Systems and methods for the intelligent coordination of benefits in healthcare transactions
US8321243B1 · kind B1 · utility
Assignee
Inventors
Key dates
| Filing date | Feb 15, 2010 |
| Grant date | Nov 27, 2012 |
| Priority date | — |
| Expiry date | Nov 19, 2030 |
Classification
- Technology area (CPC G)Physics
- CPC primaryG16H20/10
- WIPO fieldMedical technology
- WIPO sectorInstruments
Abstract
Systems and methods are provided for the coordination of benefits. The systems and methods may include receiving a healthcare claim request from a healthcare provider computer; determining, based at least in part from patient information in the healthcare transaction claim request, that the patient is associated with at least a first payer and a second payer; generating a primary claim request based upon the identified product and the patient associated with the healthcare claim request, the primary claim associated with the first payer; and generating a coordination of benefits (COB) claim request based at least in part on the received first adjudicated reply associated with the primary claim request, the COB claim request, the COB claim request associated with a second payer.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.