Invention Grant
- Patent Title: Intelligent eligibility request and response
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Application No.: US14046851Application Date: 2013-10-04
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Publication No.: US10339271B2Publication Date: 2019-07-02
- Inventor: Stuart L. Beaton , Donavon R. Feenstra
- Applicant: Passport Health Communications, Inc.
- Applicant Address: US TN Franklin
- Assignee: PASSPORT HEALTH COMMUNICATIONS, INC.
- Current Assignee: PASSPORT HEALTH COMMUNICATIONS, INC.
- Current Assignee Address: US TN Franklin
- Agency: Merchant & Gould
- Main IPC: G06F19/00
- IPC: G06F19/00 ; G06Q10/10

Abstract:
Eligibility benefit information associated with a subscriber or dependent may be requested by a provider in an eligibility request, for example, a 270 request. Embodiments may intelligently determine a most appropriate service type code (STC) for a provider's eligibility request based on their location (“where”) and on the provider type (“who”). Utilizing precision STC tables for a payer (“what”) and the identity of the “who” and “where” associated with the provider sending the request, appropriate component level (and if needed, explicit level) STCs may be submitted in an intelligent eligibility request. Accordingly, an appropriately detailed yet focused response to the request may be received.
Public/Granted literature
- US20140100865A1 INTELLIGENT ELIGIBILITY REQUEST AND RESPONSE Public/Granted day:2014-04-10
Information query