Systems and methods for verifying and editing electronically transmitted claim content
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United States of America Patent
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May 29, 2012
Issued Date -
N/A
app pub date -
May 16, 2003
filing date -
May 16, 2002
priority date (Note) -
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status (Latency Note)
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Abstract
Systems and methods verify the content of an electronically transmitted claim, such as a healthcare claim by intercepting the claim, reviewing the claim's contents, and comparing the claim to pre-established claim criteria established by a payer or both a healthcare service provider and payer. If the claim contains the appropriate content the claim is forwarded to its intended recipient, typically a payer such as an insurance company or government healthcare payer; otherwise the claim may be returned to the sender, e.g., a pharmacy, with an indication that it does not contain the correct content. Additionally, the claim may be edited by the system and forwarded in correct form to its intended recipient.
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