Adjudication and claim payment for selectively redeemable bundled healthcare services
US11847678B2 · kind B2 · utility
Assignee
Inventor
Key dates
| Filing date | Aug 9, 2022 |
| Grant date | Dec 19, 2023 |
| Priority date | — |
| Expiry date | Aug 9, 2042 |
Classification
- Technology area (CPC G)Physics
- CPC primaryG16H20/00
- WIPO fieldIT methods for management
- WIPO sectorElectrical engineering
Abstract
Receiving, from a customer, an indication at least one healthcare service has been redeemed from a bundled set of a plurality of healthcare services listed in a selectively redeemable bundled services purchase data record; updating the individual redemption status of the at least one healthcare service in the selectively redeemable bundled services purchase data record to indicate the at least one healthcare service has been redeemed; sending, to the customer, an electronic message comprising a request for payment for the at least one healthcare service; and upon receiving the payment in combination with the indication at least one healthcare service has been redeemed, disbursing compensation allocated from the payment to at least one provider, using the processor. One implementation may create and send X12 837 claims to payers on behalf of participant providers of the bundled services and receive response X12 835 remittance with the payments requested from the payers.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.