Electronic prior authorization systems and methodologies
US10296715B1 · kind B1 · utility
9Cited by
2References
20Claims
0Family size
Assignee
Inventors
Key dates
| Filing date | Jun 30, 2014 |
| Grant date | May 21, 2019 |
| Priority date | — |
| Expiry date | Oct 1, 2036 |
Classification
- Technology area (CPC G)Physics
- CPC primaryG16H20/10
- WIPO fieldMedical technology
- WIPO sectorInstruments
Abstract
A method includes accessing from a predictive data mart at a cloud platform which contains historical data on prior authorization transactions, historical transaction data corresponding to information indicated to be necessary for authorization decisions by a payer for use of a proposed medication for treatment of a condition. The method further includes determining, based on the accessed historical transaction data, a most probable question set necessary for an authorization decision by the payer for use of the proposed medication for treatment of the condition.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.