Payment of health care insurance claims using short-term loans
AssigneePPS Data, LLC
InventorsWayne A. Provost, Brian E. Peterson
Life of this patent
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AssigneePPS Data, LLC
InventorsWayne A. Provost, Brian E. Peterson
Estimating the term…
Methods and systems for promptly paying health care providers for rendered health care services. A medical technician operating a client computer establishes communication with a remote server. Using a claim form, the technician enters patient, insurance, and treatment information which is transmitted to the server to determine whether the claim is eligible for advance payment. If the claim is eligible, the server transmits claim information to an appropriate carrier for claim processing. The remote server also transmits claim information to a payment entity which requests from a financial entity that funds be credited to an operational account and a reserve account. The funds of the operational account are immediately accessible to the health care provider. The funds of the reserve account are debited for expenses. When the carrier finally processes the claim, any payment for the claim is deposited into the reserve account.
In a financial entity system that is capable of communicating with a payment entity that is in communication with a server system that receives insurance claims from a health care provider, a method of advancing a carrier's portion of payment for health care services rendered by the health care provider prior to the carrier making payment on the insurance claim for the rendered health care services, the method comprising:
In a financial entity system that is capable of communicating with a payment entity that is in communication with a server system that receives insurance claims from a health care provider, a method of advancing a carrier's portion of payment for health care services rendered by the health care provider prior to the carrier making payment on the insurance claim for the rendered health care services, the method comprising:
Dependencies are inferred from the claim text.