发明名称 Method and apparatus for settling claims between health care providers and third party payers
摘要 A method for effectuating payment of a service for the benefit of a first party, performed by a second party and facilitated by a third party, comprising first party requesting a service from a second party; a first party providing relationship information about the first party's relationship with the third party to the second party; the second party electronically communicating the relationship information to a third party to verify eligibility of the first party; the third party confirming eligibility of the first party in an asynchronous real-time mode and providing a predetermined fee schedule between the third party and the second party for services for the first party; the second party submitting a claim, based on services for the first party, to the third party; comparing the submitted claim to the relationship information concerning the first party's relationship with the third party, and adjudicating the claim in an asynchronous real-time mode and settling the claim by the third party authorizing a transfer of funds to the second party when the compared information is within guidelines established by the third party.
申请公布号 US2005033604(A1) 申请公布日期 2005.02.10
申请号 US20030651891 申请日期 2003.08.29
申请人 MITAN TECHNOLOGIES, LLC 发明人 HOGAN BRIAN F.
分类号 G06Q20/00;G06Q40/00;G07F7/10;(IPC1-7):G06F17/60 主分类号 G06Q20/00
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