IN2011CH02631A - - Google Patents

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Publication number
IN2011CH02631A
IN2011CH02631A IN2631CH2011A IN2011CH02631A IN 2011CH02631 A IN2011CH02631 A IN 2011CH02631A IN 2631CH2011 A IN2631CH2011 A IN 2631CH2011A IN 2011CH02631 A IN2011CH02631 A IN 2011CH02631A
Authority
IN
India
Prior art keywords
medical
questionnaire
data
received
options
Prior art date
Application number
Inventor
Hulikunte Sundararam Sudhir
Avvaru Eswaraiah
Annasaheb Ketkale Indrajeet
George Mathew
Original Assignee
Infosys Ltd
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 Infosys Ltd filed Critical Infosys Ltd
Priority to IN2631CH2011 priority Critical patent/IN2011CH02631A/en
Priority to US13/315,172 priority patent/US20130035947A1/en
Publication of IN2011CH02631A publication Critical patent/IN2011CH02631A/en

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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
    • G06Q50/00—Information and communication technology [ICT] specially adapted for implementation of business processes of specific business sectors, e.g. utilities or tourism
    • G06Q50/10—Services
    • G06Q50/22—Social work or social welfare, e.g. community support activities or counselling services
    • 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
    • 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
    • G16H10/20—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires

Landscapes

  • Business, Economics & Management (AREA)
  • Engineering & Computer Science (AREA)
  • Human Resources & Organizations (AREA)
  • Strategic Management (AREA)
  • Tourism & Hospitality (AREA)
  • Entrepreneurship & Innovation (AREA)
  • General Physics & Mathematics (AREA)
  • Economics (AREA)
  • Marketing (AREA)
  • Health & Medical Sciences (AREA)
  • Theoretical Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • General Business, Economics & Management (AREA)
  • Quality & Reliability (AREA)
  • Data Mining & Analysis (AREA)
  • Operations Research (AREA)
  • General Health & Medical Sciences (AREA)
  • Primary Health Care (AREA)
  • Child & Adolescent Psychology (AREA)
  • Epidemiology (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

Disclosed herein are representative embodiments of technologies that can be used to generate medical-claims simulations that can provide information about medical claims. In one exemplary embodiment disclosed herein, medical claims data is received, and a dynamic questionnaire is output. Selections of questionnaire options are received, and based on the medical claims data and the selection of the questionnaire options, at least one medical-claims simulation is generated. The dynamic questionnaire can be driven by user interaction and can enable users of the system to select, validate, and filter data, which can then be submitted for payment and mapping analysis. REF FIG: 2
IN2631CH2011 2011-08-01 2011-08-01 IN2011CH02631A (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
IN2631CH2011 IN2011CH02631A (en) 2011-08-01 2011-08-01
US13/315,172 US20130035947A1 (en) 2011-08-01 2011-12-08 Claims payout simulator

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
IN2631CH2011 IN2011CH02631A (en) 2011-08-01 2011-08-01

Publications (1)

Publication Number Publication Date
IN2011CH02631A true IN2011CH02631A (en) 2015-08-21

Family

ID=47627527

Family Applications (1)

Application Number Title Priority Date Filing Date
IN2631CH2011 IN2011CH02631A (en) 2011-08-01 2011-08-01

Country Status (2)

Country Link
US (1) US20130035947A1 (en)
IN (1) IN2011CH02631A (en)

Families Citing this family (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9286035B2 (en) 2011-06-30 2016-03-15 Infosys Limited Code remediation
US8903786B2 (en) * 2012-11-15 2014-12-02 International Business Machines Corporation Intelligent resolution of codes in a classification system
US10607733B2 (en) * 2013-06-14 2020-03-31 Syntel, Inc. System and method for ensuring medical benefit claim payment neutrality between different disease classification codes
US10540152B1 (en) * 2016-09-23 2020-01-21 Massachusetts Mutual Life Insurance Company Systems, devices, and methods for software coding
US11210459B1 (en) * 2016-09-23 2021-12-28 Massachusetts Mutual Life Insurance Company Systems, devices, and methods for software coding
US11138370B1 (en) * 2016-09-23 2021-10-05 Massachusetts Mututal Life Insurance Company Modifying and using spreadsheets to create a GUI on another device
US10496737B1 (en) 2017-01-05 2019-12-03 Massachusetts Mutual Life Insurance Company Systems, devices, and methods for software coding
US20200233993A1 (en) * 2019-01-18 2020-07-23 Baker Hughes Oilfield Operations Llc Graphical user interface for uncertainty analysis using mini-language syntax
US11042699B1 (en) * 2019-01-29 2021-06-22 Massachusetts Mutual Life Insurance Company Systems, devices, and methods for software coding

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7904317B1 (en) * 1999-10-14 2011-03-08 The TriZetto Group Method and apparatus for repricing a reimbursement claim against a contract
US7426474B2 (en) * 2000-04-25 2008-09-16 The Rand Corporation Health cost calculator/flexible spending account calculator
US7392201B1 (en) * 2000-11-15 2008-06-24 Trurisk, Llc Insurance claim forecasting system
US7672858B2 (en) * 2007-04-26 2010-03-02 Accretive Health, Inc. Best possible payment expected for healthcare services
US8407066B2 (en) * 2007-05-04 2013-03-26 Financial Healthcare Systems, Llc Insurance estimating system
US8265952B1 (en) * 2009-02-23 2012-09-11 Arkansas Blue Cross and Blue Shield Method and system for health care coding transition and implementation
US8117043B2 (en) * 2009-05-14 2012-02-14 Hartford Fire Insurance Company System for evaluating potential claim outcomes using related historical data
US20110112851A1 (en) * 2009-11-12 2011-05-12 Nobelus, Inc. Systematic payment auditing
US20130054259A1 (en) * 2011-02-22 2013-02-28 Janusz Wojtusiak Rule-based Prediction of Medical Claims' Payments

Also Published As

Publication number Publication date
US20130035947A1 (en) 2013-02-07

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