Invention Grant
- Patent Title: System and method for verifying the accurate processing of medical insurance claims
- Patent Title (中): 验证医疗保险索赔准确处理的制度和方法
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Application No.: US11118281Application Date: 2005-04-29
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Publication No.: US07904305B2Publication Date: 2011-03-08
- Inventor: Dirk W. R. Suringa
- Applicant: Dirk W. R. Suringa
- Agent Adriana S. Luedke
- Main IPC: G06Q10/00
- IPC: G06Q10/00

Abstract:
In a system and method for verifying the accurate processing of medical insurance claim data by one or more health insurance companies, a healthcare provider enters claim data into a provider terminal. The provider terminal transmits the claim data to an insurance claim processor that processes claims for payment on behalf of one or more health insurance companies. Upon receipt of the processed claim data from the insurance claim processor, the provider terminal compares the processed claim data with the claim data originally submitted to the insurance claim processor and generates comparison data indicating whether the original claim data has been processed in accordance with predetermined claim processing rules. The health care provider terminal may also generate and retransmit revised claim data when the processed claim data has not been processed in accordance with the predetermined processing rules or within a defined period of time.
Public/Granted literature
- US20060247947A1 System and method for verifying the accurate processing of medical insurance claims Public/Granted day:2006-11-02
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