SYSTEM FOR ANALYZING PATIENT OUT-OF-NETWORK UTILIZATION AND IMPROVING RETENTION

摘要

A patient out-of-network utilization analysis and reporting system includes: an out-of-network utilization analysis server, configured to access one or more databases to obtain healthcare claims information, to generate out-of-network utilization analysis information corresponding to identification of potential sources of patient out-of-network utilization based on the obtained healthcare claims information, and to the send out-of-network utilization analysis information to a client computing device, wherein the healthcare claims information includes procedure-related information and/or physician attribution information; and the client computing device, configured to receive out-of-network utilization analysis information via a network from a server and to display the out-of-network utilization analysis information to a user of the client computing device.

主权项

1. A device for reporting patient out-of-network utilization, comprising:
a display, configured to display a plurality of graphical user interface (GUI) views relating to patient out-of-network utilization; a user input interface, configured to receive input from a user based on user interaction with the displayed GUI views; a non-transitory computer-readable medium having processor-executable instructions stored thereon; and a processor, configured, based on execution of the processor-executable instructions, to receive patient healthcare utilization information from an out-of-network utilization analysis system and facilitate navigation through the plurality of GUI views on the display based on input received through the user input interface; wherein the plurality of GUI views include a first plurality of views graphically illustrating out-of-network utilization relating to claim type and a second plurality of GUI views graphically illustrating out-of-network utilization relating to attribution.