Health care information system and method for transforming health care data with a transformation pipeline

    公开(公告)号:US10255337B2

    公开(公告)日:2019-04-09

    申请号:US14673920

    申请日:2015-03-31

    摘要: A health care information system, method and computer program product are provided to transform health care data in an efficient manner. In the context of a health care information system, the health care information system includes processing circuitry configured to define a transformation pipeline that includes a plurality of ordered transform elements. The processing circuitry is also configured to ingest health care data with the transformation pipeline in order to transform the health care data. The processing circuitry is further configured to track propagation of data representative of or associated with the health care data through the transformation pipeline. The processing circuitry is configured to track the propagation by identifying one or more completed transform elements that have completed processing of the data and by also identifying one or more ongoing transform elements that have begun processing of the data but for which the processing is incomplete.

    Method and computing device for implementing multiple matching strategies

    公开(公告)号:US10521552B2

    公开(公告)日:2019-12-31

    申请号:US15086379

    申请日:2016-03-31

    IPC分类号: G06F19/00 G06F17/30

    摘要: A method, computer system and computer program product are provided to associate a record of a person and pre-existing records utilizing multiple matching strategies. The implementation of a plurality of matching strategies includes identifying link(s) between the record of the person and pre-existing records based upon an analysis pursuant to the respective matching strategy of demographic attributes of the person and respective individuals associated with the pre-existing records. The implementation of the plurality of matching strategies also includes associating the record of the person and a set of pre-existing records based upon the respective matching strategy. A relationship is then defined between the person and respective individuals associated with one or more sets of pre-existing records as defined by at least one of the plurality of matching strategies.

    Event-driven system and method for selectively performing computations

    公开(公告)号:US10379907B2

    公开(公告)日:2019-08-13

    申请号:US15080668

    申请日:2016-03-25

    IPC分类号: G06F9/46 G06F9/50

    摘要: An event-driven system, method and computer program product are provided to selectively generate events in response to receipt of data elements. The event-driven system includes processing circuitry configured to identify, in response to receipt of one or more data elements, an event that is impacted by the one or more data elements. The processing circuitry is also configured to determine whether at least a threshold number of consumers are currently listening for the event. In an instance in which at least a threshold number of consumers are currently listening for the event, the processing circuitry is configured to perform one or more computations based upon the one or more data elements to generate the event. Otherwise, however, the processing circuitry is configured to at least defer the one or more computations that would be performed upon the one or more data elements to generate the event.

    SYSTEMS AND METHODS FOR USING PERSON CONTROLLED IDENTIFIERS

    公开(公告)号:US20230317220A1

    公开(公告)日:2023-10-05

    申请号:US17710368

    申请日:2022-03-31

    IPC分类号: G16H10/60 G06Q40/08 G06Q20/02

    摘要: In an embodiment, systems and methods for generating and using person-controlled identifiers are provided. Coverage data for patients, received from multiple payors or collected from submitted claims, is analyzed to identify patients across payors that are the same patient. A person-controlled identifier is associated with each patient and is linked to the coverage data for the patient for each payor. Accordingly, the person-controlled identifier may uniquely identify the patient and their associated coverage at each payor. In the event that the patient changes payors, the person-controlled identifier may be linked to the new payor. Later, when the patient receives medical care from a medical provider, the patient may provide the person-controlled identifier to the medical provider instead of their payor issued card or number. The medical provider may then use the person-controlled identifier to determine the payor associated with the patient and to determine eligibility.

    METHODS, SYSTEMS, AND COMPUTER PROGRAM PRODUCTS FOR DYNAMIC CACHING AND ROUTING OF HEALTH CARE PAYMENT PLAN ELIGIBILITY RESPONSES

    公开(公告)号:US20230005602A1

    公开(公告)日:2023-01-05

    申请号:US17363781

    申请日:2021-06-30

    摘要: A method includes maintaining a cache of past responses from a payor to past patient eligibility confirmation requests for one or more payment plans generated by a health care service provider; receiving a present patient eligibility confirmation request from the health care service provider to determine whether a patient is eligible for a payment plan of the one or more payment plans offered by a payor; querying the cache based on demographic information associated with the patient to determine whether the cache has eligibility information for the payment plan for the patient stored therein; selecting a portion of the eligibility information for the payment plan based on health care service provider preferences or payor preferences when the cache has the eligibility information for the payment plan for the patient stored therein; an returning the portion of the eligibility information to the health care service provider.

    Healthcare information system and method for controlling access to a data projection

    公开(公告)号:US11282592B2

    公开(公告)日:2022-03-22

    申请号:US14673971

    申请日:2015-03-31

    IPC分类号: G16H10/60

    摘要: A healthcare information system, method and computer program product are provided to receive, process and output healthcare data in compliance with data use restrictions associated with the healthcare data, even in instances in which data projections are assembled from the data elements. In regards to a healthcare information system, processing circuitry is configured to assemble the data projection from a plurality of data elements. At least some data elements have different data use restrictions associated therewith. The processing circuitry is also configured to determine a combined data use restriction for the data projection based upon the data use restrictions of the data elements from which the data projection is assembled. The processing circuitry is further configured to associate metadata with the data projection including the combined data use restriction. Further, the processing circuitry is configured to control access to the data projection in accordance with the combined data use restriction.

    Method and apparatus for defining a level of assurance in a link between patient records

    公开(公告)号:US11114185B1

    公开(公告)日:2021-09-07

    申请号:US14450883

    申请日:2014-08-04

    IPC分类号: G16H10/60 G16H15/00

    摘要: A method, computing device and computer program product are provided to define a level of assurance in one or more links between patient records that relate to the same person based upon external information. In the context of a method, one or more links are identified between a patient record associated with a person and pre-existing patient records. Each pre-existing patient record has a plurality of demographic attributes associated with a patient. The method identifies one or more links based upon an analysis of the demographic attributes of the person and the respective patients associated with the pre-existing patient records. The method receives external information regarding a relationship between the person and the respective patients associated with the pre-existing patient records or regarding confirmation of an identity of the person. The method also defines a level of assurance in the respective one or more links based upon the external information.