Abstract: Advanced patient management systems include a unit for collecting data from a device associated with a patient, and a host in communication with the unit, the host identifying a time for the device to update data on the device. The system can identify a time for the device to update data associated with the device by developing a histogram of the availability of the device for interrogation. The system can also optimize processing loads for the system by developing a histogram of the time at which the caregiver is most likely to access the system to review the collected and processed data. Methods for optimizing device data update and processing times are also included.

Abstract: An information processing apparatus and a method for managing dispensing information associated with a prescription for medicine, the apparatus and method including inputting acquiring information for acquiring dispensing status information associated with a prescription for medicine, sending the input acquiring information to at least one other device, and receiving the dispensing status information acquired based on the acquiring information from the at least one other device.

Abstract: A method and system for enabling one or more customers to search for a pharmacy store location. The method and system includes an application server connected to a network server, an intranet server, and a database, the application server configured access a network server hosting a network website via the network; display to the customer via the website at least one of a prescription order selection or a pharmacy data access selection; display one or more prescription order displays to the customer via the website when the customer selects the prescription order selection; receive from the customer a particular prescription order via a communication network that connects a plurality of member pharmacies; and determine a pharmacy store location based on at least one of: i) if the store location is a drive through store location; ii) if the store location is within a search radius to the customers.

Abstract: Systems and methods are provided for retaining or shifting prescription market share. The systems and methods may include receiving, from a pharmacy computer, a prescription claim associated with a drug requested by a customer; determining that a payor will not cover the prescription claim; subsequent to determining that the payor will not cover the prescription claim, determining that eligibility requirements in accordance with a market share retention program have been satisfied in order to make the drug available for free to the customer; and transmitting, to the pharmacy computer, a notice of availability of the free drug for the customer.

Abstract: A patient health record system uses knowledge bases to dynamically build visit templates and suggest content based on the user's profile and current patient information. The visit template is available to the health care provider using the system, and is presented within an easy-to-use graphical interface comprising a navigation pane for moving from one section of the template to another, and a visit information window that displays current visit information and allows the user to add and edit that information.

Abstract: Systems and methods provide customizable insurance according to consumer preferences. Demand simulators may be used to guide the creation of optimized packages of features, which consumers may select from to form an insurance product appropriate for their particular needs. Packages may be formed with a particular appeal to consumers with common characteristics. In addition, methods are provided for selling insurance products formed through an optimization process and providing corresponding insurance services.

Abstract: Systems and methods provide customizable insurance according to consumer preferences. Demand simulators may be used to guide the creation of optimized packages of features, which consumers may select from to form an insurance product appropriate for their particular needs. Packages may be formed with a particular appeal to consumers with common characteristics. In addition, methods are provided for selling insurance products formed through an optimization process and providing corresponding insurance services.

Abstract: In issuing an order, a medical image diagnostic system acquires order issuance support information on the basis of a reference report or a reference image, which an order issuer uses as a basis of order creation. The medical image diagnostic system classifies the order issuance support information on the basis of a table and presents the order issuance support information using a predetermined order issuance support screen. For example, the order issuer selects desired conditions from the order issuance support screen presented to perform order issuance based on the reference report or the like.

Abstract: According to the present invention, there is provided a system and method for the collection, capture, processing, storage, and tracking of data for both electronic clinical trial and electronic source health records for purposes, based upon a single data collection instance. Upon the collection of data at a clinical trial site, the data are transmitted to a central server where it is captured as an electronic source document(s) in human readable format. The system then transmits the captured electronic source document to a trusted third-party's electronic document repository. Then, the system uses the same captured data to populate the clinical trial's electronic data capture database. The system incorporates security and encryption features to ensure that privacy information requirements are not violated. In the preferred embodiment, the electronic data capture provider for a clinical trial has no control over the server of the trusted third-party vendor, complying with regulatory requirements.

Abstract: A system and method are described whereby a healthcare consumer purchases a suspendable plan while having group coverage and is able to suspend the benefits until group coverage becomes unavailable. When group coverage is not desired or is not available, the consumer can activate the benefits under the suspendable plan. Similarly, a healthcare consumer can buy a suspendable plan while not covered by a group plan and activate the benefits under the plan when not employed. The health plan organization, in turn, guarantees renewal of one or more benefits suspended under the plan throughout the life of the policy at the underwriting status determined when the consumer initially applied for suspendable coverage and, most likely, was in better health. When the consumer chooses to suspend one or more benefits under the plan, the healthcare plan organization reduces the plan premium to a residual premium reflecting the risk associated with providing a renewal guarantee.

Abstract: A system improves payment claims transactions by analyzing payments transactions to update payment edit rules according to information derived from the transactions. A system adapts rules used for processing claim adjudication data provided by a payer organization concerning a claim for reimbursement for provision of healthcare to a patient previously submitted to the payer organization in a claim. The system includes a data processor for parsing claim adjudication data provided by a specific payer organization in an electronic transaction message to identify data comprising, (a) a payer organization identifier and (b) a reason for rejection of a claim. A rules processor automatically generates a payer specific rule for use in pre-processing a claim for submission to the specific payer identified by the payer organization identifier by translating data comprising the reason for rejection into a logical expression resolvable using data elements in a claim.

Abstract: A system and method for accounting and billing patients in a hospital environment. A hospitalized patient is associated with a patient identifier. Billable services provided to the hospitalized patient are associated with the patient identifier. If the billable service is provided by a physician, a physician identifier is also associated with the billable service. The hospitalized patient is scored and a current procedural terminology (CPT) assignment manager assigns CPT codes to the billable service. A bill generator receives the patient data, patient insurance information, physician insurance information, and CPT codes and generates a bill for the billable services provided to the hospitalized patient.

Abstract: An order evaluation system for use in a healthcare location evaluates an order against a first set of patient assessment data elements to determine whether the order should be issued. If the order is issued, a rules generator generates a patient-specific rule that is consistent with the order. The patient-specific rule is continuously applied to a second set of patient assessment data to determine whether the rule has been contravened. If the rule is contravened, an alert is issued. An alert may direct changes in, or cancellation of, an order.

Abstract: A system, method and computer program are provided for generating error and summary reports for a data load. A plurality of records to be loaded in a database are received. The records may include medical records. A data management template corresponding to the records is chosen. It is verified that all records to be loaded match the data management template. The records are sent to a database for loading in the database upon validation that the records match the data management template. A report of records that match the data management template and records that do not match the data management template is compiled.

Abstract: A graphical user interface for a travel system allows the beginning and end points to be selected, and then displays a line indicating the travel, and calculates fares.

Abstract: Transition probability sequencing models and metrics are derived from healthcare claims data to identify potentially fraudulent or abusive practices, providers, doctors, clients, or other entities. Healthcare reimbursement claims from hospitals, skilled nursing facilities, doctors, etc., are processed to identify sequences of states, and transition probability metrics are determined from frequency information pertaining to the states. The metrics can these be further analyzed in predictive or rule based models, or other tools.

Abstract: A method and apparatus are provided for processing an insurance claim. The method includes the steps of receiving a claim for a loss from an insured through an Internet connection and determining a policy type from the claim. The method further includes the steps of retrieving a set of keywords based upon the policy type, matching the retrieved set of keywords with words contained within the received claim, assigning an adjuster to the claim when any matched words of the matching step meets a predetermined criteria and paying the claim without assigning the claim to an adjuster when the matching does not meet the predetermined criteria and any auxiliary criteria.

Abstract: When drugs are prepared according to drug preparation order sheets printed by drug preparation order printers, it is desired to freely set the relation with the printers by setting data without directly connected and fixed to a control program of a control unit of a drug preparation order system so as to cope with e.g. relocations of drug preparation tables. As the drug preparation instruction system, a control unit and a plurality of drug preparation order printers are provided. In the data storage portion of the control unit, data showing the relation between drugs and drug types are stored. By reading drug type codes from inputted drug data, and by reading printer numbers corresponding to the respective drug type codes from a printer setting portion in which are stored data showing the relation between drug type codes and printer numbers, drug data are printed individually by the printers of the set numbers.

Abstract: An electronic medical record system and service is disclosed for centrally storing patients medical records electronically on a database for patient-controlled remote access by both patients and medical providers. The system stores a plurality of patient medical records on a medical information database via a medical information server connected to a network. A plurality of medical provider computers connected to the network have software to communicate with the medical information server. Patients supply authorization means to allow medical provider computers to access patient-selected portions of the patient's medical record for viewing and updating of the patient's medical record. Additionally, patients can access all portions of their medical record using browser software on any browser-enabled device connected to the network.

Abstract: A system and method for automatic recordation of information relating to administration of medicines to animals are accomplished by a transmitting syringe simultaneously injecting and marking an animal while transmitting, responsive to actuation of the transmitting syringe, a first signal containing information relating to the actuation of the transmitting syringe and the resulting injection of the animal. An electronic identification device (EID) such as a bolus, ear tag or subcutaneous implant is attached to the animal and provides a unique electronic identification of the animal. A receiver receives both the first signal from the transmitting syringe and the electronic identification of the animal, as provided by the EID. Information contained in the respective signals is maintained in a computer database for review and analysis.