Patent ID: 8428960

Claim:
In a health care claims processing system including at least one processing element configured to execute instructions, thereby forming a machine configured to perform a method of processing an original batch comprising a plurality of health care claims, the method comprising: receiving the plurality of health care claims packaged in at least one envelope and including information regarding a submitter and a payor; validating the information regarding the submitter and the payor and generating an error message if the information is invalid; if the information regarding the submitter and the payor is valid, analyzing the at least one envelope and the plurality of health care claims for compliance with a predefined specification; if non-compliance is identified, determining if information associated with one of a provider or a subscriber is errant and then removing the health care claims relating to any provider or subscriber for which the associated information is determined to be errant; and if non-compliance is identified and the information associated with one of a provider or a subscriber is not errant, then processing the plurality of health care claims by: separating the plurality of health care claims into a plurality of in-process batches without consideration of compliance of the documents of the in-process batches; following separation of the documents into the plurality of in-process batches, identifying if the documents of the in-process batches are either non-compliant documents that fail to comply with a predefined specification or compliant documents that do comply with the predefined specification; forming at least one non-compliant batch containing the non-compliant documents and at least one compliant batch containing the compliant documents based upon the identification of the documents as being either compliant or non-compliant; and providing an output based upon at least one of the non-compliant batch and the compliant batch.