Provider data management and claims editing and settlement system
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United States of America Patent
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Nov 22, 2011
Issued Date -
N/A
app pub date -
May 6, 2004
filing date -
May 8, 2003
priority date (Note) -
In Force
status (Latency Note)
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Abstract
A method and system of submitting healthcare claims for adjudication at the point of service is provided. The system provides methods and secure central storage for providers of healthcare services to maintain user created and maintained patient lists, provider location lists, and superbill forms for healthcare claims submission according to the user's unique and individual requirements. The system transmits completed healthcare claims while protecting patient privacy, and provides real-time adjudication of the claims, giving an almost instantaneous claim result in the form of a patient summary receipt back to the point of service at the healthcare provider's location. This is achieved through a real-time interface with the enterprise server claims adjudication engine. Customized lists and superbill forms as required by the individual user are also stored on the enterprise server.
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