Abstract: In one aspect, a system for automatically processing a medical claim includes a billing automation platform, a navigation device with a global positioning system for collecting patient transport information including a location of a medical encounter, and a computing device for receiving the patient transport information and patient charting information and transmitting the information for use by the billing automation platform. The billing automation platform may access fee schedule(s) based on a location of the medical encounter, automatically populate the medical claim based on the patient charting information, the patient transport information, and the fee schedule(s), and automatically route the medical claim through workflow paths of a claim processing workflow.

Abstract: In one aspect, a system for automatically processing a medical claim includes a billing automation platform, a navigation device with a global positioning system for collecting patient transport information including a location of a medical encounter, and a computing device for receiving the patient transport information and patient charting information and transmitting the information for use by the billing automation platform. The billing automation platform may access fee schedule(s) based on a location of the medical encounter, automatically populate the medical claim based on the patient charting information, the patient transport information, and the fee schedule(s), and automatically route the medical claim through workflow paths of a claim processing workflow.

Abstract: Techniques for automation of medical claim processing are disclosed. In one embodiment, the techniques may be realized as a system for automatically processing emergency medical claims, comprising: one or more processors and a memory. The memory may contain instructions that, when executed by the processor, cause the processor to: receive an emergency medical claim; determine a status code corresponding to a current status of the claim and a reason code corresponding to a reason for the current status of the claim; and identify, based on the status code and the reason code, a task that needs to be completed on the claim and an administrator associated with and/or responsible for handling the task.

Abstract: Techniques for automation of medical claim processing are disclosed. In one embodiment, the techniques may be realized as a system for automatically processing emergency medical claims, comprising: one or more processors and a memory. The memory may contain instructions that, when executed by the processor, cause the processor to: receive an emergency medical claim; determine a status code corresponding to a current status of the claim and a reason code corresponding to a reason for the current status of the claim; and identify, based on the status code and the reason code, a task that needs to be completed on the claim and an administrator associated with and/or responsible for handling the task.