CA2078671A1 - Systeme de gestion d'assurance-sante et d'information fonctionnant en temps reel - Google Patents
Systeme de gestion d'assurance-sante et d'information fonctionnant en temps reelInfo
- 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
Links
Classifications
-
- 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
- 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; 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
- 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)
- Medical Informatics (AREA)
- Technology Law (AREA)
- Entrepreneurship & Innovation (AREA)
- Human Resources & Organizations (AREA)
- General Health & Medical Sciences (AREA)
- Primary Health Care (AREA)
- Development Economics (AREA)
- Epidemiology (AREA)
- Public Health (AREA)
- Health & Medical Sciences (AREA)
- Tourism & Hospitality (AREA)
- Quality & Reliability (AREA)
- Data Mining & Analysis (AREA)
- Operations Research (AREA)
- Management, Administration, Business Operations System, And Electronic Commerce (AREA)
- Medical Treatment And Welfare Office Work (AREA)
- Medicinal Preparation (AREA)
Abstract
Un utilitaire temps réel d'information et d'administration d'assurance médicale qui comprend un terminal de prestation de services (18), en communication bidirectionnelle avec une unité centrale de traitement (3) et une base de données centrale actualisable (6). Le terminal de prestation de services (18) comprend un lecteur de cartes pour la saisie des données d'identification des membres du groupe, un clavier qui permet d'interroger la base de données centrale en ce qui concerne l'admissibilité au plan des membres du groupe et les remboursements prévus pour divers traitements proposés, ainsi qu'un écran pour l'affichage des données fournies en réponse aux requêtes. L'employeur est également doté d'un terminal (185) en communication bidirectionnelle en ligne avec l'unité centrale de traitement, de sorte que l'admissibilité du membre du groupe peut être actualisée en ligne.
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 (fr) | 1991-10-10 |
CA2078671C CA2078671C (fr) | 1998-09-29 |
Family
ID=24015681
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002078671A Expired - Fee Related CA2078671C (fr) | 1990-04-09 | 1991-04-05 | Systeme de gestion d'assurance-sante et d'information fonctionnant en temps reel |
Country Status (5)
Country | Link |
---|---|
EP (1) | EP0525056A4 (fr) |
JP (1) | JPH05509424A (fr) |
AU (1) | AU667457B2 (fr) |
CA (1) | CA2078671C (fr) |
WO (1) | WO1991015817A1 (fr) |
Families Citing this family (24)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
NL9200793A (nl) * | 1992-05-01 | 1993-12-01 | Pacing Management & Consultanc | Werkwijze en systeem voor zorgvragergerichte optimalisering van zorghandelingenvolgorde en zorgvrageridentificatiekaart voor gebruik in een dergelijke werkwijze of dergelijk systeem. |
FR2692385B1 (fr) * | 1992-06-16 | 1999-12-31 | Gemplus Card Int | Systeme automatique d'impression d'un formulaire administratif medical. |
JPH07319971A (ja) * | 1994-05-19 | 1995-12-08 | At & T Global Inf Solutions Internatl Inc | 遠隔アクセス可能な医療ネットワーク |
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 (fr) * | 1997-12-12 | 2002-01-02 | Texas Instruments Inc. | Système d'information digitale et dispositif portable pour ledit |
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 |
WO2001099027A2 (fr) * | 2000-06-20 | 2001-12-27 | Freeman Mark B | Systeme de distribution d'informations a utiliser lorsque le facteur temps est essentiel |
US7624026B2 (en) | 2000-11-21 | 2009-11-24 | The Trizetto Group, Inc. | Health plan management method and apparatus |
KR100392331B1 (ko) * | 2001-02-02 | 2003-07-22 | 서오텔레콤(주) | 통신망을 이용한 의료보험 관리시스템 및 그 방법 |
US7921123B2 (en) * | 2001-02-20 | 2011-04-05 | Hartford Fire Insurance Company | Method and system for processing physician claims over a network |
US8090599B2 (en) | 2003-12-30 | 2012-01-03 | Hartford Fire Insurance Company | Method and system for computerized insurance underwriting |
US7783505B2 (en) | 2003-12-30 | 2010-08-24 | Hartford Fire Insurance Company | System and method for computerized insurance rating |
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 (fr) * | 2014-06-20 | 2015-12-23 | パナソニックヘルスケア株式会社 | Procédé d'aide à la prescription de médicament, programme d'ordinateur pour une aide à la prescription de médicament, et dispositif d'aide à la prescription de médicament |
Family Cites Families (6)
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 |
-
1991
- 1991-04-05 JP JP3508329A patent/JPH05509424A/ja active Pending
- 1991-04-05 CA CA002078671A patent/CA2078671C/fr not_active Expired - Fee Related
- 1991-04-05 WO PCT/US1991/002366 patent/WO1991015817A1/fr not_active Application Discontinuation
- 1991-04-05 EP EP19910908212 patent/EP0525056A4/en not_active Withdrawn
- 1991-04-05 AU AU77666/91A patent/AU667457B2/en not_active Ceased
Also Published As
Publication number | Publication date |
---|---|
JPH05509424A (ja) | 1993-12-22 |
CA2078671C (fr) | 1998-09-29 |
AU7766691A (en) | 1991-10-30 |
EP0525056A1 (fr) | 1993-02-03 |
WO1991015817A1 (fr) | 1991-10-17 |
EP0525056A4 (en) | 1993-11-24 |
AU667457B2 (en) | 1996-03-28 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
EEER | Examination request | ||
MKLA | Lapsed | ||
MKLA | Lapsed |
Effective date: 20090406 |