System and user interface for acquisition and storage of patient medical insurance data

A method for acquiring patient medical insurance coverage identification data for use in medical reimbursement claim generation, the method comprising:

• receiving a batch of patient insurance eligibility inquiries from at least one requesting organization, the patient insurance eligibility inquiries identifying at least one payer organization in association with at least one patient record;
• transforming the batch of patient insurance eligibility inquiries from a first data format into a second data format, wherein the second data format is one of a plurality of different data formats, compatible with the at least one payer organization, for forwarding to the at least one payer organization;
• forwarding, to the at least one payer organization, the batch of patient insurance eligibility inquiries;
• receiving at least one response from at least one payer organization, the at least one response comprising medical insurance coverage information and associating at least one medical insurance coverage identifier with at least one corresponding patient identifier;
• transforming the at least one response from the at least one payer organization, from the second data format into the first data format;
• and
• returning, to the at least one requesting organization, the at least one response received from the at least one payer organization in the second data format;
• displaying the at least one response from the at least one payer organization into a human readable format and representing the at least one medical insurance coverage identifier as a single display image;
• and
• enabling a user to automatically store the at least one medical insurance coverage identifier in a record associated with the at least one corresponding patient identifier in a healthcare information system without transcribing the at least one medical insurance coverage identifier, in response to a command received using an executable operation, wherein the executable operation is initiated through user selection of at least one display image.

A method comprising:

• storing patient insurance related data in a repository, the patient insurance related data comprising insurance eligibility verification, wherein the repository is accessible by a healthcare information system (HIS);
• receiving, at the HIS, a request from at least one requesting organization for insurance eligibility verification for at least one patient;
• determining that, for the at least one patient, the repository lacks the insurance eligibility verification;
• creating an insurance eligibility inquiry file, wherein the insurance eligibility inquiry file comprises a list including the at least one patient;
• outputting demographic information for the at least one patient to the insurance eligibility inquiry file;
• and
• automatically transferring the insurance eligibility inquiry file to a clearinghouse, wherein the clearinghouse is configured to:
• process the insurance eligibility inquiry file for forwarding to a plurality of payer organizations and process responses from the plurality of payer organizations for return to the at least one requesting organization;
• transform the insurance eligibility inquiry file into a standard message format for storage in a clearinghouse database;
• communicate the insurance eligibility inquiry file to at least one payer organization of the plurality of payer organizations;
• receive an inquiry response message from the at least one payer organization;
• store the inquiry response message in a database in the clearinghouse;
• and
• transform the inquiry response message in the standard message format from individual payer organizations.