Abstract: A system and method for automating and standardizing an appeals process, facilitating both business-to-business (i.e., insurance companies to providers) and business-to-consumer (i.e., insurance companies to patients) relationships, and educating users on the healthcare industry and patient rights. The system and method provides automated and standardized electronic communication for any business with a regulated or contractual appeals or grievance process. In one application, the system and method provide electronic communication between patients, providers, and insurance plans; convenient access to an “anytime” appeals process; and an efficient follow-up and appeals status tracking. There are standardized forms for the appeal, and the provider appeal format is compatible with current billing forms.
Type:
Grant
Filed:
November 12, 2012
Date of Patent:
December 17, 2013
Assignee:
eReceivables, LLC
Inventors:
William D. Kirsh, Peter M. Kramer, Jeffrey T. King
Abstract: A system and method for automating and standardizing an appeals process, facilitating both business-to-business (i.e., insurance companies to providers) and business-to-consumer (i.e., insurance companies to patients) relationships, and educating users on the healthcare industry and patient rights. The system and method provides automated and standardized electronic communication for any business with a regulated or contractual appeals or grievance process. In one application, the system and method provide electronic communication between patients, providers, and insurance plans; convenient access to an “anytime” appeals process; and an efficient follow-up and appeals status tracking. There are standardized forms for the appeal, and the provider appeal format is compatible with current billing forms.
Type:
Grant
Filed:
May 16, 2012
Date of Patent:
December 18, 2012
Assignee:
eReceivables, LLC
Inventors:
William D. Kirsh, Peter M. Kramer, Jeffrey T. King
Abstract: A system and method for automating and standardizing an appeals process, facilitating both business-to-business (i.e., insurance companies to providers) and business-to-consumer (i.e., insurance companies to patients) relationships, and educating users on the healthcare industry and patient rights. The system and method provides automated and standardized electronic communication for any business with a regulated or contractual appeals or grievance process. In one application, the system and method provide electronic communication between patients, providers, and insurance plans; convenient access to an “anytime” appeals process; and an efficient follow-up and appeals status tracking There are standardized forms for the appeal, and the provider appeal format is compatible with current billing forms.
Type:
Application
Filed:
May 16, 2012
Publication date:
September 13, 2012
Applicant:
ERECEIVABLES LLC
Inventors:
William D. Kirsh, Peter M. Kramer, Jeffrey T. King
Abstract: A system and method for automating and standardizing an appeals process, facilitating both business-to-business (i.e., insurance companies to providers) and business-to-consumer (i.e., insurance companies to patients) relationships, and educating users on the healthcare industry and patient rights. The system and method provides automated and standardized electronic communication for any business with a regulated or contractual appeals or grievance process. In one application, the system and method provide electronic communication between patients, providers, and insurance plans; convenient access to an “anytime” appeals process; and an efficient follow-up and appeals status tracking. There are standardized forms for the appeal, and the provider appeal format is compatible with current billing forms.
Type:
Grant
Filed:
February 16, 2001
Date of Patent:
June 19, 2012
Assignee:
eReceivables, LLC
Inventors:
William D. Kirsh, Peter M. Kramer, Jeffrey T. King