Abstract: A method of adjudicating a medical claim includes providing a requirements for a first claim and a second claim, receiving a medical claim for a medical procedure, setting a first score for the first claim and a second score for the second claim to an initial value, comparing components of the medical claim to the requirements of the first and second claims, changing the first and second scores for each one of the components that match one of the requirements and for each one of the requirements that is missing from the components, and selecting the first or second claim based upon predetermined criteria applied to their respective scores to determine either a monetary value of the medical procedure for a medical service provider associated with the medical procedure or a monetary value of medical coverage for a patient associated with the medical procedure.
Abstract: A message gate is the message endpoint for a client or service in a distributed computing environment. A message gate may provide a secure message endpoint that sends and receives type-safe messages. A gate may have a gate name that is a unique ID that refers only to the gate. In one embodiment, a gate is assigned a gate name when the gate is created and the gate name refers to only that gate for the life of the gate. A gate may be addressed using its gate name. The name may allow clients and services to migrate about the network and still work together. In a preferred embodiment, the gate address is independent of the physical message transport address and/or socket layer. Thus, a gate name may provide a virtual message endpoint address that may be bound and un-bound to a message transport address.
Type:
Grant
Filed:
October 19, 2000
Date of Patent:
September 7, 2004
Assignee:
Sun Microsystems, Inc.
Inventors:
Thomas E. Saulpaugh, Gregory L. Slaughter, Eric Pouyoul