Patent ID: 8560340

Claim:
A computer-implemented method, comprising: receiving, by a service provider system comprising one or more computers, from a healthcare provider computer, a healthcare claim transaction; performing, by the service provider system, at least one edit on the received healthcare claim transaction; identifying, by the service provider system, a rejection for the healthcare claim transaction based at least in part on performing the at least one edit; communicating, by the service provider system to the healthcare provider computer, a message comprising an indication that the healthcare claim transaction has been rejected as a result of the at least one edit; receiving, by the service provider system from the healthcare provider computer, an indication of a reason for overriding the rejection; generating, by the service provider system and based at least in part on receiving the indication of the reason, override information associated with the rejection; and reprocessing, by the service provider system, the healthcare claim transaction, wherein the reprocessing comprises: performing the at least one edit on the healthcare claim transaction or on a resubmission of the healthcare claim transaction, and utilizing the override information to override the rejection.