherein the intermediary computer system is configured to receive the health care data associated with a health care record extracted from the one or more health care record databases, as a plurality of selected health care data; wherein the plurality of selected health care data the intermediary computer system is configured to receive is of a type that each of the plurality of selected health care data is displayed in a separate field and all collectively stored in the one or more health care record databases; wherein any of the plurality of selected health care data associated with the health care record having the same meanings is expressed in different formats; wherein the plurality of selected health care data the intermediary computer system is configured to receive is of a type that is organized for use by the insurer or provider but has not previously been subject to a normalized format; and wherein the normalized format is of a type that displays health care data from one or more sources such that any health care data associated with a health care record having the same meaning will be expressed in the same format despite any prior formatting; a staging database that is part of the intermediary computer system and that is configured to receive the plurality of selected health care data; wherein receipt of the plurality of selected health care data by the intermediary computer allows initiation of processing of the plurality of selected health care data to the normalized format; a normalization system that interacts with the staging database and is configured to remodel the plurality of selected health care data into the normalized format, the normalization system comprising; a rules engine that establishes the predefined format and predetermines how each of the plurality of selected health care data is to appear in its respective field for the participant; wherein fields in the normalized format that correspond to the fields containing the selected health care data are identified; wherein any of the plurality of selected health care data that is not expressed as predetermined by the normalized format is remodeled so all the plurality of selected health care data of the health care record is expressed as predetermined by the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format; and wherein the plurality of selected health care data on the intermediary system is replaced with normalized data; and wherein the intermediary system is configured to transfer the normalized data over a data network to the participant computer system. - View Dependent Claims (225, 226, 227, 228, 229, 230, 231, 232, 233, 234, 235, 236, 237, 238, 239, 240, 241, 242, 243, 244, 245)
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246. A computer system that processes health care data from two or more health care records related to a single patient or a plurality of patients from one or more sources in order to communicate that health care data to a participant, the computer system comprising:
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a computer configured to communicate with one or more insurer databases that stores more than one health care record; wherein each health care record contains a plurality of health care data related to each patient; wherein the plurality of health care data related to each patient is subject to a normalized format of a type that displays health care data from one or more sources associated with each patient such that any health care data associated with each patient having the same meaning is expressed in the same format despite any prior formatting; a rules engine that normalizes the data so any health care data related to each patient having the same meaning is expressed in the same format as normalized data; wherein the normalized data is accessible over a data network to a participant computer to allow the participant to actively manage each patient'"'"'s health care. - View Dependent Claims (247, 248, 249, 250, 251, 252, 253, 254, 255, 256, 257, 258, 259, 260, 261, 262, 263, 264, 266, 267)
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268. A computer system that processes health care data from two or more health care records related to a single patient or a plurality of patients from one or more sources in order to communicate that health care data to a participant, the computer system comprising:
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a computer configured to communicate with one or more insurer databases that stores more than one health care record; wherein each health care record contains a plurality of health care data related to each patient; a staging database that is part of the computer and is configured to receive the plurality of health care data related to each patient; wherein the plurality of health care data related to each patient is subject to a normalized format of a type that displays health care data from one or more sources associated with each patient such that any health care data associated with each patient having the same meaning is expressed in the same format despite any prior formatting; a rules engine that is part of the computer and that normalizes the data so any health care data related to each patient having the same meaning is expressed in the same format as normalized data; wherein the normalized data is accessible over a data network to a participant computer to allow the participant to actively manage each patient'"'"'s health care. - View Dependent Claims (269, 270, 271, 272, 273, 274, 275, 276, 277, 278, 279, 280, 281, 282, 283, 284, 285, 286, 288, 289, 299)
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290. A computer system that processes health care data from two or more health care records related to a single patient or a plurality of patients from one or more sources in order to communicate that health care data to a participant, the computer system comprising:
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a computer configured to communicate with one or more databases that stores more than one health care record; wherein the databases are selected from a group consisting of an insurer database and a provider database; wherein each health care record contains a plurality of health care data related to each patient; a staging database that is part of the computer and is configured to receive the plurality of health care data related to each patient; wherein the plurality of health care data related to each patient is subject to a normalized format of a type that displays health care data from one or more sources associated with each patient such that any health care data associated with each patient having the same meaning is expressed in the same format despite any prior formatting; a rules engine that is part of the computer and that normalizes the data so any health care data related to each patient having the same meaning is expressed in the same format as normalized data; wherein the normalized data is accessible over a data network to a participant computer to allow the participant to actively manage each patient'"'"'s health care. - View Dependent Claims (291, 292, 293, 294, 295, 296, 297, 298, 300, 301, 302, 303, 304, 305, 306, 307, 308, 310, 311)
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309. A computer system that processes health care data from two or more health care records related to a single patient or a plurality of patients from one or more sources in order to communicate that health care data to a participant, the computer system comprising:
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a computer configured to communicate with one or more databases that stores more than one health care record; wherein the databases are selected from a group consisting of an insurer database and a provider database; wherein each health care record contains a plurality of health care data related to each patient; wherein the plurality of health care data related to each patient is subject to a normalized format of a type that displays health care data from one or more sources associated with each patient such that any health care data associated with each patient having the same meaning is expressed in the same format despite any prior formatting; a rules engine that is part of the computer and that normalizes the data so any health care data related to each patient having the same meaning is expressed in the same format as normalized data; wherein the normalized data is accessible over a data network to a participant computer to allow the participant to actively manage each patient'"'"'s health care. - View Dependent Claims (313, 314, 315, 316, 317, 318, 319, 320, 321, 322, 323, 324, 325, 326, 327, 328, 329, 330, 331, 332, 333)
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334. A computer system to process health care data from one or more health care records from one or more sources related to a patient in order to communicate that health care data to a participant, the computer system comprising:
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a computer configured to communicate with one or more databases that stores one or more health care records containing a plurality of health care data related to the patient; wherein the computer is configured to communicate with the plurality of health care data related to the patient of a type where each of the health care data is displayed in a separate field; wherein any of the plurality of health care data related to the patient which are intended to have the same meaning, are expressed in either different formats, or have not previously been subject to a normalized format; wherein the normalized format is of a type that displays health care data from one or more sources associated with a single patient such that any health care data associated with that patient having the same meaning is expressed in the same format despite any prior formatting; a rules engine that establishes the normalized format for health care data associated with the patient and predetermines how each of the plurality of selected health care data is to appear in its respective field to send to the participant; wherein fields in the normalized format that correspond to the fields containing the health care data for the patient not expressed as predetermined by the normalized format is remodeled to be expressed as predetermined by the normalized format becoming normalized data; wherein the computer is configured to communicate with a health care provider computer and receive a medical services reimbursement request from a provider to transfer to an insurer computer system for processing payment; and wherein the computer is configured to transfer the normalized data to respond to the request. - View Dependent Claims (335, 336, 337, 338, 339, 340, 341)
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342. A computer system to process health care data from one or more health care records from one or more sources related to a patient in order to communicate that health care data to a participant, the computer system comprising:
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a computer configured to communicate with one or more databases that stores one or more health care records containing a plurality of health care data related to the patient; wherein the computer is configured to communicate with the plurality of health care data related to the patient of a type where each of the health care data is displayed in a separate field; wherein any of the plurality of health care data related to the patient which are intended to have the same meaning, are expressed in either different formats, or have not previously been subject to a normalized format; wherein the normalized format is of a type that displays health care data from one or more sources associated with a single patient such that any health care data associated with that patient having the same meaning is expressed in the same format despite any prior formatting; a rules engine that establishes the normalized format for health care data associated with the patient and predetermines how each of the plurality of selected health care data is to appear in its respective field to send to the participant; wherein fields in the normalized format that correspond to the fields containing the health care data for the patient not expressed as predetermined by the normalized format is remodeled to be expressed as predetermined by the normalized format becoming normalized data; wherein the computer is configured to communicate with a health care provider computer to approve a medical service request from a provider pursuant to predetermined criteria; and wherein the computer is configured to transfer the normalized data to respond to the request. - View Dependent Claims (343, 344, 345, 346, 347, 348, 354)
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349. A computer system to process health care data from one or more health care records from one or more sources related to a patient in order to communicate that health care data to a participant, the computer system comprising:
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a computer configured to communicate with one or more databases that stores one or more health care records containing a plurality of health care data related to the patient; wherein the computer is configured to communicate with the plurality of health care data related to the patient of a type where each of the health care data is displayed in a separate field; wherein any of the plurality of health care data related to the patient which are intended to have the same meaning, are expressed in either different formats, or have not previously been subject to a normalized format; wherein the normalized format is of a type that displays health care data from one or more sources associated with a single patient such that any health care data associated with that patient having the same meaning is expressed in the same format despite any prior formatting; a rules engine that establishes the normalized format for health care data associated with the patient and predetermines how each of the plurality of selected health care data is to appear in its respective field to send to the participant; wherein fields in the normalized format that correspond to the fields containing the health care data for the patient not expressed as predetermined by the normalized format is remodeled to be expressed as predetermined by the normalized format becoming normalized data; wherein the computer is configured to communicate with a health care provider computer to process a referral authorization or admission pre-certification request from a provider; and wherein the computer is configured to transfer the normalized data to respond to the request. - View Dependent Claims (350, 351, 352, 353)
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Specification