Patent ID: 6341265
Filing Date: 2002-01-22
Classification: G06Q,G16H,Y10S

Abstract:
In a system comprising a client computer and a remote server computer connected to the client computer by a communication link, a method of interactively preparing an insurance claim in preparation for a health care provider to perform health care services, the method comprising the steps of:entering, by a health care provider, a diagnosis code and a treatment code to a computer-displayable claim form displayed by the client computer; transmitting the diagnosis code and the treatment code from the client computer to the remote server computer prior to the health care provider performing health care services; determining, at a processor associated with the remote server computer, that the diagnosis code and the treatment code do not correspond to health care services that are approved for payment; transmitting information from the remote server computer to the client computer, the information indicating to the health care provider that the diagnosis code and the treatment code do not correspond to health care services that are approved for payment prior to the health care provider performing the health care services; and transmitting, from the remote server computer to the client computer, a suggested revised treatment code prior to the health care provider performing the health care services, such that the treatment associated with the revised treatment code can be included in the health care services when the health care services are performed by the health care provider.