SYSTEMS AND METHODS FOR USING PERSON CONTROLLED IDENTIFIERS

SYSTEMS AND METHODS FOR USING PERSON CONTROLLED IDENTIFIERS

In an embodiment, systems and methods for generating and using person-controlled identifiers are provided. Coverage data for patients, received from multiple payors or collected from submitted claims, is analyzed to identify patients across payors that are the same patient. A person-controlled ident...

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Bibliographische Detailangaben
Hauptverfasser: Jones, Jessica, Babu, Suprigya, Kakodkar, Yogesh Sinai, Patil, Rahul, Malec, Arien, Decastri, JR., Theodore W
Format: Patent
Sprache:eng
Schlagworte:
CALCULATING
COMPUTING
COUNTING
DATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FORADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORYOR FORECASTING PURPOSES
HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATIONTECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING ORPROCESSING OF MEDICAL OR HEALTHCARE DATA
INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTEDFOR SPECIFIC APPLICATION FIELDS
PHYSICS
SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE,COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTINGPURPOSES, NOT OTHERWISE PROVIDED FOR
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Beschreibung
Zusammenfassung:In an embodiment, systems and methods for generating and using person-controlled identifiers are provided. Coverage data for patients, received from multiple payors or collected from submitted claims, is analyzed to identify patients across payors that are the same patient. A person-controlled identifier is associated with each patient and is linked to the coverage data for the patient for each payor. Accordingly, the person-controlled identifier may uniquely identify the patient and their associated coverage at each payor. In the event that the patient changes payors, the person-controlled identifier may be linked to the new payor. Later, when the patient receives medical care from a medical provider, the patient may provide the person-controlled identifier to the medical provider instead of their payor issued card or number. The medical provider may then use the person-controlled identifier to determine the payor associated with the patient and to determine eligibility.