Real time insurance administration and medical utility

Details Real time insurance administration and medical utility Real time insurance administration and medical utility

G - Physics

06

F

G06F 19/00 (2006.01) G06F 17/30 (2006.01) G06Q 40/00 (2006.01)

Patent

CA 2078671

A real time health care insurance administration and medical information utility which includes a service provider terminal (18) in two-way, on-line communication with a central processing unit (3) and updatable central data base (6). The service provider terminal (18) includes a card reader for inputting group member identification data and means in the form of a keyboard for interrogating the central data base regarding the plan eligibility of the group member and the reimbursement provided by the plans for various proposed treatments, as well as a screen for displaying data responsive to the inquiries. A benefit sponsor such as an employer is also provided with a terminal (185) in two-way, on-line communication with the central processing unit so that the eligibility status of the group member may be updated on line.

Un utilitaire temps réel d'information et d'administration d'assurance médicale qui comprend un terminal de prestation de services (18), en communication bidirectionnelle avec une unité centrale de traitement (3) et une base de données centrale actualisable (6). Le terminal de prestation de services (18) comprend un lecteur de cartes pour la saisie des données d'identification des membres du groupe, un clavier qui permet d'interroger la base de données centrale en ce qui concerne l'admissibilité au plan des membres du groupe et les remboursements prévus pour divers traitements proposés, ainsi qu'un écran pour l'affichage des données fournies en réponse aux requêtes. L'employeur est également doté d'un terminal (185) en communication bidirectionnelle en ligne avec l'unité centrale de traitement, de sorte que l'admissibilité du membre du groupe peut être actualisée en ligne.

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