SYSTEMS AND METHODS FOR DETERMINING INDICATIONS OF FRAUD IN HEALTHCARE CLAIMS
    1.
    发明申请
    SYSTEMS AND METHODS FOR DETERMINING INDICATIONS OF FRAUD IN HEALTHCARE CLAIMS 审中-公开
    用于确定医疗保险索赔中的欺诈指示的系统和方法

    公开(公告)号:US20070011032A1

    公开(公告)日:2007-01-11

    申请号:US11426529

    申请日:2006-06-26

    摘要: A method of controlling healthcare claim payment losses including accessing information about a claim after a payer is prepared to pay, but prior to payment, applying at least one rule to the information, wherein the at least one rule is adapted to determine indications of fraud and if fraud is indicated, flagging the claim, else recommending payment, wherein flagging of the claim or recommending payment occurs prior to payment. Also, a healthcare claim loss control system including a database having data related to healthcare claims and a loss control engine in communication with the database wherein the loss control engine accesses data corresponding to a healthcare claim when the claim is ready for payment, but before payment of the claim occurs and wherein the claim scoring engine applies at least one rule adapted to identify fraud and flags the claim for any indicated fraud before payment of the claim.

    摘要翻译: 一种控制医疗保健索赔付款损失的方法,包括在付款人准备支付之后但是在付款之前对信息应用至少一个规则来访问关于索赔的信息,其中至少一个规则适于确定欺诈的指示, 如果显示欺诈,举报索赔,否则建议付款,其中在付款之前发生索赔或建议付款的标记。 此外,医疗保险赔偿损失控制系统包括具有与医疗保险索赔相关的数据的数据库和与数据库通信的损失控制引擎,其中当索赔准备好支付时,但在付款之前,损失控制引擎访问与医疗保险索赔相对应的数据 的权利要求发生,并且其中所述索赔评分引擎应用至少一个适用于识别欺诈的规则,并且在支付索赔之前标记任何指示的欺诈的权利要求。

    HEALTHCARE CLAIMS LOSS CONTROL SYSTEMS AND METHODS
    2.
    发明申请
    HEALTHCARE CLAIMS LOSS CONTROL SYSTEMS AND METHODS 有权
    健康损失控制系统和方法

    公开(公告)号:US20070011031A1

    公开(公告)日:2007-01-11

    申请号:US11426527

    申请日:2006-06-26

    摘要: A method for controlling healthcare claim payment losses including accessing information about a claim after a payer is prepared to pay, but prior to payment, evaluating the information including at least one of determining indications of fraud, validating service coding and editing as indicated, identifying possible payment discounts, and developing analytics indicative of risk for future claims, and providing loss control recommendations based at least partially on the evaluation, prior to paying the claim. Also a loss control system for healthcare claims with a loss control engine and a database in communication with the loss control engine, wherein the loss control engine accesses information about healthcare claims from the database after the claims have been processed for payment and wherein the loss control engine further analyses the claims for potential cost savings and returns a loss control recommendation for each claim to the database before payment of the respective claim.

    摘要翻译: 一种用于控制医疗保健索赔的方法,包括在付款人准备支付之后但是在付款之前对信息进行访问的信息进行评估,该信息包括确定欺诈指示,验证所示的服务编码和编辑中的至少一个,识别可能的 支付折扣,以及开发表明未来债权风险的分析数据,并在付款前至少部分依据评估提供损失控制建议。 还有用于具有损失控制引擎和与损失控制引擎通信的数据库的医疗保险索赔的损失控制系统,其中所述损失控制引擎在所述权利要求被处理为支付之后从所述数据库访问关于医疗保险索赔的信息,并且其中所述损失控制 引擎进一步分析潜在成本节省的索赔,并在支付相应的索赔之前向数据库的每个索赔返回损失控制建议。

    SYSTEMS AND METHODS FOR SCORING LOSS CONTROL OPPORTUNITIES IN HEALTHCARE CLAIMS
    3.
    发明申请
    SYSTEMS AND METHODS FOR SCORING LOSS CONTROL OPPORTUNITIES IN HEALTHCARE CLAIMS 审中-公开
    用于评估健康损失索赔中的损失控制机会的系统和方法

    公开(公告)号:US20070011030A1

    公开(公告)日:2007-01-11

    申请号:US11426524

    申请日:2006-06-26

    IPC分类号: G06Q10/00 G06Q40/00

    摘要: A method of controlling healthcare claim payment losses including accessing claim information after a payer is prepared to pay the claim, but prior to payment, evaluating the information and developing a score indicative of loss control opportunities and if the score exceeds a threshold, flagging the claim to the payer for loss control opportunities else, recommending payment, wherein flagging of the claim or recommending payment of the claim occurs prior to payment. A healthcare claim loss control system including a database having data related to claims and a scoring engine in communication with the database wherein the scoring engine accesses data corresponding to a claim when the claim is ready for payment, but before payment occurs and wherein the scoring engine evaluates the claim for loss control opportunities and generates at least one score for the claim corresponding to the evaluated loss control opportunities before payment.

    摘要翻译: 一种控制医疗保险索赔付​​款损失的方法,包括在付款人准备支付索赔之后但是在付款之前,评估信息并开发指示损失控制机会的分数并且如果分数超过阈值,则将所述索赔标记 向付款人提供损失控制机会,建议付款,其中在付款之前举报索赔或建议支付索赔。 一种医疗保险索赔损失控制系统,包括具有与权利要求相关的数据的数据库和与数据库通信的评分引擎,其中当索赔准备好支付时,但是在支付发生之前,评分引擎访问对应于权利要求的数据,并且其中评分引擎 评估损失控制机会的索赔,并在付款前产生与评估的损失控制机会相对应的索赔的至少一个分数。

    Systems and methods for enabling clock signal synchronization
    4.
    发明申请
    Systems and methods for enabling clock signal synchronization 有权
    启用时钟信号同步的系统和方法

    公开(公告)号:US20070153811A1

    公开(公告)日:2007-07-05

    申请号:US11639401

    申请日:2006-12-14

    IPC分类号: H04L12/56 H04L12/28

    摘要: An interworking function (IWF) is coupled to a switch of a packet network and communicates with the network switch based on an Ethernet clock signal or some other type of clock signal. A primary reference clock (PRC) of the network generates a PRC signal, and a timing analyzer determines timing information indicative of timing relationships between the Ethernet clock signal and the PRC signal. The timing analyzer periodically transmits such timing information, and the IWF uses the timing information to generate a PRC signal that is traceable to the network PRC signal.

    摘要翻译: 互通功能(IWF)耦合到分组网络的交换机,并且基于以太网时钟信号或某种其他类型的时钟信号与网络交换机进行通信。 网络的主要参考时钟(PRC)产生PRC信号,并且定时分析器确定指示以太网时钟信号和PRC信号之间的定时关系的定时信息。 定时分析仪周期性地发送这样的定时信息,IWF使用定时信息产生可追溯到网络PRC信号的PRC信号。

    REPLICA MOULDING OF MICROSTRUCTURES FOR SUPPORTING MICROSCOPIC BIOLOGICAL MATERIAL
    5.
    发明申请
    REPLICA MOULDING OF MICROSTRUCTURES FOR SUPPORTING MICROSCOPIC BIOLOGICAL MATERIAL 审中-公开
    用于支持微生物生物材料的微结构的复制

    公开(公告)号:US20100144024A1

    公开(公告)日:2010-06-10

    申请号:US12517058

    申请日:2007-11-30

    申请人: Daniel Day Min Gu

    发明人: Daniel Day Min Gu

    IPC分类号: C12M1/22 B29C39/02 B01L3/00

    摘要: A method of replica moulding microstructures, the method including forming a negative master of at least one microstructure configured to support microscopic biological material, casting a flowable polymeric material onto the negative master, placing a substrate against the flowable polymeric material and the negative master, allowing the flowable polymeric material to solidify in the negative master and on the substrate, and separating the substrate and the solidified polymeric material from the negative master, thereby leaving a positive replica of the at least one microstructure on the substrate.

    摘要翻译: 一种复制模塑微结构的方法,所述方法包括形成至少一个微结构的负母体,构造成支持微观生物材料,将可流动聚合物材料浇铸到负母体上,将衬底放置在可流动的聚合材料和负母体上,允许 可流动的聚合物材料在负母体和基底上固化,并将基底和固化的聚合物材料与负母体分离,从而在基底上留下至少一个微结构的正性复制品。

    Spiked plate and hand tool for removal
    6.
    发明申请
    Spiked plate and hand tool for removal 有权
    尖锐的板和手工具去除

    公开(公告)号:US20060010678A1

    公开(公告)日:2006-01-19

    申请号:US10517961

    申请日:2003-06-16

    IPC分类号: B23P11/00

    摘要: A plate (10) with spikes (11) projecting therefrom to impale a log on respective opposite sides of a crack (20) in the end of the log and wherein the plate has pull tabs (18, 19) integral therewith and grippingly engageable by a tool (30) used to remove the plate from the end of the log. A tool for inserting and removing the plate from the log includes means (37) for driving and means (33) for removing the plate from the log including a slot (35) adjacent the impact end of the tool and into which the pull tab on the plate is inserted.

    摘要翻译: 具有从其突出的带有突起(11)的板(10),以在木材的端部中将裂纹(20)的相应相对侧上的木材刺入其中,并且其中该板具有与其成一体的拉片(18,19),并且能够通过 用于从原木的末端去除板的工具(30)。 用于从原木插入和移除板的工具包括用于驱动的​​装置(37)和用于从原木移除板的装置(33),包括邻近工具的冲击端的槽(35),并且拉片 插入板。