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:
Sep. 14, 2010

Filed:

Feb. 16, 2007
Applicants:

Peter Douglas Beery, Cedar Park, TX (US);

Michael L. Considine, Austin, TX (US);

Bruce C. Macartney-filgate, Austin, TX (US);

John William Wester, Austin, TX (US);

Inventors:

Peter Douglas Beery, Cedar Park, TX (US);

Michael L. Considine, Austin, TX (US);

Bruce C. Macartney-Filgate, Austin, TX (US);

John William Wester, Austin, TX (US);

Assignee:

E-Scan Data Systems, Inc., Austin, TX (US);

Attorney:
Primary Examiner:
Assistant Examiner:
Int. Cl.
CPC ...
G06Q 10/00 (2006.01); G06Q 50/00 (2006.01); G06Q 40/00 (2006.01); A61B 5/00 (2006.01); G06F 19/00 (2006.01);
U.S. Cl.
CPC ...
Abstract

A system and method for determining eligibility for reimbursement for medical claims for patients may be implemented with computer software which compares a service provider's patient information against a benefit provider's database of covered persons to determine if the patient is eligible for benefits. The service provider records may be compressed by grouping all of the medical claims relating to a particular patient into one cluster represented by a composite medical claim, which may be used to query the benefit provider databases to determine if the patient is recognized. If the patient is recognized, every record within the cluster may be checked against the benefit provider's database to determine whether one or more patient medical claims are eligible for reimbursement.


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