Invention Grant
US07974900B2 Computer implemented methods to manage the profitability of an insurance network
有权
计算机实施的方法来管理保险网络的盈利能力
- Patent Title: Computer implemented methods to manage the profitability of an insurance network
- Patent Title (中): 计算机实施的方法来管理保险网络的盈利能力
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Application No.: US12683252Application Date: 2010-01-06
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Publication No.: US07974900B2Publication Date: 2011-07-05
- Inventor: Terrance Moore , Charles Lewis
- Applicant: Terrance Moore , Charles Lewis
- Applicant Address: US FL Lake Mary
- Assignee: Jasos Intellecutal Property LLC
- Current Assignee: Jasos Intellecutal Property LLC
- Current Assignee Address: US FL Lake Mary
- Agency: Bracewell & Giuliani LLP
- Main IPC: G06Q40/10
- IPC: G06Q40/10

Abstract:
Computer implemented methods are provided for managing and optimizing the profitability of an insurance network with a plurality of physicians in a healthcare practice participating therein. Exemplary computer implemented methods can include, for example, comparing data received via a communications network for each of the plurality of physicians in the healthcare practice with one or more preferred ancillary medical procedures of the insurance network to thereby identify at least one of the plurality of physicians in the healthcare practice who engages in ancillary medical procedures that are not preferred by the insurance network. Such exemplary computer implemented methods can also include, for example, determining whether the risk of the at least one of the plurality of physicians of not receiving a predetermined reimbursement amount for the ancillary medical costs from the insurance company has been reduced responsive to recommending alternative ancillary medical procedures to the at least one of the plurality of physicians.
Public/Granted literature
- US20100174561A1 Computer Implemented Methods To Manage the Profitability of An Insurance Network Public/Granted day:2010-07-08
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