Real time claim processing system and method
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United States of America Patent
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Issued Date -
Apr 1, 2004
app pub date -
Oct 1, 2002
filing date -
Oct 1, 2002
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Abstract
A real time claim processing system, the system comprising: an electronic claim submission interface; an eligibility processor of claim data supplied through the claim interface; a repricing processor for repricing the claim data; an adjudication processor for adjudicating the repriced claim data to provide adjudication details; and a payment processor for providing payment details of the adjudicated claim; wherein a real time response is provided to a provider of the claim data supplying adjudication and payment details.
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