Method and system for processing medical provider claim data

A computer system for processing data related to medical insurance, comprising:

• a communications device in communication with a network;
• a data storage device in communication with the communications device;
• and
• a processor in communication with the communications device and the data storage device, and configured to:
• receive, via the communications device, from a first source data indicative of medical provider claims submitted to insurance providers, including claim number data, injury type data and provider identification data, from a second source data indicative of insurance payments made by insurance providers to medical providers, including bill control number, procedure code and provider identification data, and from a third source data indicative of medical provider data, including provider identification data;
• identify common information items, comprising at least provider identification data, in said data from said first, second and third sources;
• store the received data, in an intermediate database stored in the data storage device, wherein said data from said first, second and third sources is cross-referenced with regard to at least said provider identification data of said common information items;
• determine based on data from at least two of said first, second and third sources, at least one data item not contained in any of said data from said first, second and third sources;
• and
• store the determined at least one data item in the intermediate database.

A non-transitory computer-readable medium having processor-executable instructions stored thereon, which instructions, when executed by a processor, cause the processor to:

• receive, via a communications device, from a first source data indicative of medical provider claims submitted to insurance providers, including claim number data, injury type data and provider identification data, from a second source data indicative of insurance payments made by insurance providers to medical providers, including bill control number, procedure code and provider identification data, and from a third source data indicative of medical provider data, including provider identification data from a second source data indicative of insurance payments made by insurance providers to medical providers, and from a third source data indicative of medical provider data;
• identify common information items, comprising at least provider identification data, in said data from said first, second and third sources;
• store the received data, in a data storage device, in an intermediate database, wherein said data from said first, second and third sources is cross-referenced with regard to at least said provider identification data of said common information items;
• filter the data stored in said intermediate database using a first filter comprising at least a first selected information item to create first output data containing cross-referenced data items relating to said at least one selected filtering information item;
• filter the first output data using at least a second filter, the second filter comprising at least a second selected information item, to create second output data containing cross-referenced data items;
• determine based on data from at least two of said first, second and third sources, at least one data item not contained in any of said data from said first, second and third sources;
• and
• store the determined at least one data item in the intermediate database.