Patents Assigned to HEALTH MANAGEMENT SYSTEMS, INC.
  • Patent number: 11990217
    Abstract: Disclosed are systems, methods and devices for providing healthcare coverage matching and verification. In some aspects, a method includes receiving, from a frontend graphical user interface (GUI), a healthcare coverage application comprising client demographics that include at least two of the following: a last name, a first name, a birthdate, an identification number, an address and a request type associated with a client, using a parallel matching and verification architecture to determine, based on a first set of criteria, a matching database record from an eligibility database that corresponds to the healthcare coverage application, and communicate with a healthcare provider using electronic data interchange transactions, identify, based on a second set of criteria, a medical policy that corresponds to the matching database record, and verify the medical policy, and transmitting, to the frontend GUI, the medical policy to allow reception of the medical policy by the client.
    Type: Grant
    Filed: April 26, 2021
    Date of Patent: May 21, 2024
    Assignee: Health Management Systems, Inc.
    Inventors: Eric Hallemeier, Deb Grier, Gopi Kolla, Anand Padmanaban, Chris Lolo, Karthik Sundaram, Kevin Nyaribo
  • Patent number: 11449947
    Abstract: Methods, apparatus and systems for managing subrogation cases are described.
    Type: Grant
    Filed: April 3, 2020
    Date of Patent: September 20, 2022
    Assignee: HEALTH MANAGEMENT SYSTEMS, INC.
    Inventors: Justin Erickson, Trisha Henry, Ben Schy, Maura McCormick
  • Patent number: 10991457
    Abstract: Disclosed are systems, methods and devices for providing healthcare coverage matching and verification. In some aspects, a method includes receiving, from a frontend graphical user interface (GUI), a healthcare coverage application comprising client demographics that include at least two of the following: a last name, a first name, a birthdate, an identification number, an address and a request type associated with a client, using a parallel matching and verification architecture to determine, based on a first set of criteria, a matching database record from an eligibility database that corresponds to the healthcare coverage application, and communicate with a healthcare provider using electronic data interchange transactions, identify, based on a second set of criteria, a medical policy that corresponds to the matching database record, and verify the medical policy, and transmitting, to the frontend GUI, the medical policy to allow reception of the medical policy by the client.
    Type: Grant
    Filed: November 6, 2018
    Date of Patent: April 27, 2021
    Assignee: HEALTH MANAGEMENT SYSTEMS, INC.
    Inventors: Eric Hallemeier, Deb Grier, Gopi Kolla, Anand Padmanaban, Chris Lolo, Karthik Sundaram, Kevin Nyaribo
  • Patent number: 7028049
    Abstract: An internet and/or intranet based database search system and method for conducting searches of highly confidential records such as individual patient medical records and to automate the process of securing required approvals to make such records available to a properly authorized and authenticated requesting party. The system's central premise is that the patient has a fundamental right to the confidentiality of their personal medical records and should control that right through specific, informed consent each time that a party requests to receive them. It reinforces the widely held conception of privacy in general as well as of the sanctity of the doctor/patient relationship by granting the doctor the right, subject to the patient's express permission, to initiate a search request.
    Type: Grant
    Filed: February 18, 1998
    Date of Patent: April 11, 2006
    Assignee: Allcare Health Management System, Inc.
    Inventor: Robert H. Shelton
  • Patent number: 6345260
    Abstract: The present invention provides a system and method for scheduling appointments at any time with a professional, such as a doctor, dentist, veterinarian, or the like, or a professional service, such as a medical testing facility and the like, even when the office of the professional or professional service is closed. The system and method relate to an asynchronous Internet, intranet, and extranet-compatible 24-hour appointment scheduling interface for making such appointments. As such, they support open-standards architecture, provide an interface for proprietary system architecture, permit off-line review and posting, permit access controls and virus protection, allow central scheduling without loss of distributed control, support encrypted messaging to ensure privacy, and include context-sensitive help.
    Type: Grant
    Filed: March 16, 1998
    Date of Patent: February 5, 2002
    Assignee: Allcare Health Management System, Inc.
    Inventors: Desmond D. Cummings, Jr., Robert H. Shelton
  • Patent number: D854560
    Type: Grant
    Filed: March 17, 2017
    Date of Patent: July 23, 2019
    Assignee: HEALTH MANAGEMENT SYSTEMS, INC.
    Inventors: Jill Field, Cynthia Nustad, Gary Call, William Lucia
  • Patent number: D854561
    Type: Grant
    Filed: March 17, 2017
    Date of Patent: July 23, 2019
    Assignee: HEALTH MANAGEMENT SYSTEMS, INC.
    Inventors: Jill Field, Cynthia Nustad, Gary Call, William Lucia
  • Patent number: D861021
    Type: Grant
    Filed: August 3, 2017
    Date of Patent: September 24, 2019
    Assignee: HEALTH MANAGEMENT SYSTEMS, INC.
    Inventors: Reginald Vincent, Tai Phan, Mari-Anne Eisert
  • Patent number: D866577
    Type: Grant
    Filed: June 28, 2017
    Date of Patent: November 12, 2019
    Assignee: HEALTH MANAGEMENT SYSTEMS, INC.
    Inventors: Mari-Anne Eisert, Reginald Vincent, Tai Phan, Melinda Giese, Melina R. Baracca, Cynthia J. Nustad, Gregory W. Fischer, Nathan Burgess
  • Patent number: D876471
    Type: Grant
    Filed: February 27, 2018
    Date of Patent: February 25, 2020
    Assignee: HEALTH MANAGEMENT SYSTEMS, INC.
    Inventors: John Parks, Luis Martinez, Kevin Kinsey
  • Patent number: D876472
    Type: Grant
    Filed: February 27, 2018
    Date of Patent: February 25, 2020
    Assignee: HEALTH MANAGEMENT SYSTEMS, INC.
    Inventors: John Parks, Kevin Kinsey, Kalpa Rai
  • Patent number: D876473
    Type: Grant
    Filed: February 27, 2018
    Date of Patent: February 25, 2020
    Assignee: HEALTH MANAGEMENT SYSTEMS, INC.
    Inventors: John Parks, Kalpa Rai
  • Patent number: D876474
    Type: Grant
    Filed: February 27, 2018
    Date of Patent: February 25, 2020
    Assignee: HEALTH MANAGEMENT SYSTEMS, INC.
    Inventors: John Parks, Luis Martinez
  • Patent number: D877186
    Type: Grant
    Filed: February 27, 2018
    Date of Patent: March 3, 2020
    Assignee: HEALTH MANAGEMENT SYSTEMS, INC.
    Inventors: John Parks, Luis Martinez, Kevin Kinsey
  • Patent number: D877187
    Type: Grant
    Filed: February 27, 2018
    Date of Patent: March 3, 2020
    Assignee: HEALTH MANAGEMENT SYSTEMS, INC.
    Inventors: John Parks, Kevin Kinsey, Luis Martinez, Sarah Suarez
  • Patent number: D951972
    Type: Grant
    Filed: September 23, 2019
    Date of Patent: May 17, 2022
    Assignee: HEALTH MANAGEMENT SYSTEMS, INC.
    Inventors: Reginald Vincent, Tai Phan, Mari-Anne Eisert
  • Patent number: D965613
    Type: Grant
    Filed: November 11, 2019
    Date of Patent: October 4, 2022
    Assignee: HEALTH MANAGEMENT SYSTEMS, INC.
    Inventors: Mari-Anne Eisert, Reginald Vincent, Tai Phan, Melinda Giese, Melina R. Baracca, Cynthia J. Nustad, Gregory W. Fischer, Nathan Burgess