System and method for facilitating the exchange of health care transactional information

A method for facilitating information exchange between a health care provider and a plurality of payors, said method comprising:

• generating, at a facility of said health care provider, transaction data of a first predefined format;
• converting said transaction data from said first predefined format into a first document formatted consistently with one of a plurality of common data type definitions (DTDs) corresponding to a set of standardized health care transactions;
• translating said first document into a first transaction request document formatted consistently with a second predefined format;
• and
• generating, at a facility of a first of said payors, a first transaction response document on the basis of said first transaction request document.

A health care transaction processing platform comprising:

• a web server in communication with a health care provider computer;
• and
• an application server operatively connected to said web server, said application server including:
• a central processing unit, and
• a memory containing:
• an XML processing module operative to convert transaction data received from said health care provider computer in a first predefined format into a first document formatted in accordance with one of a plurality of standardized health care transactions;
• a personalization engine configured to translating said first document into a first transaction request document formatted consistently with a second predefined format;
• and
• a core application program including an eligibility module.