Method and system for determining healthcare eligibility

Details Method and system for determining healthcare eligibility Method and system for determining healthcare eligibility

G - Physics

06

Q

G06Q 10/00 (2006.01)

Patent

CA 2611660

A method for determining healthcare insurance coverage eligibility is disclosed. The method includes receiving patient information at a terminal operated by a healthcare provider. An eligibility authorization request message is created, and is sent to an acquirer processor, where the acquirer processor sends the eligibility authorization request message to a transaction processing system, which routes the eligibility authorization request message to a healthcare processor. A response message is then received.

L'invention concerne un procédé de détermination du droit à une couverture d'assurance de soins de santé. Ce procédé consiste à recevoir des informations sur le patient au niveau d'un terminal exploité par un fournisseur de soins de santé. Un message de demande d'autorisation de droit est créé et est envoyé à un processeur acquéreur, qui envoie le message de demande d'autorisation de droit à un système de traitement de transaction, lequel achemine ledit message jusqu'au processeur de soins de santé. Un message de réponse est ensuite reçu.

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