
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
Stats
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Aug 28, 2007
Issued date -
Jan 11, 2002
filing date -
10/044,341
serial no -
In Force
status
Importance
Abstract
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.
First Claim
Related Publications
International Classification(s)
- [Classification Symbol]
- [Patents Count]
Cited Art
| Patent Info | (Count) | # Cites | Year |
|---|---|---|---|
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| 2002/0087,461 Technique for electronic funds escrow | 30 | 2000 | |
| 2002/0087,469 Technique of registration for and direction of electronic payments in real-time | 88 | 2000 | |
| 2002/0087,465 Technique for debit and credit triggering | 32 | 2001 | |
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| 6,003,007 Attachment integrated claims system and operating method therefor | 81 | 1997 | |
| 6,076,066 Attachment integrated claims system and operating method therefor | 72 | 1999 | |
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| 5,225,976 Automated health benefit processing system | 91 | 1991 | |
| 5,519,607 Automated health benefit processing system | 60 | 1993 | |
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| 5,359,509 Health care payment adjudication and review system | 215 | 1991 | |
| 6,112,183 Method and apparatus for processing health care transactions through a common interface in a distributed computing environment | 69 | 1997 | |
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| 6,820,058 Method for accelerated provision of funds for medical insurance using a smart card | 38 | 2002 | |
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| 5,644,778 Medical transaction system | 149 | 1993 | |
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| 5,903,873 System for registering insurance transactions and communicating with a home office | 70 | 1996 | |
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| 2002/0002,475 Automated insurance system and method | 60 | 2001 | |
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| 5,963,921 Electronic income tax refund early payment system with means for creating of a new deposit account for receipt of an electronically transferred refund from the IRS | 62 | 1997 | |
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| 5,193,057 Electronic income tax refund early payment system with means for creating of a new deposit account for receipt of an electronically transferred refund from the IRS | 55 | 1990 | |
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| 4,890,228 Electronic income tax refund early payment system | 76 | 1988 | |
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| 5,950,169 System and method for managing insurance claim processing | 217 | 1995 | |
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| 6,029,150 Payment and transactions in electronic commerce system | 455 | 1996 | |
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| 2002/0049,617 System and method for facilitating selection of benefits | 77 | 2000 | |
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| 5,301,105 All care health management system | 440 | 1991 | |
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| 2003/0083,906 Method and apparatus for processing health insurance applications over a network | 11 | 2001 | |
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| 5,426,281 Transaction protection system | 291 | 1993 | |
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| 2002/0077,860 Method and system for assisting in determining when to order supplemental medical information about a patient | 14 | 2000 | |
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| 5,253,164 System and method for detecting fraudulent medical claims via examination of service codes | 131 | 1991 | |
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| 6,202,052 Fully-automated system for tax reporting, payment and refund | 81 | 1998 | |
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| 6,012,035 System and method for supporting delivery of health care | 120 | 1997 | |
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| 5,903,881 Personal online banking with integrated online statement and checkbook user interface | 382 | 1997 | |
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| 2001/0047,325 Loans and lines of credit provided to terminally ill individuals | 46 | 2001 | |
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| 5,911,132 Method using central epidemiological database | 277 | 1997 | |
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| 5,235,507 Health insurance management system | 129 | 1990 | |
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| 4,858,121 Medical payment system | 289 | 1986 | |
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| 2002/0147,678 Adjudication method and system | 27 | 2001 | |
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| 2005/0033,604 Method and apparatus for settling claims between health care providers and third party payers | 13 | 2003 | |
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| 7,072,842 Payment of health care insurance claims using short-term loans | 28 | 2001 | |
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| 5,523,942 Design grid for inputting insurance and investment product information in a computer system | 355 | 1994 | |
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| 5,070,452 Computerized medical insurance system including means to automatically update member eligibility files at pre-established intervals | 126 | 1989 | |
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| 6,738,784 Document and information processing system | 28 | 2000 | |
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| 5,930,759 Method and system for processing health care electronic data transactions | 187 | 1996 | |
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| 6,343,271 Electronic creation, submission, adjudication, and payment of health insurance claims | 139 | 1998 | |
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| 2004/0236,613 Processing law firm out-of-pocket costs using a separate account | 5 | 2004 | |
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| 5,704,044 Computerized healthcare accounts receivable purchasing, collections, securitization and management system | 266 | 1996 | |
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| 6,341,265 Provider claim editing and settlement system | 102 | 1998 | |
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| 6,208,973 Point of service third party financial management vehicle for the healthcare industry | 203 | 1998 | |
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| 4,491,725 Medical insurance verification and processing system | 262 | 1982 | |
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| 2004/0205,664 Claim data and document processing system | 10 | 2004 | |
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| 2005/0216,315 Loan advancing system | 11 | 2004 | |
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| 2005/0033,677 Electronic flex card adjudication system and method | 15 | 2004 | |
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| 6,747,692 Portable multipurpose recording terminal and portable network server | 76 | 1997 | |
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| 4,831,526 Computerized insurance premium quote request and policy issuance system | 481 | 1986 | |
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| 4,876,648 System and method for implementing and administering a mortgage plan | 228 | 1988 | |
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| 6,477,513 Method and apparatus for executing cryptographically-enabled letters of credit | 43 | 1997 | |
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| 5,025,138 Method and system for providing verifiable line of credit information | 126 | 1987 | |
| 5,235,702 Automated posting of medical insurance claims | 71 | 1990 | |
| 5,953,710 Children's credit or debit card system | 452 | 1996 | |
| 5,915,241 Method and system encoding and processing alternative healthcare provider billing | 81 | 1997 | |
| 6,304,860 Automated debt payment system and method using ATM network | 134 | 1997 | |
| 6,283,761 Apparatus and method for processing and/or for providing healthcare information and/or healthcare-related information | 193 | 1999 | |
| 2002/0010,685 Electronic exchange apparatus and method | 13 | 2001 | |
| 2002/0004,782 System and method for prepaying for services or goods to be consumed at a future date | 17 | 2001 | |
| 2001/0047,329 Electronic exchange apparatus and method | 14 | 2001 | |
| 2003/0069,760 System and method for processing and pre-adjudicating patient benefit claims | 49 | 2001 | |
| 2002/0032,583 Apparatus and method for processing and/or for providing healthcare information and/or healthcare-related information | 38 | 2001 | |
| 2002/0123,907 System and software for capturing and encoding healthcare servives and processing healthcare claims | 11 | 2002 | |
| 2003/0208,379 Claims clinical code editing and procedure management tool | 17 | 2003 | |
| 2003/0187,695 ACSAS (automated claims settlement acceleration system) | 26 | 2003 | |
| 2004/0083,185 E-commerce consumables | 4 | 2003 | |
Patent Citation Ranking
Maintenance Fees
| Fee | Large entity fee | small entity fee | micro entity fee | due date |
|---|---|---|---|---|
| 7.5 Year Payment | $3600.00 | $1800.00 | $900.00 | Feb 28, 2015 |
| 11.5 Year Payment | $7400.00 | $3700.00 | $1850.00 | Feb 28, 2019 |
| Fee | Large entity fee | small entity fee | micro entity fee |
|---|---|---|---|
| Surcharge - 7.5 year - Late payment within 6 months | $160.00 | $80.00 | $40.00 |
| 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 |
| Surcharge after expiration - Late payment is unintentional | $1,640.00 | $820.00 | $410.00 |