Systems and methods for overriding rejections of healthcare claim transactions
US8560340B1 · kind B1 · utility
Assignee
Inventor
Key dates
| Filing date | Nov 30, 2009 |
| Grant date | Oct 15, 2013 |
| Priority date | — |
| Expiry date | Aug 19, 2031 |
Classification
- Technology area (CPC G)Physics
- CPC primaryG06Q40/08
- WIPO fieldIT methods for management
- WIPO sectorElectrical engineering
Abstract
Systems and methods are provided for overriding rejections of healthcare claim transactions. A healthcare claim transaction is received by a service provider from a healthcare provider computer and at least one edit is performed on the healthcare claim transaction. A rejection for the healthcare claim transaction is identified based at least in part on the at least one edit, and a message comprising an indication of the rejection is communicated to the healthcare provider computer. A reason for overriding the edit is received at an edit override web server from the healthcare provider computer, and override information for the rejection is generated based at least in part on the receipt of the override reason. The healthcare claim transaction is then reprocessed, and the generate override information is utilized to suppress the at least one edit during the reprocessing of the healthcare claim transaction.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.