System and method for validating medical claim data
AssigneeSyntel, Inc.
InventorMurlidhar Reddy
Life of this patent
Estimating the term…
Abstract
A system for validating medical claim data receives a first and second medical claim, each respectively associated with a first and a second healthcare classification system, receives claim edit criteria, stores the first and second medical claims in association with the first and the second classification systems, respectively, validates the stored medical claims by applying the received claim edit criteria to one of the stored medical claims and to the associated classification system, and graphically displays selected results of the validating.
Claims20
A computerized method for validating medical claim data, the computerized method comprising:
- receiving a first and second medical claim, each respectively associated with a first and a second healthcare classification system,
- receiving claim edit criteria,
- storing the first and second medical claims in association with the first and the second classification systems, respectively,
- validating the stored medical claims by applying the received claim edit criteria to one of the stored medical claims and to the associated classification system, and
- graphically displaying selected results of the validating.
A system for validating medical claim data of a member, the computerized system comprising:
- one or more computing devices including a memory having program code stored therein and a processor in communication with the memory for carrying out instructions in accordance with the stored program code, wherein the program code, when executed by the processor, causes the processor to:
- receive a first and second medical claim, each respectively associated with a first and a second healthcare classification system,
- receive claim edit criteria,
- store the first and second medical claims in association with the first and the second classification systems, respectively,
- validate the stored medical claims by applying the received claim edit criteria to one of the stored medical claims and to the associated classification system, and
- graphically display selected results of the validating.
A computer program product comprising non-transitory computer readable medium further comprising:
- code for receiving a first and second medical claim, each respectively associated with a first and a second healthcare classification system,
- code for receiving claim edit criteria,
- code for storing the first and second medical claims in association with the first and the second classification systems, respectively,
- code for validating the stored medical claims by applying the received claim edit criteria to one of the stored medical claims and to the associated classification system, and
- code for graphically displaying selected results of the validating.
Dependencies are inferred from the claim text.