MEDICAL CLAIMS PROCESSING

Brand	Owner (click to sort)	Address	Description
CLAIMLOGIC	Jackson, William David	1165 Hartford Street Cambria CA 93428	medical claims processing, networking services, and other transactions related to healthcare electronic data interchange;CLAIM LOGIC;
CYBILL	RK Cole, Inc.	722 Adidas Road Winter Springs FL 32708	medical claims processing;
	Where the owner name is not linked, that owner no longer owns the brand

Technical Examples

Methods and systems for interactively creating and submitting insurance claims and determining whether the submitted claims are in condition for payment by an insurer. A medical technician operating a client computer establishes communication with a remote server. The remote server transmits a claim form to the client computer for display to the medical technician. Using the claim form, the technician enters patient identification information, which is transmitted to the server to determine whether the patient is a beneficiary of an approved insurance plan. If the patient is a beneficiary, the technician can prepare an insurance claim using the claim form displayed by the client computer. The technician enters a diagnosis code and a treatment code representing the diagnosis and treatment of the patient. The diagnosis and treatment codes are transmitted to the remote server, which processes the codes to determine whether the claim corresponds to health care services that are approved for payment. If the insurance claim is not in condition for payment, the medical technician is notified. The medical technician can then amend the insurance claim as necessary and resubmit the claim.