Patent ID: 8577695

Claim:
A method in a computing environment for adjudicating and reimbursing care providers for services provided for clinical events, comprising: referencing a transaction including a number of clinical event details electronically documented by a care provider at a point of care for a clinical event for which reimbursement is sought; accessing a first knowledge base comprising a number of quality criterion for assessing quality of health care provided to patients; automatically selecting one or more quality criterion based on the clinical event details; performing analysis of the clinical event details against the selected one or more quality criterion to determine the quality of health care provided to a patient; and determining, via a computing device, a level of reimbursement based on the quality of health care provided to the patient using electronic health record data elements associated with the patient from an electronic health record data store of a computing system having historical electronic health record data elements received from a plurality of sources and using corresponding clinical event details electronically documented by the care provider at the point of care for the clinical event for which reimbursement is sought; and reimbursing the provider in real-time.