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.:
Date of Patent:
Sep. 14, 2010
Filed:
Sep. 24, 2002
David Fitzgerald, West Grove, PA (US);
Brian Lucas, Springfield, PA (US);
Greg Long, Conshohocken, PA (US);
David Hiebert Klassen, Sr., Paoli, PA (US);
John Hunter, North Wales, PA (US);
David Fitzgerald, West Grove, PA (US);
Brian Lucas, Springfield, PA (US);
Greg Long, Conshohocken, PA (US);
David Hiebert Klassen, Sr., Paoli, PA (US);
John Hunter, North Wales, PA (US);
Siemens Medical Solutions USA, Inc., Malvern, PA (US);
Abstract
A patient claim data processing system responds to and initiates clinical events and attains early accurate claim data during a patient healthcare encounter cycle to support prompt claim data validation and editing both for individual claim elements and for a completed claim to improve claim accuracy prior to claim submission to a payer. The system submits accurate claims to payers and receives remittance advice from payers and applies rules to the advice. A system processes financial data related to provision of healthcare to a patient in response to clinical events. The system includes an interface processor for receiving a message identifying an event and a related change in healthcare data concerning a patient and also includes a source of rules for determining characteristics associated with reimbursement for provision of an individual service to a patient. A rules processor initiates application of a rule derived from the rules source to process financial data concerning provision of the individual service to the patient in response to receiving the message identifying the event. A result processor initiates an action in response to a result derived by the application of the rule to process the financial data. The rules processor also validates the financial data complies with the rule.