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Insurance claim filing system and method

  • US 7,668,738 B2
  • Filed: 02/27/2001
  • Issued: 02/23/2010
  • Est. Priority Date: 06/01/2000
  • Status: Active Grant
First Claim
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1. A method for enabling a practice management system of a service provider to file an insurance claim electronically via a payer'"'"'s web site, said insurance claim being based on billing data stored on said practice management system, said method comprising the steps of:

  • electronically locating billing data stored on a practice management system of a service provider;

    electronically eliminating a portion of said billing data intended for payers that do not permit online filing of claims;

    downloading from a payer'"'"'s web site to a web portal format instructions for formatting billing data for online filing of insurance claims at said payer'"'"'s web site, said portal operated by a third party who is not a prayer nor said service provider;

    determining by said web portal an address at said payer'"'"'s webs site for filing insurance claims;

    conveying from said web portal said format instructions and said address to said practice management system of said service provider;

    said practice management system electronically accessing said payer'"'"'s web site;

    said practice management system electronically navigating to said payer'"'"'s web site to said address where said insurance claims can be filed;

    then electronically formatting said billing data in accordance with said format instructions to generate insurance claims; and

    then uploading said insurance claims to said payer'"'"'s web site.

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