BRPI0607417A2 - método para exame eletrÈnico de taxas médicas - Google Patents
método para exame eletrÈnico de taxas médicasInfo
- Publication number
- BRPI0607417A2 BRPI0607417A2 BRPI0607417-0A BRPI0607417A BRPI0607417A2 BR PI0607417 A2 BRPI0607417 A2 BR PI0607417A2 BR PI0607417 A BRPI0607417 A BR PI0607417A BR PI0607417 A2 BRPI0607417 A2 BR PI0607417A2
- Authority
- BR
- Brazil
- Prior art keywords
- exam
- server
- invoice
- examination
- medical
- Prior art date
Links
Classifications
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16C—COMPUTATIONAL CHEMISTRY; CHEMOINFORMATICS; COMPUTATIONAL MATERIALS SCIENCE
- G16C10/00—Computational theoretical chemistry, i.e. ICT specially adapted for theoretical aspects of quantum chemistry, molecular mechanics, molecular dynamics or the like
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q20/00—Payment architectures, schemes or protocols
- G06Q20/08—Payment architectures
- G06Q20/10—Payment architectures specially adapted for electronic funds transfer [EFT] systems; specially adapted for home banking systems
- G06Q20/102—Bill distribution or payments
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q10/00—Administration; Management
- G06Q10/10—Office automation; Time management
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q30/00—Commerce
- G06Q30/04—Billing or invoicing
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q50/00—Systems or methods specially adapted for specific business sectors, e.g. utilities or tourism
- G06Q50/10—Services
- G06Q50/22—Social work
Landscapes
- Business, Economics & Management (AREA)
- Engineering & Computer Science (AREA)
- Accounting & Taxation (AREA)
- Finance (AREA)
- Strategic Management (AREA)
- Theoretical Computer Science (AREA)
- Physics & Mathematics (AREA)
- Development Economics (AREA)
- Economics (AREA)
- General Physics & Mathematics (AREA)
- General Business, Economics & Management (AREA)
- Marketing (AREA)
- Human Resources & Organizations (AREA)
- Entrepreneurship & Innovation (AREA)
- Tourism & Hospitality (AREA)
- Health & Medical Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Data Mining & Analysis (AREA)
- Operations Research (AREA)
- Quality & Reliability (AREA)
- Computing Systems (AREA)
- Child & Adolescent Psychology (AREA)
- Primary Health Care (AREA)
- Spectroscopy & Molecular Physics (AREA)
- Life Sciences & Earth Sciences (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Bioinformatics & Computational Biology (AREA)
- Medical Treatment And Welfare Office Work (AREA)
Abstract
MéTODO PARA EXAME ELETRÈNICO DE TAXAS MéDICAS. é descrito um método para exame eletrónico de taxas médicas, e mais particularmente um método para exame eletrónico de taxas médicas utilizando um sistema para exame eletrónico de taxas médicas. O sistema inclui um servidor de transmitir/receber, um servidor de exame de fatura, um terminal de gerenciamento e terminais de examinadores, e comunica-se com cada servidor de instituição médica e um servidor de sociedade de seguro de saúde nacional. O servidor de exame de fatura verifica qualquer erro nas faturas médicas e especificações recebidas de cada servidor de instituição médica através da inspeção de descrição, inspeção automática, inspeção de especialista e exame computacional. O servidor de exame de fatura retorna, corrige ou ajusta qualquer fatura ou especificação errónea, ou insere uma mensagem na fatura ou especificação errónea. O terminal de gerenciamento distribui faturas médicas e especificações nas quais o exame computacional foi concluído para os terminais de examinadores. Cada terminal de examinador produz um extrato de ajuste de exame de acordo com os resultados do exame entrados por um examinador durante exame na tela e envia o extrato para o servidor de exame de fatura. A seguir, o servidor de exame de fatura gera um arquivo de decisão sobre exame com base nos resultados do exame e envia o arquivo para o servidor de instituição médica correspondente e simultaneamente para o servidor de sociedade de seguro de saúde nacional.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
KR1020060020272A KR100597289B1 (ko) | 2006-03-03 | 2006-03-03 | 진료비 전자심사 방법 |
PCT/KR2006/002710 WO2007100174A1 (en) | 2006-03-03 | 2006-07-11 | The method for electronic examination of medical fees |
Publications (1)
Publication Number | Publication Date |
---|---|
BRPI0607417A2 true BRPI0607417A2 (pt) | 2009-09-08 |
Family
ID=37183677
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
BRPI0607417-0A BRPI0607417A2 (pt) | 2006-03-03 | 2006-07-11 | método para exame eletrÈnico de taxas médicas |
Country Status (9)
Country | Link |
---|---|
US (1) | US8112289B2 (pt) |
EP (1) | EP1830290A1 (pt) |
JP (1) | JP4139419B2 (pt) |
KR (1) | KR100597289B1 (pt) |
CN (1) | CN101030272A (pt) |
AU (1) | AU2006334503B2 (pt) |
BR (1) | BRPI0607417A2 (pt) |
WO (1) | WO2007100174A1 (pt) |
ZA (1) | ZA200706776B (pt) |
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US20110246262A1 (en) * | 2010-04-02 | 2011-10-06 | QMedtrix Systems, Inc. | Method of classifying a bill |
US20120005155A1 (en) * | 2010-07-03 | 2012-01-05 | Trial Attorney Support, Inc. | Case management system with automatic document update |
US8706616B1 (en) | 2011-06-20 | 2014-04-22 | Kevin Flynn | System and method to profit by purchasing unsecured debt and negotiating reduction in amount due |
US11900464B1 (en) | 2011-06-20 | 2024-02-13 | Kevin Flynn | Computer software, processes, algorithms and intelligence that forecast a settlement price and negative actions taken by providers against patients, with debts owed, based on specific variables |
KR101473487B1 (ko) | 2012-09-12 | 2014-12-16 | 한국후지쯔 주식회사 | 수가코드 관리 방법 및 이를 이용한 의료정보시스템 |
US9195999B2 (en) * | 2012-10-24 | 2015-11-24 | Mastercard International Incorporated | Methods and systems for routing e-invoices |
US9846914B1 (en) * | 2013-06-20 | 2017-12-19 | Northwell Health, Inc. | Systems, methods, and program products for calculating shared savings for a self-insured health care plan |
US20150127370A1 (en) * | 2013-11-06 | 2015-05-07 | ClaimReturn, LLC | System and Method for Identifying and Correcting Billing Errors in High-Volume Billing and Claim Adjudicating Systems |
US20150134361A1 (en) * | 2013-11-08 | 2015-05-14 | The Cleveland Clinic Foundation | Graphical generation and retrieval of medical records |
KR101561205B1 (ko) * | 2014-03-04 | 2015-10-19 | 주식회사 사람들과사람들 | 고시내용을 간단히 적용하기 위한 점검규칙 패턴 구조화 처리 시스템 및 그 방법 |
CN104133810A (zh) * | 2014-08-08 | 2014-11-05 | 平安养老保险股份有限公司 | 一种医保报销资格校验系统及医保报销资格校验方法 |
JP6518129B2 (ja) * | 2015-05-19 | 2019-05-22 | 株式会社トプコン | 医療情報処理装置 |
KR101575564B1 (ko) | 2015-07-29 | 2015-12-08 | 국민건강보험공단 | 장기요양 통합정보 시스템 및 그 모바일 정보 시스템 |
CN106327395A (zh) * | 2016-08-31 | 2017-01-11 | 杭州逸曜信息技术有限公司 | 医疗费用信息的处理方法 |
CN106485243B (zh) * | 2016-10-31 | 2019-10-22 | 用友网络科技股份有限公司 | 一种票据识别纠错方法及装置 |
KR101836465B1 (ko) | 2016-11-10 | 2018-03-09 | (주)중외정보기술 | 건강보험 심사청구 스크리닝 시스템 및 방법 |
CN108876630A (zh) * | 2017-05-10 | 2018-11-23 | 平安科技(深圳)有限公司 | 保险单的分单记录查询方法、设备及存储介质 |
KR102000221B1 (ko) * | 2017-11-02 | 2019-07-15 | (주)중외정보기술 | 자연어 처리 기반 요양급여 심사지원 서비스 시스템 및 방법 |
CN108255793A (zh) * | 2017-11-22 | 2018-07-06 | 中国平安财产保险股份有限公司 | 一种信息核查方法及终端设备 |
CN108009790A (zh) * | 2017-11-25 | 2018-05-08 | 深圳市健康易信息科技有限公司 | 数据处理方法及相关产品 |
CN108197981B (zh) * | 2017-12-27 | 2021-04-20 | 东软医疗系统股份有限公司 | 一种诊断医学影像的计费方法和装置 |
CN109146393B (zh) * | 2018-06-09 | 2024-02-02 | 安行惠保(北京)科技发展有限公司 | 人伤查勘信息处理方法及系统 |
KR101954030B1 (ko) * | 2018-09-19 | 2019-05-22 | 김성림 | 희귀 상병 환자를 고려할 수 있는 건강보험 심사 지원 방법 및 이를 실행하기 위하여 기록매체에 기록된 컴퓨터 프로그램 |
KR101954029B1 (ko) * | 2018-09-19 | 2019-03-04 | 김성림 | 환자의 상태를 고려할 수 있는 건강보험 심사 지원 방법 및 이를 실행하기 위하여 기록매체에 기록된 컴퓨터 프로그램 |
CN109493029A (zh) * | 2018-10-16 | 2019-03-19 | 平安万家医疗投资管理有限责任公司 | 一种药品附加费用的统计方法、存储介质和服务器 |
CN109492559A (zh) * | 2018-10-27 | 2019-03-19 | 平安医疗健康管理股份有限公司 | 基于图像识别的资格审查方法、服务器及存储介质 |
CN109544362A (zh) * | 2018-10-27 | 2019-03-29 | 平安医疗健康管理股份有限公司 | 一种基于风险管控的数据处理方法及设备 |
KR102194047B1 (ko) | 2018-11-21 | 2020-12-22 | 오스템임플란트 주식회사 | 재료구입 신고 자동 알람 기능을 제공하는 치과 보험 청구 방법 및 그 장치 |
JP6743116B2 (ja) * | 2018-12-25 | 2020-08-19 | みずほ情報総研株式会社 | 審査支援システム、審査支援方法及び審査支援プログラム |
CN112148397A (zh) * | 2019-06-27 | 2020-12-29 | 北京金山云网络技术有限公司 | 一种信息展示方法、展示装置、电子设备及存储介质 |
CN112463973A (zh) * | 2019-09-06 | 2021-03-09 | 医渡云(北京)技术有限公司 | 医学知识图谱的构建方法、装置、介质及电子设备 |
KR102503931B1 (ko) | 2020-12-07 | 2023-02-24 | 가톨릭대학교 산학협력단 | 빅데이터 분석을 통한 진료비 예측 장치 및 방법 |
CN112289424B (zh) * | 2020-12-30 | 2021-03-16 | 曜立科技(北京)有限公司 | 一种基于手术控费的智能化报告自动生成方法和系统 |
CN113486328B (zh) * | 2021-05-27 | 2023-03-21 | 四川大学华西医院 | 一种评估任务的解锁方法及装置 |
CN113435986A (zh) * | 2021-06-23 | 2021-09-24 | 南宁学院 | 财务数据管理方法 |
CN117316404A (zh) * | 2023-09-11 | 2023-12-29 | 北京合源汇丰医药科技有限公司 | 一种基于ai算法的医疗信息异常检测方法及系统 |
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JP2004030356A (ja) * | 2002-06-27 | 2004-01-29 | Kantaro Yasumoto | 診療報酬自動請求システム、診療報酬自動請求装置及びその方法、並びに診療報酬自動審査装置及びその方法 |
JP4181852B2 (ja) | 2002-11-12 | 2008-11-19 | セコム株式会社 | レセプト審査システム |
JP2005050245A (ja) | 2003-07-31 | 2005-02-24 | Nosu:Kk | レセプトの作成・審査・支払い請求の支援システム及び方法 |
US20050065819A1 (en) * | 2003-09-19 | 2005-03-24 | Schultz Pamela Lynn | Electronic reimbursement process for provision of medical services |
US20050108063A1 (en) * | 2003-11-05 | 2005-05-19 | Madill Robert P.Jr. | Systems and methods for assessing the potential for fraud in business transactions |
US20050192839A1 (en) * | 2004-02-27 | 2005-09-01 | P2P Link Llc | Method and system for managing paperless claim processing |
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-
2006
- 2006-03-03 KR KR1020060020272A patent/KR100597289B1/ko active IP Right Grant
- 2006-07-11 AU AU2006334503A patent/AU2006334503B2/en active Active
- 2006-07-11 BR BRPI0607417-0A patent/BRPI0607417A2/pt not_active Application Discontinuation
- 2006-07-11 WO PCT/KR2006/002710 patent/WO2007100174A1/en active Application Filing
- 2006-08-18 JP JP2006223423A patent/JP4139419B2/ja active Active
- 2006-08-31 US US11/513,813 patent/US8112289B2/en active Active
- 2006-09-01 EP EP06119961A patent/EP1830290A1/en not_active Withdrawn
- 2006-09-15 CN CNA2006101541630A patent/CN101030272A/zh active Pending
-
2007
- 2007-08-15 ZA ZA200706776A patent/ZA200706776B/xx unknown
Also Published As
Publication number | Publication date |
---|---|
KR100597289B1 (ko) | 2006-07-04 |
ZA200706776B (en) | 2007-11-28 |
EP1830290A1 (en) | 2007-09-05 |
WO2007100174A1 (en) | 2007-09-07 |
AU2006334503A1 (en) | 2007-09-20 |
AU2006334503B2 (en) | 2009-04-23 |
CN101030272A (zh) | 2007-09-05 |
US20070208594A1 (en) | 2007-09-06 |
JP4139419B2 (ja) | 2008-08-27 |
JP2007241986A (ja) | 2007-09-20 |
US8112289B2 (en) | 2012-02-07 |
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Legal Events
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B07A | Technical examination (opinion): publication of technical examination (opinion) [chapter 7.1 patent gazette] | ||
B09B | Patent application refused [chapter 9.2 patent gazette] | ||
B09B | Patent application refused [chapter 9.2 patent gazette] |