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...

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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
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creator	Welsh Phillips, Karen Michele
description	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.
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subjects	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
title	SYSTEMS AND METHODS FOR AUTOMATED PRE-PAYMENT ANALYSIS OF ELECTRONIC HEALTH CARE CLAIMS
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