System and method for facilitating claims processing
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United States of America Patent
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May 7, 2013
Grant Date -
Feb 14, 2008
app pub date -
Nov 29, 2006
filing date -
Nov 29, 2005
priority date (Note) -
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status (Latency Note)
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Abstract
A system for providing a claims processing environment for facilitating claim adjudication includes a processor for generating an electronic interface configured to enable a user to edit claim data requiring one or more edits and for receiving the one or more edits, and a data storage component for storing the claim data and the received one or more edits, where the processor provides a scripting process based on the required one or more edits for facilitating user entry of the required one or more edits, said scripting process associated with the electronic interface. A method for facilitating claim adjudication includes identifying one or more claim edits required in a set of claim data for the claim data to adjudicate, providing a scripting process based on the required one or more claim edits, said scripting process facilitating entry of the required one or more claim edits, and receiving and validating the received claim edits.
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