US Patent No: 6,088,677

Number of patents in Portfolio can not be more than 2000

System for exchanging health care insurance information

7 Status Updates

Stats

ATTORNEY / AGENT: (SPONSORED)

Importance

Loading Importance Indicators... loading....

Abstract

See full text

An information-exchange system is provided for controlling the exchange of business and clinical information between an insurer and multiple health care providers. The system includes an information-exchange computer that is connected over a local area network to an insurer computer using a proprietary database and over the Internet to health-care provider computers using open database-compliant databases. The information-exchange computer receives subscriber insurance data from the insurance computer database, translates the insurance data into an exchange database, and pushes the subscriber insurance data out over the Internet to the computer operated by the health-care provider assigned to each subscriber. The information-exchange system stores the data in the provider database. The information-exchange system also provides for the preparation, submission, processing, and payment of claims over the local area network and with push technology over the Internet. In addition, prior authorization requests may be initiated in the provider computers and exchanged over the information-exchange system for review by the insurer computer. Processed reviews are transmitted back to the provider computer and to a specialist computer, if required, using push technology over the Internet.

Loading the Abstract Image... loading....

First Claim

See full text

all claims..

Related Publications

Loading Related Publications... loading....

Patent Owner(s)

  • Assignment data not available. Check USPTO

International Classification(s)

  • [Classification Symbol]
  • [Patents Count]

Inventor(s)

Inventor Name Address # of filed Patents Total Citations
Spurgeon, Loren J 521 16.sup.th Ave. West, Kirkland, WA 98033 2 331

Cited Art Landscape

Patent Info (Count) # Cites Year
 
HUMETRIX.COM, INC. (1)
5,995,965 System and method for remotely accessing user data records 152 1996
 
Integral Business Services, Inc. (1)
6,012,035 System and method for supporting delivery of health care 170 1997
 
INTEGRATED CLAIMS SYSTEMS, LLC (1)
6,006,191 Remote access medical image exchange system and methods of operation therefor 150 1997
 
MEGA GROUP INTERNATIONAL, LTD. (1)
6,014,632 Apparatus and method for determining insurance benefit amounts based on groupings of long-term care patients with common characteristics 63 1997
 
RAYTHEON COMPANY (1)
5,664,109 Method for extracting pre-defined data items from medical service records generated by health care providers 287 1995
 
Other [Check patent profile for assignment information] (1)
6,009,402 System and method for predicting, comparing and presenting the cost of self insurance versus insurance and for creating bond financing when advantageous 93 1997

Patent Citation Ranking

Forward Cite Landscape

Patent Info (Count) # Cites Year
 
SEVEN NETWORKS, INC. (47)
7,853,563 Universal data aggregation 52 2005
7,917,468 Linking of personal information management data 41 2005
8,010,082 Flexible billing architecture 49 2005
8,468,126 Publishing data in an information community 0 2005
8,412,675 Context aware data presentation 20 2006
8,069,166 Managing user-to-user contact with inferred presence information 46 2006
8,064,583 Multiple data store authentication 47 2006
8,438,633 Flexible real-time inbox access 20 2006
7,917,505 Methods for publishing content 51 2007
8,364,181 Electronic-mail filtering for mobile devices 25 2007
8,793,305 Content delivery to a mobile device from a content service 0 2007
8,107,921 Mobile virtual network operator 42 2008
8,693,494 Polling 0 2008
8,787,947 Application discovery on mobile devices 0 2008
8,078,158 Provisioning applications for a mobile device 46 2008
8,838,744 Web-based access to data objects 0 2009
8,805,425 Integrated messaging 0 2009
8,209,709 Cross-platform event engine 37 2010
8,127,342 Secure end-to-end transport through intermediary nodes 39 2010
8,774,844 Integrated messaging 0 2011
8,799,410 System and method of a relay server for managing communications and notification between a mobile device and a web access server 0 2011
8,831,561 System and method for tracking billing events in a mobile wireless network for a network operator 0 2011
8,811,952 Mobile device power management in data synchronization over a mobile network with or without a trigger notification 0 2011
8,838,783 Distributed caching for resource and mobile network traffic management 0 2011
8,484,314 Distributed caching in a wireless network of content delivered for a mobile application over a long-held request 17 2011
8,166,164 Application and network-based long poll request detection and cacheability assessment therefor 39 2011
8,843,153 Mobile traffic categorization and policy for network use optimization while preserving user experience 0 2011
8,326,985 Distributed management of keep-alive message signaling for mobile network resource conservation and optimization 32 2011
8,204,953 Distributed system for cache defeat detection and caching of content addressed by identifiers intended to defeat cache 39 2011
8,190,701 Cache defeat detection and caching of content addressed by identifiers intended to defeat cache 38 2011
8,494,510 Provisioning applications for a mobile device 1 2011
8,549,587 Secure end-to-end transport through intermediary nodes 1 2012
8,539,040 Mobile network background traffic data management with optimized polling intervals 16 2012
8,291,076 Application and network-based long poll request detection and cacheability assessment therefor 29 2012
8,316,098 Social caching for device resource sharing and management 31 2012
8,832,228 System and method for making requests on behalf of a mobile device based on atomic processes for mobile network traffic relief 0 2012
8,762,489 System and method for making requests on behalf of a mobile device based on atomic processes for mobile network traffic relief 0 2012
8,621,075 Detecting and preserving state for satisfying application requests in a distributed proxy and cache system 15 2012
8,700,728 Cache defeat detection and caching of content addressed by identifiers intended to defeat cache 5 2012
8,561,086 System and method for executing commands that are non-native to the native environment of a mobile device 0 2012
8,356,080 System and method for a mobile device to use physical storage of another device for caching 43 2012
8,635,339 Cache state management on a mobile device to preserve user experience 13 2012
8,839,412 Flexible real-time inbox access 0 2012
8,738,050 Electronic-mail filtering for mobile devices 0 2013
8,775,631 Dynamic bandwidth adjustment for browsing or streaming activity in a wireless network based on prediction of user behavior when interacting with mobile applications 0 2013
8,812,695 Method and system for management of a virtual network connection without heartbeat messages 0 2013
8,750,123 Mobile device equipped with mobile network congestion recognition to make intelligent decisions regarding connecting to an operator network 0 2013
 
THE CRAWFORD GROUP, INC. (14)
7,275,038 Web enabled business to business operating system for rental car services 23 2000
7,899,690 Extended web enabled business to business computer system for rental vehicle services 11 2000
8,374,894 Extended web enabled multi-featured business to business computer system for rental vehicle services 3 2001
8,234,134 Method and apparatus for customer direct on-line reservation of rental vehicles including deep-linking 2 2003
8,600,783 Business to business computer system for communicating and processing rental car reservations using web services 1 2004
8,108,231 Method and apparatus for improved customer direct on-line reservation of rental vehicles 5 2005
8,271,309 Method and system for providing and administering online rental vehicle reservation booking services 3 2006
8,160,906 System and method for improved rental vehicle reservation management 6 2007
8,160,907 System and method for allocating replacement vehicle rental costs using a virtual bank of repair facility credits 6 2008
8,401,881 Extended web enabled business to business computer system for rental vehicle services 3 2011
8,340,989 Method and system for managing rental vehicle reservations with user authorization limits 2 2011
8,775,222 System and method for improved rental vehicle reservation management 0 2012
8,412,546 Method and apparatus for tracking repair facility performance for repairs relating to replacement rental vehicle transactions 1 2012
8,706,534 Method and apparatus for customer direct on-line reservation of rental vehicles including deep-linking 0 2012
 
MYMEDICALRECORDS, INC. (12)
8,121,855 Method and system for providing online medical records 2 2005
8,117,045 Method and system for providing online medical records 2 2005
8,725,537 Method and system for providing online records 0 2008
8,117,646 Method and system for providing online records 2 2008
8,301,466 Method and system for providing online records 3 2011
8,352,287 Method for proving a user with a service for accessing and collecting personal health records 1 2012
8,352,288 Method for providing a user with a web-based service for accessing and collecting records 1 2012
8,321,240 Method and system for providing online medical records 1 2012
8,768,725 Method and system for providing online records 0 2012
8,626,532 Method for providing a user with a web-based service for accessing and collecting health records 0 2012
8,498,883 Method for providing a user with a service for accessing and collecting prescriptions 0 2012
8,645,161 Method and system for providing online records 0 2013
 
GENWORTH HOLDINGS, INC. (10)
7,844,476 Process for case-based insurance underwriting suitable for use by an automated system 3 2002
8,793,146 System for rule-based insurance underwriting suitable for use by an automated system 0 2002
8,005,693 Process for determining a confidence factor for insurance underwriting suitable for use by an automated system 4 2002
7,899,688 Process for optimization of insurance underwriting suitable for use by an automated system 5 2002
7,844,477 Process for rule-based insurance underwriting suitable for use by an automated system 5 2002
7,818,186 System for determining a confidence factor for insurance underwriting suitable for use by an automated system 5 2002
7,813,945 System and process for multivariate adaptive regression splines classification for insurance underwriting suitable for use by an automated system 5 2003
7,801,748 System and process for detecting outliers for insurance underwriting suitable for use by an automated system 12 2003
7,698,159 Systems and methods for performing data collection 3 2004
8,214,314 System and process for a fusion classification for insurance underwriting suitable for use by an automated system 2 2008
 
HEALTHTRIO LLC (9)
7,720,691 System for communication of health care data 22 2001
7,533,030 Method and system for generating personal/individual health records 11 2006
7,509,264 Method and system for generating personal/individual health records 12 2006
7,428,494 Method and system for generating personal/individual health records 26 2006
8,626,534 System for communication of health care data 0 2006
7,831,446 System for communication of health care data 2 2007
7,693,730 System for communication of health care data 9 2007
7,685,003 System for communication of health care data 8 2007
7,664,660 System for communication of health care data 4 2007
 
TRIZETTO CORPORATION (9)
8,768,729 System and method for using a first electronic representation of contract terms for generating a second electronic representation of the contract terms 0 2004
8,214,230 Health plan management method and apparatus 1 2009
8,160,905 Method and apparatus for repricing a reimbursement claim against a contract 1 2010
8,099,302 Method of increasing efficiency in a medical claim transaction, and computer program capable of executing same 2 2011
8,494,876 Method of increasing efficiency in a medical claim transaction, and computer program capable of executing same 0 2012
8,407,071 Method and apparatus for repricing a reimbursement claim against a contract 0 2012
8,706,524 Health plan management method and apparatus 0 2012
8,666,787 Method and apparatus for repricing a reimbursement claim against a contract 0 2012
8,738,402 Medical of increasing efficiency in a medical claim transaction, and computer program capable of executing same 0 2013
 
BELLSOUTH INTELLECTUAL PROPERTY CORPORATION (8)
7,376,704 Methods, systems, and products for converting between legacy systems 6 2002
7,298,836 Network-based healthcare information systems 11 2002
7,440,567 Healthcare virtual private network methods and systems 1 2003
7,248,688 Virtual physician office systems and methods 6 2003
8,712,031 Visual physician office systems and methods 0 2007
8,699,688 Network based healthcare information systems 0 2007
8,638,924 Methods, systems, and products for exchanging health care communications 0 2008
8,553,870 Computer telephony integration (CTI) complete healthcare contact center 0 2009
 
PEROT SYSTEMS CORPORATION (6)
7,236,940 Method and system for assessing and planning business operations utilizing rule-based statistical modeling 17 2001
7,216,088 System and method for managing a project based on team member interdependency and impact relationships 20 2001
7,313,531 Method and system for quantitatively assessing project risk and effectiveness 10 2001
7,831,442 System and method for minimizing edits for medical insurance claims processing 2 2003
7,822,621 Method of and system for populating knowledge bases using rule based systems and object-oriented software 1 2003
7,386,526 Method of and system for rules-based population of a knowledge base used for medical claims processing 2 2003
 
KRIMMENI TECHNOLOGIES, INC. (5)
7,203,844 Method and system for a recursive security protocol for digital copyright control 18 2003
7,457,968 Method and system for a recursive security protocol for digital copyright control 3 2007
7,747,876 Method and system for a recursive security protocol for digital copyright control 4 2008
8,438,392 Method and system for control of code execution on a general purpose computing device and control of code execution in a recursive security protocol 1 2009
8,726,035 Method and system for a recursive security protocol for digital copyright control 0 2010
 
HILL-ROM SERVICES, INC. (4)
7,092,376 Hospital bed and network system 35 2002
7,315,535 Information management system for bed data 30 2006
7,715,387 Healthcare computer system with intra-room network 9 2007
7,831,447 Healthcare computer system 3 2010
 
INTERNATIONAL BUSINESS MACHINES CORPORATION (3)
7,480,622 Accessibility insurance coverage management 1 2002
7,376,623 System and method for accessibility content copyright permission 1 2002
7,890,358 Accessibility insurance coverage management 0 2008
 
SEVEN NETWORKS INTERNATIONAL OY (3)
8,116,214 Provisioning of e-mail settings for a mobile terminal 38 2005
8,805,334 Maintaining mobile terminal information for secure communications 0 2008
8,761,756 Maintaining an IP connection in a mobile network 0 2012
 
ACS State & Local Solutions, Inc. (2)
8,065,168 Method, system and computer program code for automatically generating software for reformatting incoming data 1 2006
7,856,617 Method, system and computer program product for creating software for processing an insurance claim 1 2006
 
GENERAL ELECTRIC COMPANY (2)
8,510,272 Decision support response systems and methods 0 2007
8,725,699 Decision support response systems and methods 0 2013
 
Health Grades, Inc. (2)
7,752,060 Internet system for connecting healthcare providers and patients 4 2006
8,719,052 Internet system for connecting healthcare providers and patients 0 2012
 
HUMANA INC. (2)
8,744,878 Method for using financial incentives with member engagement metrics to reduce health care claim costs 0 2008
8,265,959 Prescription drug prior authorization system and method 1 2008
 
INTERFACE IP HOLDINGS LLC (2)
7,426,486 Multi-party reporting system and method 30 2001
7,508,537 Centralized, automatic extraction of data from remotely transformed and transmitted forms 2 2007
 
MERIDIAN ENTERPRISES CORPORATION (2)
8,204,766 Insurance claim payment card system 1 2002
8,494,883 Insurance claim payment card system 0 2012
 
VIVIUS, INC. (2)
7,899,689 Method and system for providing a user-selected healthcare services package and healthcare services panel customized based on a user's selections 2 2004
8,494,881 Method and system for providing a user-selected healthcare services package and healthcare services panel customized based on a user's selections 0 2004
 
AT&T INTELLECTUAL PROPERTY I, L.P. (1)
8,767,943 Methods, systems, and products for routing communications to contact centers 0 2009
 
AVISENA, INC. (1)
7,752,096 System and method for managing account receivables 11 2003
 
COMPUTER SCIENCES CORPORATION (1)
7,340,426 Event-triggered transaction processing for electronic data interchange 1 1999
 
Eanesthesia Software LLC (1)
7,574,369 Data recording, billing, charges, and quality assurance software for mobile devices 1 2002
 
GEWORTH FINANCIAL, INC. (1)
7,895,062 System for optimization of insurance underwriting suitable for use by an automated system 2 2002
 
Hanson, Malik M. (1)
7,440,904 Method and system for generating personal/individual health records 14 2006
 
IDX INVESTMENT CORPORATION (1)
7,778,844 System and method for managing the exchange of information between healthcare systems 0 2005
 
INTEGRATION MANAGEMENT, INC. (1)
8,185,409 Method and apparatus for operative event documentation and related data management 0 2008
 
INTUIT INC. (1)
8,050,937 Method and system for providing relevant content based on claim analysis 0 2006
 
JKL SOFTWARE DEVELOPMENT, LLC (1)
6,954,730 System and method for assisting diagnosis and treatment of temporomandibular joint conditions 1 2003
 
KNOWLEDGE WORKS INC. DBA PAYNET INC. (1)
7,991,688 Methods and apparatus for automatically exchanging credit information 0 2001
 
MCKESSON FINANCIAL HOLDINGS LIMITED (1)
8,392,214 Systems and methods for facilitating claim rejection resolution by providing prior authorization assistance 1 2010
 
MDX Medical, Inc. (1)
8,694,441 Method for determining the quality of a professional 0 2008
 
MEDCOM SOLUTIONS, INC. (1)
7,761,410 System and method for reviewing and implementing requested updates to a primary database 1 2006
 
MEDICAL CENTRAL ONLINE (1)
6,957,218 Method and system for creating a website for a healthcare provider 19 2000
 
mEdison Online Inc. (1)
7,409,354 Method and apparatus for operative event documentation and related data management 3 2002
 
PLANETID, INC. (1)
7,788,222 Information exchange engine providing a critical infrastructure layer and methods of use thereof 0 2000
 
Seven Network, Inc. (1)
8,417,823 Aligning data transfer to optimize connections established for transmission over a wireless network 18 2011
 
Seven Networks (1)
8,782,222 Timing of keep-alive messages used in a system for mobile network resource conservation and optimization 0 2012
 
SIEMENS INDUSTRY, INC. (1)
8,396,728 Method and apparatus for improved customer direct on-line reservation of rental vehicles 1 2012
 
SOMFY SAS (1)
7,120,636 Method of communicating data between computers having different record formats 6 2001
 
SPQKUMAR INC. (1)
8,469,279 Network and method for data input, storage and retrieval 0 2010
 
THE TRAVELERS INDEMNITY COMPANY (1)
8,176,145 System and method for providing insurance data processing services via a user interface 1 2006
 
THE TRIZETTO GROUP (1)
8,756,075 System and method for processing payment bundles 0 2011
 
Other [Check patent profile for assignment information] (3)
8,140,357 Point of service billing and records system 0 2000
7,552,061 Method and system for providing prescription drug coverage 2 2001
8,849,902 System for providing policy based content service in a mobile network 0 2011