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:
Oct. 29, 2024

Filed:

Sep. 07, 2023
Applicant:

Medimpact Healthcare Systems, Inc., San Diego, CA (US);

Inventors:

Dale R. Brown, Poway, CA (US);

William J. Barre, Escondido, CA (US);

Frederick Howe, Rancho Santa Fe, CA (US);

Assignee:
Attorney:
Primary Examiner:
Int. Cl.
CPC ...
G06Q 20/04 (2012.01); G06Q 10/087 (2023.01); G06Q 10/10 (2023.01); G06Q 20/14 (2012.01); G06Q 40/08 (2012.01); G06Q 50/22 (2018.01); G16H 10/60 (2018.01); G16H 40/20 (2018.01);
U.S. Cl.
CPC ...
G06Q 20/04 (2013.01); G06Q 10/087 (2013.01); G06Q 10/10 (2013.01); G06Q 20/14 (2013.01); G06Q 40/08 (2013.01); G06Q 50/22 (2013.01); G16H 10/60 (2018.01); G16H 40/20 (2018.01);
Abstract

A method for electronically determining patient medical treatment eligibility, coverage, copayment amount and insurer billing simultaneously, by: (a) a patient requesting medical treatment at a retail clinic; (b) the patient presenting a health insurance card at the retail clinic; (c) the retail clinic transmitting patient health insurance card information to a centralized adjudication facility; (d) the retail clinic transmitting medical treatment information to the centralized adjudication facility; (e) the centralized adjudication facility determining patient medical treatment coverage, eligibility and copayment amount (f) transmitting the patient medical treatment coverage, eligibility and copayment amount from the centralized adjudication facility to the retail clinic; (g) the patient purchasing the medical treatment by paying the retail clinic the copayment amount, (h) transmitting a bill to the health care insurance provider; and (i) thereby informing the retail clinic clinician to sell the medical treatment to the patient.


Find Patent Forward Citations

Loading…