PATENT CLAIM ANALYSIS

Application Number: 15948898
Application Type: Utility
Filing Date: 2018-04
Publication Date: 2019-02
Patent Classification: ["705", "003000"]

Abstract:
A method for electronically determining patient medical treatment eligibility, coverage, copayment amount and insurer billing, by: (a) a patient requesting medical treatment at a retail clinic; (b) the patient presenting a health insurance card at the retail clinic; (c) the retail clinic transmitting patient health insurance card information to a centralized adjudication facility; (d) the retail clinic transmitting medical treatment information to the centralized adjudication facility; (e) the centralized adjudication facility determining patient medical treatment coverage, eligibility and copayment amount (f) transmitting the patient medical treatment coverage, eligibility and copayment amount from the centralized adjudication facility to the retail clinic; (g) the patient purchasing the medical treatment by paying the retail clinic the copayment amount, (h) transmitting a bill to the health care insurance provider; and (i) thereby informing the retail clinic clinician to sell the medical treatment to the patient. By simultaneously billing the patient and the insurer, the present invention provides a system that processes the sale of the medical treatment as a sales transaction.

Claim (Index 28):
The system of  claim 26 , wherein the NCPDP network is an NCPDP standard messaging network or an Internet web interface network.

Metadata:
- Claim Count in Document: 53.0
- Percentile: 91.0
- Lexical Diversity: 2.91304
- Patent Class: 705.0
- Transitional Phrase Type: none
- Component Type: 0
- Foreign Priority: False
- Related Applications: ['10357917', '11428219', '14310978', '11755713', '11153218']

Analysis Scores:
- 35 USC 101 Eligibility (BERT): 0.1359445179968423
- 35 USC 102 Novelty (BERT): 0.5246754051967643
- Combined Prediction Score: 0.1748176067168345
- Mean Citation Score: 258.06657200000006
- Max Citation Score: 267.73895
- Similarity Product: 120.3633303837836

Labels:
- Claim Label 101: 1
- Claim Label 102: 1
- Claim Label 103: 0
- Claim Label 112: 1
- Combined Label: 1
- Label 101 Adjusted: 1

Dataset: test