System and interface for developing and processing simulations of modeled medical contracts
US11379921B1 · kind B1 · utility
Assignee
Inventor
Key dates
| Filing date | Oct 24, 2019 |
| Grant date | Jul 5, 2022 |
| Priority date | — |
| Expiry date | May 29, 2040 |
Classification
- Technology area (CPC G)Physics
- CPC primaryG16H40/20
- WIPO fieldIT methods for management
- WIPO sectorElectrical engineering
Abstract
A computerized processing system includes a communication interface configured to receive, from a user device, inputs defining rules for calculating reimbursements for healthcare services and receive historical claims data. The historical claims data includes a plurality of claims submitted to an insurance provider over a previous predetermined period. A contract development module is configured to generate a contract based on the inputs; match the claims in the historical claims data to respective ones of the rules in the contract as defined by the inputs; calculate costs associated with the contract using the claims in the historical claims data and the rules; and output, for display via a user interface, a report including the calculated costs associated with the contract.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.