Rachana S Gray

Address:

295 Lebanon St, Malden, MA 02148

VIN:

5FNYF4H4XBB005467

Make:

HONDA

Model:

PILOT

Year:

2011

US Patent:

20050251429, Nov 10, 2005

Filed:

Aug 25, 2004

Appl. No.:

10/925420

Inventors:

Mary Ammer - Roseville MN, US
Shannon Bator - Brighton MA, US
Rachana Gray - Malden MA, US
Christine Hagar - Braintree MA, US
Dawn Nee - South Walpole MA, US
Cari-Ann Verge - Mansfield MA, US

Assignee:

IDX Investment Corporation - Burlington VT

International Classification:

G06F017/60

US Classification:

705004000

Abstract:

A system () and method () for automatically handling health care claim status requests () and responses (). The system includes a health care software application () that provides patient invoice functionality relating to health care claims submitted to various payers (), e.g., insurance companies. A claim status transaction software module () includes a routing software sub-module () that intelligently routes responses received from payers within the system so that a variety of follow-up activities may be performed. The routing software sub-module routes the responses as a function of information contained in the responses. The system also includes a pre-checking software sub-module () that performs a variety of checks on each claim status request prior to the system sending that request. If a request fails a pre-check, the response can be automatically placed onto a follow-up list () for follow up.