公开(公告)号：US08630876B1

公开(公告)日：2014-01-14

申请号：US13736700

申请日：2013-01-08

Applicant: Humana Inc.

Inventor： Dilpreet Bawa ,  Leah Brucchieri ,  John Morgan ,  Shyam Rebello ,  Sarah Rogers

IPC: A61B5/00

CPC classification number: G06Q50/22 ,  G06F19/00 ,  G06F19/324 ,  G06F19/328

Abstract: A computerized system and method for generating CMS-compliant health services delivery (HSD) tables. A database stores health care service provider data. A remote computer user interacts with a server that provides access to the health care service provider data. A user can view health care service provider data that meets selected search parameters. The data is displayed in an interactive worksheet. The user may further cause amendments to be made to the data stored in the database. The user may issue a request to generate an HSD table in “final file format” which conforms to CMS requirements. The server checks for errors in the file and notifies the user of errors that are identified. The server optionally checks for adequacy of the network associated with a plurality of health care service providers. The user may approve the final files for filing with CMS.

Abstract translation: 一种用于生成符合CMS标准的卫生服务提供（HSD）表的计算机化系统和方法。 数据库存储医疗保健服务提供商数据。 远程计算机用户与提供对医疗保健服务提供商数据的访问的服务器进行交互。 用户可以查看符合所选搜索参数的医疗保健服务提供商数据。 数据显示在交互式工作表中。 用户可进一步对数据库中存储的数据进行修改。 用户可以发出请求以生成符合CMS要求的“最终文件格式”的HSD表。 服务器检查文件中的错误，并通知用户已识别的错误。 服务器可选地检查与多个医疗保健服务提供商相关联的网络的充足性。 用户可以批准用于归档CMS的最终文件。