AUTOMATED PROVIDER CLAIMS SUMMARY SYSTEM AND METHOD
    3.
    发明申请
    AUTOMATED PROVIDER CLAIMS SUMMARY SYSTEM AND METHOD 审中-公开
    自动提供者索赔摘要系统和方法

    公开(公告)号:US20160358285A1

    公开(公告)日:2016-12-08

    申请号:US13287719

    申请日:2011-11-02

    IPC分类号: G06Q40/08 G06Q50/22

    CPC分类号: G06Q50/22

    摘要: An automated system and method for calculating healthcare provider claims metrics and generating reports comprising claims metrics. The automated system and method facilitates provider claims analysis for providers that belong to a healthcare system or network. A computer user enters identifying information for a healthcare provider (such as a tax identification number). The healthcare provider identifying information may be used to generate a report for the individual provider and a system report for the system or network to which the provider belongs. Each report comprises a plurality of metrics related to claims processed for the provider by a healthcare benefits company. The report provides numerous metrics and details regarding the claims processed by the healthcare benefits company. By reviewing the data and additional processing tips, the healthcare provider may identify ways to increase the number of successfully processed claims in a particular time period and to improve its business operations.

    摘要翻译: 用于计算医疗保健提供者的自动化系统和方法声称度量并生成包括权利要求度量的报告。 自动化系统和方法有助于为属于医疗保健系统或网络的提供商提供索赔分析。 计算机用户输入医疗保健提供者的识别信息(例如税务识别号码)。 医疗保健提供者识别信息可以用于为个体提供者生成报告以及提供者所属的系统或网络的系统报告。 每个报告包括与医疗福利公司为提供者处理的索赔相关的多个度量。 该报告提供了许多关于医疗福利公司处理的索赔的指标和细节。 通过审查数据和其他处理提示,医务人员可以确定在特定时间段内增加成功处理的索赔数量并改进其业务运营的方法。