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US 2002/0120473 A1Published application
Insurance claim filing system and method
AssigneeBlue Cross Blue Shield of South Carolina
InventorStephen K. Wiggins
Life of this patent
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AssigneeBlue Cross Blue Shield of South Carolina
InventorStephen K. Wiggins
Estimating the term…
A method and system for enabling a service provider to file insurance claims via the internet directly with the payer rather than through a clearinghouse. The system has three major components. These three components interact with both the existing practice management system used by the service provider and with the online claim filing systems of participating insurance payers. The first component is a software application that is installed on the service provider's local computer system. This software seeks out billing information stored on that system and creates data files suitable for filing of properly formatted claims with the payers' web sites. The second component is a web portal that interacts with both the first component and the payers' web sites to keep the former up to date with the current formatting requirements of the various payers and to facilitate the filing of the claims electronically via the payers' web site. The third component enables the resident software to communicate via an internet connection to non-internet payers The present system uses a software 37 cookie” to convey instructions to the first component so that it can automatically connect to the appropriate page of each payer's web site for electronic filing the claims.
A method for filing an insurance claim via a payer's web site, said insurance claim being based on billing data, said method comprising the steps of:
A method for facilitating the filing of an insurance claim via a payer's web site, said insurance claim being based on billing data, said method comprising the steps of:
A method for enabling a practice management system of a service provider to file an insurance claim electronically via a payer's web site, said insurance claim being based on billing data stored on said practice management system, said method comprising the steps of:
A system for filing an insurance claim at a web site operated by a payer, said web site permitting electronic filing of formatted data files based on billing data corresponding to said insurance claim, said system comprising:
A system for filing an insurance claim at a web site operated by a payer, said web site permitting electronic filing of formatted data files based on billing data corresponding to said insurance claim, said system comprising:
Dependencies are inferred from the claim text.