Patents by Inventor R. Scott McMahon

R. Scott McMahon 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).

  • Patent number: 5359509
    Abstract: A computerized expert system reviews and adjudicates medical health care payment requests made by physicians to payers, such as insurers, for procedures performed and services and materials rendered to patients in the course of treatment. The system adjudicates a payment request to minimize fraud and mistakes and to determine whether to honor the request and if the request is honored, the dollar amount of the payment. The expert system reviews the payment request based on user-specified review criteria. Such criteria reflects contractual arrangements between payers, providers and patients, current, locally acceptable medical practices and patient and provider payment request patterns.
    Type: Grant
    Filed: October 31, 1991
    Date of Patent: October 25, 1994
    Assignee: United Healthcare Corporation
    Inventors: John P. Little, R. Scott McMahon, Mark Gingrich, Roleigh H. Martin