AUTOMATED PROVIDER CLAIMS SUMMARY SYSTEM AND METHOD
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United States of America Patent
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app pub date -
Nov 2, 2011
filing date -
Nov 2, 2011
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Abandoned
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Abstract
An automated system and method for calculating healthcare provider claims metrics and generating reports comprising claims metrics. The automated system and method facilitates provider claims analysis for providers that belong to a healthcare system or network. A computer user enters identifying information for a healthcare provider (such as a tax identification number). The healthcare provider identifying information may be used to generate a report for the individual provider and a system report for the system or network to which the provider belongs. Each report comprises a plurality of metrics related to claims processed for the provider by a healthcare benefits company. The report provides numerous metrics and details regarding the claims processed by the healthcare benefits company. By reviewing the data and additional processing tips, the healthcare provider may identify ways to increase the number of successfully processed claims in a particular time period and to improve its business operations.
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