Personalizing eligibility and benefits responses based on user profiles

A system for supplying personalized requests from health care providers for eligibility data from insurance companies comprising:

• at least one portal Web page hosted by a server computer, wherein the at least one portal Web page allows operators to specify at least one of personalized parameters and/or variables for participating health care providers;
• at least one data storage device accessible by the server computer, the at least one data storage device storing:
• a computer-readable filtering rules database that contains computer-readable eligibility and benefits filtering rules based upon information specified by a participating insurance company;
• and
• computer-readable personalization profiles for each participating health care provider;
• wherein the server computer provides eligibility and benefits information to health care providers by:
• receiving a request at the server computer from across a computer network, where the received request is from a select health care provider for personalized eligibility and benefits data that is associated with at least one selected insurance company;
• applying information from the personalization profile associated with the select health care provider to select a corresponding set of the eligibility and benefits rules from the filtering rules database;
• obtaining by the server computer a collection of eligibility and benefits data from each selected insurance company;
• generating by the server computer, the personalized eligibility and benefits data by using the corresponding set of eligibility and benefits filtering rules from the filtering rules database to select a subset of the collection of eligibility data to send to the select health care provider;
• and
• transmitting the subset of eligibility data from the server computer to the select health care provider's computer across the network.

A computer program product to automatically supply personalized requests from health care providers for eligibility data from insurance companies comprising:

• a computer readable storage medium having computer readable program code embodied therewith, the computer readable program code comprising:
• computer readable program code configured to store computer-readable eligibility and benefits filtering rules in a filtering rules database that is accessible by a server computer, where the eligibility and benefits filtering rules are based upon information specified by a participating insurance company;
• computer readable program code configured to store computer-readable personalization profiles accessible by the server computer, for each participating health care provider, where each personalization profile is based on at least one of corresponding personalized parameters and variables received from a corresponding health care provider;
• computer readable program code configured to receive a request at the server computer across a computer network from a select health care provider's computer for personalized eligibility and benefits data that is associated with at least one selected insurance company;
• computer readable program code configured to apply information from the personalization profile associated with-the select health care provider to select a corresponding set of the eligibility and benefits rules from the filtering rules database;
• computer readable program code configured to obtain by the server computer, a collection of eligibility data from each of the at least one selected insurance company;
• computer readable program code configured to generate by the server computer, personalized eligibility and benefits data by using the corresponding set of eligibility and benefits filtering rules from the filtering rules database to select a subset of the collection of eligibility data to send to the select health care provider;
• and
• computer readable program code configured to transmit the subset of eligibility data from the server computer to the select health care provider's computer across the network.