PROCESSING MEDICAL CLAIMS

Brand	Owner (click to sort)	Address	Description
THE CARE ADVANTAGE	North American Benefits Network, Inc.	19800 Detroit Road Rocky River OH 44114	processing of medical claims for self-funded employers;
WE MAKE MANAGED CARE MANAGEABLE	Global Care Medical Group, IPA	P.O. Box 571420 Tarzana CA 91357	PROCESSING OF MEDICAL CLAIMS FOR PAYMENT BY INSURERS AND OTHER REIMBURSEMENT AGENCIES;MEDICAL COST MANAGEMENT; MEDICAL TRANSCRIPTION SERVICES; MEDICAL PRACTICE MANAGEMENT; HOSPITAL MANAGEMENT;MEDICAL SERVICES, MEDICAL CLINIC SERVICES, EMERGENCY MEDICAL ASSISTANCE, MAINTAINING MEDICAL FILES AND RECORDS CONCERNING THE CONDITION OF PATIENTS, MEDICAL COUNSELING, PROVIDING MEDICAL INFORMATION, MEDICAL TESTING, MEDICAL LABORATORIES;
	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.