Method and system for generating personal/individual health records

CAFC
  • US 8,131,563 B2
  • Filed: 04/19/2010
  • Issued: 03/06/2012
  • Est. Priority Date: 10/11/2000
  • Status: Active Grant
First Claim
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1. A computerized method for generating a personal/individual health record, said method comprising a personal health record system server performing the steps:

  • (a) enrolling a patient in a health plan of a payor, wherein the health plan covers at least a portion of the cost of the patient when a patient undergoes encounters with a plurality of health care providers regarding a health related issue of the patient, wherein under the plan the health care providers request payment for at least a portion of the cost for the encounters from the payor, wherein the plan requires the health care providers to submit health related information of the patient to the payor to support the cost of encounters with the patient;

    (b) transferring payor claims data regarding the patient to a personal health record (“

    PHR”

    ) system server;

    (c) analyzing, at the PHR system server, said payor claims data concerning the patient to determine which portion of said payor claims data is encounter data comprising one or more of a diagnosis of the patient, a treatment of the patient, a medication of the patient, a procedure of said patient, a history of office visits of the patient with one or more of the health care providers, or duration of office visits of the patient;

    (d) populating, at the PHR system server, a personal/individual health record of the patient by storing one or more entries into the personal/individual health record of the patient based on the encounter data, wherein initial population of the personal/individual health record of the patient is based solely on encounter data extracted from the payor claims data;

    (e) organizing, at the PHR system server, the personal/individual health record by associating together one or more entries in the personal/individual health record of the patient that are related; and

    (f) providing a web-based portal accessible by the patient to view the personal/individual health record of the patient.

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