Loading patent…
AssigneeCDR Associates, LLC
InventorsPatrick J. Donnelly, Jeffrey R. Donnelly
Estimating the term…
The present invention provides a system for managing, analyzing and reporting accounts of overpaid claims for patient balance accounts, although various components and features of the system are inventions into themselves. Certain aspects of the inventor allow managers of both service providers (such as health care facilities) and payers (such as insurance companies and Medicare) to assign work and produce reports. Other aspects of the invention allow provider users and payer users to analyze and resolve the claims in an automated environment. These aspects provide the users with information in a readily accessible and easy to navigate format. The users are also provided with tools for analyzing the claims in an automated manner.
A method for determining possible resolutions of patient credit balance accounts, wherein patient credit balance accounts are accounts on a service provider's accounts receivable having financial transactions including cash payments and contractual allowances in excess of total charges and the patient credit balance accounts including information relating to services provided to a patient and accumulation of charges associated with the service, the method comprising:
A method for determining a possible solution for a patient credit balance account, wherein the patient credit balance account is an account on a service provider's accounts receivable having financial transactions including cash payments and contractual allowances in excess of total charges and the patient credit balance accounts including information relating to services provided to a patient and accumulation of charges associated with the service, the method comprising:
A system for determining possible resolutions of patient credit balance accounts, wherein patient credit balance accounts are accounts on a service provider's accounts receivable having financial transactions including cash payments and contractual allowances in excess of total charges and the patient credit balance accounts including information relating to services provided to a patient and accumulation of charges associated with the service, the system comprising:
A system for determining a possible resolution for a patient credit balance account, wherein the patient credit balance account is an account on a service provider's accounts receivable having financial transactions including cash payments and contractual allowances in excess of total charges and the patient credit balance accounts including information relating to services provided to a patient and accumulation of charges associated with the service, the system comprising:
Dependencies are inferred from the claim text.