Systems and methods for generating edits for healthcare transactions to address billing discrepancies
US8682697B1 · kind B1 · utility
5Cited by
11References
15Claims
0Family size
Assignee
Inventor
Key dates
| Filing date | Mar 25, 2010 |
| Grant date | Mar 25, 2014 |
| Priority date | — |
| Expiry date | Sep 25, 2030 |
Classification
- Technology area (CPC G)Physics
- CPC primaryG06Q10/10
- WIPO fieldIT methods for management
- WIPO sectorElectrical engineering
Abstract
Systems and methods are provided for generating edits for healthcare transactions to address billing discrepancies. Information associated with an audit performed on a healthcare transaction may be received. Based at least in part on the received information, a billing discrepancy associated with the healthcare transaction may be identified. Based upon the identified billing discrepancy, a proposed edit may be generated that can be utilized to mitigate an impact of the identified billing discrepancy during the processing of one or more subsequent healthcare transactions.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.