Patent ID: 7881950
Filing Date: 2011-02-01
Classification: G06Q,G16H

Abstract:
1. One or more computer-storage media having computer-useable instructions embodied thereon for adjudicating and reimbursing a care provider for services provided for a clinical event, comprising: receiving, at a central computing system from a remote computer, a transaction from a care provider, the transaction including one or more clinical event details stored within a data store of the care provider that have been electronically documented by the care provider at a point of care for the clinical event for which reimbursement is sought; aggregating, at the central computing system, electronic medical record data elements from an electronic medical record data store of the central computing system with the corresponding one or more clinical event details electronically documented by the care provider at the point of care, wherein the electronic medical record data store includes historical electronic medical record data elements received from a plurality of providers; accessing payer information for one or more payers; determining a reimbursement amount for a first payer directly using the electronic medical record data elements from the electronic medical record data store of the central computing system having historical electronic medical record data elements received from the plurality of providers and using the corresponding one or more clinical event details electronically documented by the care provider at the point of care for the clinical event for which reimbursement is sought, wherein determining the reimbursement amount comprises automatically initiating reimbursement of the care provider by the first payer in accordance with the adjusted reimbursement amount.