Apparatus and method for a digital medical assistant
OwnerVikram Simha, Gang Li +1inventors
InventorsVikram Simha, Gang Li, Steven H. Sandy
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Abstract
A digital medical assistant is configured to obtain authorization of a service request. The assistant includes: an input for receiving an electronic medical record (EMR) of a patient and identity of a benefit provider for the patient; a preauthorization engine configured for completing an application by identifying relevant clinical context from the EMR and correlating the relevant clinical context with preauthorization criteria; the preauthorization engine further configured for submitting a completed application as the request to the benefit provider, receiving a decision from the provider, and outputting the decision. A method of use in a computer program product are provided.
Claims20
A digital medical assistant configured to obtain authorization of a service request, the assistant comprising:
- an input for receiving an electronic medical record (EMR) of a patient and identity of a benefit provider for the patient;
- a preauthorization engine configured for completing an application by identifying relevant clinical context from the EMR and correlating the relevant clinical context with preauthorization criteria;
- the preauthorization engine further configured for submitting a completed application as the request to the benefit provider, receiving a decision from the provider, and outputting the decision.
A method for obtaining authorization for a service request for a patient, the method comprising:
- electronically initiating the service request by selecting a procedure;
- identifying relevant clinical context from an electronic medical record (EMR) of the patient and correlating the relevant clinical context with preauthorization criteria;
- submitting a completed application as the request to the benefit provider, receiving a decision from the provider, and outputting the decision.
A computer program product stored on machine readable media, the product comprising instructions for implementing a method for obtaining authorization for fulfillment of a service request, by:
- electronically initiating the service request by selecting a procedure;
- identifying relevant clinical context from an electronic medical record (EMR) of the patient and correlating the relevant clinical context with preauthorization criteria;
- submitting a completed application as the request to the benefit provider, receiving a decision from the provider, and outputting the decision.
Dependencies are inferred from the claim text.