Automated processing of provider billings
Number of patents in Portfolio can not be more than 2000
United States of America Patent
Stats
-
Jan 22, 1991
Grant Date -
N/A
app pub date -
Apr 27, 1989
filing date -
Apr 27, 1989
priority date (Note) -
Expired
status (Latency Note)
Importance
Abstract
The inclusion of computer capability to process Workers' Compensation claims wherein a complexity of administrative rules determine maximum allowable benefits, the processing of which is not feasible for manual processing. The rules are converted to computer computations entered into the computer's memory. A computer process is devised to systematically examine the rules as they apply to a specific billing. In particular, the various modifiers that affect the allowable pay out are determined through this computer processing. Pre-stored information on prior billings for the same injury is considered for further modification of the allowable billing amount.
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