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US 10,242,158 B2Granted
Universal charge routing system for medical billing
AssigneeEpic Systems Corporation
InventorsMark Robert Lipsky, Alexandre Sena Keresztes, Dazhi Li, Biao Shou, Herman Harjono, Jagdeesh Shukla, Brandon Jon Baldock, Ting-Sheng Fu, Tin-Hang Andrew Ma, Nishant Upadhyaya
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Abstract
A medical charge router receives charge information from a variety of sources and converts it to a standard charge format for automated processing and routing to one of multiple billing programs.
Claims25
A medical billing computer system, comprising:
- a billing computer processor executing instructions stored in a non-transient memory, the instructions including steps for implementing
- a billing input receiving charges including charge data from a billing terminal computer system for at least one of a hospital service area, a medical laboratory, and a professional office of a physician, each charge being an electronic record including a bill for medical services, the bill including an amount to be billed based on a code describing a medical procedure, the bill being formatted by an originating charge source, the bill for medical services including charge data;
- at least one input translator generating one or more universal charges having a common fauna based on the received charge data, the universal charge including the medical procedure code, wherein generating one or more universal charges includes implementing a translation routine for each received charge based on a billing format used by the originating charge source;
- a destination rule engine analyzing the charge data of the universal charges to assign a destination to the universal charges based on the charge data, the destination identifying a billing program;
- and
- at least one output translator receiving the generated universal charges including assigned destinations from the destination rule engine and converting the universal charges to a billing program format identified in the destination.
3 more elements
Dependencies are inferred from the claim text.