Preauthorization management system

US11334822B2 · kind B2 · utility

Assignee

• Experian Health, Inc. · US

Inventors

• Amanda Barrett Long · Acton, US
• Shridar Vijay · Morganville, US
• Srinivasamurthy Chillara · Danbury, US
• Ramanujam Iyengar · Holmdel, US
• Ciby Panicker Abraham · Wyncote, US
• Robert B. Mergner, Sr. · Pipersville, US
• Jack Bendon · Blakeslee, US
• Ramanan Thiagarajah · Collegeville, US
• Nikhil K. Oza · Souderton, US
• Theresa W. Marshall · Lansdale, US
• Renee Rexrode Brehm · Pottstown, US
• Joseph M. Magee, III · Drexel Hill, US
• Robert Bradley Mergner, JR. · Pipersville, US
• Anil George · Doylestown, US

Key dates

• Filing date: Oct 31, 2014
• Grant date: May 17, 2022
• Expiry date: Apr 6, 2036

Classification

• Technology area (CPC G): Physics
• CPC primary: G06Q40/08
• WIPO field: IT methods for management
• WIPO sector: Electrical engineering

Abstract

A preauthorization management system. The preauthorization management system allows a health care provider to submit a preauthorization request and track the status of the preauthorization request until a final determination is reached. Once a request has been submitted, the preauthorization management system monitors the status of the request until a final disposition is reached. The preauthorization management system documents the submission and determination process to provide a record that may be used to show an event or outcome occurred. The preauthorization management system offers a simplified and uniform system for managing preauthorization for health care services that reduces or eliminates the need for health care providers to learn diverse systems and procedures of a multitude of health insurance providers.