# US 2008/0189136 A1 · Hybrid Healthcare Identification Platform > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 2008/0189136 A1 - Document ID: US20080189136A1 - Status: Published application - Kind: A1 - Application number: 12/059,207 - Filed: 2008-03-31 - Published: 2008-08-07 - Earliest claimed: 2005-09-30 - Assignees: J&H Enterprises, LLC - Inventors: Harvey W. Mitgang; John A. Zubak - Web page: https://patentgrep.com/patent/US20080189136A1 ## CPC - G06Q 10/10: Office automation; Time management - G16H 40/67: for remote operation - G06Q: INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR - G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA ## Abstract A hybrid healthcare identification management system comprises a data store of real-time aggregated data representative of contractual obligations between cooperating parties of a healthcare transaction. In response to requests to receive healthcare benefits, the management system queries the data store to determine whether the requested healthcare benefit may be provided. If so, the management system determines using a first set of criteria whether a traditional physical healthcare identification card may be used to receive the requested benefit. The management system determines using a second set of criteria whether an electronic healthcare identification modality may be used to receive the requested healthcare benefit. ## Claims ### Claim 1 A computer-implemented method for managing healthcare identification, comprising: receiving a request for a healthcare benefit; in response to the received request, querying at least one data store to determine whether a health care benefit can be provided, the data store comprising real-time aggregated data representative of contractual obligations between cooperating parties of the requested health care benefit; and if the benefit can be provided: determining, using a first set of selected criteria, whether a physical healthcare identification card can be used to receive the requested healthcare benefit; and optionally determining, using a second set of selected criteria, whether an electronic healthcare identification modality can be used to receive the requested healthcare benefit. ### Claim 2 (depends on 1) The method of claim 1, wherein the first set of selected criteria is not the same as the second set of selected criteria. ### Claim 3 (depends on 1) The method of claim 1, wherein the first set of selected criteria is exclusive of the second set of criteria. ### Claim 4 (depends on 1) The method of claim 1, wherein the first set of selected criteria overlaps with the second set of criteria. ### Claim 5 (depends on 1) The method of claim 1, wherein the first set of selected criteria comprises one or more criteria allowing for the use of a physical healthcare identification card in healthcare transactions deploying existing healthcare service provider relationships. ### Claim 6 (depends on 5) The method of claim 5, wherein the second set of selected criteria comprises one or more criteria allowing for the user of an electronic healthcare identification modality in healthcare transactions deploying a new healthcare service provider relationship. ### Claim 7 (depends on 1) The method of claim 1, wherein the first set of selected criteria comprises one or more criteria allowing for the use of a physical healthcare identification card in healthcare transactions utilizing one or more first healthcare networks. ### Claim 8 (depends on 7) The method of claim 7, wherein the second set of selected criteria comprises one or more criteria allowing for the use of an electronic healthcare identification modality in healthcare transactions utilizing one or more second healthcare networks not in the one or more first healthcare networks. ### Claim 9 (depends on 1) The method of claim 1, wherein the first set of selected criteria comprises one or more criteria allowing for the use of a physical healthcare identification card in healthcare transactions utilizing one or more first healthcare service providers. ### Claim 10 (depends on 9) The method of claim 9, wherein the second set of selected criteria comprises one or more criteria allowing for the use of an electronic healthcare identification modality in healthcare transactions utilizing one or more second healthcare service providers. ### Claim 11 (depends on 1) The method of claim 1, wherein the first set of selected criteria comprises one or more criteria allowing for the use of a physical healthcare identification card for healthcare transactions performed with healthcare service providers within a geographic vicinity. ### Claim 12 (depends on 11) The method of claim 11, wherein the second set of selected criteria comprises one or more criteria allowing for the use of an electronic healthcare identification modality in healthcare transactions performed with healthcare service providers outside the geographic vicinity. ### Claim 13 A system adapted to manage healthcare identification data, comprising: a data store comprising real-time aggregated data representative of contractual obligations between cooperating parties of a healthcare system; at least one processor; memory communicatively coupled with said at least one processor, the memory having stored therein instructions executable on said at least one processor, the instructions for performing the following: receiving a request for a healthcare benefit; in response to the received request, querying at least one data store to determine whether a health care benefit can be provided, the data store comprising real-time aggregated data representative of contractual obligations between cooperating parties of the requested health care benefit; and if the benefit can be provided: determining, using a first set of selected criteria, whether a physical healthcare identification card can be used to receive the requested healthcare benefit; and optionally determining, using a second set of selected criteria, whether an electronic healthcare identification modality can be used to receive the requested healthcare benefit. ### Claim 14 (depends on 13) The method of claim 13, wherein the first set of selected criteria is not the same as the second set of selected criteria. ### Claim 15 (depends on 13) The method of claim 13, wherein the first set of selected criteria is exclusive of the second set of selected criteria. ### Claim 16 (depends on 13) The method of claim 13, wherein the first set of selected criteria overlaps with the second set of selected criteria. ### Claim 17 (depends on 13) The method of claim 13, wherein the first set of selected criteria comprises one or more criteria allowing the use of a physical healthcare identification card for healthcare transactions utilizing existing one or more healthcare service provider relationships. ### Claim 18 (depends on 17) The method of claim 17, wherein the second set of selected criteria comprises one or more criteria allowing for the use of an electronic healthcare identification modality in healthcare transactions utilizing a new healthcare service provider relationship. ### Claim 19 (depends on 13) The method of claim 13, wherein the first set of selected criteria comprises one or more criteria allowing for the use of a physical healthcare identification card in healthcare transactions utilizing one or more first healthcare networks. ### Claim 20 (depends on 19) The method of claim 19, wherein the second set of selected criteria comprises one or more criteria allowing for the use of an electronic healthcare identification modality in healthcare transactions utilizing one or more second healthcare networks. ### Claim 21 (depends on 13) The method of claim 13, wherein the first set of selected criteria comprises one or more criteria allowing for the user of a physical healthcare identification card in healthcare transactions utilizing one or more first healthcare service providers. ### Claim 22 (depends on 21) The method of claim 21, wherein the second set of selected criteria comprises one or more criteria allowing for the use of an electronic healthcare identification modality in healthcare transactions utilizing one or more second healthcare service providers. ### Claim 23 (depends on 13) The method of claim 13, wherein the first set of selected criteria comprises one or more criteria allowing for the use of a physical healthcare identification card for healthcare transactions with healthcare service providers within a geographic vicinity. ### Claim 24 (depends on 23) The method of claim 23, wherein the second set of selected criteria comprises one or more criteria allowing for the use of an electronic healthcare identification modality for healthcare transactions with healthcare service providers outside the geographic vicinity. ### Claim 25 A method for managing healthcare identification, comprising: providing a physical healthcare identification card to a participating user for use in one or more first healthcare transactions; in response to a request from the participating user, selectively generating an electronic healthcare identification document having healthcare identification and management information thereon that is representative of contractual obligations existing between cooperating parties of a requested healthcare benefit, the electronic healthcare identification document for use in a healthcare transaction in one or more second healthcare transactions. ### Claim 26 (depends on 25) The method of claim 25, wherein the one or more first healthcare transactions are not the same as the one or more second healthcare transactions. ### Claim 27 (depends on 25) The method of claim 25, wherein the one or more first healthcare transactions are exclusive of the one or more second healthcare transactions. ### Claim 28 (depends on 25) The method of claim 25, wherein the one or more first healthcare transactions overlaps with the one or more second healthcare transactions. ### Claim 29 (depends on 25) The method of claim 25, wherein the one or more first healthcare transactions comprise healthcare transactions utilizing existing healthcare service provider relationships. ### Claim 30 (depends on 29) The method of claim 29, wherein the one or more second healthcare transactions comprise healthcare transactions utilizing a new healthcare service provider relationship. ### Claim 31 (depends on 25) The method of claim 25, wherein the one or more first healthcare transactions comprise healthcare transactions utilizing one or more first healthcare networks. ### Claim 32 (depends on 31) The method of claim 31, wherein the one or more second healthcare transactions comprise healthcare transactions utilizing one or more second healthcare networks. ### Claim 33 (depends on 25) The method of claim 25, wherein the one or more first healthcare transactions comprise healthcare transactions utilizing one or more first healthcare service providers. ### Claim 34 (depends on 33) The method of claim 33, wherein the one or more second healthcare transactions comprise healthcare transactions utilizing one or more second healthcare service providers. ### Claim 35 (depends on 25) The method of claim 25, wherein the one or more firs healthcare transactions comprise transactions with healthcare service providers within a geographic vicinity. ### Claim 36 (depends on 35) The method of claim 35, wherein the one or more second healthcare transactions comprise transactions with healthcare service providers outside the geographic vicinity. ### Claim 37 A healthcare transaction method comprising: receiving healthcare identification information provided by a hybrid healthcare identification modality; correlating the received data against one or more of healthcare provider data, healthcare network data, benefit plan data and insurance carrier/payor data to produce verified healthcare information for a participating user; and generating an electronic healthcare card/document having verified healthcare information representative of one or more items comprising participating user data comprising benefit plan data, participating user identification data, healthcare spending account data, government healthcare benefit plan data, healthcare related data and current relationships between cooperating parties comprising any of healthcare providers, benefit plan administrators, healthcare networks, insurance carriers/payors, and participating users. ### Claim 38 (depends on 37) The method as recited in claim 37 further comprising using the hybrid identification modality in a first selected one or more healthcare networks and/or with healthcare service providers. ### Claim 39 (depends on 37) The method as recited in claim 37 further comprising using the generated healthcare cards/documents in other selected one or more healthcare networks and/or with healthcare service providers. ### Claim 40 (depends on 37) The system as recited in claim 37 further comprising communicating the generated electronic healthcare card using one or more electronic communication protocols for use in handheld and/or mobile electronic products. ### Claim 41 (depends on 40) The system as recited in claim 40 wherein the electronic communication protocols comprise electronic mail, short message services, instant messaging, and multi-media messaging. ### Claim 42 (depends on 41) The system as recited in claim 41 wherein the handheld consumer products comprise mobile phone, personal digital assistants, Internet tablets, mobile computing environments, and smart mobile phones.