Patent Document ID: 20050010436
Application ID: 10615640
Patent Flag: 0

Claim One:
1. A method for administering health care to patients within a patient population such that utilization of health care resources available to care for said patients within said patient population are conserved, the method comprising the steps: a) generating said patient population, said generation of said patient population comprising the steps: i) receiving a request from an individual to become a patient within said patient population; ii) obtaining information from said individual in step (i); iii) evaluating said data submitted in step (ii); iv) enrolling said individual as a patient within said patient population; and v) repeating steps (i)-(iv) for a multiplicity of individuals; b) receiving a request from a patient within said patient population generated in step a) for medical services; c) assessing said request made in step b) and determining whether said request substantiates a specified clinical event; d) submitting a code corresponding to a single, specified medical service to be rendered in response to the clinical event specified in step (c); e) evaluating the code submitted in step (d) for clinical and financial appropriateness; and f) responding to said submission made in step (d) based upon said evaluation made in step (e), said response comprising either approval or disapproval of the services to be rendered in relation to said code submitted in step (d).