Systems and methods for processing medical claims
    1.
    发明授权
    Systems and methods for processing medical claims 有权
    处理医疗索赔的制度和方法

    公开(公告)号:US08655685B2

    公开(公告)日:2014-02-18

    申请号:US12795054

    申请日:2010-06-07

    IPC分类号: G06Q10/00

    摘要: The system is an advanced, web-enabled, clearinghouse that facilitates efficient and effective claim routing, monitoring and report retrieval. A claim status summary is displayed that links directly to a rejected claim listing, wherein each rejected claim listed is a link to associated detailed claim information. The detailed claim information display has fields to edit the associated detailed claim information. During the editing process, a rules verification is performed against the edited claim information to ensure the edit comply with the known rules for the associated payer. Upon successfully completing the rules verification, the edited claim is submitted to a payer.

    摘要翻译: 该系统是一个先进的,具有网络功能的清算站,可以有效地提供有效的索赔路由,监控和报告检索。 显示索赔状态摘要,其直接链接到被拒绝的索赔清单,其中列出的每个被拒绝的权利要求是指向相关联的详细索赔信息的链接。 详细的声明信息显示具有编辑相关详细声明信息的字段。 在编辑过程中,针对编辑的声明信息执行规则验证,以确保编辑符合相关付款人的已知规则。 成功完成规则验证后,编辑的索赔将提交给付款人。

    SYSTEMS AND METHODS FOR PROCESSING MEDICAL CLAIMS
    2.
    发明申请
    SYSTEMS AND METHODS FOR PROCESSING MEDICAL CLAIMS 有权
    用于处理医疗用途的系统和方法

    公开(公告)号:US20110145021A1

    公开(公告)日:2011-06-16

    申请号:US12795054

    申请日:2010-06-07

    IPC分类号: G06Q40/00

    摘要: The system is an advanced, web-enabled, clearinghouse that facilitates efficient and effective claim routing, monitoring and report retrieval. A claim status summary is displayed that links directly to a rejected claim listing, wherein each rejected claim listed is a link to associated detailed claim information. The detailed claim information display has fields to edit the associated detailed claim information. During the editing process, a rules verification is performed against the edited claim information to ensure the edit comply with the known rules for the associated payer. Upon successfully completing the rules verification, the edited claim is submitted to a payer.

    摘要翻译: 该系统是一个高级的,具有网络功能的清算站,可以有效地提供有效的索赔路由,监控和报告检索。 显示索赔状态摘要,其直接链接到被拒绝的索赔清单,其中列出的每个被拒绝的权利要求是指向相关联的详细索赔信息的链接。 详细的声明信息显示具有编辑相关详细声明信息的字段。 在编辑过程中,针对编辑的声明信息执行规则验证,以确保编辑符合相关付款人的已知规则。 成功完成规则验证后,编辑的索赔将提交给付款人。

    Correcting and monitoring status of health care claims
    3.
    发明授权
    Correcting and monitoring status of health care claims 有权
    卫生保健索赔的纠正和监测状况

    公开(公告)号:US07739132B2

    公开(公告)日:2010-06-15

    申请号:US10688363

    申请日:2003-10-17

    IPC分类号: G06Q10/00

    摘要: The system is an advanced, web-enabled, clearinghouse that facilitates efficient and effective claim routing, monitoring and report retrieval. A claim status summary is displayed that links directly to a rejected claim listing, wherein each rejected claim listed is a link to associated detailed claim information. The detailed claim information display has fields to edit the associated detailed claim information. During the editing process, a rules verification is performed against the edited claim information to ensure the edit comply with the known rules for the associated payer. Upon successfully completing the rules verification, the edited claim is submitted to a payer.

    摘要翻译: 该系统是一个先进的,具有网络功能的清算站,可以有效地提供有效的索赔路由,监控和报告检索。 显示索赔状态摘要,其直接链接到被拒绝的索赔清单,其中列出的每个被拒绝的权利要求是指向相关联的详细索赔信息的链接。 详细的声明信息显示具有编辑相关详细声明信息的字段。 在编辑过程中,针对编辑的声明信息执行规则验证,以确保编辑符合相关付款人的已知规则。 成功完成规则验证后,编辑的索赔将提交给付款人。

    SYSTEMS AND METHODS FOR MONITORING THE STATUS OF MEDICAL CLAIMS
    4.
    发明申请
    SYSTEMS AND METHODS FOR MONITORING THE STATUS OF MEDICAL CLAIMS 有权
    用于监测医疗状况的系统和方法

    公开(公告)号:US20110004494A1

    公开(公告)日:2011-01-06

    申请号:US12794358

    申请日:2010-06-04

    IPC分类号: G06Q40/00 G06F15/16

    摘要: The system is an advanced, web-enabled, clearinghouse that facilitates efficient and effective claim routing, monitoring and report retrieval. A claim status summary is displayed that links directly to a rejected claim listing, wherein each rejected claim listed is a link to associated detailed claim information. The detailed claim information display has fields to edit the associated detailed claim information. During the editing process, a rules verification is performed against the edited claim information to ensure the edit comply with the known rules for the associated payer. Upon successfully completing the rules verification, the edited claim is submitted to a payer.

    摘要翻译: 该系统是一个高级的,具有网络功能的清算站,可以有效地提供有效的索赔路由,监控和报告检索。 显示索赔状态摘要,其直接链接到被拒绝的索赔清单,其中列出的每个被拒绝的权利要求是指向相关联的详细索赔信息的链接。 详细的声明信息显示具有编辑相关详细声明信息的字段。 在编辑过程中,针对编辑的声明信息执行规则验证,以确保编辑符合相关付款人的已知规则。 成功完成规则验证后,编辑的索赔将提交给付款人。

    Systems and methods for monitoring the status of medical claims
    5.
    发明授权
    Systems and methods for monitoring the status of medical claims 有权
    用于监测医疗索赔状况的系统和方法

    公开(公告)号:US08719057B2

    公开(公告)日:2014-05-06

    申请号:US12794358

    申请日:2010-06-04

    IPC分类号: G06Q10/00

    摘要: The system is an advanced, web-enabled, clearinghouse that facilitates efficient and effective claim routing, monitoring and report retrieval. A claim status summary is displayed that links directly to a rejected claim listing, wherein each rejected claim listed is a link to associated detailed claim information. The detailed claim information display has fields to edit the associated detailed claim information. During the editing process, a rules verification is performed against the edited claim information to ensure the edit comply with the known rules for the associated payer. Upon successfully completing the rules verification, the edited claim is submitted to a payer.

    摘要翻译: 该系统是一个先进的,具有网络功能的清算站,可以有效地提供有效的索赔路由,监控和报告检索。 显示索赔状态摘要,其直接链接到被拒绝的索赔清单,其中列出的每个被拒绝的权利要求是指向相关联的详细索赔信息的链接。 详细的声明信息显示具有编辑相关详细声明信息的字段。 在编辑过程中,针对编辑的声明信息执行规则验证,以确保编辑符合相关付款人的已知规则。 成功完成规则验证后,编辑的索赔将提交给付款人。