DE19641357A1 - Electronic service point for healthcare insurance - Google Patents
Electronic service point for healthcare insuranceInfo
- Publication number
- DE19641357A1 DE19641357A1 DE19641357A DE19641357A DE19641357A1 DE 19641357 A1 DE19641357 A1 DE 19641357A1 DE 19641357 A DE19641357 A DE 19641357A DE 19641357 A DE19641357 A DE 19641357A DE 19641357 A1 DE19641357 A1 DE 19641357A1
- Authority
- DE
- Germany
- Prior art keywords
- health
- long
- service point
- term care
- personal
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
Classifications
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q40/00—Finance; Insurance; Tax strategies; Processing of corporate or income taxes
- G06Q40/02—Banking, e.g. interest calculation or account maintenance
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q40/00—Finance; Insurance; Tax strategies; Processing of corporate or income taxes
- G06Q40/08—Insurance
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
- G16H10/65—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records stored on portable record carriers, e.g. on smartcards, RFID tags or CD
Abstract
Description
Projektinhalt:
Infos der Kasse / Pflegekasse, Vordrucke, Beitragskonten-Ausdrucke, Rückruftaste.Project content:
Information from the cash register / long-term care fund, forms, contribution account printouts, callback button.
Das Projekt ergänzt den Kundenservice der Kranken- und Pflegekassen oder ersetzt diesen teilweise. Durch einen Rund-um-die Uhr-Service ist die Kasse auch in drin genden Fällen außerhalb der Öffnungszeiten für den Kunden erreichbar. Die Kran kenkasse wäre beispielsweise auch in strukturschwachen Regionen präsent, für die eine Geschäftsstelle unrentabel wäre.The project complements or replaces the customer service of the health and long-term care insurance funds this partially. With a round-the-clock service, the cash register is also inside in cases outside of opening hours for the customer. The crane For example, kenkasse would also be present in structurally weak regions for which an office would be unprofitable.
Projektmittel - Stufe 1: KV-Karte, computergesteuerter Automat, Datenleitung an
Kasse/Rechenzentrum
Stufe 2: KV-Karte mit PIN, computergesteuerter Automat, Datenleitung
an Kasse/Rechenzentrum
Projektablauf:
Automat mit entsprechendem Kassenlogo an exponierten Stellen (z. B. Vorraum der
Krankenkassen, Banken, Einkaufszentren, Werkskantinen und dergl.) installieren.Project funds - Level 1: KV card, computer-controlled machine, data line to cash register / data center
Level 2: KV card with PIN, computer-controlled machine, data line to the cash register / data center
Project process:
Install the machine with the corresponding cash register logo at exposed locations (e.g. anteroom of the health insurance companies, banks, shopping centers, company canteens and the like).
Versicherte steckt seine Versichertenkarte in den Automat seiner Krankenkasse. Dieser erkennt die Kasse. In der Version der 2. Stufe fordert er hier zur Eingabe des PIN auf. Für Fremdkassenmitglieder erfolgt der Hinweis: "Keine Berechtigung". Da nach prüft der Automat die aktuelle Mitgliedschaft. Bei Ablauf der Mitgliedschaft er folgt ein Abbruch des Vorganges. Es erscheint ein entsprechender Hinweis auf dem Bildschirm, daß kein Dialog möglich ist und man sich mit der Kasse in Verbindung setzen soll. Bei bestehender Mitgliedschaft wird das Hauptmenü angeboten.The insured person puts his insurance card in the machine of his health insurance company. This recognizes the cash register. In the version of the 2nd stage he asks for the input of the PIN on. For third-party cash register members, the message is: "No authorization". There The machine then checks the current membership. When membership expires the process is terminated. A corresponding note appears on the Screen that no dialogue is possible and you can contact the cash register should put. With existing membership, the main menu is offered.
Hauptmenü-Auswahlpunkte:
Allgemeine Info/Vordrucke/Antragstellung/Kontoauszüge/Rückruf ge
wünscht
Haupt-Menüpunkt: Allgemeine Info:
Dieser Menüpunkt wird nochmals unterteilt in
Krankenkassen-Leistungen
Pflegeversicherungs-Leistungen
Auslands-Krankenversicherung
aktuelle Infos, Nachrichtenbox
freiwillige Mitgliedschaft
Versicherung
Kassenwahlfreiheit
Beiträge.Main menu selection items:
General information / forms / application / account statements / callback requested
Main menu item: General information:
This menu item is divided again into
Health insurance benefits
Long-term care benefits
Foreign health insurance
current information, message box
voluntary membership
insurance
Freedom of choice
Contributions.
Diese Untermenüpunkte werden dann durch antippen der entsprechenden Aus wahltasten angewählt und entsprechend den Vorgaben der Kassen inhaltlich be schrieben. Am Ende des Inhalts erfolgt ggfs. ein Hinweis für den Ausdruck des For mulars über die Option Vordrucke/Ausdrucke (z. B. Hierfür wählen Sie das Formular 45 unter der Option Vordrucke/Antragsstellung im Hauptmenü). Die nachfolgende Unterteilung ist flexibel und kann je nach Bedarf ergänzt bzw. bestückt werden.These submenu items are then touched by the corresponding off Selection buttons selected and the content according to the requirements of the cash register wrote. At the end of the content there may be a note for the printout of the For mulars via the option forms / printouts (e.g. select the form for this 45 under the option forms / application in the main menu). The following Subdivision is flexible and can be supplemented or equipped as required.
Untermenüpunkt Krankenkassen-Leistungen:*
Krankengeld
Krankengeld bei Kindeserkrankung
Haushaltshilfe
Befreiung von Zuzahlungen
Kuren
Zahnersatz
Mutterschaftsgeld
Fahrtkosten.Submenu item Health insurance benefits: *
Sick pay
Child sickness benefit
Home help
Exemption from co-payments
Cures
dentures
Maternity benefit
Ride costs.
Untermenü Pflegeversicherungs-Leistungen:*
Pflegegeld Stufe 1
Pflegegeld Stufe 2
Pflegegeld Stufe 3
Pflegesachleistungen
Häusliche Pflege bei Verhinderung der Pflegerin
Stationäre Pflege
Kurzzeitpflege
Pflegekurse.
Care insurance benefits submenu: *
Care allowance level 1
Care allowance level 2
Care allowance level 3
Nursing benefits
Home care if the nurse is prevented
Inpatient care
Short-term care
Nursing courses.
Untermenü Auslands-Krankenversicherung:*
Schweiz
Türkei
Jugoslawien
Tunesien
EG-Staaten (Frankreich, Italien, Spanien, Niederlanden, Österreich, . . .)
Rumänien und andere Ostblock-Staaten
Außerhalb Europas
Private Auslands-Reise-Krankenversicherung.Foreign health insurance submenu: *
Switzerland
Turkey
Yugoslavia
Tunisia
EC countries (France, Italy, Spain, Netherlands, Austria,...)
Romania and other Eastern Bloc countries
Outside of Europe
Private travel health insurance abroad.
Untermenü Aktuelle Informationen, Nachrichtenbox:*
Geschäftsstellen/Adressen/
Beitragssätze
Selbstverwaltung
Wir über uns (Größe, Mitarbeiterzahl, Haushaltsvolumen,. . . )
Sozialpolitik
Pressebox.Current information submenu, message box: *
Offices / addresses /
Contribution rates
Self-government
About us (size, number of employees, household volume,...)
Social policy
Press box.
Untermenü Freiwillige Mitgliedschaft:*
Antragstellung
Höhe der Beiträge
Pflegeversicherungsbeiträge
Selbständige
Kostenerstattung.Sub-menu voluntary membership: *
application
Amount of contributions
Long-term care insurance contributions
Self-employed
Reimbursement.
Untermenü Versicherung:*
Familienversicherung
Mitgliedsbescheinigung
Studentenbescheinigung
Antrag auf Sozialversicherungsausweis
Namensänderung/Adressenänderung/neue KV-Karte
Meldung für Beschäftigte
Meldung für geringfügig Beschäftigte.Insurance submenu: *
Family insurance
Membership certificate
Student certificate
Application for social security card
Name change / change of address / new KV card
Notification for employees
Notification for marginally employed.
Untermenü Kassenwahlfreiheit:*
Mitgliedsbescheinigung bei Arbeitgeberwechsel
Kassenwechsel für Familienangehörige
Kurzübersicht
Unser Angebot - Ihr Vorteil.
Freedom of choice submenu: *
Membership certificate when changing employers
Cash register change for family members
Brief overview
Our offer - your advantage.
Untermenü Beiträge:*
Beitragssätze
Beiträge zur Krankenversicherung
Beiträge zur Pflegeversicherung
Beitragshöhe
Beitragsvergleich
Beiträge für Studenten.Submenu Posts: *
Contribution rates
Health insurance contributions
Long-term care insurance contributions
Contribution amount
Post comparison
Student contributions.
* Das Menü kann nach Bedarf variiert werden!* The menu can be varied as required!
Dieses Menü besteht aus max. 99 der gängigsten Formulare. Der Vordruck wird gewählt und (ggf. personalisiert) aus gedruckt.This menu consists of max. 99 of the most common forms. The form is selected and (if necessary personalized) printed.
In der Version der Stufe 1 wird diese Option
nicht belegt.
Stufe 2: Dieser Menüpunkt wird nochmals unterteilt in:
Leistungsübersicht - Leistungsübersicht der letzten 2 Jahre wird auf Wunsch ausge
druckt
Versicherungszeiten - werden ausgedruckt
Beitragskonto - nur für freiwillige Selbstzahler -Kontostand wird eingesehen und aus
gedruckt.This option is not used in the level 1 version.
Level 2: This menu item is divided into:
Service overview - Service overview of the last 2 years can be printed out on request Insurance times - will be printed out Contribution account - only for voluntary self-payers - the balance will be viewed and printed out.
Hier kann der Kunde seine Telefonnummer und die Zeit hinterlassen, an der er den Rückruf wünscht. Die Kasse erhält auf dem Monitor den Hinweis "You have mail". Der Kundenberater druckt sich die e-mail aus und erledigt diese.Here the customer can leave his telephone number and the time at which he Call me back. The cash register receives the message "You have mail" on the monitor. The customer advisor prints out the e-mail and takes care of it.
Nachdem die Punkte abgearbeitet sind, wird der Kunde gefragt: Vorgang beenden - dann erfolgt Auswahlmenü - ja, nein. Bei ja, Beendigung des Vorganges; die KV - Karte wird erst dann wieder vom Automaten zurückgegeben, wenn der Ausdruck beendet ist. Wird nein gewählt, so erfolgt die Rückführung zum Hauptmenü. Durch drücken der Abbruch-Taste kann der Kunde den Vorgang jederzeit beenden, es sei denn, es läge bereits ein Druckauftrag vor.After the points have been processed, the customer is asked: Finish the process - then there is a selection menu - yes, no. If yes, end the process; the KV - The card will only be returned by the machine once the printout has been made is finished. If you select no, you will be returned to the main menu. By pressing the cancel button, the customer can end the process at any time, unless there is already a print job.
Claims (2)
Wir erheben Anspruch auf das Verfahren dieser elektronischen Servicestelle.
Die Servicestelle ist dadurch gekennzeichnet, daß
- - ein Datensichtgerät mit Drucker ist während und außerhalb der Öffnungszeiten den Kunden der Kranken- und Pflegekasse zugänglich
- - das Datensichtgerät ist über eine Schnittstelle mit dem Rechenzentrum verbunden
- - ein spezielles Benutzerprogramm ermöglicht einen individuellen Dialog mit den eigenen, persönlichen Daten der Kranken- und Pflegekasse
- - der Datenschutz ist gewährleistet durch Verwendung der persönlichen KV-Karte, die mit einer persönlichen Identifikationsnummer (PIN) ausgestattet ist und einen Mißbrauch daher verhindert
- - alle Dienstleistungen der Kranken- und Pflegeversicherung können unpersönlich angeboten werden
- - benötigte Formulare werden ausgedruckt; Informationen können ausgetauscht werden
- - die Servicestelle e-KV 24 kann an jedem beliebigen Ort installiert werden.
We claim the procedure of this electronic service point.
The service point is characterized in that
- - A data display device with printer is accessible to the health and long-term care insurance customers during and outside of opening hours
- - The data display device is connected to the data center via an interface
- - A special user program enables an individual dialogue with your own personal data from the health and long-term care insurance fund
- - Data protection is guaranteed by using the personal KV card, which is equipped with a personal identification number (PIN) and therefore prevents misuse
- - All health and long-term care insurance services can be offered impersonally
- - Required forms are printed out; Information can be exchanged
- - The service center e-KV 24 can be installed anywhere.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19641357A DE19641357A1 (en) | 1996-10-08 | 1996-10-08 | Electronic service point for healthcare insurance |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE19641357A DE19641357A1 (en) | 1996-10-08 | 1996-10-08 | Electronic service point for healthcare insurance |
Publications (1)
Publication Number | Publication Date |
---|---|
DE19641357A1 true DE19641357A1 (en) | 1998-04-09 |
Family
ID=7808100
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE19641357A Withdrawn DE19641357A1 (en) | 1996-10-08 | 1996-10-08 | Electronic service point for healthcare insurance |
Country Status (1)
Country | Link |
---|---|
DE (1) | DE19641357A1 (en) |
Cited By (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0810538A3 (en) * | 1996-05-28 | 1999-01-20 | Fujitsu Limited | Management system for using IC card with registered personal information |
US5965860A (en) * | 1996-05-28 | 1999-10-12 | Fujitsu Limited | Management system for using IC card with registered personal information |
WO2002041133A2 (en) * | 2000-10-16 | 2002-05-23 | Electronics For Imaging, Inc. | Print driver apparatus and methods for forwarding a print job over a network |
US6748471B1 (en) | 2000-10-16 | 2004-06-08 | Electronics For Imaging, Inc. | Methods and apparatus for requesting and receiving a print job via a printer polling device associated with a printer |
US6859832B1 (en) | 2000-10-16 | 2005-02-22 | Electronics For Imaging, Inc. | Methods and systems for the provision of remote printing services over a network |
US7095518B1 (en) | 2000-10-16 | 2006-08-22 | Electronics For Imaging, Inc. | Spooling server apparatus and methods for receiving, storing, and forwarding a print job over a network |
US7528974B2 (en) | 2003-02-28 | 2009-05-05 | Electronics For Imaging, Inc. | Methods and apparatus for providing universal print services and asynchronous message services |
US7574545B2 (en) | 2000-10-16 | 2009-08-11 | Electronics For Imaging, Inc. | Method and apparatus for controlling a document output device with a control request stored at a server |
US8099302B2 (en) | 2000-01-21 | 2012-01-17 | The Trizetto Group, Inc. | Method of increasing efficiency in a medical claim transaction, and computer program capable of executing same |
US8160905B2 (en) | 1999-10-14 | 2012-04-17 | The Trizetto Group, Inc. | Method and apparatus for repricing a reimbursement claim against a contract |
US8214230B1 (en) | 2000-11-21 | 2012-07-03 | The Trizetto Group, Inc. | Health plan management method and apparatus |
US8756075B1 (en) | 2011-05-18 | 2014-06-17 | Trizetto Corporation | System and method for processing payment bundles |
US8768729B2 (en) | 2004-10-14 | 2014-07-01 | Trizetto Corporation | System and method for using a first electronic representation of contract terms for generating a second electronic representation of the contract terms |
US10296976B1 (en) | 2011-09-23 | 2019-05-21 | Cognizant Trizetto Software Group, Inc. | System and method for calculating estimated payment based on partial coding data |
US10318923B1 (en) | 2012-08-01 | 2019-06-11 | Cognizant Trizetto Software Group, Inc. | Payment assurance and claim pre-validation |
-
1996
- 1996-10-08 DE DE19641357A patent/DE19641357A1/en not_active Withdrawn
Non-Patent Citations (1)
Title |
---|
Service für die Gesundheit. In: IBM Nachrichten 41, 1991, H. 305, S.45 bis 48 * |
Cited By (33)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5965860A (en) * | 1996-05-28 | 1999-10-12 | Fujitsu Limited | Management system for using IC card with registered personal information |
EP0810538A3 (en) * | 1996-05-28 | 1999-01-20 | Fujitsu Limited | Management system for using IC card with registered personal information |
US8666787B2 (en) | 1999-10-14 | 2014-03-04 | Trizetto Corporation | Method and apparatus for repricing a reimbursement claim against a contract |
US8407071B2 (en) | 1999-10-14 | 2013-03-26 | The Trizetto Group, Inc. | Method and apparatus for repricing a reimbursement claim against a contract |
US8160905B2 (en) | 1999-10-14 | 2012-04-17 | The Trizetto Group, Inc. | Method and apparatus for repricing a reimbursement claim against a contract |
US8099302B2 (en) | 2000-01-21 | 2012-01-17 | The Trizetto Group, Inc. | Method of increasing efficiency in a medical claim transaction, and computer program capable of executing same |
US10289804B2 (en) | 2000-01-21 | 2019-05-14 | Cognizant Trizetto Software Group, Inc. | Method of increasing efficiency in a medical claim transaction, and computer program capable of executing same |
US8738402B2 (en) | 2000-01-21 | 2014-05-27 | Trizetto Corporation | Medical of increasing efficiency in a medical claim transaction, and computer program capable of executing same |
US8494876B2 (en) | 2000-01-21 | 2013-07-23 | The Trizetto Group, Inc. | Method of increasing efficiency in a medical claim transaction, and computer program capable of executing same |
US7095518B1 (en) | 2000-10-16 | 2006-08-22 | Electronics For Imaging, Inc. | Spooling server apparatus and methods for receiving, storing, and forwarding a print job over a network |
US6748471B1 (en) | 2000-10-16 | 2004-06-08 | Electronics For Imaging, Inc. | Methods and apparatus for requesting and receiving a print job via a printer polling device associated with a printer |
WO2002041133A2 (en) * | 2000-10-16 | 2002-05-23 | Electronics For Imaging, Inc. | Print driver apparatus and methods for forwarding a print job over a network |
US7552207B2 (en) | 2000-10-16 | 2009-06-23 | Electronics For Imaging, Inc. | Systems for the provision of printing services |
US7574546B2 (en) | 2000-10-16 | 2009-08-11 | Electronics For Imaging, Inc. | Methods and apparatus for requesting and receiving a print job at a printer |
US7574545B2 (en) | 2000-10-16 | 2009-08-11 | Electronics For Imaging, Inc. | Method and apparatus for controlling a document output device with a control request stored at a server |
US7343438B2 (en) | 2000-10-16 | 2008-03-11 | Electronics For Imaging, Inc. | Methods and apparatus for requesting and receiving a print job via a polling device associated with a printer |
US7093046B2 (en) | 2000-10-16 | 2006-08-15 | Electronics For Imaging, Inc. | Methods and apparatus for securely requesting and receiving a print job via a printer polling device associated with a printer |
WO2002041133A3 (en) * | 2000-10-16 | 2003-03-20 | Electronics For Imaging Inc | Print driver apparatus and methods for forwarding a print job over a network |
US6978299B1 (en) | 2000-10-16 | 2005-12-20 | Electronics For Imaging, Inc. | Print driver apparatus and methods for forwarding a print job over a network |
US6859832B1 (en) | 2000-10-16 | 2005-02-22 | Electronics For Imaging, Inc. | Methods and systems for the provision of remote printing services over a network |
US7460265B2 (en) | 2000-10-16 | 2008-12-02 | Electronics For Imaging, Inc. | Apparatus and methods for printing a print job over a network |
US8706524B2 (en) | 2000-11-21 | 2014-04-22 | Trizetto Corporation | Health plan management method and apparatus |
US8214230B1 (en) | 2000-11-21 | 2012-07-03 | The Trizetto Group, Inc. | Health plan management method and apparatus |
US9727695B2 (en) | 2000-11-21 | 2017-08-08 | Cognizant Trizetto Software Group, Inc. | Health plan management method and apparatus |
US7528974B2 (en) | 2003-02-28 | 2009-05-05 | Electronics For Imaging, Inc. | Methods and apparatus for providing universal print services and asynchronous message services |
US8768729B2 (en) | 2004-10-14 | 2014-07-01 | Trizetto Corporation | System and method for using a first electronic representation of contract terms for generating a second electronic representation of the contract terms |
US10762570B2 (en) | 2004-10-14 | 2020-09-01 | Cognizant Trizetto Software Group, Inc. | System and method for using a first electronic representation of contract terms for generating a second electronic representation of the contract terms |
US8756075B1 (en) | 2011-05-18 | 2014-06-17 | Trizetto Corporation | System and method for processing payment bundles |
US10262374B2 (en) | 2011-05-18 | 2019-04-16 | Cognizant Trizetto Software Group, Inc. | System and method for processing payment bundles |
US10937106B2 (en) | 2011-05-18 | 2021-03-02 | Cognizant Trizetto Software Group, Inc. | System and method for processing payment bundles |
US10296976B1 (en) | 2011-09-23 | 2019-05-21 | Cognizant Trizetto Software Group, Inc. | System and method for calculating estimated payment based on partial coding data |
US10318923B1 (en) | 2012-08-01 | 2019-06-11 | Cognizant Trizetto Software Group, Inc. | Payment assurance and claim pre-validation |
US10733567B2 (en) | 2012-08-01 | 2020-08-04 | Cognizant Trizetto Software Group, Inc. | Payment assurance and claim pre-validation |
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