System for communication of health care data
First Claim
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1. A computer system for transmitting healthcare data from a provider, the computer system comprising:
- an intermediary computer system that includes a staging database in communication with a healthcare provider computer system and one or more healthcare payor computer systems;
wherein the staging database is configured to receive uploaded healthcare claims data of a first patient from the healthcare provider computer system;
wherein communication between the intermediary computer system and the healthcare provider computer system is over the Internet;
wherein the intermediary computer system is configured to include a rules-based system to evaluate the healthcare claims data received from the provider;
wherein the one or more payor computer systems are configured to receive healthcare claims data from a plurality of patients through the intermediary computer system; and
wherein the staging database is configured to transfer the healthcare claims data of the first patient to one of the one or more healthcare payor computers.
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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
4 Claims
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1. A computer system for transmitting healthcare data from a provider, the computer system comprising:
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an intermediary computer system that includes a staging database in communication with a healthcare provider computer system and one or more healthcare payor computer systems; wherein the staging database is configured to receive uploaded healthcare claims data of a first patient from the healthcare provider computer system; wherein communication between the intermediary computer system and the healthcare provider computer system is over the Internet; wherein the intermediary computer system is configured to include a rules-based system to evaluate the healthcare claims data received from the provider; wherein the one or more payor computer systems are configured to receive healthcare claims data from a plurality of patients through the intermediary computer system; and wherein the staging database is configured to transfer the healthcare claims data of the first patient to one of the one or more healthcare payor computers. - View Dependent Claims (2, 3, 4)
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Specification