Patents by Inventor Ed Hafner

Ed Hafner has filed for patents to protect the following inventions. This listing includes patent applications that are pending as well as patents that have already been granted by the United States Patent and Trademark Office (USPTO).

  • METHODS, SYSTEMS, AND COMPUTER PROGRAM PRODUCTS FOR AUTOMATICALLY ENRICHING A CLAIM WITH ADDITIONAL CLINICAL INFORMATION
    Publication number: 20230069182
    Abstract: A method includes receiving a claim associated with a patient from a provider; automatically determining whether additional clinical information is needed to adjudicate the claim; automatically retrieving the additional clinical information responsive to determining that the additional clinical information is needed to adjudicate the claim; communicating the claim and the additional clinical information to a payor responsive to determining that the additional clinical information is needed to adjudicate the claim; and communicating the claim to the payor responsive to determining that the additional clinical information is not needed to adjudicate the claim.
    Type: Application
    Filed: August 26, 2021
    Publication date: March 2, 2023
    Inventors: Mike Peresie, Ed Hafner
  • METHODS, SYSTEMS, AND COMPUTER PROGRAM PRODUCTS FOR DETERMINING THIRD PARTY LIABILITY FOR A CLAIM
    Publication number: 20230054258
    Abstract: A method includes receiving a claim associated with a patient and destined for a first payor from a provider; assessing a likelihood that the first payor is not liable for an entirety of the claim; identifying a second payor responsive to the likelihood that the first payor is not liable for the entirety of the claim exceeding a liability threshold; and routing the claim to the first payor, to the second payor, or to the provider based on routing rules provided by the first payor.
    Type: Application
    Filed: August 23, 2021
    Publication date: February 23, 2023
    Inventors: Mike Peresie, Ed Hafner, Cindy Klain