Systems and Methods for Cross Border Health Insurance

摘要

A system and method for providing healthcare insurance services to a beneficiary outside of a home boundary of the beneficiary, that includes: receiving a request to provide healthcare insurance services to a beneficiary from a healthcare provider at a first location; determining whether the first location of the healthcare provider is within or outside of the home boundary of the beneficiary; and, if the first location is outside of the home boundary of the beneficiary: determining an eligibility of the beneficiary based on the healthcare provider and the first location of the healthcare provider; and providing an insurance coverage amount to the healthcare provider at the first location based on the determination of the eligibility of the beneficiary.

主权项

1. A method for providing healthcare insurance services to a beneficiary outside of a home boundary of the beneficiary, the method comprising:
receiving, by a computing system including a processor and a data storage medium, a request to provide healthcare insurance coverage services for healthcare services provided, or to be provided, to a beneficiary from a healthcare provider at a first location; determining, by the computing system, whether the first location of the healthcare provider is within or outside of the home boundary of the beneficiary; and if the first location is outside of the home boundary of the beneficiary:
determining, by the computing system, an eligibility of the beneficiary based on at least the healthcare provider and the first location of the healthcare provider; andproviding, by the computing system, an insurance coverage amount to the healthcare provider at the first location based on the determination of the eligibility of the beneficiary.