HEALTHCARE CLAIM EDITING SYSTEM, METHOD, AND APPARATUS
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United States of America Patent
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app pub date -
Mar 17, 2014
filing date -
Mar 15, 2013
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Abandoned
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Abstract
A medical claim processing system and method comprising generating default rules and custom rules for inspecting healthcare claims, the default rules having general application to every healthcare claim and the custom rules being created to inspect specific requirements imposed by an insurance company or imposed to a medical code; receiving claim information related to a medical service from a healthcare provider; generating healthcare claims based on the received claim information; and inspecting the medical claims according to the default rules and the custom rules.
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