Patent ID: 7752096
Filing Date: 2010-07-06
Classification: G06Q

Abstract:
1. A system for managing account receivables, comprising: a rules module or engine receiving at last one encounter from a first party and assessing the at least one encounter based on rules associated with a payer; a transaction module or engine: (1) converting the at least one encounter to at least one claim; (2) providing the first party with an estimated value of the at least one claim to the payer, wherein the estimated the value comprises an estimated payment amount that the first party is likely to receive as payment from the payer for services rendered, and wherein the estimated payment is determined from corresponding historical and current payment patterns of the payer, and (3) outputting the at least one claim to the payer based on the rule module's assessment of the at least one encounter; a remittance processing module or engine: (1) receiving and processing at least one remittance from the payer, wherein the at least one remittance comprises at least one payment on the at least one claim, (2) comparing the at least one payment to the estimated value of the at least one claim, (3) posting the at least one payment against the at least one claim, (4) generating an underpayment incident if the estimated value is more than the at least one payment, wherein the underpayment incident comprises the difference between the estimated value and the at least one payment; (5) revising the estimated value if the at least one payment is greater than the estimated value, and (6) posting the underpayment incident as a denial to a reimbursement management module or engine for collection.