Systems and methods for the coordination of benefits in healthcare claim transactions
US8489415B1 · kind B1 · utility
Assignee
Inventor
Key dates
| Filing date | Sep 30, 2009 |
| Grant date | Jul 16, 2013 |
| Priority date | — |
| Expiry date | Mar 16, 2031 |
Classification
- Technology area (CPC G)Physics
- CPC primaryG06Q10/10
- WIPO fieldIT methods for management
- WIPO sectorElectrical engineering
Abstract
Systems and methods for the coordination of benefits in healthcare claim transactions are provided. A healthcare claim request including information associated with a plurality of prescription claims for a single healthcare transaction may be received from a healthcare provider computer and identified as a bundled healthcare claim request. A primary claim request for the healthcare transaction may be generated and communicated to a first claims processor computer for adjudication, and a first adjudicated reply may be received from the first claims processor computer. Based at least in part on the received first adjudicated reply, a secondary claim request for the healthcare transaction may be generated and communicated to a second claims processor computer for adjudication. A second adjudicated reply may be received from the second claims processor, and information associated with the first adjudicated reply and the second adjudicated reply may be communicated to the healthcare provider computer.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.