US Patent No: 7,263,493

Number of patents in Portfolio can not be more than 2000

Delivering electronic versions of supporting documents associated with an insurance claim

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Importance

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Abstract

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Methods and systems for requesting and delivering supporting documents to an insurance carrier to enable the carrier to process an insurance claim for services rendered by an institutional health care provider. Hard copies of supporting documents are converted to electronic images that are accessible by the carrier through the Internet, thereby eliminating the need for communication between the provider and the carrier through regular mail. The images are indexed based upon the insurance claim, the provider, the patient, and/or the carrier to enable the carrier to access the images associated with a specific insurance claim efficiently. In addition, the insurance claim can be pre-adjudicated prior to delivering the claim to the carrier for processing and can be approved and paid before the carrier processes the claim.

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First Claim

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Patent Owner(s)

Patent OwnerAddressTotal Patents
PPS DATA, LLCSALT LAKE CITY, UT10

International Classification(s)

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  • [Patents Count]

Inventor(s)

Inventor Name Address # of filed Patents Total Citations
Provost, Wayne A Las Vegas, NV 11 483
Trimble, Ryan M Laguna Hills, CA 4 26

Cited Art Landscape

Patent Info (Count) # Cites Year
 
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Other [Check patent profile for assignment information] (13)
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2001/0047,329 Electronic exchange apparatus and method 18 2001
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MELLON BANK, N.A. (1)
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AUTOCARE ALLIANCE, INC. (1)
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NUANCE COMMUNICATIONS, INC. (1)
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CHOICELINX CORPORATION (1)
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Research Enterprises, Inc. (2)
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* Cited By Examiner

Patent Citation Ranking

Forward Cite Landscape

Patent Info (Count) # Cites Year
 
Other [Check patent profile for assignment information] (2)
* 9,237,036 User initiated and controlled delivery in hybrid mode of electromagnetically transmissible contents to recipients in designated delivery locations or apparatus 0 2010
* 2011/0099,238 User initiated and controlled delivery in hybrid mode of electromagnetically transmissible contents to recipients in designated delivery locations or apparatus 1 2010
 
NEXT IT CORPORATION (1)
* 2014/0074,454 Conversational Virtual Healthcare Assistant 2 2012
 
DIGITALKS INC. (1)
* 2005/0129,186 Audio recording system 2 2004
 
MCKESSON FINANCIAL HOLDINGS (1)
* 8,639,664 Concepts for viewing and accessing claim versions 0 2012
 
Oltine Acquistitions NY LLC (1)
7,970,626 Facilitating payments to health care providers 2 2005
 
OLTINE ACQUISITIONS NY L.L.C. (4)
* 2008/0183,627 Filtered healthcare payment card linked to tax-advantaged accounts 0 2007
* 2008/0201,176 PRACTICE MANAGEMENT SYSTEM (PMS) INTEGRATION METHOD 1 2007
* 2008/0201,165 PRACTICE MANAGEMENT SYSTEM (PMS) INTEGRATION 0 2007
* 2010/0070,409 Healthcare Card Incentive Program for Multiple Users 2 2009
 
THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY (1)
* 2010/0036,192 METHODS AND SYSTEMS FOR ASSESSMENT OF CLINICAL INFERTILITY 2 2009
 
ALLSTATE INSURANCE COMPANY (1)
8,712,893 Enhanced claims damage estimation using aggregate display 4 2013
 
USAA (1)
* 2015/0073,837 Transferring A Document 0 2014
 
FIRST DATA CORPORATION (2)
* 8,788,293 Healthcare system and method for right-time claims adjudication and payment 1 2006
* 2007/0005,403 HEALTHCARE SYSTEM AND METHOD FOR RIGHT-TIME CLAIMS ADJUDICATION AND PAYMENT 21 2006
 
ATHENAHEALTH, INC. (1)
* 2008/0103,836 Medical document attachment handling 3 2006
 
Blue Cross and Blue Shield of South Carolina (1)
* 8,065,162 Provider data management and claims editing and settlement system 0 2004
 
SIEMENS MEDICAL SOLUTIONS HEALTH SERVICES CORPORATION (3)
* 2004/0199,407 System for processing data related to a partial reimbursement claim 1 2004
* 2004/0205,664 Claim data and document processing system 41 2004
* 2004/0204,963 Healthcare payer organization and provider organization information exchange system 11 2004
 
United Services Automobile Association (USAA) (2)
* 8,712,802 Transferring a document 0 2007
8,755,779 Systems and methods for claims processing via mobile device 2 2008
 
UNIVFY INC. (1)
9,348,972 Method of assessing risk of multiple births in infertility treatments 0 2011
 
CALLAHAN CELLULAR L.L.C. (5)
7,905,399 Linking transaction cards with spending accounts 2 2006
7,922,083 Payment programs for healthcare plans 7 2006
7,590,557 Healthcare card incentive program for multiple users 16 2006
* 2007/0185,801 Healthcare Card Incentive Program For Multiple Users 5 2006
7,949,543 Methods, systems, and computer program products for promoting healthcare information technologies to card members 1 2007
 
HARTFORD FIRE INSURANCE COMPANY (1)
* 2009/0265,385 INSURANCE DOCUMENT IMAGING AND PROCESSING SYSTEM 2 2008
 
CERNER INNOVATION, INC. (1)
* 2005/0149,365 System and method for automatic conditioning of clinically related billing 5 2004
 
Medrule Business Solutions, Inc. (1)
* 2006/0047,539 Healthcare administration transaction method and system for the same 11 2004
* Cited By Examiner

Maintenance Fees

Fee Large entity fee small entity fee micro entity fee due date
11.5 Year Payment $7400.00 $3700.00 $1850.00 Feb 28, 2019
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Surcharge - 11.5 year - Late payment within 6 months $160.00 $80.00 $40.00
Surcharge after expiration - Late payment is unavoidable $700.00 $350.00 $175.00
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