Patent ID: 7739132
Filing Date: 2010-06-15
Classification: G06Q

Abstract:
1. In a medical insurance payment system having a plurality of medical providers and a plurality of insurance payers, wherein medical reimbursement claims are submitted electronically from practice management computer systems of the plurality of medical providers to claims processing computer systems of the plurality of insurance payers for payment determinations, wherein an intermediary claim management system is in electronic communication between the practice management computer systems of the plurality of medical providers and the claims processing computer systems of the plurality of insurance payers, wherein the intermediary claim management system includes a claim management database for storing claim information and a processor for performing a computer-implementable method for improving medical reimbursement claim processing between medical providers and insurance providers, comprising the steps of: (a) prior to receiving a particular medical reimbursement claim at the intermediary claim management system from a particular medical provider: (b) receiving the particular medical reimbursement claim at the intermediary claim management system electronically from the practice management computer system of the particular medical provider; whereby the particular medical provider is able to determine if further action on the particular claim is necessary as a function of specific issues associated with the particular claim.