| 摘要 |
The invention provides a system and method for processing and managing medical insurance claim forms. A computer software system is provided for implementing the system and method. A user of the computer software system may use it to retrieve data about patient, physicians, and insurance providers from data bases provided by the computer software system and enter retrieved data automatically into claim forms for submission to an insurance provider. Documentation for seeking pre-approval of a treatment, making insurance claims, or appeal rejection of claims by an insurance provider may be generated using the software system. Claim processing status, whether a claim is submitted and still pending, rejected, appealed, or approved, may be tracked and managed using the computer software system. The computer software system also provides access to both legal and medical reference information to justify or support an insurance claim.
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