Payment assurance and claim pre-validation
US10733567B2 · kind B2 · utility
Assignee
Inventor
Key dates
| Filing date | May 2, 2019 |
| Grant date | Aug 4, 2020 |
| Priority date | — |
| Expiry date | May 2, 2039 |
Classification
- Technology area (CPC G)Physics
- CPC primaryG06Q10/10
- WIPO fieldIT methods for management
- WIPO sectorElectrical engineering
Abstract
Methods and systems for payment assurance and claim pre-validation are described. In one embodiment, a pre-visit claim for health care related services is received for payment assurance. In response to the pre-visit claim, a payer is queried for pre-visit claim detail information indicating any payment or authorization issues for services to be rendered. The pre-visit claim may be updated in certain embodiments based on the pre-visit claim detail information, and an appointment may be scheduled for services. In other aspects, a claim for health care related services is received for pre-validation. In response, a payer is queried for claim detail information indicating any payment or authorization issues for the claim. The claim may be updated in certain embodiments based on the claim detail information, and payment for services rendered may be provided by a payer in response to a submitted claim.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.