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The patent badge is an abbreviated version of the USPTO patent document. The patent badge does contain a link to the full patent document.

The patent badge is an abbreviated version of the USPTO patent document. The patent badge covers the following: Patent number, Date patent was issued, Date patent was filed, Title of the patent, Applicant, Inventor, Assignee, Attorney firm, Primary examiner, Assistant examiner, CPCs, and Abstract. The patent badge does contain a link to the full patent document (in Adobe Acrobat format, aka pdf). To download or print any patent click here.

Patent No.:

US 10289804 B1

PDFFull Text
Date of Patent:
May. 14, 2019

Filed:

Dec. 20, 2004

Method of increasing efficiency in a medical claim transaction, and computer program capable of executing same

Applicants:

Sherwood Chapman, Gilbert, AZ (US);

J. Mikel Echeverria, Phoenix, AZ (US);

Inventors:

Sherwood Chapman, Gilbert, AZ (US);

J. Mikel Echeverria, Phoenix, AZ (US);

Assignee:

Cognizant TriZetto Software Group, Inc., Englewood, CO (US);

Attorneys:

Dawn-Marie Bey

Bey & Cotropia PLLC

Primary Examiner:

Robert A Sorey

Assistant Examiner:

Kristine K Rapillo

Int. Cl.
CPC ...
G06Q 40/08 (2012.01); G06Q 40/02 (2012.01); G06Q 50/22 (2018.01); G06Q 10/10 (2012.01); G06F 19/00 (2018.01);
U.S. Cl.
CPC ...
G06F 19/328 (2013.01); G06Q 10/10 (2013.01); G06Q 40/02 (2013.01); G06Q 40/08 (2013.01); G06Q 50/22 (2013.01);
Abstract

A method of adjudicating a medical claim includes providing a requirements for a first claim and a second claim, receiving a medical claim for a medical procedure, setting a first score for the first claim and a second score for the second claim to an initial value, comparing components of the medical claim to the requirements of the first and second claims, changing the first and second scores for each one of the components that match one of the requirements and for each one of the requirements that is missing from the components, and selecting the first or second claim based upon predetermined criteria applied to their respective scores to determine either a monetary value of the medical procedure for a medical service provider associated with the medical procedure or a monetary value of medical coverage for a patient associated with the medical procedure.

Find Patent Forward Citations

Chapman, Sherwood. (2019). Method of increasing efficiency in a medical claim transaction, and computer program capable of executing same (U.S. Patent No. 10289804). U.S. Patent and Trademark Office. https://idiyas.com/patent/badge/10289804

Data source: USPTO (United States Patent and Trademark Office) public patent records. Weekly synchronization. How IDiyas builds this profile

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