Patents by Inventor Lori L. Anderson

Lori L. Anderson 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).

  • Dynamic claims adjudication
    Patent number: 8781851
    Abstract: A dynamic claims adjudication system is provided that implements a dynamic claims adjudication process to provide flexible determination of the adjudication rule set to be used to adjudicate a claim for a particular prescription drug regardless of the mandates of the formulary and the rigidity of the tier into which the drug is placed on the formulary. The claims adjudication system and corresponding methods dynamically determine the adjudication rule set to be used to adjudicate a claim based on an analysis of criteria and identification of a tier changing criteria. Accordingly, the rigidity of conventional formulary based claims adjudication is eliminated in favor of dynamic and flexible real time claims adjudication.
    Type: Grant
    Filed: October 27, 2010
    Date of Patent: July 15, 2014
    Assignee: Medimpact Healthcare Systems, Inc.
    Inventors: Lori L. Anderson, Mai Ly Thi Hoang, Chi Shing Chan, Jose Eli J. Golez, Jr.
  • Dynamic Claims Adjudication
    Publication number: 20120109839
    Abstract: A dynamic claims adjudication system is provided that implements a dynamic claims adjudication process to provide flexible determination of the adjudication rule set to be used to adjudicate a claim for a particular prescription drug regardless of the mandates of the formulary and the rigidity of the tier into which the drug is placed on the formulary. The claims adjudication system and corresponding methods dynamically determine the adjudication rule set to be used to adjudicate a claim based on an analysis of criteria and identification of a tier changing criteria. Accordingly, the rigidity of conventional formulary based claims adjudication is eliminated in favor of dynamic and flexible real time claims adjudication.
    Type: Application
    Filed: October 27, 2010
    Publication date: May 3, 2012
    Applicant: MEDIMPACT HEALTHCARE SYSTEMS, INC.
    Inventors: Lori L. Anderson, Mai Ly Thi Hoang, Chi Shing Chan, Jose Eli J. Golez, JR.