Invention Grant
- Patent Title: Medical claim database relationship processing
-
Application No.: US16270346Application Date: 2019-02-07
-
Publication No.: US10565660B2Publication Date: 2020-02-18
- Inventor: Yoram S. Levy
- Applicant: SUNBELT MEDICAL MANAGEMENT, LLC
- Applicant Address: US AZ Tucson
- Assignee: SUNBELT MEDICAL MANAGEMENT, LLC
- Current Assignee: SUNBELT MEDICAL MANAGEMENT, LLC
- Current Assignee Address: US AZ Tucson
- Agency: Hayes Soloway P.C.
- Main IPC: G06Q40/08
- IPC: G06Q40/08 ; G16H10/60 ; G16H40/20 ; G06Q10/10

Abstract:
A method for processing relationships in a medical claims database using a computerized system having a processor and a non-transitory memory includes storing multi-field medical claim data and multi-field insurance claim data in a relational electronic database. The insurance claim data corresponds to at least a portion of the medical claim data. A worklist template is defined using at least one filter and at least one multiplier. The at least one filter excludes at least a portion of the medical claim data, and the at least one multiplier defines a weighted value applicable to at least one field of the multi-field medical claim data. The processor converts the medical claim data into standardized values by applying the at least one multiplier to at least one field of the multi-field medical claim data. A biller worklist is assigned based on a hierarchy of the standardized values.
Public/Granted literature
- US20190244302A1 MEDICAL CLAIM DATABASE RELATIONSHIP PROCESSING Public/Granted day:2019-08-08
Information query