Method for reducing fraud in healthcare programs using a smart card
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United States of America Patent
Stats
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Nov 30, 2004
Issued Date -
N/A
app pub date -
May 2, 2003
filing date -
Apr 8, 2003
priority date (Note) -
In Force
status (Latency Note)
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Abstract
The invention is a method for reducing fraud in a healthcare program by registering a service provider with a private healthcare provider and issuing a service provider identification codes, registering at least one service of the service provider with the private healthcare provider and identifying a claim code for each registered service; issuing a smart card to an individual related to a benefits program of the private healthcare provider wherein the individual has an identification code and the smart card has a feature to identify the individual; using the smart card to determine if the individual is the authorized card bearer and is eligible for the healthcare program; using the smart card to determine if a service provider is preauthorized to provide a registered product under the private healthcare provider program; and using the smart card to facilitate a transmission between the service provider and the private healthcare provider.
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