US 2014/0278494 A1 · SYSTEMS AND METHODS FOR HEALTH CARE ACCOUNT PROCESSING

Abstract

Systems and methods are described herein to provide a health care account processing solution that can (1) provide financial security when a participant experiences unexpected major medical expenses the participant may not otherwise be able to afford, (2) provide control of health care decisions to participants and providers, (3) reduce overhead and structural costs required to administer traditional health insurance plans, (4) reduce over-utilization and under-utilization of health care through a participant-controlled health care spending account that can be coupled with a health and wellness program (e.g., a rewards-based wellness program), and (5) encourage provider competition through the use of cash based, point-of-sale payments and transparent pricing. The systems and methods discussed herein describe, among other things, computer-implemented, rules-based systems for managing the health care accounting solution introduced above. In some examples, the rules-based systems are applicable for processing other types of transactions than health care-related transactions.

Claims20

Dependent claims

A method comprising:

providing a notional participant account;
and
processing a debit transaction using the notional participant account, processing the transaction including:
identifying a first balance in a first portion of the notional participant account and allocating first funds in an amount less than or equal to the identified first balance from the first portion of the notional participant account to satisfy all or a portion of the debit transaction;
when a balance remains in the debit transaction after allocating the first funds, identifying a second balance in one or more other portions of the notional participant account and allocating second funds in an amount less than or equal to the identified second balance from the one or more other portions of the notional participant account to satisfy all or a portion of the remaining debit transaction;
and
when a balance remains in the debit transaction after allocating the first and second funds, identifying a participant line-of-credit and allocating the remainder of the debit transaction using all or a portion of the identified line of credit up to a participant line-of-credit maximum.

4 more elements

Dependencies are inferred from the claim text.

Systems and methods for health care account processing

Life of this patent

Systems and methods for health care account processing

Life of this patent

Abstract

Claims20