Patent ID: 6324516
Filing Date: 2001-11-27
Classification: G06Q

Abstract:
A medical cost containment system for allowing a medical cost payor to correlate medical bills from a medical service provider with utilization review (UR) agreements between said payor and said provider, said cost containment system comprising:a computer processor operatively coupled to a memory;a UR database containing said UR agreements;database access software stored within said memory, said database access software configured to allow retrieval of records from said UR database;an invoice from said provider stored within said memory, said invoice having at least one itemized request for payment; andcorrelation software stored within said memory, said correlation software configured to correlate said itemized request to said UR agreements;said correlation software further configured to at least adjust an amount of said at least one itemized request for payment in accordance with said UR agreement or approve payment of at least one itemized request for payment in accordance with said UR agreement or flag at least one itemized request for payment for further review in accordance with said UR agreement.