Importance

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Abstract

The automated proactive healthcare service and payer based patient scheduling system proactively generates communications to patients with the purpose of scheduling medically appropriate, reimbursable healthcare services. The process utilizes a rules based system to identify patients contained in respective healthcare provider's practice management and patient databases. The system will identify patients eligible for certain healthcare services including but not limited to well-care visits, annual check-ups, and immunizations. The data analyzed by the system includes but is not limited to historical healthcare provider-patient service dates, historical payer reimbursement details, patient demographic data, and payer reimbursement/eligibility details. Those patients identified as eligible for healthcare services will be sent an automated interactive communication regarding that healthcare service to facilitate the scheduling process. The communication is automatically generated by the system and can take any known form including but not limited to voice communication, electronic communication and text communication.

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First Claim