Systems to assist in the creation, transmission, and processing of health insurance claims
First Claim
Patent Images
1. A system comprising:
- a first computer system having software for generation of structured files comprising respective subsets of a plurality of identifiable fields,wherein each identifiable field of the subsets of the plurality of identifiable fields comprises data that uniquely identifies that identifiable field; and
wherein at least one identifiable field of the respective subset of the plurality of identifiable fields of a generated structured file further comprises content data;
a second computer system;
a third computer system; and
a fourth computer system having software for processing structured files generated by the first computer system, with each of the structured files to be processed comprising its respective subset of the plurality of identifiable fields;
wherein each computer system comprises at least one computer;
wherein the software of the fourth computer system is coordinated with the software of the first computer system so that each knows the data that uniquely identifies each of the identifiable fields of the plurality of identifiable fields of the structured files generated by the software of the first computer;
wherein the first computer system is configured to receive, through input, first content data and second content data;
wherein the first content data comprises at least one image, andwherein the second content datacomprises ASCII text data, andcomprises no image data;
wherein the first computer system is configured to, in response in part to receipt of the first content data and the second content data, bothgenerate a first structured file using its software, wherein the first structured filecomprises a first subset of the plurality of identifiable fields;
wherein each identifiable field of the first subset of the plurality of identifiable fields
comprises respective data that uniquely identifies that identifiable field;
wherein at least one of the identifiable fields of the first subset of the plurality of identifiable fields
further comprises the at least one image as content data,wherein at least one other of the identifiable fields of the first subset of the plurality of identifiable fields
further comprises cross-referencing data as content data, andtransmit the first structured file to the second computer system;
wherein the first computer system is configured to, in response in part to receipt of the first content data and the second content data, bothgenerate a second structured file using its software, wherein the second structured filecomprises a second subset of the plurality of identifiable fields;
wherein each identifiable field of the second subset of the plurality of identifiable fields
comprises respective data that uniquely identifies that identifiable field;
wherein a plurality of the identifiable fields of the second subset of the plurality of identifiable fields
further comprise respective portions of the ASCII text data of the second content data,wherein at least one other of the identifiable fields of the second subset of the plurality of identifiable fields
further comprises the cross-referencing data as content data, andwherein the second structured file does not contain image data; and
transmit the second structured file to the third computer system;
wherein the fourth computer system is configured to access the second structured file at the third computer system;
wherein the fourth computer system is configured to access at least one of the identifiable fields of the first subset of the plurality of identifiable fields comprising the at least one image as content data from the first structured file at the second computer system by using the cross-referencing data in the second structured file;
wherein the fourth computer system is configured to process the second structured file using its software, at least in part, by generating a third structured file using its software, the third structured file comprising a third subset of the plurality of identifiable fields,wherein each identifiable field of the third subset of the plurality of identifiable fieldscomprises respective data that uniquely identifies that identifiable field; and
further comprises respective content data;
wherein the fourth computer systemuses the data uniquely identifying each of the identifiable fields of the second subset of the plurality of identifiable fields in the second structured file to identify at least one particular identifiable field in the second structured file,uses the data uniquely identifying each of the identifiable fields of the third subset of the plurality of identifiable fields in the third structured file to identify at least one particular identifiable field in the third structured file that corresponds to the at least one particular identifiable field identified in the second structured file, anduses the content data in the identified at least one particular identifiable field in the second structured file to generate content data for the corresponding at least one particular identifiable field in the third structured file.
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Abstract
Systems to assist in the creation, transmission, and processing of health insurance claims. Computer-implemented methods that enable the receiving of, storing of, and granting access to data in such systems.
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Citations
25 Claims
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1. A system comprising:
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a first computer system having software for generation of structured files comprising respective subsets of a plurality of identifiable fields, wherein each identifiable field of the subsets of the plurality of identifiable fields comprises data that uniquely identifies that identifiable field; and wherein at least one identifiable field of the respective subset of the plurality of identifiable fields of a generated structured file further comprises content data; a second computer system; a third computer system; and a fourth computer system having software for processing structured files generated by the first computer system, with each of the structured files to be processed comprising its respective subset of the plurality of identifiable fields; wherein each computer system comprises at least one computer; wherein the software of the fourth computer system is coordinated with the software of the first computer system so that each knows the data that uniquely identifies each of the identifiable fields of the plurality of identifiable fields of the structured files generated by the software of the first computer; wherein the first computer system is configured to receive, through input, first content data and second content data; wherein the first content data comprises at least one image, and wherein the second content data comprises ASCII text data, and comprises no image data; wherein the first computer system is configured to, in response in part to receipt of the first content data and the second content data, both generate a first structured file using its software, wherein the first structured file comprises a first subset of the plurality of identifiable fields; wherein each identifiable field of the first subset of the plurality of identifiable fields
comprises respective data that uniquely identifies that identifiable field;wherein at least one of the identifiable fields of the first subset of the plurality of identifiable fields
further comprises the at least one image as content data,wherein at least one other of the identifiable fields of the first subset of the plurality of identifiable fields
further comprises cross-referencing data as content data, andtransmit the first structured file to the second computer system; wherein the first computer system is configured to, in response in part to receipt of the first content data and the second content data, both generate a second structured file using its software, wherein the second structured file comprises a second subset of the plurality of identifiable fields; wherein each identifiable field of the second subset of the plurality of identifiable fields
comprises respective data that uniquely identifies that identifiable field;wherein a plurality of the identifiable fields of the second subset of the plurality of identifiable fields
further comprise respective portions of the ASCII text data of the second content data,wherein at least one other of the identifiable fields of the second subset of the plurality of identifiable fields
further comprises the cross-referencing data as content data, andwherein the second structured file does not contain image data; and transmit the second structured file to the third computer system; wherein the fourth computer system is configured to access the second structured file at the third computer system; wherein the fourth computer system is configured to access at least one of the identifiable fields of the first subset of the plurality of identifiable fields comprising the at least one image as content data from the first structured file at the second computer system by using the cross-referencing data in the second structured file; wherein the fourth computer system is configured to process the second structured file using its software, at least in part, by generating a third structured file using its software, the third structured file comprising a third subset of the plurality of identifiable fields, wherein each identifiable field of the third subset of the plurality of identifiable fields comprises respective data that uniquely identifies that identifiable field; and further comprises respective content data; wherein the fourth computer system uses the data uniquely identifying each of the identifiable fields of the second subset of the plurality of identifiable fields in the second structured file to identify at least one particular identifiable field in the second structured file, uses the data uniquely identifying each of the identifiable fields of the third subset of the plurality of identifiable fields in the third structured file to identify at least one particular identifiable field in the third structured file that corresponds to the at least one particular identifiable field identified in the second structured file, and uses the content data in the identified at least one particular identifiable field in the second structured file to generate content data for the corresponding at least one particular identifiable field in the third structured file. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18)
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19. A computer-implemented method that enables intermediation of structured files among mutually communicating computer systems, the method comprising:
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coordinating software on an intermediate computer system, software on a first computer system and software on a second computer system, wherein communications among the three computer systems comprises transfer of structured files generated by the coordinated software, wherein each of the structured files is comprised of content data in identifiable fields selected from a plurality of identifiable fields, and comprised of, for each identifiable field of such structured files, data that uniquely identifies that identifiable field, and wherein the software of the intermediate computer system is coordinated with the software of each of the first computer system and the second computer system such that the software of each of the three computer systems knows the data that uniquely identifies each identifiable field of the plurality of identifiable fields of the structured files; receiving, at the intermediate computer system, a first structured file from the first computer system; wherein the first structured file comprises at least one identifiable field of the plurality of identifiable fields having image data as its respective content data, and at least one other identifiable field of the plurality of identifiable fields having ASCII text data as its respective content data; storing, by the intermediate computer system, a plurality of the identifiable fields of the received first structured file and the content data in those identifiable fields and, for each identifiable field stored, storing the data that uniquely identifies that identifiable field; storing, by the intermediate computer system, cross-referencing data that corresponds to the plurality of the identifiable fields of the first structured file stored by the intermediate computer system; receiving, at the intermediate computer system, a communication from the second computer system requesting identifiable fields, wherein the electronic communication comprises the cross-referencing data; and wherein the requested identifiable fields comprise at least one identifiable field of the stored identifiable fields of the intermediate computer system having image data as its respective content data; determining, using the software of the intermediate computer system, the stored identifiable fields of the intermediate computer system that correspond to both the cross-referencing data and the requested identifiable fields; transmitting, to the second computer system, the requested identifiable fields of the stored identifiable fields of the intermediate computer system that were determined to correspond to the cross-referencing data and the content data in those transmitted identifiable fields, and for each identifiable field transmitted, transmitting the data that uniquely identifies that identifiable field, wherein the identifiable fields that are transmitted are determined by using the data that uniquely identifies each of the identifiable fields; and wherein the intermediate computer system comprises at least one computer. - View Dependent Claims (20, 21, 22, 23, 24, 25)
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Specification