System and Method For Selecting Healthcare Management
AssigneeThe TriZetto Group, Inc.
InventorVal C. Dean
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AssigneeThe TriZetto Group, Inc.
InventorVal C. Dean
Estimating the term…
The present invention is directed to a system and method which allows a prospective insured to make an informed decision on healthcare insurance or a specific health care management decision by using a current medical profile to assist in their selection. Based on past medical care, as obtained from payor data, a number of different plans, each having different providers, different deductibles, different maximums, different reimbursement policies, etc., a person can make an informed decision. When a family has different payors for different family members, a proper blend of payors can be more easily selected since the payors (or a single payor) has a medical profile of each family member and also has information on providers in the network, prescription policies, deductibles, maximums, etc.
A method for assisting a patient with medical management, said method comprising:
A method for assisting a patient with selection of a one of a provider and a facility for an identified medical procedure comprising:
Dependencies are inferred from the claim text.