INSURANCE CLAIMS PROCESSING ADJUSTMENT SERVICES

Brand	Owner (click to sort)	Address	Description
RESTAT	RESTAT	11900 West Lake Park Drive Milwaukee WI 53224	insurance claims processing/adjustment services;prescription drug benefit management services, drug utilization and pharmacy review services;design of employee benefit plans for others, design of prescription card systems for others;
RESTAT	OPTUMRX PBM OF WISCONSIN	11900 WEST LAKE PARK DRIVE MILWAUKEE WI 53224	Insurance claims processing/adjustment services; prescription drug benefit management services; design of employee benefit plans for others;Drug utilization review services; administration of a discount program for enabling participants to obtain discounts on goods and services through the use of a pharmacy provider network and a discount prescription card;Providing quality control services for the pharmaceutical industry;
	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.