System for exchanging health care insurance information

Number of patents in Portfolio can not be more than 2000

United States of America Patent

PATENT NO 6088677
SERIAL NO

09276483

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ATTORNEY / AGENT: (SPONSORED)

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Abstract

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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.

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Patent Owner(s)

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International Classification(s)

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Inventor(s)

Inventor Name Address # of filed Patents Total Citations
Spurgeon, Loren J 521 16.sup.th Ave. West, Kirkland, WA 98033 2 397

Cited Art Landscape

Patent Info (Count) # Cites Year
 
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* Cited By Examiner

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CHEVRON U.S.A. INC. (1)
* 2003/0037,034 System and method for lubricants supply chain management 2 2001
 
HILL-ROM SERVICES, INC. (4)
7092376 Hospital bed and network system 56 2002
7315535 Information management system for bed data 67 2006
7715387 Healthcare computer system with intra-room network 14 2007
7831447 Healthcare computer system 8 2010
* Cited By Examiner