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Medical claims fraud prevention system and associated methods

  • US 8,392,210 B2
  • Filed: 07/08/2010
  • Issued: 03/05/2013
  • Est. Priority Date: 07/28/2005
  • Status: Expired due to Fees
First Claim
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1. A medical claim fraud prevention system comprising:

  • a first controller positioned at a medical facility;

    a second controller positioned at a patient information collection center and adapted to be in communication with the first controller;

    a medical software system adapted to be in communication with the first controller; and

    a GPS-enabled patient locating device adapted to be within a vicinity of a patient and adapted to be in communication with the second controller to provide location data relating to the location of the patient locating device;

    wherein the medical software system is configured to prompt a user to enter medical information related to the patient, the medical information comprising at least one of medical observations, diagnoses, medical conditions, previous medical treatments, and prescriptions;

    wherein the medical software system is configured to send medical information related to the patient to the first controller;

    wherein the first controller is configured to send a signal requesting the location of the patient locating device to the second controller responsive to the medical information received from the medical software system; and

    wherein the second controller is configured to transmit an indication to the first controller in response to the signal received from the first controller indicating whether the patient locating device is within a vicinity of the medical facility based on the GPS location data relating to the location of the patient locating device.

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