Computer-implemented method for profiling medical claims

CAFC
  • US 6,370,511 B1
  • Filed: 11/09/1998
  • Issued: 04/09/2002
  • Est. Priority Date: 06/22/1995
  • Status: Expired due to Term
First Claim
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1. A computer-implemented method of grouping pharmaceutical claims data, comprising the steps of:

  • (a) reading pharmaceutical claims data, input as at least one of a plurality of data records, into a computer memory;

    (b) validating each of the at least one of a plurality of data records for a valid drug code;

    (c) reading at least one pre-defined relationship between the valid drug code in the validated at least one of a plurality of data records and pre-defined episode treatment categories; and

    (d) grouping the validated at least one of a plurality of data records to an episode treatment group based upon the pre-defined relationship read in step (c).

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