US Patent No: 8,069,080

Number of patents in Portfolio can not be more than 2000

Methods for generating healthcare provider quality and cost rating data

Stats

ALSO PUBLISHED AS: 20090125348
See full text
ATTORNEY / AGENT: (SPONSORED)

Importance

Loading Importance Indicators... loading....

Abstract

See full text

A method for generating healthcare provider quality rating data includes grouping claim records into one or more claim groups, assigning each claim group to a responsible provider, assessing the claim records in each claim group using guidelines for the particular disease or condition, and generating a compliance score for the claim group, wherein the compliance score indicates the extent to which the claim records in the claim group match the guidelines, and generating normalized provider quality rating data. A method for generating healthcare provider cost rating data includes grouping claim records into one or more claim groups, assigning each claim group to a responsible provider, calculating the total cost of each claim group, aggregating the total cost for each claim group, and comparing the total aggregate cost of each claim group assigned to each provider to an expected cost value.

Loading the Abstract Image... loading....

First Claim

See full text

all claims..

Related Publications

Loading Related Publications... loading....

Patent Owner(s)

Patent OwnerAddressTotal Patents
INGENIX, INC.EDEN PRAIRIE, MN7
OPTUMINSIGHT, INC.MENLO, CA34

International Classification(s)

  • [Classification Symbol]
  • [Patents Count]

Inventor(s)

Inventor Name Address # of filed Patents Total Citations
Rastogi, Amita - 4 1

Cited Art Landscape

Patent Info (Count) # Cites Year
 
FAIR ISAAC CORPORATION (1)
2003/0158,751 Fraud and abuse detection and entity profiling in hierarchical coded payment systems 19 2002
 
OPTUMINSIGHT, INC. (1)
2007/0156,455 System and Method for Providing a Consumer Healthcare Guide 5 2006
 
QUALITY HEALTHCARE INTERMEDIARY, LLC (1)
2004/0111,291 Method of optimizing healthcare services consumption 32 2002
 
SYMMETRY HEALTH DATA SYSTEMS (1)
5,835,897 Computer-implemented method for profiling medical claims 146 1995
 
UNITED HEALTHCARE CORPORATION (1)
5,544,044 Method for evaluation of health care quality 110 1991

Patent Citation Ranking

Forward Cite Landscape

  • No Forward Cites to Display

Maintenance Fees

Fee Large entity fee small entity fee micro entity fee due date
3.5 Year Payment $1600.00 $800.00 $400.00 May 29, 2015
7.5 Year Payment $3600.00 $1800.00 $900.00 May 29, 2019
11.5 Year Payment $7400.00 $3700.00 $1850.00 May 29, 2023
Fee Large entity fee small entity fee micro entity fee
Surcharge - 3.5 year - Late payment within 6 months $160.00 $80.00 $40.00
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