Patent ID: 8326656
Filing Date: 2012-12-04
Classification: G06Q,G16H

Abstract:
1. A tangible, non-transitory computer program product having a computer readable medium with a computer program embodied thereon, the computer program comprising computer-executable instructions for: a. sorting medical claims of a service provider into a first group of claims based on one or more selected fields of information contained in said medical claims, said one or more selected fields comprising a unique patient identifier or one or more selected patient demographics; b. creating a composite medical claim containing all of said one or more selected fields, said composite medical claim comprising a collection of data representative of all medical claims within a group of medical claims all relating to the same patient; c. formatting the composite medical claim such that data associated with at least one field of the composite medical claim is formatted for comparison with a benefit provider's database; d. executing a first query against the benefit provider's database using said data associated with at least one field of the composite medical claim; e. receiving an indication as to whether the benefit provider's database contains a record that is responsive to the first query; and f. wherein the indication is affirmative, executing a second query against the benefit provider's database using data from an individual claim included in the first group of claims.