Method and system for procuring healthcare services

A computer-based system for procuring healthcare services, the system comprising:

• a non-transitory, computer readable memory storing software instructions;
• and
• at least one processor coupled with the memory operating as a workflow transaction engine and, upon execution of the software instructions, configured as a special-purpose processor to:
• obtain a request to procure healthcare services for a patient;
• generate a provider subscription profile corresponding to each of a plurality of healthcare providers based on subscriber information and provider subscription criteria;
• generate bid auction invitations by processing the provider subscription profiles using a selection algorithm operable to assign a bid invitation ranking to each provider subscription profile based on the request and ranking parameters, and select healthcare providers from among the plurality of healthcare providers to participate in a bid auction based on the bid invitation rankings;
• generate a pre-bill claim form based on at least one bill template related to one or more medical classification codes related to the healthcare services;
• instantiate an auction engine to automatically conduct a bid auction among the selected healthcare providers based on the bid auction invitations and the one or more medical classification codes, wherein the bid auction results in a selection of at least one of the plurality of healthcare providers to provide the healthcare services;
• and
• upon confirmation that the healthcare services have been provided by the at least one of the plurality of healthcare providers, configure a computing device or network platform to take an action based on the pre-bill claim form.

A non-transitory computer-readable medium having computer instructions stored thereon for procuring healthcare services, which, when executed by a processor, cause the processor to perform one or more steps comprising:

• obtaining a request to procure healthcare services for a patient;
• generating a provider subscription profile corresponding to each of a plurality of healthcare providers based on subscriber information and provider subscription criteria;
• generating bid auction invitations by processing the provider subscription profiles using a selection algorithm operable to assign a bid invitation ranking to each provider subscription profile based on the request and ranking parameters, and select healthcare providers from among the plurality of healthcare providers to participate in a bid auction based on the bid invitation rankings;
• generating a pre-bill claim form based on at least one bill template related to one or more medical classification codes related to the healthcare services;
• instantiating an auction engine to automatically conduct a bid auction among the selected healthcare providers based on the bid auction invitations and the one or more medical classification codes, wherein the bid auction results in a selection of at least one of the plurality of healthcare providers to provide the healthcare services;
• and
• upon confirmation that the healthcare services have been provided by the at least one of the plurality of healthcare providers, configuring a computing device or network platform to take an action based on the pre-bill claim form.