Importance

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Abstract

This invention relates to a contract compliance monitoring system for comprehensive review of insurance claims and calculation of baselines for insurance claim reimbursement comprising a) import services, b) calculation services, c) reporting and report management services, d) analysis services, e) data manipulation services, f) external interface services, g) contract and confirmation document management services, h) security processing and confirmation. This invention further relates to a contract compliance monitoring system for comprehensive review of medical insurance claims and calculation of baselines for medical insurance claim reimbursement. This invention also relates to a contract compliance electronic monitoring system for compliance with contract terms for insurance claim baseline reimbursement. The method uses an external data processor and a web-based simple object access protocol and related subroutines for requesting the user's contract information, requesting and reviewing all parameters including the required data, calculations, interface, security level, confirmation, analysis of compliance and contract terms, and generating reports required by the user and providing the said services.

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First Claim