CA2078671A1 - Real time insurance administration and medical utility - Google Patents

Real time insurance administration and medical utility

Info

Publication number
CA2078671A1
CA2078671A1 CA2078671A CA2078671A CA2078671A1 CA 2078671 A1 CA2078671 A1 CA 2078671A1 CA 2078671 A CA2078671 A CA 2078671A CA 2078671 A CA2078671 A CA 2078671A CA 2078671 A1 CA2078671 A1 CA 2078671A1
Authority
CA
Canada
Prior art keywords
group member
real time
processing unit
service provider
way
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA2078671A
Other languages
French (fr)
Other versions
CA2078671C (en
Inventor
William D. Alcott Iii
Findley C. Doyle, Jr.
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2078671A1 publication Critical patent/CA2078671A1/en
Application granted granted Critical
Publication of CA2078671C publication Critical patent/CA2078671C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; 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
    • G06Q40/00—Finance; Insurance; Tax strategies; Processing of corporate or income taxes
    • G06Q40/02—Banking, e.g. interest calculation or account maintenance
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; 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 OR CALCULATING; 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
    • G06Q40/00—Finance; Insurance; Tax strategies; Processing of corporate or income taxes
    • G06Q40/08—Insurance
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G16H10/65—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records stored on portable record carriers, e.g. on smartcards, RFID tags or CD

Landscapes

  • Business, Economics & Management (AREA)
  • Engineering & Computer Science (AREA)
  • Accounting & Taxation (AREA)
  • Strategic Management (AREA)
  • Finance (AREA)
  • Theoretical Computer Science (AREA)
  • General Physics & Mathematics (AREA)
  • General Business, Economics & Management (AREA)
  • Physics & Mathematics (AREA)
  • Marketing (AREA)
  • Economics (AREA)
  • Health & Medical Sciences (AREA)
  • Primary Health Care (AREA)
  • Technology Law (AREA)
  • General Health & Medical Sciences (AREA)
  • Development Economics (AREA)
  • Entrepreneurship & Innovation (AREA)
  • Medical Informatics (AREA)
  • Epidemiology (AREA)
  • Public Health (AREA)
  • Human Resources & Organizations (AREA)
  • Operations Research (AREA)
  • Data Mining & Analysis (AREA)
  • Tourism & Hospitality (AREA)
  • Quality & Reliability (AREA)
  • Management, Administration, Business Operations System, And Electronic Commerce (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
  • Medicinal Preparation (AREA)
  • Information Retrieval, Db Structures And Fs Structures Therefor (AREA)

Abstract

A real time health care insurance administration and medical information utility which includes a service provider terminal (18) in two-way, on-line communication with a central processing unit (3) and updatable central data base (6). The service provider terminal (18) includes a card reader for inputting group member identification data and means in the form of a keyboard for interrogating the central data base regarding the plan eligibility of the group member and the reimbursement provided by the plans for various proposed treatments, as well as a screen for displaying data responsive to the inquiries. A benefit sponsor such as an employer is also provided with a terminal (185) in two-way, on-line communication with the central processing unit so that the eligibility status of the group member may be updated on line.
CA002078671A 1990-04-09 1991-04-05 Real time insurance administration and medical utility Expired - Fee Related CA2078671C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US50670490A 1990-04-09 1990-04-09
US506,704 1990-04-09

Publications (2)

Publication Number Publication Date
CA2078671A1 true CA2078671A1 (en) 1991-10-10
CA2078671C CA2078671C (en) 1998-09-29

Family

ID=24015681

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002078671A Expired - Fee Related CA2078671C (en) 1990-04-09 1991-04-05 Real time insurance administration and medical utility

Country Status (5)

Country Link
EP (1) EP0525056A4 (en)
JP (1) JPH05509424A (en)
AU (1) AU667457B2 (en)
CA (1) CA2078671C (en)
WO (1) WO1991015817A1 (en)

Families Citing this family (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
NL9200793A (en) * 1992-05-01 1993-12-01 Pacing Management & Consultanc METHOD AND SYSTEM FOR CARE-CONSIDERATIVE OPTIMIZATION OF CARE ACQUISITION AND CARE-CONSIDER IDENTIFICATION CARD FOR USE IN SUCH A METHOD OR SIMILAR SYSTEM.
FR2692385B1 (en) * 1992-06-16 1999-12-31 Gemplus Card Int AUTOMATIC MEDICAL ADMINISTRATIVE FORM PRINTING SYSTEM.
JPH07319971A (en) * 1994-05-19 1995-12-08 At & T Global Inf Solutions Internatl Inc Remotely accessible medical treatment network
US9619841B2 (en) 1996-03-28 2017-04-11 Integrated Claims Systems, Llc Systems to assist in the creation, transmission, and processing of health insurance claims
US6003007A (en) 1996-03-28 1999-12-14 Dirienzo; Andrew L. Attachment integrated claims system and operating method therefor
US6915265B1 (en) * 1997-10-29 2005-07-05 Janice Johnson Method and system for consolidating and distributing information
EP0923040A3 (en) * 1997-12-12 2002-01-02 Texas Instruments Inc. Digital information system and portable device therefor
US6208973B1 (en) 1998-02-27 2001-03-27 Onehealthbank.Com Point of service third party financial management vehicle for the healthcare industry
US6879959B1 (en) 2000-01-21 2005-04-12 Quality Care Solutions, Inc. Method of adjudicating medical claims based on scores that determine medical procedure monetary values
AU2001268560A1 (en) * 2000-06-20 2002-01-02 Mark B. Freeman Information delivery system for application when time is of the essence
AU2002225659A1 (en) 2000-11-21 2002-06-03 Myhealthbank, Inc. Health plan management method and apparatus
KR100392331B1 (en) * 2001-02-02 2003-07-22 서오텔레콤(주) System for managing medical insurance using information communication network and method therefore
US7921123B2 (en) 2001-02-20 2011-04-05 Hartford Fire Insurance Company Method and system for processing physician claims over a network
US7783505B2 (en) 2003-12-30 2010-08-24 Hartford Fire Insurance Company System and method for computerized insurance rating
US8090599B2 (en) 2003-12-30 2012-01-03 Hartford Fire Insurance Company Method and system for computerized insurance underwriting
US8768729B2 (en) 2004-10-14 2014-07-01 Trizetto Corporation System and method for using a first electronic representation of contract terms for generating a second electronic representation of the contract terms
US8000979B2 (en) 2004-11-24 2011-08-16 Blom Michael G Automated patient management system
US7739129B2 (en) 2006-04-10 2010-06-15 Accenture Global Services Gmbh Benefit plan intermediary
US8214233B2 (en) 2010-08-03 2012-07-03 Zepherella, Inc. Payment systems and methods
US8756075B1 (en) 2011-05-18 2014-06-17 Trizetto Corporation System and method for processing payment bundles
US10296976B1 (en) 2011-09-23 2019-05-21 Cognizant Trizetto Software Group, Inc. System and method for calculating estimated payment based on partial coding data
US10318923B1 (en) 2012-08-01 2019-06-11 Cognizant Trizetto Software Group, Inc. Payment assurance and claim pre-validation
US10410187B2 (en) 2013-09-25 2019-09-10 Patientpay, Inc. Managing installment payments in a healthcare system
WO2015194674A1 (en) * 2014-06-20 2015-12-23 パナソニックヘルスケア株式会社 Drug prescription assistance method, computer program for drug prescription assistance, and drug prescription assistance device

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4491725A (en) * 1982-09-29 1985-01-01 Pritchard Lawrence E Medical insurance verification and processing system
US4667292A (en) * 1984-02-16 1987-05-19 Iameter Incorporated Medical reimbursement computer system
US4648037A (en) * 1984-03-15 1987-03-03 Metropolitan Life Insurance Company Method and apparatus for benefit and financial communication
US4831526A (en) * 1986-04-22 1989-05-16 The Chubb Corporation Computerized insurance premium quote request and policy issuance system
US4858121A (en) * 1986-12-12 1989-08-15 Medical Payment Systems, Incorporated Medical payment system
US4916611A (en) * 1987-06-30 1990-04-10 Northern Group Services, Inc. Insurance administration system with means to allow an employer to directly communicate employee status data to centralized data storage means

Also Published As

Publication number Publication date
EP0525056A1 (en) 1993-02-03
JPH05509424A (en) 1993-12-22
AU667457B2 (en) 1996-03-28
AU7766691A (en) 1991-10-30
EP0525056A4 (en) 1993-11-24
CA2078671C (en) 1998-09-29
WO1991015817A1 (en) 1991-10-17

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Legal Events

Date Code Title Description
EEER Examination request
MKLA Lapsed
MKLA Lapsed

Effective date: 20090406