Electronic healthcare identification and reconciliation

Details Electronic healthcare identification and reconciliation Electronic healthcare identification and reconciliation

G - Physics

06

Q

G06Q 50/00 (2006.01)

Patent

CA 2549619

A system and method for generating healthcare identification and reconciliation information are provided. In an illustrative implementation, a computer-implemented healthcare information and reconciliation platform (HIRP) maintains a HIR engine which is operable on various data including but not limited to patient data, network data, plan data, insurance carrier/payor data, and healthcare provider data. In an illustrative operation, the HIR engine can receive input data representative of a participating user's benefit plan. The HIR engine can process the inputted data and correlate the inputted data against healthcare provider data, benefit plan data, healthcare network data and insurance carrier/payor data to generate an electronic healthcare card/document representative of the most up-to-date contractual obligations between the cooperating parties (e.g., healthcare provider, benefit plan administrator, healthcare network, insurance carrier, and the covered person/patient).

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