SYSTEMS AND METHODS FOR AUTOMATED PRE-PAYMENT ANALYSIS OF ELECTRONIC HEALTH CARE CLAIMS

SYSTEMS AND METHODS FOR AUTOMATED PRE-PAYMENT ANALYSIS OF ELECTRONIC HEALTH CARE CLAIMS

A method for prepay review of electronic health care claims includes obtaining an electronic health care claim; determining whether the electronic health care claim is eligible for prepay analysis based on an identifier for an intended recipient of the electronic health care claim; if it is determin...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
1. Verfasser: Welsh Phillips, Karen Michele
Format: Patent
Sprache:eng
Schlagworte:
CALCULATING
COMPUTING
COUNTING
DATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FORADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORYOR FORECASTING PURPOSES
ELECTRIC DIGITAL DATA PROCESSING
PHYSICS
SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE,COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTINGPURPOSES, NOT OTHERWISE PROVIDED FOR
Online-Zugang:Volltext bestellen
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:A method for prepay review of electronic health care claims includes obtaining an electronic health care claim; determining whether the electronic health care claim is eligible for prepay analysis based on an identifier for an intended recipient of the electronic health care claim; if it is determined that the electronic health care claim is eligible for the prepay analysis, then performing the prepay analysis and augmenting the electronic health care claim based on the results of the prepay analysis; and transmitting the augmented electronic health care claim to a recipient computer associated with the intended recipient.