System and Method for Patient Attribution in a Healthcare Setting

摘要

Disclosed herein is a method and system for attributing patients to a physician panel in a healthcare setting. Attribution can occur either implicitly, through the use of claims data or an inference based on clinical encounters, or explicitly by way of manual entry of supplemental data into a system.

主权项

1. A method for attributing patients to physicians comprising the steps of:
obtaining health insurance claims data; determining a patient for whom said health insurance claims data pertains; determining a physician who submitted the claims data; and adding the patient for whom said health claims data pertains to a panel associated with the physician who submitted the claims data.