Frictionless processing to bypass code validation
AssigneeCerner Innovation, Inc.
InventorsJames L. Poteet, III, Raymond G. Delano, III
Life of this patent
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AssigneeCerner Innovation, Inc.
InventorsJames L. Poteet, III, Raymond G. Delano, III
Estimating the term…
Systems and methods for providing automatic adjudication (auto-adjudication) of medical encounters are provided. For example, specific encounters corresponding to a billable service provided to a patient may bypass insurance verification billing, code validation, and/or claim scrubbing. The billable service may have a program bundle that can be utilized to determine if the encounter is eligible for a fast pass token. The fast pass token prevents insurance verification billing, code validation, and claim scrubbing for the encounter. Additionally, the program bundle can be utilized to determine whether the encounter is eligible to participate in auto-adjudication and electronic funds transfer, enabling real-time financial transactions for the encounter.
A system for utilizing frictionless processing to bypass code validation, the system comprising:
A computerized method for utilizing frictionless processing to bypass code validation, the method comprising:
One or more computer storage media having computer-executable instructions embodied thereon that, when executed by a computer, causes the computer to perform operations to utilize frictionless processing to bypass code validation, the operations comprising:
Dependencies are inferred from the claim text.