Invention Grant
- Patent Title: Identification of employment relationships between healthcare practitioners and healthcare facilities
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Application No.: US16782991Application Date: 2020-02-05
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Publication No.: US11488109B2Publication Date: 2022-11-01
- Inventor: David Muhlestein , Robert Richards
- Applicant: Milliman Solutions LLC
- Applicant Address: US WA Seattle
- Assignee: Milliman Solutions LLC
- Current Assignee: Milliman Solutions LLC
- Current Assignee Address: US WA Seattle
- Agency: TechLaw Ventures, PLLC
- Agent Terrence J. Edwards
- Main IPC: G16H40/20
- IPC: G16H40/20 ; G06Q10/10 ; G06F16/24 ; G16H10/60 ; G16H70/20 ; G06F16/90 ; G06F16/28 ; G06Q40/00 ; G06Q30/00 ; G16H50/70 ; G06Q10/06 ; G06Q50/26 ; G16H40/00 ; G06F21/60 ; G06F21/62 ; G06Q30/04 ; G06Q40/08

Abstract:
Systems, methods, and devices for identifying and quantifying an employment relationship between a practitioner and a facility. A method includes identifying carrier claims processed by a practitioner for procedures performed through a facility and matching the carrier claims to the facility to generate matched claims. The method includes calculating a percentage of outpatient claims based on a percentage of office claims performed by the practitioner that did not occur at the facility. The method includes calculating a level of confidence that the practitioner is employed by the facility based on the matched claims and the percentage of outpatient claims.
Public/Granted literature
- US20210158295A1 IDENTIFICATION OF EMPLOYMENT RELATIONSHIPS BETWEEN HEALTHCARE PRACTITIONERS AND HEALTHCARE FACILITIES Public/Granted day:2021-05-27
Information query