Patents by Inventor J. Mikel Echeverria

J. Mikel Echeverria 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).

  • Method of increasing efficiency in a medical claim transaction, and computer program capable of executing same
    Patent number: 10289804
    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.
    Type: Grant
    Filed: December 20, 2004
    Date of Patent: May 14, 2019
    Assignee: Cognizant TriZetto Software Group, Inc.
    Inventors: Sherwood Chapman, J. Mikel Echeverria
  • Medical of increasing efficiency in a medical claim transaction, and computer program capable of executing same
    Patent number: 8738402
    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.
    Type: Grant
    Filed: February 6, 2013
    Date of Patent: May 27, 2014
    Assignee: TriZetto Corporation
    Inventors: Sherwood Chapman, J. Mikel Echeverria
  • Method of increasing efficiency in a medical claim transaction, and computer program capable of executing same
    Patent number: 8494876
    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.
    Type: Grant
    Filed: January 12, 2012
    Date of Patent: July 23, 2013
    Assignee: The TriZetto Group, Inc.
    Inventors: Sherwood Chapman, J. Mikel Echeverria
  • Method of Increasing Efficiency in a Medical Claim Transaction, and Computer Program Capable of Executing Same
    Publication number: 20120109681
    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.
    Type: Application
    Filed: January 12, 2012
    Publication date: May 3, 2012
    Applicant: THE TRIZETTO GROUP, INC.
    Inventors: Sherwood Chapman, J. Mikel Echeverria
  • Method of increasing efficiency in a medical claim transaction, and computer program capable of executing same
    Patent number: 8099302
    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.
    Type: Grant
    Filed: March 16, 2011
    Date of Patent: January 17, 2012
    Assignee: The TriZetto Group, Inc.
    Inventors: Sherwood Chapman, J. Mikel Echeverria
  • Method of Increasing Efficiency in a Medical Claim Transaction, and Computer Program Capable of Executing Same
    Publication number: 20110161106
    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.
    Type: Application
    Filed: March 16, 2011
    Publication date: June 30, 2011
    Inventors: Sherwood Chapman, J. Mikel Echeverria
  • Method of adjudicating medical claims based on scores that determine medical procedure monetary values
    Patent number: 6879959
    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.
    Type: Grant
    Filed: January 21, 2000
    Date of Patent: April 12, 2005
    Assignee: Quality Care Solutions, Inc.
    Inventors: Sherwood Chapman, J. Mikel Echeverria