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Numéro de publicationWO2003088124 A3
Type de publicationDemande
Numéro de demandePCT/US2003/010193
Date de publication10 févr. 2005
Date de dépôt3 avr. 2003
Date de priorité12 avr. 2002
Autre référence de publicationCA2482433A1, EP1525550A2, WO2003088124A2
Numéro de publicationPCT/2003/10193, PCT/US/2003/010193, PCT/US/2003/10193, PCT/US/3/010193, PCT/US/3/10193, PCT/US2003/010193, PCT/US2003/10193, PCT/US2003010193, PCT/US200310193, PCT/US3/010193, PCT/US3/10193, PCT/US3010193, PCT/US310193, WO 03088124 A3, WO 03088124A3, WO 2003/088124 A3, WO 2003088124 A3, WO 2003088124A3, WO-A3-03088124, WO-A3-2003088124, WO03088124 A3, WO03088124A3, WO2003/088124A3, WO2003088124 A3, WO2003088124A3
InventeursDavid Fitzgerald, John Hunter, Sr David Hiebert Klassen, Greg Long, Brian Lucas
DéposantSiemens Med Solutions Health
Exporter la citationBiBTeX, EndNote, RefMan
Liens externes:  Patentscope, Espacenet
A system and user interface supporting use of rules for processing healthcare and other claim data
WO 2003088124 A3
Résumé
A centralized rules repository maintains consistently expressed rules used to process patient claim data in supporting medical procedure eligibility verification, patient referrals, treatment authorization, data entry editing, electronic claim submission, claim status determination and electronic remittance processing. A system for managing rules used for processing claim data related to provision of healthcare to a patient includes an interface processor for acquiring data representing rules from a plurality of different sources. The system includes a rules repository for accumulating data representing acquired rules and a rules processor for initiating application of a selected rule derived from the repository to process claim data in response to a received message. A result processor processes a result being derived by the application of the selected rule to the claim data for output. The interface processor also transforms acquired rules to a common syntax suitable for storage in the rules repository.
Citations de brevets
Brevet cité Date de dépôt Date de publication Déposant Titre
EP1081622A2 *24 août 20007 mars 2001NCR International, Inc.Expert system
US5359509 *31 oct. 199125 oct. 1994United Healthcare CorporationHealth care payment adjudication and review system
US5481647 *21 sept. 19932 janv. 1996Raff Enterprises, Inc.User adaptable expert system
US5519607 *6 juil. 199321 mai 1996Research Enterprises, Inc.Automated health benefit processing system
US6343271 *17 juil. 199829 janv. 2002P5 E.Health Services, Inc.Electronic creation, submission, adjudication, and payment of health insurance claims
Classifications
Classification internationaleG06Q10/00, G06Q40/00
Classification coopérativeG06Q10/10, G06Q40/02
Classification européenneG06Q10/10, G06Q40/02
Événements juridiques
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23 oct. 2003ALDesignated countries for regional patents
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