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    • 2. 发明授权
    • Direct connectivity system for healthcare administrative transactions
    • 用于医疗行政交易的直接连接系统
    • US09020826B2
    • 2015-04-28
    • US11167548
    • 2005-06-27
    • William F. MarvinChristopher D. Seib
    • William F. MarvinChristopher D. Seib
    • G06Q40/08G06F19/00G06Q10/10G06Q30/02G06Q50/22
    • G06Q20/14G06F19/00G06F19/328G06Q10/10G06Q30/02G06Q40/08G06Q50/22
    • A direct connectivity system provides automated healthcare administrative transaction submission, including claim submission, eligibility verification and claim status, from healthcare service providers directly to payers. The direct connectivity system bypasses transaction processing intermediaries such as clearinghouses by directly connecting providers to payers in a many to many manner. Existing single payer web portals are supplanted by a many to many network that has a common interface across multiple payers. The direct connectivity system may receive responses directly from payers and may prepare or process the responses for a practice management program so that the service provider receives rapid feedback on the administrative transaction submission. The direct connectivity system may automatically analyze transaction file attributes to determine one or more of many payers to which to send a transaction file, from one of many providers. Batch and singleton file transfer is supported for multiple file formats, optionally with secure file transfer.
    • 直接连接系统提供自动医疗行政交易提交,包括索赔提交,资格认证和索赔状态,从医疗服务提供商直接向付款人。 直接连接系统绕过诸如结算所的交易处理中介,通过以多种方式将提供商直接连接到付款人。 现有的单一付费者门户网站被多个多个网络所取代,该网络具有跨多个付款人的通用接口。 直接连接系统可以直接从付款人收到答复,并且可以准备或处理实践管理程序的响应,以便服务提供商接收关于管理交易提交的快速反馈。 直接连接系统可以自动分析交易文件属性,以从许多提供者之一确定向其发送交易文件的许多付款者中的一个或多个。 批量和单例文件传输支持多种文件格式,可选择安全文件传输。