Adjudication and claim submission for selectively redeemable bundled healthcare services
US11842374B2 · kind B2 · utility
Assignee
Inventor
Key dates
| Filing date | Aug 8, 2022 |
| Grant date | Dec 12, 2023 |
| Priority date | — |
| Expiry date | Aug 8, 2042 |
Classification
- Technology area (CPC G)Physics
- CPC primaryG16H20/00
- WIPO fieldIT methods for management
- WIPO sectorElectrical engineering
Abstract
Receiving, from a customer, an electronic message comprising at least one healthcare claim for at least one patient, said claim comprising at least one healthcare service; determining, if a selectively redeemable bundled service purchase data record exists for the at least one of the services in the healthcare claim, wherein the selectively redeemable bundled service purchase data record comprises an individual redemption status of each individual bundled service; and upon determining whether the selectively redeemable bundled service purchase data record comprising the at least one service in the healthcare claim exists, sending to the customer the determination of whether the bundled healthcare service purchase data record exists and is available. One implementation generates a shopping cart with a bundled service for purchase and individually disburses payment to respective providers with an EDI X12 835 remittance message. A customer may submit a healthcare claim as an EDI X12 837 claim message.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.