Abstract: An information collection and processing system and related automated method for use by an organization providing health care to a given population. The system includes an arrangement for storing information relating to a plurality of contractual relationships existing between the organization, a plurality of health care providers, and a plurality of payors. The storage arrangement also includes information relating to a plurality of patients in the given population, and information relating to transactions between the organization, providers and the payors.

Abstract: A method and system for enabling a service provider to file insurance claims electronically directly with the payer rather than through a clearinghouse. The system has two components interacting with an existing practice management system of a service provider and with online claim filing systems of insurance payers. The first is a software application installed on the service provider's computer to seek out billing information and create files suitable for filing of formatted claims with the payer's web sites. The second component is a web portal that interacts with both the first component and the payers' web sites to keep the former with formatting requirements and to facilitate filing of the claims electronically. The system uses a software “cookie” to convey instructions to the first component so that it can automatically connect to the appropriate page of each payer's web site.

Abstract: An information collection and processing system and related automated method are provided for use by an alliance of organizations providing health care to a given population. The system includes an arrangement for storing information relating to a plurality of contractual relationships existing between the alliance of organizations, a plurality of health care providers, and a plurality of payors (e.g., insurance companies). The storage arrangement also includes a portion for storing information relating to a plurality of patients in the given population, and another portion for storing information relating to transactions between the alliance, the providers and the payors.

Abstract: A method and system for enabling a service provider to file insurance claims via the internet directly with the payer rather than through a clearinghouse. The system has three major components. These three components interact with both the existing practice management system used by the service provider and with the online claim filing systems of participating insurance payers. The first component is a software application that is installed on the service provider's local computer system. This software seeks out billing information stored on that system and creates data files suitable for filing of properly formatted claims with the payers' web sites. The second component is a web portal that interacts with both the first component and the payers' web sites to keep the former up to date with the current formatting requirements of the various payers and to facilitate the filing of the claims electronically via the payers' web site.