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Lossless account compression for health care patient benefits eligibility research system and methods

  • US 8,326,656 B2
  • Filed: 09/13/2010
  • Issued: 12/04/2012
  • Est. Priority Date: 02/17/2005
  • Status: Active Grant
First Claim
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1. A tangible, non-transitory computer program product having a computer readable medium with a computer program embodied thereon, the computer program comprising computer-executable instructions for:

  • a. sorting medical claims of a service provider into a first group of claims based on one or more selected fields of information contained in said medical claims, said one or more selected fields comprising a unique patient identifier or one or more selected patient demographics;

    b. creating a composite medical claim containing all of said one or more selected fields, said composite medical claim comprising a collection of data representative of all medical claims within a group of medical claims all relating to the same patient;

    c. formatting the composite medical claim such that data associated with at least one field of the composite medical claim is formatted for comparison with a benefit provider'"'"'s database;

    d. executing a first query against the benefit provider'"'"'s database using said data associated with at least one field of the composite medical claim;

    e. receiving an indication as to whether the benefit provider'"'"'s database contains a record that is responsive to the first query; and

    f. wherein the indication is affirmative, executing a second query against the benefit provider'"'"'s database using data from an individual claim included in the first group of claims.

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