HEALTHCARE TRANSACTION RULE PROCESSING, DYNAMIC CONSTRAINT MANAGEMENT, AND USER INTERFACE INTERACTIONS

摘要

Systems and methods of using collected data to provide business intelligence functionality and/or information are disclosed. In an example, healthcare information system data (such as billing system data) may be extracted or accessed, and transaction data from multiple information systems may be aggregated. In an example, electronic operations for transformation and processing of healthcare transaction data may include receiving healthcare transaction data, creating an aggregate set of healthcare transaction data, evaluating conditions associated with the aggregate set of healthcare transaction data, generating aggregated healthcare transaction information for display, receiving a user-selected indication in response to the display, and transmitting electronic transaction requests to effect transactions resulting from the user-selected indication.

主权项

1. A method for healthcare transaction processing, comprising electronic operations implemented with processor circuitry of a computing system, and the electronic operations comprising:
receiving a first set of healthcare transaction data records that represent a first healthcare transaction and a second set of healthcare transaction data records that represent a second healthcare transaction, the first set of healthcare transaction data records and the second set of healthcare transaction data records originating from an information system, wherein the first set of health transaction data records are associated with a first encounter and the second set of health transaction data records are associated with a second encounter; creating an aggregate set of healthcare transaction data records from the first set of healthcare transaction data records and the second set of healthcare transaction data records, wherein the aggregate set of healthcare transaction data records is associated with a user; creating a payment due data record from the aggregate set of healthcare transaction data records, wherein the payment due data record indicates an aggregated payment amount due for open charges of the first healthcare transaction and the second healthcare transaction that are tracked by the information system and held by an asset holder; evaluating a set of asset holder requirement data records to determine repayment requirements of the asset holder, the repayment requirements evaluated for the open charges that are held by the asset holder at a time of generation for a graphical user interface; evaluating a set of user characteristic data records to determine repayment characteristics of the user, the repayment characteristics uniquely evaluated for the user for repayment of the aggregated payment amount due at the time of generation for the graphical user interface; and generating aggregated healthcare transaction information to display to the user in the graphical user interface, the aggregated healthcare transaction information including data from the aggregate set of healthcare transaction data records, wherein the graphical user interface displays multiple available payment options that are uniquely generated to the user, the multiple available payment options being customized to the repayment characteristics of the user and the repayment requirements of the asset holder that are determined at the time of generation for the graphical user interface, and wherein the graphical user interface includes constraints to receive selection of a payment option from among the multiple available payment options that complies with the repayment requirements of the asset holder.