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Medical payment system

  • US 8,527,298 B2
  • Filed: 06/01/2012
  • Issued: 09/03/2013
  • Est. Priority Date: 01/08/2002
  • Status: Active Grant
First Claim
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1. A method of facilitating payment of health care benefits to a health care provider comprising:

  • identifying the healthcare provider that renders goods and services in anticipation of payment;

    identifying a payer that has agreed to pay the healthcare provider on behalf of a patient subject to preselected conditions;

    determining with computer hardware comprising one or more computer processors, a payment amount with one or more computer processors associated with the goods or services wherein determining the payment amount comprises;

    selecting at least one fee schedule from multiple fee schedules based at least in part on the provider identification information; and

    calculating the payment amount based at least in part on the selected fee schedule;

    verifying that the payment amount is a bona fide medical expense;

    sending the verification of the payment amount to an account associated with the patient;

    approving, the payment amount only when the verification of the payment amount has been received; and

    transmitting a copy of the payment amount to the health care provider.

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