PASSPORT HEALTH COMMUNICATIONS, INC.
|PASSPORT HEALTH COMMUNICATIONS, INC. Patent applications|
|Patent application number||Title||Published|
|20140164026||271 Embedded Alerts - Normalizing codified data in an eligibility response and proactively identifying insurance eligibility and benefit documentation issues is provided. Data in an eligibility response may be mapped with other data including data received from healthcare providers, payers, data from inquiries, etc. The data may be stored in tables, and/or in internal and external databases. If there are any determined issues discovered, an alert of the issue found is embedded in the response or the determined issue may be automatically corrected. The alert may provide an instruction on how to rectify the issue to a healthcare provider administrative user. The formatting and structure of the eligibility response may be normalized such that message segments relating to a same service type are grouped together, providing a consistently formatted normalized response. Accordingly, an end user may be able to more easily find information in the normalized eligibility response.||06-12-2014|
|20140100865||INTELLIGENT ELIGIBILITY REQUEST AND RESPONSE - Eligibility benefit information associated with a subscriber or dependent may be requested by a provider in an eligibility request, for example, a 270 request. Embodiments may intelligently determine a most appropriate service type code (STC) for a provider's eligibility request based on their location (“where”) and on the provider type (“who”). Utilizing precision STC tables for a payer (“what”) and the identity of the “who” and “where” associated with the provider sending the request, appropriate component level (and if needed, explicit level) STCs may be submitted in an intelligent eligibility request. Accordingly, an appropriately detailed yet focused response to the request may be received.||04-10-2014|
|20140095239||SELF-SERVICE REGISTRATION AND QUEUE STATUS PRIORITIZATION - User self-service registration and queue status prioritization is provided. A user may check into an appointment via a web-interface prior to the appointment. He may enter and/or verify information such as demographic information, insurance information, payment information, financial information, etc. If there are any discrepancies in the information provided, the user may be alerted to the discrepancies, wherein he may be able to correct the discrepancies prior to arriving for the appointment. When an indication is received that the user has arrived for the appointment, the user may be elevated to the top of a queue and thereby minimizing wait time.||04-03-2014|
|20140095188||Estimate Analysis and Validation - Validating patient payment estimates is provided. Validating patient payment estimates may comprise matching patient payment estimates with claims, payments and insurance contracts and providing tools to analyze the results of the matching process. Discrepancies may be determined, for example discrepancies between procedures and patient portions from the estimate with procedures actually billed and paid and a patient portion determined by the insurance company. Results may be stored in a dashboard user interface, which may then be available via a user interface for drill-down analysis.||04-03-2014|
|20140089181||ACCOUNT CONTRIBUTION MANAGEMENT - An ability to expose and display a current billing amount associated with a billing account in a billing system to one or more third parties, and to link one or more payments from the one or more third parties to the billing account in an account receivable system is provided. A user may create, publish, and share a fundraising webpage, which when accessed by a third party, allows the third party to send a payment in the form of a contribution or donation. An intermediary system allows for secure communication of billing account data from the accounts receivable system to the third party, allowing the third party to interact with the accounts receivable system as if the third party is in direct communication with the accounts receivable system.||03-27-2014|
|20130246090||Account Management with Estimate Benefits - Estimate of benefits (EOB) data and healthcare billing data are provided in a single user interface. By providing a display of billing information and EOB information on a same screen, a patient may be enabled to better understand his payment responsibility compared to an amount owed to a healthcare provider. When a patient logs into a healthcare billing account, healthcare billing data may be provided, as well as input fields for entering EOB data. When EOB data is received, the billing data received from the healthcare provider billing system and the EOB data may be displayed in the single user interface. If a total of entered EOB amounts does not equal a total amount owed to the healthcare provider, a notification may be provided.||09-19-2013|
|20130218587||Coverage Discovery - Automated, intelligent coverage discovery is provided. A request to find hidden or additional coverage for a self-pay, government-funded payer, and commercial payer accounts may be received. Rules defining certain search criteria and actionable information, such as demographic and payer data manipulations to find coverage data, may be executed. Requests for eligibility verification may be sent to one or more payers. Responses may be received and analyzed to determine if a subsequent search for coverage data may need to be performed. Results data may be sent to the requesting party. Coverage data for accounts that may have been destined for write-offs or inappropriately classified as qualifying for charity or financial aid may be discovered. The accounts for which coverage data is found may then be submitted for payment by one or more payers.||08-22-2013|
|20130204642||Data Restructuring for Consistent Formatting - Consistently coded eligibility data is provided. Eligibility responses may be received from various payers comprising inconsistently coded eligibility benefit (EB) information provided in EB segments in various locations in the responses. A data restructuring engine may be operable to receive an eligibility response and restructure the response into a consistent format. Co-pay, co-insurance, benefit limitations, and benefit specific deductibles may be clarified by embedding coded strings in one or more message segments attached to EB segments. Service types, network indicators, place of service codes, and message text may be removed when a coded strings is created. Recoded eligibility responses may be provided to healthcare providers, providing coverage, eligibility, and benefit data in a consistent and standardized form, regardless of the payer sending the eligibility response.||08-08-2013|
|20130110525||Information Standardization and Verification||05-02-2013|
|20120259773||Account Contribution Management - An ability to expose and display a current billing amount associated with a billing account in a billing system to one or more third parties, and to link one or more payments from the one or more third parties to the billing account in an account receivable system is provided. A user may create, publish, and share a fundraising webpage, which when accessed by a third party, allows the third party to send a payment in the form of a contribution or donation. An intermediary system allows for secure communication of billing account data from the accounts receivable system to the third party, allowing the third party to interact with the accounts receivable system as if the third party is in direct communication with the accounts receivable system.||10-11-2012|
Patent applications by PASSPORT HEALTH COMMUNICATIONS, INC.