System and method for electronic remittance notice analysis
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United States of America Patent
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May 25, 2010
Issued Date -
N/A
app pub date -
Feb 20, 2004
filing date -
Feb 20, 2003
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Abstract
A system and method for analyzing electronic remittance notices (ERNs) is provided. The system includes a database component and a processor component for determining benchmark, for both denial rates and/or days sales outstanding, weighted average values for a particular provider and weighted average aggregate values based on a plurality of providers ERN claim adjudication information. The ERN information may originate from one or more third-party payers for claims for medical products or procedures. The weighting of these values may mimic or approximate a particular healthcare provider's mix of medical products and/or services to provide much more meaningful information. This benchmark values may be compared to various other ERN metrics of ERN claim adjudication information to compare to aggregate healthcare provider information. Equalizer values may also be calculated, analyzed and compared.
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