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Systems and methods for facilitating healthcare provider enrollment with one or more payers

  • US 8,566,117 B1
  • Filed: 06/30/2011
  • Issued: 10/22/2013
  • Est. Priority Date: 06/30/2011
  • Status: Active Grant
First Claim
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1. A method, comprising:

  • receiving, by at least one service provider computer associated with a service provider, from a healthcare provider computer associated with a healthcare provider, identification of a plurality of payers;

    determining, by at least one of the service provider or the service provider computer, required enrollment information needed for the healthcare provider to register for using one or more services provided by one or more of the plurality of payers;

    retrieving or receiving, by at least one of the service provider or the service provider computer, available enrollment information associated with the healthcare provider;

    determining, by at least one of the service provider or the service provider computer, missing enrollment information based upon a comparison of the required enrollment information and the available enrollment information; and

    transmitting, by the service provider computer, to the healthcare provider computer, a request for the missing enrollment information;

    providing by the service provider computer, a user interface that allows the health care provider to select the one or more services provided by the one or more of the plurality of payers, wherein the one or more services comprises at least one of a claims service, an electronic remittance service, or a reports service.

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