Invention Grant
- Patent Title: System and method for calculating estimated payment based on partial coding data
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Application No.: US16381148Application Date: 2019-04-11
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Publication No.: US10650467B2Publication Date: 2020-05-12
- Inventor: Dale Hoerle , Debra Romig Nelson , Rachael Nadesda Mcalla Jones
- Applicant: Cognizant TriZetto Software Group, Inc.
- Applicant Address: US CO Denver
- Assignee: Cognizant TriZetto Software Group, Inc.
- Current Assignee: Cognizant TriZetto Software Group, Inc.
- Current Assignee Address: US CO Denver
- Agency: Bey & Cotropia PLLC
- Agent Dawn-Marie Bey
- Main IPC: G06Q40/08
- IPC: G06Q40/08 ; G06Q10/10

Abstract:
Processes for estimating payment on a claim for services rendered are described. The process includes formatting data related to a medical service to be rendered to a patient in a mock claim, applying pricing rules that are unique to an agreement between payer entity and a provider of the service; and determining an estimated payment for the medical service to be paid by the payer to the provider after the medical service has been rendered to the patient.
Public/Granted literature
- US20190236714A1 System and Method For Calculating Estimated Payment Based on Partial Coding Data Public/Granted day:2019-08-01
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