Hoerle
Dale Hoerle, Lisle, IL US
Patent application number | Description | Published |
---|---|---|
20110153371 | Novel Method and Apparatus for Repricing a Reimbursement Claim Against a Contract - A method for repricing a reimbursement claim under at least one contract is provided herein. The method includes converting each contract into a series of contractual terms, where each contractual terms contains qualification codes, calculation codes and priority notes. The method then converts a claim into a series of claim lines, containing claim codes, unit numbers and corresponding charges for the claim codes. The method then begins to compare comparing each claim code, of the claim, against each qualification code, of each contractual term, of a contract and when a qualification code, of a contractual term, is satisfied by a claim code, of a claim line, the method identifies the contractual term as a matching contractual term associated to the claim line. Upon identifying all matching contractual terms, either to the claim line or the entire claim, the method will determine any priority conditions associated to the matching contractual terms, and eliminate any matching contractual terms that are excluded by the priority conditions. The method then calculates the reimbursement amount for the claim by determining the reimbursement charges for the non-excluded matching contractual terms. The method may then determine and make any adjustments depending upon any discount terms for the entire reimbursement amount. | 06-23-2011 |
20120130754 | Novel Method and Apparatus For Repricing a Reimbursement Claim Against a Contract - A method for repricing a reimbursement claim under at least one contract is provided herein. The method may include a combination of steps such as: converting each contract into a series of contractual terms; converting a claim into a series of claim lines, containing claim codes, unit numbers and corresponding charges for the claim codes; comparing claim codes and contractual terms and identifying matches therebetween; determining any priority conditions associated to the matching contractual terms, and eliminate any matching contractual terms that are excluded by the priority conditions; calculating the reimbursement amount for the claim by determining the reimbursement charges for the non-excluded matching contractual terms; and determining and making any adjustments depending upon any discount terms for the entire reimbursement amount. | 05-24-2012 |
20130144648 | Novel Method and Apparatus For Repricing a Reimbursement Claim Against a Contract - A method for repricing a reimbursement claim under at least one contract is provided herein. The method may include a combination of steps such as: converting each contract into a series of contractual terms; converting a claim into a series of claim lines, containing claim codes, unit numbers and corresponding charges for the claim codes; comparing claim codes and contractual terms and identifying matches therebetween; determining any priority conditions associated to the matching contractual terms, and eliminate any matching contractual terms that are excluded by the priority conditions; calculating the reimbursement amount for the claim by determining the reimbursement charges for the non-excluded matching contractual terms; and determining and making any adjustments depending upon any discount terms for the entire reimbursement amount. | 06-06-2013 |
Dale Hoerle, Naperville, IL US
Patent application number | Description | Published |
---|---|---|
20140067417 | Novel Method and Apparatus For Repricing a Reimbursement Claim Against a Contract6 - A method for repricing a reimbursement claim under at least one contract is provided herein. The method may include a combination of steps such as: converting each contract into a series of contractual terms; converting a claim into a series of claim lines, containing claim codes, unit numbers and corresponding charges for the claim codes; comparing claim codes and contractual terms and identifying matches therebetween; determining any priority conditions associated to the matching contractual terms, and eliminate any matching contractual terms that are excluded by the priority conditions; calculating the reimbursement amount for the claim by determining the reimbursement charges for the non-excluded matching contractual terms; and determining and making any adjustments depending upon any discount terms for the entire reimbursement amount. | 03-06-2014 |
20140249864 | SYSTEM AND METHOD FOR PROCESSING PAYMENT BUNDLES - A system and process for prospectively creating patient episodes of care and triggering associated payment bundles during the claim adjudication process facilitates real-time claim pricing in accordance with payment bundle rules to facilitate episodic payment in place of pay-for-service payment. Additionally, various processes are described for modeling patient episodes and payment bundles and unbundling episodic payments. | 09-04-2014 |
Dale E. Hoerle, Naperville, IL US
Patent application number | Description | Published |
---|---|---|
20120084794 | Systems and Methods Providing Intelligent Routing of Data Between Software System - Disclosed are systems and methods which provide an interface for software applications which provides intelligent routing of data between the software applications. Embodiments provide an interface between software applications using multiple adapters, wherein at least one adapter is associated with each end of a software application information communication link. Information communicated between software applications is routed based upon analysis of the information and/or associated transactions to provide dynamic interfacing between software applications. Information may be routed based upon content, transaction type, historical information, etcetera. Routing of information of embodiments establishes an itinerary for scheduling communication of information between a plurality of software applications. | 04-05-2012 |
20140297336 | System and Method For Using a First Electronic Representation of Contract Terms For Generating a Second Electronic Representation of the Contract Terms - Systems and methods are provided in which contract terms from a first electronic representation of a contract are used to form at least a part of a second electronic representation of the contract. For instance, the first electronic representation of a contract may be formed for use with a first software application, such as an adjudication application, and such first electronic representation of the contract is used by a system to form at least part of a second electronic representation of the contract, wherein such second electronic representation is used by a second software application, such as a contract management application. Disparate applications often utilize different representations of contract terms, and certain embodiments enable a second electronic representation to be formed by the system at least in part from a first electronic representation so that the different electronic representations are consistent as to the overlapping contract terms included therein. | 10-02-2014 |
Michael Hoerle, Eden Prairie, MN US
Patent application number | Description | Published |
---|---|---|
20090008598 | METHOD AND APPARATUS FOR ON-SITE MIXING OF LIQUID DEICER - An apparatus and method for preparing and dispensing a liquid deicer. The apparatus and method allow deicer ingredients or precursors to be combined in an exothermic reaction to produce a heated deicer at the location where it will be used. In one implementation, potassium hydroxide and acetic acid are combined using the apparatus and method to make hot potassium acetate for use in numerous deicer applications, including deicing of airport runways. | 01-08-2009 |
20090092001 | SOLUTION MAKING SYSTEM AND METHOD - A solution making system and apparatus are described. The solution maker mixes a chemical or slurry with a solvent to a desired concentration. The concentration of the solution is monitored by one or more methods. Based upon this measurement, the concentration of the solution may be adjusted. | 04-09-2009 |
20130094324 | SOLUTION MAKING SYSTEM AND METHOD - A solution making system and apparatus are described. The solution maker mixes a chemical or slurry with a solvent to a desired concentration. The concentration of the solution is monitored by one or more methods. Based upon this measurement, the concentration of the solution may be adjusted. | 04-18-2013 |
Michael Hoerle, Broadview Heights, OH US
Patent application number | Description | Published |
---|---|---|
20090011125 | Deicer mixing method - An apparatus for applying a liquid coating to a deicer composition, methods of applying a liquid coating to a deicer composition, and solid deicer compositions that have been coated using the apparatus or method of the invention are disclosed. The apparatus includes a screw conveyor that has a housing, at least one screw with a plurality of flights, an inlet for uncoated deicer, an inlet for a liquid coating composition, and an outlet for deicer coated with the liquid coating composition. The screws contain protrusions or tabs that extend from the surrounding surface of the screw. These protrusions or tabs aid in the mixing of the solid deicer and the liquid coating composition in order to provide a well-mixed deicer that resists caking while avoiding losing the coating composition to leaching. | 01-08-2009 |
William S. Hoerle, Cary, IL US
Patent application number | Description | Published |
---|---|---|
20110236258 | MEDICAL FLUID ACCESS DEVICE WITH ANTISEPTIC INDICATOR - A medical device, such as a vascular access device, is disclosed for providing access to a medical fluid flow path for the introduction or withdrawal of medical fluids to and from the flow path. The access device includes an indicator for providing a visual indication when the access device has been exposed to an antiseptic agent. | 09-29-2011 |
20130224866 | MEDICAL FLUID ACCESS DEVICE WITH ANTISEPTIC INDICATOR - A medical device, such as a vascular access device, is disclosed for providing access to a medical fluid flow path for the introduction or withdrawal of medical fluids to and from the flow path. The access device includes an indicator for providing a visual indication when the access device has been exposed to an antiseptic agent. The indicator includes a substrate and a microporous layer disposed on the substrate. The microporous layer is made from a polymer material having an index of refraction from about 1.25 to about 1.6 and is configured to change from a substantially opaque state to a substantially transparent state upon exposure to an antiseptic solution. The microporous layer resumes the substantially opaque state after a period of time. | 08-29-2013 |