Personalizing eligibility and benefits responses based on user profiles
US8027851B1 · kind B1 · utility
Assignee
Inventors
Key dates
| Filing date | Jan 20, 2006 |
| Grant date | Sep 27, 2011 |
| Priority date | — |
| Expiry date | Jan 26, 2030 |
Classification
- Technology area (CPC G)Physics
- CPC primaryG06Q40/08
- WIPO fieldIT methods for management
- WIPO sectorElectrical engineering
Abstract
An eligibility and benefits (EB) personalization engine, metadata storage and a portal Web page are set up on a server. EB personalization profiles are set up and stored in metadata storage that specify, according to useful descriptors, personalized information that identifies the EB data of insurance companies that is relevant to particular health care providers. An EB filtering rules database is created to store the filtering rules of multiple insurance companies, where the rules are categorized by the same descriptors used in the EB personalization profiles. After receiving a provider's specific request for an insurance company's EB data for a patient's treatment, the EB personalization engine receives the full collection of EB data from the insurance company, uses the provider's EB profile and the EB filtering rules to select the correct EB data for the provider, and sends the provider that selected data.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.