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Medical claims fraud prevention system including patient call initiating feature and associated methods

  • US 8,392,211 B2
  • Filed: 07/08/2010
  • Issued: 03/05/2013
  • Est. Priority Date: 07/28/2005
  • Status: Active Grant
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; and



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

    wherein the medical software system prompts a user to enter medical information related to a patient;

    wherein the medical software system sends the medical information related to the patient to the first controller;

    wherein the first controller sends a signal requesting the location of the patient to the second controller responsive to the information received from the medical software system;

    wherein the second controller initiates contact with the patient via a mobile telephone of the patient in response to the signal received from the first controller;

    wherein the patient is prompted to enter information into the patient'"'"'s mobile telephone;

    wherein the second controller receives information from the patient'"'"'s mobile telephone, the information providing an indication of the patient'"'"'s location; and

    wherein the second controller determines information received from the patient'"'"'s mobile telephone properly identifies the patient and indicates the patient'"'"'s location being within a vicinity of the medical facility; and

    wherein the second controller transmits an indication to the first controller in response to the first signal received from the first controller regarding whether the patient is within a vicinity of the medical facility based on the determination as to whether the information received from the patient'"'"'s mobile telephone properly identifies the patient and indicates the patient'"'"'s location being within a vicinity of the medical facility.

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