CLOUD EDITING SERVICE FOR INSURANCE CLAIMS
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United States of America Patent
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Issued Date -
Sep 22, 2022
app pub date -
Mar 16, 2021
filing date -
Mar 16, 2021
priority date (Note) -
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status (Latency Note)
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Abstract
A method comprises receiving, at a first entity, an insurance claim for a health care service provided to a person by a provider; providing the claim from the first entity to an editing service, wherein the editing service is configured to edit the claim in accordance with information associated with a second entity and generate an edited claim, wherein the second entity is different than the first entity; receiving, at the first entity, the edited claim from the editing service; and determining, at the first entity, a payment to be made to the provider based on the edited claim. This method may be performed during the claim's adjudication cycle in realtime, not retrospectively.
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