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.

Date of Patent:
Jan. 18, 2022

Filed:

Apr. 14, 2020
Applicant:

Xact Laboratories, Llc, Twinsburg, OH (US);

Inventors:

Rob Todd, Doylestown, PA (US);

Jerry Wrobel, Aurora, OH (US);

John Pigott, Sylvania, OH (US);

Attorneys:
Primary Examiner:
Int. Cl.
CPC ...
G16H 40/20 (2018.01); G16H 10/60 (2018.01); G16H 10/40 (2018.01); G16H 70/40 (2018.01); G06F 16/245 (2019.01); G06Q 10/10 (2012.01); G06Q 20/42 (2012.01); G06Q 40/02 (2012.01); G06Q 30/00 (2012.01); G06F 40/205 (2020.01); C12Q 1/6869 (2018.01); G16B 35/20 (2019.01); G06Q 40/08 (2012.01); H04L 29/06 (2006.01);
U.S. Cl.
CPC ...
G16H 40/20 (2018.01); C12Q 1/6869 (2013.01); G06F 16/245 (2019.01); G06F 40/205 (2020.01); G06Q 10/10 (2013.01); G06Q 20/42 (2013.01); G06Q 30/016 (2013.01); G06Q 40/02 (2013.01); G06Q 40/08 (2013.01); G16B 35/20 (2019.02); G16H 10/40 (2018.01); G16H 10/60 (2018.01); G16H 70/40 (2018.01); H04L 63/0428 (2013.01);
Abstract

System and methods for providing laboratory-based authorization of genetic testing are disclosed. An order for genetic testing is received from an electronic health record ('EHR') system at a laboratory information system ('LIS'). A prior authorization request is automatically generated at the LIS from data parsed from the order and retrieved from the EHR and sent to a prior authorization provider. If a patient responsibility amount returned to the LIS is below a threshold, testing proceeds. If the patient responsibility amount is above the threshold, an electronic call center request is generated and the patient is contacted to obtain payment. If a billing consent is not obtained, the specimen for the order is destroyed.


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