Global patent index - EP 1025522 A1

EP 1025522 A1 2000-08-09 - METHOD AND SYSTEM OF ENCODING AND PROCESSING ALTERNATIVE HEALTHCARE PROVIDER BILLING

Title (en)

METHOD AND SYSTEM OF ENCODING AND PROCESSING ALTERNATIVE HEALTHCARE PROVIDER BILLING

Title (de)

VERFAHREN UND SYSTEM ZUR KODIERUNG UND BEARBEITUNG VON RECHNUNGEN VON PARALLELE MEDIZIN

Title (fr)

PROCEDE ET SYSTEME PERMETTANT LE CODAGE ET LE TRAITEMENT DE FACTURATIONS RELATIVES A DES PRESTATIONS DE SERVICES DE MEDECINE PARALLELE

Publication

EP 1025522 A1 (EN)

Application

EP 97911936 A

Priority

US 9719419 W

Abstract (en)

[origin: WO9923589A1] A system (10) for encoding and encompassing healthcare provider billing, more particularly, a computer assisted network for encoding, documenting and processing claims (18) for payment of specific procedures by alternative therapy providers (12), grouped geographically and by specialty. The system (10) employs a computer accessing three main databases (14, 16, 20) for identifying, encoding and calculating the average cost for provider services (58). A resulting Alternative Billing Code (ABC) is produced which can be compared and correlated with insurance industry standard codes (40). The ABC is an assembly of a series of terms and sub-terms from databases (14, 16, 20), namely Alternative Practice Type (APT) (14), Standard Alternative Procedure Descriptions (SAPDs) (16), Provider Data (PD) (20) and RVU (Relative Value Unit) databases. Each provider specialty includes its own listing of treatments which are turned into RVUs, thus establishing a sequence of treatment fees and charges. The APT code and SAPD code are stored in a PD file including average claim costs of all providers as categorized by a predetermined grouping, which with the PD create the ABC as a comprehensive, single code representing all elements of treatment incident to a patient visit. Claims (18) for payment are submitted and translated into an appropriate code for determination of payment under the present system.

IPC 1-7 (main, further and additional classification)

G06F 17/60

IPC 8 full level (invention and additional information)

G06F 19/00 (2011.01); G06Q 30/00 (2012.01)

CPC (invention and additional information)

G06Q 30/04 (2013.01); G06F 19/328 (2013.01)

Designated contracting state (EPC)

AT BE CH DE DK ES FI FR GB GR IE IT LI LU MC NL PT SE

EPO simple patent family

WO 9923589 A1 19990514; AU 4919897 A 19990524; AU 747160 B2 20020509; CA 2308275 A1 19990514; EP 1025522 A1 20000809; EP 1025522 A4 20030402; JP 2001522099 A 20011113; NO 20002175 A 20000613; NO 20002175 D0 20000427; NO 319050 B1 20050606

INPADOC legal status

2010-10-27 [18D] DEEMED TO BE WITHDRAWN

- Ref Legal Event Code: 18D

- Effective date: 20100504

2008-10-01 [17Q] FIRST EXAMINATION REPORT

- Ref Legal Event Code: 17Q

- Effective date: 20080902

2003-04-02 [A4] SUPPLEMENTARY SEARCH REPORT

- Ref Legal Event Code: A4

- Effective date: 20030219

2000-08-09 [17P] REQUEST FOR EXAMINATION FILED

- Ref Legal Event Code: 17P

- Effective date: 20000530

2000-08-09 [AK] DESIGNATED CONTRACTING STATES:

- Ref Legal Event Code: AK

- Designated State(s): AT BE CH DE DK ES FI FR GB GR IE IT LI LU MC NL PT SE