Data processing system for processing network data records transmitted from remote, distributed terminal devices
AssigneeSidecar Health, Inc.
InventorsPatrick Quigley, Veronica Osetinsky, Shelby Moulden
Life of this patent
Estimating the term…
Abstract
Disclosed is a computing architecture and method for operating and managing a health care plan from a mobile device or web browser. The present invention provides an architecture that facilitates customer access to affordable, personalized health care, along with the efficient processing of claims.
Claims24
A data processing system, configured to process a payment for a health care service that is at least partly covered by a health insurance provider, the data processing system comprising:
- a data storage configured to:
- store cash rate data representing cash rate costs paid for health care services for each of a plurality of transactions processed by point of sale systems of health care providers;
- a payment processing engine comprising one or more processors, the payment processing engine configured to:
- receive transaction data indicating a purchase of a health care service at a point of sale system of a health care provider, the transaction data specifying a key value that uniquely identifies a consumer of the health care service;
- in response to receiving the transaction data, access, from a hardware storage device, a node labeled with the key value;
- looking-up, in the accessed node, coverage data of the consumer, with the coverage data specifying a payment source for the purchase of the health care;
- retrieve co-pay data from the payment source, the co-pay data specifying a portion of a cost of the health care being paid by the payment source;
- cause, within a threshold time of receiving the transaction data, the portion of the cost to be satisfied from the payment source and a remaining portion of the cost to be satisfied from a coverage account;
- access the data storage to receive the cash rate data associated with the health care;
- determine a benefit amount of the cost of the health care, the benefit amount of the cost being based on the cash rate costs paid for the health care;
- determine a credit or a debit to apply to the payment source by comparing the benefit amount of the cost to the remaining portion of the cost satisfied by the coverage account;
- generate a notice of the credit or the debit;
- and
- cause transmission of the notice to a computing device associated with the consumer.
A method for processing a payment for a health care service that is at least partly covered by a health insurance provider, the method comprising:
- storing cash rate data representing cash rate costs paid for health care services for each of a plurality of transactions processed by point of sale systems of health care providers;
- receiving transaction data indicating a purchase of a health care service at a point of sale system of a health care provider, the transaction data specifying a key value that uniquely identifies a consumer of the health care;
- in response to receiving the transaction data, accessing, from a hardware storage device, a node labeled with the key value;
- looking-up, in the accessed node, coverage data of the consumer, with the coverage data specifying a payment source for the purchase of the health care;
- retrieving co-pay data from the payment source, the co-pay data specifying a portion of a cost of the health care being paid by the payment source;
- causing, within a threshold time of receiving the transaction data, the portion of the cost to be satisfied from the payment source and a remaining portion of the cost to be satisfied from a coverage account;
- accessing a data storage to receive the cash rate data associated with the health care;
- determining a benefit amount of the cost of the health care, the benefit amount of the cost being based on the cash rate costs paid for the health care;
- determining a credit or a debit to apply to the payment source by comparing the benefit amount of the cost to the remaining portion of the cost satisfied by the coverage account;
- generating a notice of the credit or the debit;
- and
- causing transmission of the notice to a computing device associated with the consumer.
One or more non-transitory computer readable media storing instructions for processing a payment for a health care service that is at least partly covered by a health insurance provider, the instructions configured to cause at one processor executing the instructions to perform operations comprising:
- storing cash rate data representing cash rate costs paid for health care services for each of a plurality of transactions processed by point of sale systems of health care providers;
- receiving transaction data indicating a purchase of a health care service at a point of sale system of a health care provider, the transaction data specifying a key value that uniquely identifies a consumer of the health care;
- in response to receiving the transaction data, accessing, from a hardware storage device, a node labeled with the key value;
- looking-up, in the accessed node, coverage data of the consumer, with the coverage data specifying a payment source for the purchase of the health care;
- retrieving co-pay data from the payment source, the co-pay data specifying a portion of a cost of the health care being paid by the payment source;
- causing, within a threshold time of receiving the transaction data, the portion of the cost to be satisfied from the payment source and a remaining portion of the cost to be satisfied from a coverage account;
- accessing a data storage to receive the cash rate data associated with the health care;
- determining a benefit amount of the cost of the health care, the benefit amount of the cost being based on the cash rate costs paid for the health care;
- determining a credit or a debit to apply to the payment source by comparing the benefit amount of the cost to the remaining portion of the cost satisfied by the coverage account;
- generating a notice of the credit or the debit;
- and
- causing transmission of the notice to a computing device associated with the consumer.
Dependencies are inferred from the claim text.