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AssigneeResolution Health, Inc.
InventorsEarl Steinberg, Dean Souleles, Dan Heneghan
Estimating the term…
A system and method for generating a health insurance explanation of benefits for a patient is provided for receiving one or more adjudicated claims from a health insurance company; analyzing the one or more claims in relation to patient information stored in a patient records database; and generating a personalized message to the patient about the patient's health care based on the stored patient information and the adjudicated claims. The personalized message, applied to an EOB generation system associated with the health insurance company, forms a part of an enhanced EOB to be provided to the patient.
A system for generating an enhanced health insurance explanation of benefits for a patient comprising:
The system of claim 5, wherein each of the predefined rules includes a plurality of criteria used to determine whether a patient should receive the personalized message associated with the rule.
A computer-implemented method of generating an enhanced health insurance explanation of benefits (EOB), comprising:
Dependencies are inferred from the claim text.