All care health management system

• US 5,301,105 A
• Filed: 04/08/1991
• Issued: 04/05/1994
• Est. Priority Date: 04/08/1991
• Status: Expired due to Term

• Current Assignee: Allcare Health Management System, Inc.
• Original Assignee: Desmond D. Cummings Jr
• Inventors: Cummings, Desmond D. Jr.
• Primary Examiner(s): Envall, Jr., Roy N.
• Assistant Examiner(s): SHINGALA, GITA
• Application Number:
  US07/683,032
• Time in Patent Office: 1,093 Days
• Field of Search: 364/401, 364/406, 364/408
• US Class Current: 705/2
• CPC Class Codes: G06Q 20/102 Bill distribution or payments
• CPC Class Codes: G06Q 40/02 Banking, e.g. interest calculation or account maintenance credit or loans G06Q40/03
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 70/20 relating to practices or guidelines

Abstract

A fully integrated and comprehensive health care system that includes the integrated interconnection and interaction of the patient, health care provider, bank or other financial institution, insurance company, utilization reviewer and employer so as to include within a single system each of the essential participants to provide patients with complete and comprehensive pre-treatment, treatment and post-treatment health care and predetermined financial support therefor.

Claims

1. A comprehensive health care management system comprising:

(a) input means for entering data identifying each of a predetermined plurality of persons;

(b) a data bank memory interconnected with said input means, said data bank memory including an identification of predetermined procedures requiring utilization review;

(c) payment means; and

(d) means in communication with said input means responsive to input of data through said input means symbolic of symptoms of one of said predetermined plurality of persons for tentatively identifying a proposed mode of treatment for said one of said predetermined plurality of persons and, when said proposed mode of treatment includes one of said predetermined procedures requiring utilization review, for producing indicia indicative thereof and for preventing payment therefor by said payment means until said utilization review has been obtained and data indicative thereof has been entered in said system.

2. A comprehensive health care management system according to claim 1 in which said means responsive to the input of data symbolic of patient symptoms for tentatively identifying a proposed mode of treatment include means effective when said proposed mode of treatment includes an ancillary service, for producing indicia indicative thereof and for providing said ancillary service.

3. A comprehensive health care management system according to claim 1 in which said means responsive to the input of data symbolic of symptoms includes means for tentatively identifying preventive health routines for addressing each of any identified plurality of potentially health-destructive conditions including excessive weight, high blood pressure, smoking, and insufficient exercise.

13. A comprehensive health care management system according to claim 2 in which one of said data bank memories includes identification of symptoms for diagnosis of each of a predetermined plurality of illnesses.

14. A comprehensive health care management system according to claim 2 in which one of said data bank memories includes data representing treatment for each of a predetermined plurality of illnesses.

15. A comprehensive health care management system according to claim 13 in which one of said data bank memories includes data representing treatment for each of said predetermined plurality of illnesses.

4. A comprehensive health care management system comprising:

(a) input means for entering data identifying each of a predetermined plurality of persons and for entering data symbolic of patient symptoms;

(b) a first data bank memory interconnected with said input means, said first data bank memory containing predetermined items of medical history for said predetermined plurality of persons;

(c) another data bank memory interconnected with said first data bank memory, said another data bank memory including an identification of predetermined procedures requiring utilization review;

(d) payment means; and

(e) means interconnected with said payment means responsive to input to said system of said data symbolic of patient symptoms for tentatively identifying a proposed mode of treatment and, when said proposed mode of treatment includes one of said predetermined procedures requiring utilization review, for producing indicia indicative thereof and for preventing payment therefor by said payment means until said utilization review has been obtained and data indicative thereof has been entered in said system.

5. A comprehensive health care management system according to claim 4 in which said predetermined items of medical history include physical profiles of said predetermined plurality of persons.

6. A comprehensive health care management system according to claim 4 in which said input means further includes a data input terminal for entering into said system said predetermined items of medical history.

7. A comprehensive health care management system according to claim 4 in which said data input terminal is responsive to inputs thereto to enter into one of said data banks data severally identifying said predetermined plurality of persons.

8. A comprehensive health care management system according to claim 7 further including means for verifying authenticity of identifications of said predetermined plurality of persons.

9. A comprehensive health care management system according to claim 8 further including means for verifying eligibility for treatment of said predetermined plurality of persons.

10. A comprehensive health care management system according to claim 9 wherein said means for verifying the eligibility for treatment of said predetermined plurality of persons further includes means for identifying preselected classes of treatments to be pre-certified for authorized treatment and payment.

11. A comprehensive health care management system according to claim 4 in which said data input terminal includes provision for data entry from a magnetically-encoded medium.

12. A comprehensive health care management system according to claim 4 in which said data input terminal includes provision for data entry from a manual keyboard.

16. A comprehensive health care management system comprising:

(a) input means for entering data identifying each of a predetermined plurality of persons;

(b) a data bank memory interconnected with said input means, said data bank memory including an identification of predetermined procedures requiring second options;

(c) payment means; and

(d) means in communication with said input means responsive to input of data through said input means symbolic of symptoms of one of said predetermined plurality of persons for tentatively identifying a proposed mode of treatment for said one of said predetermined plurality of persons and, when said proposed mode of treatment includes one of said predetermined procedures requiring a second opinion, for producing indicia indicative thereof and for preventing payment therefor by said payment means until a second opinion has been obtained.

17. A comprehensive health care management system according to claim 16 in which said means responsive to the input of data symbolic of symptoms for tentatively identifying a proposed mode of treatment include means effective when said proposed mode of treatment includes an ancillary service, for producing indicia indicative thereof and for providing said ancillary service.

18. A comprehensive health care management system according to claim 16 in which said means responsive to the input of data symbolic of symptoms includes means for tentatively identifying preventive health routines for addressing each of any identified plurality of potentially health-destructive conditions including excessive weight, high blood pressure, smoking, and insufficient exercise.

28. A comprehensive health care management system according to claim 17 in which one of said data bank memories include identification of symptoms for diagnosis of each of a predetermined plurality of illnesses.

29. A comprehensive health care management system according to claim 17 in which one of said data bank memories include data representing treatment for each of a predetermined plurality of illnesses.

30. A comprehensive health care management system according to claim 28 in which one of said data bank memories include data representing treatment for each of said predetermined plurality of illnesses.

19. A comprehensive health care management system comprising:

(a) input means for entering data identifying each of a predetermined plurality of persons and for entering data symbolic of patient symptoms;

(b) a first data bank memory interconnected with said input means, said data bank memory containing predetermined items of medical history for said predetermined plurality of persons;

(c) another data bank memory interconnecting with said first data bank memory, said another data bank memory including an identification of predetermined procedures requiring second opinions;

(d) payment means; and

(e) means interconnected with said payment means responsive to the input to said system of said data symbolic of patient symptoms for tentatively identifying a proposed mode of treatment and, when said proposed mode of treatment includes one of said predetermined procedures requiring a second opinion, for producing indicia indicative thereof and for preventing payment therefor by said payment means until a second opinion has been obtained.

20. A comprehensive health care management system according to claim 19 in which said predetermined items of medical history include physical profiles of said predetermined plurality of persons.

21. A comprehensive health care management system according to claim 19 in which said input means further includes a data input terminal for entering into said system said predetermined items of medical history.

22. A comprehensive health care management system according to claim 19 in which said data input terminal is responsive to inputs thereto to enter into one of said data banks data severally identifying said predetermined plurality of persons.

23. A comprehensive health care management system according to claim 22 further including means for verifying authenticity of identifications of said predetermined plurality of persons.

24. A comprehensive health care management system according to claim 23 further including means for verifying eligibility for treatment of said predetermined plurality of persons.

25. A comprehensive health care management system according to claim 24 wherein said means for verifying eligibility for treatment of said predetermined plurality of persons further includes means for identifying pre-selected classes of treatments to be pre-certified for authorized treatment and payment.

26. A comprehensive health care management system according to claim 19 in which said input means includes provision for data entry from a magnetically-encoded medium.

27. A comprehensive health care management system according to claim 19 in which said input means includes provision for data entry from a manual keyboard.

31. A comprehensive health care management system comprising:

(a) a data input terminal for entering data identifying each of a predetermined plurality of persons being on a payroll of an organization;

(b) a data bank memory containing predetermined items of medical history for said predetermined plurality of persons;

(c) payroll deduction means for providing payment for said predetermined plurality of persons;

(d) another data bank memory including an identification of predetermined medical procedures and pre-approved levels of payments for said predetermined medical procedures; and

(e) means responsive to input of data indicative of performance of one of said predetermined medical procedures for one of said predetermined plurality of persons for examining a level of charge made by a provider of medical services for the performed procedure and, if said level of charge exceeds the pre-approved level of payment for said procedure, for causing said payroll deduction means to pay the exceeded amount by payroll deduction.

32. A comprehensive health care management system comprising:

(a) a first data input terminal at the location of a medical services provider for entering data identifying each of a predetermined plurality of persons being on a payroll of an organization;

(b) a second data terminal at the location of said organization;

(c) a first data bank memory containing predetermined items of medical history for said predetermined plurality of persons;

(d) another data bank memory including an identification of predetermined medical procedures and pre-approved levels of payments for said predetermined medical procedures; and

(e) means responsive to input of data indicative of performance of one of said predetermined medical procedures for one of said predetermined plurality of persons and for examining a level of charge made by a provider of medical services for the performed procedure and, if said level of charge exceeds the pre-approved level of payment, for producing at the location of said second data terminal indicia indicative thereof and for permitting authorization for the excess to be made by said organization.

33. A comprehensive health care management system comprising:

(a) a data input terminal for entering data identifying each of a predetermined plurality of persons being subject to workmen'"'"'s compensation;

(b) a data bank memory including an identification of predetermined medical procedures and pre-approved levels of workmen'"'"'s compensation payments for said predetermined medical procedures; and

(c) means responsive to the input of data to said system indicative of the desirability of performance of one of said predetermined medical procedures for one of said predetermined plurality of persons for examining a level of charge made by a provider of medical services for the performed procedure and, if said level of charge exceeds the pre-approved

34. A comprehensive health care management system comprising:

(a) input means for entering data identifying each of a predetermined plurality of persons and for entering data symbolic of patient symptoms;

(b) a first data bank memory interconnected with said input means, said first data bank memory containing predetermined items of medical history for each of said predetermined plurality of persons;

(c) another data bank memory interconnected with said first data bank memory, said another data bank memory including an identification of predetermined procedures requiring ancillary services; and

(d) means interconnected with said another data bank memory and responsive to the input to said system of said data symbolic of patient symptoms for tentatively identifying a proposed mode of treatment and, when said proposed mode of treatment includes one of said ancillary services, for producing indicia indicative thereof and for providing said one of said ancillary services.

35. A comprehensive health care management system according to claim 34 in which said predetermined items of medical history include physical profiles of said predetermined plurality of persons.

36. A comprehensive health care management system according to claim 34 in which said input means further includes a data input terminal for entering into said system said predetermined items of medical history.

37. A comprehensive health care management system according to claim 34 in which said input means includes a data input terminal responsive to inputs thereto to enter into one of said data banks data severally identifying said predetermined plurality of persons.

38. A comprehensive health care management system according to claim 34 further including means for verifying authenticity of identifications of said predetermined plurality of persons.

39. A comprehensive health care management system according to claim 34 further including means for verifying eligibility for treatment of said predetermined plurality of persons.

40. A comprehensive health care management system according to claim 39 wherein said means for verifying the eligibility for treatment of said predetermined plurality of persons further includes means for identifying pre-selected classes of treatments to be pre-certified for authorized treatment and payment.

41. A comprehensive health care management system according to claim 34 in which said means responsive to the input of data symbolic of patient symptoms includes means for tentatively identifying preventive health routines for addressing each of any identified plurality of potentially health-destructive conditions including excessive weight, high blood pressure, smoking, and insufficient exercise.

42. A comprehensive health care management system according to claim 37 in which said data input terminal includes provision for data entry from a magnetically-encoded medium.

43. A comprehensive health care management system according to claim 37 in which said data input terminal includes provision for data entry from a manual keyboard.

44. A comprehensive health care management system according to claim 34 in which one of said data bank memories includes identification of symptoms for diagnosis of each of a predetermined plurality of illnesses.

45. A comprehensive health care management system according to claim 34 in which one of said data bank memories includes data representing treatment for each of a predetermined plurality of illnesses.

46. A comprehensive health care management system according to claim 44 in which one of said data bank memories includes data representing treatment for each of said predetermined plurality of illnesses.

47. An integrated health care management system comprising:

(a) a data input terminal for entering data identifying each of a predetermined plurality of persons;

(b) a data bank memory containing predetermined items of medical history including physical profile data for said predetermined plurality of persons;

(c) health regimen recommendation means responsive to said physical profile data for said predetermined plurality of persons for generating individualized preventive health regimen recommendations for said predetermined plurality of persons including diet and exercise;

(d) symptom recording means including said data bank memory for recording symptoms associated with each of a predetermined plurality of health problems;

(e) recommend treatment means including said data bank memory for recording recommended treatment for each of said predetermined plurality of health problems;

(f) utilization review means including said data bank memory for selecting and recording identification of treatments selected for utilization review;

(g) symptom input means for inputting descriptions of patients'"'"' symptoms into said system;

(h) means responsive to input of said patients'"'"' symptoms for displaying recommended treatments, for identifying recommended treatments which are selected for utilization review and for displaying indicia identifying said recommended treatments which are selected for utilization review, said means responsive to input of said patients'"'"' symptoms being further effective to identify recommended treatments for which ancillary services are indicated;

(i) means responsive to identification of said recommended treatments for identifying payor-approved charges for said treatments;

(j) means for comparing said payor-approved charges for said treatments with corresponding actual charges assessed by a proposed health care provider and for identifying any insufficiency of payor-approved charges compared to said actual charges;

(k) means for supplying said insufficiency by payroll deduction for patients that are paid on organization payrolls;

(l) means including said utilization review means for providing medical care quality control;

(m) means for providing both in-patient and out-patient care; and

(n) means including said data bank memory for preparing recommended post-treatment routines.

48. An integrated health care management system according to claim 47 wherein when one of said recommended treatments is selected for utilization review, payment approval is withheld until data is entered into said system confirming completion of said utilization review.

49. An integrated health care management system according to claim 47 wherein said physical profile data include physical examination results.

50. An integrated health care management system according to claim 47 wherein said utilization review means includes second opinion means.

51. An integrated health care management system according to claim 47 wherein said physical profile data include physical examination results and wherein said utilization review means includes second opinion means.

52. A method of managing a comprehensive health care management system utilizing a data processor, data bank memories, input means and payment means comprising:

(a) entering into said data processor data identifying each of a predetermined plurality of persons;

(b) entering into one of said data bank memories an identification of predetermined procedures requiring utilization review;

(c) entering through said input means into said data processor data symbolic of patient symptoms for tentatively identifying a proposed mode of treatment and, when said proposed mode of treatment includes one of said predetermined procedures requiring utilization review, producing indicia indicative thereof; and

(d) preventing payment therefor by said payment means until said utilization review has been obtained and data indicative thereof has been entered in said system.

53. A method of managing a health care management system according to claim 52 in which the step of tentatively identifying a proposed mode of treatment further includes checking said proposed mode of treatment and when said proposed mode of treatment includes an ancillary service, producing indicia indicative thereof and providing said ancillary service.

54. A method of managing a health care management system according to claim 52 in which the step of tentatively identifying a proposed mode of treatment further includes the step of tentatively identifying preventive health routines for addressing each of any identified plurality of potentially health-destructive conditions including excessive weight, high blood pressure, smoking, and insufficient exercise.

55. A method of managing a health care management system utilizing a data processor, data bank memories, input means and payment means comprising:

(a) entering into said input means data identifying each of a predetermined plurality of persons;

(b) entering into one of said data bank memories an identification of predetermined items of medical history for said predetermined plurality of persons;

(c) entering into another of said data bank memories an identification of predetermined procedures requiring utilization review; and

(d) entering through said input means into said data processor data symbolic of patient symptoms for tentatively identifying a proposed mode of treatment and, when said proposed mode of treatment includes one of said predetermined procedures requiring utilization review, producing indicia indicative thereof; and

(e) preventing payment therefor until said utilization review has been obtained and data indicative thereof has been entered in said system.

56. A method of managing a health care management system according to claim 55 in which the step of entering into one of said data bank memories an identification of predetermined items of medical

57. A method of managing a health care management system according claim 55 in which said input means further includes a data input terminal and in which the method further includes the step of entering into said data input terminal of said system said predetermined items of medical history.

58. A method of managing a health care management system according to claim 55 further including the step of storing within said one of said data bank memories information individually relating to each of said predetermined plurality of persons.

59. A method of managing a health care management system according to claim 58 further including the step of verifying authenticity of identifications of said predetermined plurality of persons.

60. A method of managing a health care management system according to claim 59 further including the step of verifying eligibility for treatment of said predetermined plurality of persons.

61. A method of managing a health care management system according to claim 60 wherein the step of verifying the eligibility for treatment of said predetermined plurality of persons further includes the step of identifying pre-selected classes of treatments pre-certified for authorized treatment and payment.

62. A method of managing a health care management system according to claim 57 further including the step of entering data into said data input terminal from a magnetically-encoded medium.

63. A method of managing a health care management system according to claim 57 further including the step of manually entering data input into said data terminal through a manual keyboard.

64. A method of managing a health care management system according to claim 55 further including the step of accessing one of said data bank memories to identify symptoms for diagnosis of each of a predetermined plurality of illnesses.

65. A method of managing a health care management system according to claim 55 further including the step of accessing said data symbolic of patient symptoms and identifying a proposed mode of treatment for each of a predetermined plurality of illnesses.

66. A method of managing a health care management system according to claim 64 further including the step of accessing said data symbolic of patient symptoms and identifying a proposed mode of treatment for each of a predetermined plurality of illnesses.

67. A method of managing a comprehensive health care management system comprising:

(a) providing a data input terminal for said system for entering into said system data identifying each of a predetermined plurality of persons;

(b) establishing a data bank memory operatively connected to said system for including an identification of predetermined procedures requiring second options;

(c) entering in said data input terminal data symbolic of patient symptoms;

(d) establishing payment means;

(e) accessing said data symbolic of patient symptoms for tentatively identifying a proposed mode of treatment and,

(f) when said proposed mode of treatment includes one of said predetermined procedures requiring a second opinion, producing indicia indicative thereof and preventing payment therefor by said payment means until a second opinion has been obtained.

68. A method of managing a health care management system according to claim 67 wherein when said proposed mode of treatment includes an ancillary service, the additional step of producing indicia indicative thereof and for providing said ancillary service.

69. A method of managing a health care management system according to claim 67 further including the step of tentatively identifying preventive health routines for addressing each of any identified plurality of potentially health-destructive conditions including excessive weight, high blood pressure, smoking, and insufficient exercises.

70. A method of managing a comprehensive health care management system utilizing a data processor, data bank memories, input means and payment means comprising:

(a) providing a data input terminal for entering into said system data identifying each of a predetermined plurality of persons;

(b) establishing a first system data bank memory and entering into said first data bank memory predetermined items of medical history for said predetermined plurality of persons;

(c) establishing another system data bank memory and entering into said another data bank memory information including an identification of predetermined procedures requiring second opinions;

(d) entering into said data processor information symbolic of patient symptoms;

(e) establishing payment means;

(f) accessing one of said data bank memories for tentatively identifying a proposed mode of treatment; and

,

(g) when said proposed mode of treatment includes one of said predetermined procedures requiring a second opinion, for producing indicia indicative thereof and for preventing payment therefor by said payment means until a second opinion has been obtained.

71. A method of managing a health care management system according to claim 70 in which the step of entering into said first system data bank memory predetermined items of medical history includes step of including physical profiles of said predetermined plurality of persons.

72. A method of managing a health care management system according to claim 70 further including the step of accessing said predetermined items of medical history.

73. A method of managing a health care management system according to claim 70 wherein the step of entering into said first system data bank memory predetermined items of medical history further includes the step of entering into one of said data banks data designating the identity of the payor for health care for each of said predetermined plurality of persons.

74. A method of managing a health care management system according to claim 73 further including means for verifying the authenticity of identifications of said predetermined plurality of persons.

75. A method of managing a health care management system according to claim 74 further including the step of verifying eligibility for treatment of said predetermined plurality of persons.

76. A method of managing a health care management system according to claim 75 further including the step of verifying the eligibility for treatment of said predetermined plurality of persons and identifying pre-selected classes of treatments pre-certified for authorized treatment and payment.

77. A method of managing a health care management system according to claim 72 further including the step of entering data into said system from a magnetically-encoded medium.

78. A method of managing a health care management system according to claim 72 further including the step of entering data into said system from a manual keyboard.

79. A method of managing a health care management system according to claim 70 further including the step of accessing one of said data bank memories to identify symptoms for diagnosis of each of a predetermined plurality of illnesses.

80. A method of managing a health care management system according to claim 70 further including the step of entering into one of said data bank memories data representing treatment for each of a predetermined plurality of illnesses.

81. A method of managing a health care management system according to claim 79 further including the step of entering into one of said data bank memories data representing treatment for each of a predetermined plurality of illnesses.

82. A method of managing a health care management system having a data processor comprising:

(a) providing a data input terminal for entering data identifying each of a predetermined plurality of persons being on a payroll of an organization;

(b) providing a data bank memory containing predetermined items of medical history for said predetermined plurality of persons;

(c) providing another data bank memory including an identification of predetermined medical procedures and pre-approved levels of payments for said predetermined medical procedures;

(d) entering into said system data indicative of performance of one of said predetermined medical procedures; and

(e) examining a level of charge made by a provider of medical services for the performed procedure and, if said level of charge exceeds the pre-approved level of payment for said procedure, for causing payment of the exceeded amount by payroll deduction.

83. A method of managing a health care management system having a data processor comprising:

(a) providing a first data input terminal at the location of a medical services provider;

(b) entering into said system through said first data input terminal data identifying each of a predetermined plurality of persons being on a payroll of an organization;

(c) providing a second data terminal at the location of said organization;

(d) providing a data bank memory containing predetermined items of medical history for said predetermined plurality of persons;

(e) providing another data bank memory including an identification of predetermined medical procedures and pre-approved levels of payments for said predetermined medical procedures; and

(f) entering into said system data indicative of performance of one of said predetermined medical procedures;

(g) examining a level of charge made by a provider of medical services for the performed procedure and, if said level of charge exceeds the pre-approved level of payment for producing at the location of said second data terminal indicia indicative thereof and for permitting authorization for excess payment by said organization.

84. A method of managing a health care management system comprising:

(a) providing a data input terminal;

(b) entering into said system through said data input terminal data identifying each of a predetermined plurality of persons being subject to workmen'"'"'s compensation;

(c) providing in said system a data bank memory;

(d) entering into said system an identification of predetermined medical procedures and pre-approved levels of workmen'"'"'s compensation payments for said predetermined medical procedures; and

(e) examining a level of charge made by a provider of medical services for a predetermined procedure performed on one of said predetermined plurality of persons and, if said level of charge exceeds said pre-approved level of payment for said procedure, for identifying the exceeded amount and for permitting the payment of the exceeded amount by said one of said predetermined plurality of persons.

85. A method of managing a health care management system comprising:

(a) providing a data input terminal;

(b) entering data into said system for identifying each of a predetermined plurality of persons;

(c) providing a data bank memory containing predetermined items of medical history for each of said predetermined plurality of persons;

(d) providing in said data bank memory an identification of predetermined procedures requiring ancillary services; and

(e) tentatively identifying a proposed mode of treatment and, when said proposed mode of treatment includes one of said ancillary services, for producing indicia indicative thereof and for providing said one of said ancillary services.

86. A method of managing a health care management system according to claim 85 in which said predetermined items of medical history include physical profiles of said predetermined plurality of persons.

87. A method of managing a health care management system according to claim 85 in which said system further includes the step of entering into said system said predetermined items of medical history through said data input terminal.

88. A method of managing a health care management system according to claim 87 further including the step of verifying authenticity of identifications of said predetermined plurality of persons.

89. A method of managing a health care management system according to claim 88 further including the step of verifying eligibility for treatment of said predetermined plurality of persons.

90. A method of managing a health care management system according to claim 89 further including the step of identifying pre-selected classes of treatments pre-certification for authorized treatment and payment.

91. A method of managing a health care management system according to claim 85 further including the step of tentatively identifying preventive health routines for addressing each of a plurality of potentially health-destructive conditions including excessive weight, high blood pressure, smoking, insufficient and exercise.

92. A method of managing a health care management system according to claim 87 further including the step of entering data into said system from a magnetically-encoded medium.

93. A method of managing a health care management system according to claim 87 further including the step of entering data into said system through a manual keyboard.

94. A method of managing a health care management system according to claim 85 including the step of entering into said data bank memory an identification of symptoms for diagnosis of each of a predetermined plurality of illnesses.

95. A method of managing a health care management system according to claim 85 further including the step of entering into said data bank memory data representing treatment for each of a predetermined plurality of illnesses.

96. A method of managing a health care management system according to claim 94 further including the step of introducing into said data bank memory data representing treatment for each of said predetermined plurality of illnesses.

97. A method of managing a health care management system comprising:

(a) providing a data input terminal for entering data identifying each of a predetermined plurality of persons;

(b) providing a data bank memory containing predetermined items of medical history including physical profile data for said predetermined plurality of persons;

(c) including in said data bank memory health regimen recommendation data for each of a predetermined plurality of physical profiles;

(d) generating individualized preventive health regimen recommendations for each of said predetermined plurality of persons including diet and exercise;

(e) recording in said data bank memory symptoms associated with each of a predetermined plurality of health problems;

(f) recording in said data bank memory recommended treatment protocols for each of said predetermined plurality of health problems;

(g) selecting treatments for utilization review;

(h) inputting into said system data representing patients'"'"' symptoms;

(i) accessing said data bank memory means responsive to input of said patients'"'"' symptoms for displaying recommended treatments, for identifying recommended treatments which are selected for utilization review, for displaying indicia identifying said treatments which are selected for utilization review, and identifying those recommended treatments for which ancillary services are indicated;

(j) identifying payor-approved charges for said treatments;

(k) comparing said payor-approved charges for said treatments with corresponding actual charges assessed by a proposed health care provider and identifying any insufficiency of payor-approved charges compared to said actual charges;

(l) providing payroll deduction and supplying said insufficiency by payroll deduction for patients that are paid on organization payrolls;

(m) providing medical care quality control;

(n) providing both in-patient and out-patient care; and

(o) preparing recommended post-treatment routines.

98. A method of managing an integrated health care management system according to claim 97 further including the step of withholding payment approval for one of said treatments selected for utilization review, until data is entered into said system confirming completion of said utilization review.

99. A method of managing an integrated health care management system according to claim 97 further including the step of storing in said data bank memory physical examination results.

100. A method of managing an integrated health care management system according to claim 97 further including the step of identifying selected procedures for second opinions and wherein said utilization review includes providing second opinions.

101. A method of managing an integrated health care management system according to claim 97 further including the steps of storing examination results in said data bank memory and identifying selected procedures for second opinions.

102. A method of managing an integrated health care management system having input means, payment means and memory storage comprising:

(a) storing through said input means into said memory storage personal health profile data for each of a predetermined plurality of persons;

(b) storing into said memory storage symptoms and treatment data for each of a predetermined plurality of health profiles and problems;

(c) storing in said memory storage criteria for identifying treatments requiring utilization review;

(d) storing in said memory storage criteria for identifying treatments requiring second opinions;

(e) entering into said system information identifying a proposed medical treatment for one of said plurality of persons;

(f) identifying whether or not said proposed medical treatment requires utilization review; and

(g) preventing said system from approving payment for said proposed medical treatment if said proposed medical treatment requires utilization review until such utilization review has been conducted.