USRE44748E1 - Medical benefits payment system - Google Patents
Medical benefits payment system Download PDFInfo
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- USRE44748E1 USRE44748E1 US13/715,053 US201213715053A USRE44748E US RE44748 E1 USRE44748 E1 US RE44748E1 US 201213715053 A US201213715053 A US 201213715053A US RE44748 E USRE44748 E US RE44748E
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- 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
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- 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
- G06Q10/00—Administration; Management
- G06Q10/10—Office automation; Time management
Definitions
- This invention relates to facilitating payments for medical benefits, and more specifically to streamline the payment of health care providers by administrators and insurance carriers that handle claims adjudication and payment to these providers.
- Payers Third party administrators, insurance companies, and large self-funded corporations (herein “Payers”) adjudicate claims, compare them to the benefit plan and make the decision to write checks in payment for the claims.
- Payers are required to print checks and explanation of benefit (EOB) forms for delivery to the health care providers.
- EOB benefits
- the EOB lists the amount the health care provider billed the Payer's company and the amount the Payer's company paid on the claim. It may also list the contractual discount amount and the patient responsibility. If the claim is denied, the EOB will explain the reason for denial. It has been estimated that the check and EOB forms cost Payers approximately $4.50 each.
- a long-felt but unfulfilled need in the art is a system to reduce the transactional costs incurred by the payers and speed up the delivery and funding of payments by weeks.
- the present invention is a method of facilitating payment of health care benefits to a health care provider on behalf of a Payer, often an insurance company, government organization or self-insured entity.
- An embodiment of the invention includes the step of electronically transmitting a stored-value card account payment of the authorized benefit amount concurrently with an explanation of benefits.
- stored-value cards and stored-value card accounts shall also include financial instruments known as credit cards, debit cards and EFT cards.
- a credit card system is a type of retail transaction settlement and credit system, named after the small plastic card issued to users of the system.
- a credit card is different from a debit card in that it does not remove money from the user's account after every transaction. In the case of credit cards, the issuer lends money to the consumer (or the user).
- a debit card account provides an alternative payment method to cash when making purchases.
- the card When issued in physical form, the card is a ISO 7810 card like a credit card, however its functionality is more similar to writing a check as the funds are withdrawn directly from the cardholder's bank account; some cards are referred to as check cards.
- a stored-value card represents money on deposit with the issuer, and is similar to a debit card.
- One major difference between stored value cards and debit cards is that debit cards are usually issued in the name of individual account holders, while stored value cards are usually anonymous.
- the stored-value card account payment generally includes a card number with the pre-funded amount, a card verification value code and an expiration date.
- the payment and explanation of benefits may be transmitted by a number of methods including, but not limited to, fax, SMTP, SMS, MMS, HTTP, HTTPS, and FTP.
- the electronic transmission may include an electronically computer-generated image of a physical debit card and the unique debit card number is associated with a single benefit payment.
- Paid benefits charged to the associated debit card transaction may be reconciled via the unique card number generated and assigned to a single payment.
- the debit card is pre-funded only to the authorized benefit amount. Thus is it not possible to charge more than the authorized benefit amount.
- the stored-value card account payment may only be charged through a medical services terminal.
- the terminal may be coupled to a computer-implemented communications network as is known in the art for credit and debit card transactions.
- Another embodiment includes a method of facilitating payment of health care benefits to a health care provider including the steps of identifying the health care provider that renders medical services in anticipation of payment; identifying a payer that has agreed to pay the health care provider on behalf of a patient subject to preselected conditions; identifying an administrator that determines whether the medical services conducted by the service provider meet the preselected conditions by the payer, generates an explanation of benefits, and arranges for payment of the service provider if appropriate; intercepting the explanation of benefits and payment information transmitted from the administrator to the health care provider; acquiring a stored-value card account number for the amount of the check; merging the stored-value card account number with the explanation of benefits into an image file; and transmitting the image file to the health care provider.
- the image file may be transmitted by a number of methods including, but not limited to, fax, SMTP, SMS, MMS, HTTP, HTTPS, and FTP.
- the transmission may be implemented using a computer coupled to a network connection such as known in the art and required for transmissions such as FTP, HTTP, and the like.
- the charge incurred against the stored-value card account number may be reconciled to confirm the health care provider has been paid for the services approved by the administrator.
- the stored-value card account number is chargeable only through a medical services terminal.
- FIG. 1 (prior art) is an illustration of the current state-of-the-art.
- FIG. 2 is a flow-chart illustration of an embodiment of the invention.
- FIG. 3 is a diagrammatic view of an embodiment of the invention.
- FIG. 4 is an image of a merged EOB and stored-value card account payment according to an embodiment of the invention.
- insured patient 20 consumes services from health care provider 30 .
- Health care provider 30 submits a benefit claim to administrator 40 in order to receive payment.
- Administrator 40 may be a third party administrator, insurance company government entity, non-profit organization or the like.
- administrator 40 is considered any entity that adjudicates claims, compares them to the benefit plan and makes the decision to make payment for the services.
- Administrator 40 evaluates the claim made by health care provider 30 to determine whether all or a portion of the benefit claim is payable under the terms of the relevant policy issued by payer or plan sponsor (herein “payer”). 50 .
- Payer 50 funds funding account 70 in anticipation of benefit claims. If administrator 40 finds that a benefit claim is payable, it draws the money from funding account 70 .
- Administrator 40 then generates an explanation of benefits and a check for the benefit payment.
- the explanation of benefits and check are then sent concurrently to health care provider 30 .
- Drawbacks associated with the prior art include the cost and time associated with generating hardcopy checks and sending them by mail to health care provider 30 .
- claim 80 is received. Claim 80 is then evaluated to determine whether it is payable under the terms of an applicable policy. If claim 80 is not even partially payable, then non-payment EOB 90 is generated and transmitted to health care provider 30 without payment. However, if claim 80 is at least partially payable, then stored-value card account 100 is loaded with funds equal to the amount of the payable benefit. Payment EOB 110 is merged with stored-value card account 100 to generate image file 120 .
- Image file 120 includes payment EOB 110 and a computer-generated facsimile of a physical stored-value card complete with the card number, expiration date and security verification code. Image file 120 is transmitted to health care provider 30 by a suitable transmission medium including, but not limited to, fax, SMTP, SMS, MMS, HTTP, HTTPS, and FTP.
- insured 20 having coverage provided by payer 50 consumes services by health care provider 30 .
- Health care provider 30 then submits a benefit claim to administrator 40 which adjudicates the benefit claim in accordance with preexisting guidelines. If payment is appropriate on the benefit claim, a transfer of funds is made between payer's account 60 and its funding account 70 (to which administrator 40 has access).
- Stored-value card processor 130 then loads funds from funding account 70 onto a stored-value card account.
- the stored-value card account is chargeable only on a medical services terminal and it cannot be charged over the amount loaded onto it.
- the card number, the security verification code and the expiration date of the debit card account are merged with the explanation of benefits generated by administrator 40 into image file 140 which is then transmitted back to health care provider 30 .
- FIG. 4 illustrates an exemplary embodiment of a merged EOB and stored-value card account payment.
Abstract
A method of facilitating payment of health care benefits to on behalf of a payer comprising the step of electronically transmitting a stored-value card account payment of the authorized benefit amount concurrently with an explanation of benefits.
Description
Notice: More than one reissue applications have been filed for the reissue of U.S. Pat. No. 7,792,686. The reissue applications are the present application and application Ser. No. 13/358,620, which has issued into U.S. Pat. No. Re. 43,904. This application is a continuation reissue of application Ser. No. 13/358,620, which has issued into U.S. Pat. No. Re. 43,904, which is a reissue of U.S. Pat. No. 7,792,686.
This invention relates to facilitating payments for medical benefits, and more specifically to streamline the payment of health care providers by administrators and insurance carriers that handle claims adjudication and payment to these providers.
Third party administrators, insurance companies, and large self-funded corporations (herein “Payers”) adjudicate claims, compare them to the benefit plan and make the decision to write checks in payment for the claims. Currently, Payers are required to print checks and explanation of benefit (EOB) forms for delivery to the health care providers. The EOB lists the amount the health care provider billed the Payer's company and the amount the Payer's company paid on the claim. It may also list the contractual discount amount and the patient responsibility. If the claim is denied, the EOB will explain the reason for denial. It has been estimated that the check and EOB forms cost Payers approximately $4.50 each.
The inefficiencies to all Payers that must coordinate payment for medical services. This includes, but is not limited to, insurance carriers, government entities, and non-profit organizations.
A long-felt but unfulfilled need in the art is a system to reduce the transactional costs incurred by the payers and speed up the delivery and funding of payments by weeks.
The present invention is a method of facilitating payment of health care benefits to a health care provider on behalf of a Payer, often an insurance company, government organization or self-insured entity. An embodiment of the invention includes the step of electronically transmitting a stored-value card account payment of the authorized benefit amount concurrently with an explanation of benefits. For the purposes of this patent specification, stored-value cards and stored-value card accounts shall also include financial instruments known as credit cards, debit cards and EFT cards.
A credit card system is a type of retail transaction settlement and credit system, named after the small plastic card issued to users of the system. A credit card is different from a debit card in that it does not remove money from the user's account after every transaction. In the case of credit cards, the issuer lends money to the consumer (or the user).
A debit card account provides an alternative payment method to cash when making purchases. When issued in physical form, the card is a ISO 7810 card like a credit card, however its functionality is more similar to writing a check as the funds are withdrawn directly from the cardholder's bank account; some cards are referred to as check cards.
A stored-value card represents money on deposit with the issuer, and is similar to a debit card. One major difference between stored value cards and debit cards is that debit cards are usually issued in the name of individual account holders, while stored value cards are usually anonymous.
The stored-value card account payment generally includes a card number with the pre-funded amount, a card verification value code and an expiration date. The payment and explanation of benefits may be transmitted by a number of methods including, but not limited to, fax, SMTP, SMS, MMS, HTTP, HTTPS, and FTP. The electronic transmission may include an electronically computer-generated image of a physical debit card and the unique debit card number is associated with a single benefit payment.
Paid benefits charged to the associated debit card transaction may be reconciled via the unique card number generated and assigned to a single payment. In addition, the debit card is pre-funded only to the authorized benefit amount. Thus is it not possible to charge more than the authorized benefit amount. Furthermore, the stored-value card account payment may only be charged through a medical services terminal. The terminal may be coupled to a computer-implemented communications network as is known in the art for credit and debit card transactions.
Another embodiment includes a method of facilitating payment of health care benefits to a health care provider including the steps of identifying the health care provider that renders medical services in anticipation of payment; identifying a payer that has agreed to pay the health care provider on behalf of a patient subject to preselected conditions; identifying an administrator that determines whether the medical services conducted by the service provider meet the preselected conditions by the payer, generates an explanation of benefits, and arranges for payment of the service provider if appropriate; intercepting the explanation of benefits and payment information transmitted from the administrator to the health care provider; acquiring a stored-value card account number for the amount of the check; merging the stored-value card account number with the explanation of benefits into an image file; and transmitting the image file to the health care provider. The image file may be transmitted by a number of methods including, but not limited to, fax, SMTP, SMS, MMS, HTTP, HTTPS, and FTP. The transmission may be implemented using a computer coupled to a network connection such as known in the art and required for transmissions such as FTP, HTTP, and the like.
The charge incurred against the stored-value card account number may be reconciled to confirm the health care provider has been paid for the services approved by the administrator. As an added security precaution, the stored-value card account number is chargeable only through a medical services terminal.
For a fuller understanding of the invention, reference should be made to the following detailed description, taken in connection with the accompanying drawings, in which:
Turning to FIG. 1 (prior art), insured patient 20 consumes services from health care provider 30. Health care provider 30 submits a benefit claim to administrator 40 in order to receive payment. Administrator 40 may be a third party administrator, insurance company government entity, non-profit organization or the like. For the purposes of this specification, administrator 40 is considered any entity that adjudicates claims, compares them to the benefit plan and makes the decision to make payment for the services. Administrator 40 evaluates the claim made by health care provider 30 to determine whether all or a portion of the benefit claim is payable under the terms of the relevant policy issued by payer or plan sponsor (herein “payer”). 50. Payer 50 funds funding account 70 in anticipation of benefit claims. If administrator 40 finds that a benefit claim is payable, it draws the money from funding account 70. Administrator 40 then generates an explanation of benefits and a check for the benefit payment. The explanation of benefits and check are then sent concurrently to health care provider 30. Drawbacks associated with the prior art include the cost and time associated with generating hardcopy checks and sending them by mail to health care provider 30. A long-felt but unfulfilled need exists in the art to reduce this transactional cost and speed up payment of benefits to health care provider 30.
In FIG. 2 , claim 80 is received. Claim 80 is then evaluated to determine whether it is payable under the terms of an applicable policy. If claim 80 is not even partially payable, then non-payment EOB 90 is generated and transmitted to health care provider 30 without payment. However, if claim 80 is at least partially payable, then stored-value card account 100 is loaded with funds equal to the amount of the payable benefit. Payment EOB 110 is merged with stored-value card account 100 to generate image file 120. Image file 120 includes payment EOB 110 and a computer-generated facsimile of a physical stored-value card complete with the card number, expiration date and security verification code. Image file 120 is transmitted to health care provider 30 by a suitable transmission medium including, but not limited to, fax, SMTP, SMS, MMS, HTTP, HTTPS, and FTP.
In FIG. 3 , insured 20 having coverage provided by payer 50 consumes services by health care provider 30. Health care provider 30 then submits a benefit claim to administrator 40 which adjudicates the benefit claim in accordance with preexisting guidelines. If payment is appropriate on the benefit claim, a transfer of funds is made between payer's account 60 and its funding account 70 (to which administrator 40 has access). Stored-value card processor 130 then loads funds from funding account 70 onto a stored-value card account. The stored-value card account is chargeable only on a medical services terminal and it cannot be charged over the amount loaded onto it. The card number, the security verification code and the expiration date of the debit card account are merged with the explanation of benefits generated by administrator 40 into image file 140 which is then transmitted back to health care provider 30.
It will be seen that the advantages set forth above, and those made apparent from the foregoing description, are efficiently attained and since certain changes may be made in the above construction without departing from the scope of the invention, it is intended that all matters contained in the foregoing description or shown in the accompanying drawings shall be interpreted as illustrative and not in a limiting sense.
It is also to be understood that the following claims are intended to cover all of the generic and specific features of the invention herein described, and all statements of the scope of the invention which, as a matter of language, might be said to fall therebetween. Now that the invention has been described,
Claims (30)
1. A method of facilitating payment of adjudicated health care benefits to a health care provider on behalf of a payer comprising the steps of:
loading a unique, single-use, stored-value card account with an amount equal to a single, authorized benefit payment, the card account only chargeable through a medical services terminal;
generating an explanation of benefits associated with the payment;
creating a computer-generated image file containing the stored-value card account number, the amount, a card verification value code, an expiration date, and the explanation of benefits;
transmitting the image file by fax to the health care provider; and
reconciling the charged card account to confirm that the health care provider has received payment.
2. A method of facilitating payment of adjudicated health care benefits to a health care provider comprising:
identifying the health care provider that renders medical services in anticipation of payment;
identifying a payer that has agreed to pay the health care provider on behalf of a patient subject to preselected conditions;
identifying an administrator that determines whether the medical services conducted by the service provider meet the preselected conditions by the payer, generates an explanation of benefits, and authorizes payment of the service provider for an authorized amount;
intercepting the explanation of benefits and payment information transmitted from the administrator to the health care provider;
acquiring a single-use, stored-value card account number and loading it with funds equal to the authorized amount;
merging the stored-value card account number, the authorized amount, a card verification value code, and an expiration date with the explanation of benefits into a computer-generated image file; and
transmitting the image file to the health care provider via a computer-implemented transmission.
3. The method of claim 2 wherein the image file is transmitted by fax.
4. The method of claim 2 further comprising the step of reconciling the charge incurred against the stored-value card account number to confirm the health care provider has been paid for the services approved by the administrator.
5. The method of claim 2 wherein the stored-value card account number is chargeable only through a medical services terminal.
6. A method of facilitating payment of adjudicated health care benefits to a health care provider on behalf of a payer comprising the steps of:
loading a unique, single-use, stored-value card account with an amount equal to a single, authorized benefit payment, the card account only chargeable through a medical services terminal;
generating an explanation of benefits associated with the payment;
creating a computer-generated image file containing the stored-value card account number, the amount, a card verification value code, an expiration date, and the explanation of benefits;
transmitting the image file by a computer-implemented electronic transmission medium selected from the group consisting of fax, SMTP, SMS, MMS, HTTP, HTTPS, and FTP to the health care provider wherein the electronic transmission includes a computer-generated image of a physical card; and
reconciling the charged card account to confirm that the health care provider has received payment.
7. A method of facilitating payment of adjudicated health care benefits to a health care provider on behalf of a payer comprising the steps of:
adjudicating a benefit payment by evaluating a benefit claim under the terms of an applicable medical benefits policy and calculating an amount of a payable benefit;
creating a unique stored-value card account by one or more computers, the stored-value card account being chargeable only up to an authorized amount;
allocating funds within an account designated by a payer to the stored-value card account by one or more computers in the amount of the adjudicated benefit payment;
generating an explanation of benefits associated with the payment;
creating a file containing the stored-value card account number, the adjudicated benefit payment amount, a card verification value code, an expiration date, and the explanation of benefits by one or more computers; and
sending the file to the health care provider.
8. The method of claim 7 further comprising the step of reconciling the charged card account to confirm that the health care provider has received payment.
9. The method of claim 7 further comprising the step of providing a computer-generated image of a physical card in the transmitted file.
10. The method of claim 7 wherein the stored-value card account is only chargeable through a medical services terminal.
11. The method of claim 7, wherein the stored-value card is a debit card.
12. The method of claim 7, wherein the stored-value card is a credit card.
13. A system for payment of health care benefits combining payment terms and an explanation of benefits, the system comprising:
an explanation of benefits describing medical services provided to a patient by a health care provider, an amount billed by the health care provider and an amount paid by the patient's insurance company; and
a payment mechanism associated with the explanation of benefits, the payment mechanism merging a stored-value card account number, an adjudicated benefit payment amount, a card verification value code, and an expiration date with the explanation of benefits into a document by one or more computers;
wherein funds in the amount of a single, adjudicated benefit payment are allocated within an account designated by the insurance company to a unique, single-use, stored-value card account, the stored-value card account being chargeable only up to an authorized amount, and wherein the document is sent to the health care provider as payment for the medical services.
14. The system of claim 13 wherein the charged card account is reconciled to confirm that the health care provider has received payment.
15. The system of claim 13 wherein a computer-generated image of a physical card is provided in the transmitted document.
16. The system of claim 13 wherein the stored-value card account is only chargeable through a medical services terminal.
17. The method of claim 13, wherein the stored-value card is a debit card.
18. The method of claim 13, wherein the stored-value card is a credit card.
19. A computer implemented method for combining payment of health care benefits with an associated explanation of benefits, the method comprising:
receiving an explanation of benefits related to medical services provided by a health care provider;
receiving authorization to pay at least a portion of submitted charges associated with the explanation of benefits and the associated funds for payment;
allocating funds within an account designated by a payer to a unique, stored-value card account in an amount equal to the adjudicated benefit payment by one or more computers, the stored-value card account being chargeable only up to the authorized amount; and
merging the explanation of benefits with the stored-value card account number, the adjudicated benefit amount of payment, a card verification value code, and an expiration date in a file.
20. The media of claim 19 wherein the charged card account is reconciled to confirm that the health care provider has received payment.
21. The media of claim 19 wherein a computer-generated image of a physical card is provided in the merged file.
22. The media of claim 19 wherein the stored-value card account is only chargeable through a medical services terminal.
23. The method of claim 19, wherein the stored-value card is a debit card.
24. The method of claim 19, wherein the stored-value card is a credit card.
25. A system for payment of health care benefits to a health care provider, the system comprising:
an administration system operable to receive a benefit claim from the health care provider and to generate an explanation of benefits for the benefit claim along with an approved payment, wherein the amount of approved payment is adjudicated by evaluating the benefit claim under the terms of an applicable medical benefits policy; and
a card processing system operable to allocate funds within an account designated by a payer to a stored-value card account in an amount equal to the approved payment by one or more computers, the card processing system also operable to merge the explanation of benefits with the stored-value card account number by one or more computers, the adjudicated amount of payment, a card verification value code, and an expiration date in a file and to send the file to the health care provider as payment for the benefit claim.
26. The system of claim 25 wherein the charged card account is reconciled to confirm that the health care provider has received payment.
27. The system of claim 25 wherein a computer-generated image of a physical card is provided in the file.
28. The system of claim 25 wherein the stored-value card account is only chargeable through a medical services terminal.
29. The system of claim 25, wherein the stored-value card is a debit card.
30. The system of claim 25, wherein the stored-value card is a credit card.
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|---|---|---|---|
| US13/715,053 USRE44748E1 (en) | 2006-12-05 | 2012-12-14 | Medical benefits payment system |
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| US11/566,930 US7792686B2 (en) | 2006-12-05 | 2006-12-05 | Medical benefits payment system |
| US13/358,620 USRE43904E1 (en) | 2006-12-05 | 2012-01-26 | Medical benefits payment system |
| US13/715,053 USRE44748E1 (en) | 2006-12-05 | 2012-12-14 | Medical benefits payment system |
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| US13/715,053 Active 2029-07-07 USRE44748E1 (en) | 2006-12-05 | 2012-12-14 | Medical benefits payment system |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9799026B1 (en) | 2014-12-17 | 2017-10-24 | Supersede Solutions, LLC | Direct payment method using gateway exception handling |
| US11354753B1 (en) * | 2019-01-03 | 2022-06-07 | INMAR Rx SOLUTIONS, INC. | System for reconciling pharmacy payments based upon predicted claims and related methods |
| US11468442B1 (en) | 2014-09-02 | 2022-10-11 | Vpay, Inc. | Payment card reconciliation by authorization code |
Families Citing this family (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2000030044A2 (en) * | 1998-11-17 | 2000-05-25 | Prenet Corporation | Electronic payment system utilizing intermediary account |
| US20070150414A1 (en) * | 2004-01-07 | 2007-06-28 | Precash, Inc. | System and method for facilitating payment transactions |
| US8234214B2 (en) * | 2004-01-07 | 2012-07-31 | Precash, Inc. | System and method for facilitating large scale payment transactions |
| US8626536B2 (en) * | 2004-08-31 | 2014-01-07 | Electronic Commerce for Healthcare Organizations, Inc. | Intelligent router for medical payments |
| US7792686B2 (en) | 2006-12-05 | 2010-09-07 | Stoneeagle Services, Inc. | Medical benefits payment system |
| US8566240B2 (en) * | 2007-01-16 | 2013-10-22 | E2Interactive, Inc. | Systems and methods for the payment of customer bills utilizing payment platform of biller |
| US10614458B2 (en) * | 2009-08-14 | 2020-04-07 | Visa U.S.A. Inc. | Influenza vaccine administration payment device processing |
| US20120253989A1 (en) * | 2011-03-30 | 2012-10-04 | CPS Holdings, LLC | System and method for payment by virtual credit card |
| US8249893B1 (en) * | 2012-04-05 | 2012-08-21 | Stoneeagle Services, Inc. | Automated service provider payment method |
| US8332238B1 (en) | 2012-05-30 | 2012-12-11 | Stoneeagle Services, Inc. | Integrated payment and explanation of benefits presentation method for healthcare providers |
| US10068295B1 (en) | 2012-05-30 | 2018-09-04 | Vpay, Inc. | Merchant portal system with explanation of benefits |
| US9613183B2 (en) | 2013-02-11 | 2017-04-04 | Datavi, LLC | Post-authorization transaction bundling control |
| WO2014188435A1 (en) | 2013-05-23 | 2014-11-27 | Davidshield L.I.A. (2000) Ltd. | Automated reimbursement interactions |
| US10062075B2 (en) | 2013-11-04 | 2018-08-28 | E2Interactive, Inc. | Systems and methods for using a dual function medical benefits card |
| US11599885B1 (en) | 2014-08-30 | 2023-03-07 | Vpay, Inc. | System and method for virtual payment card fraud detection |
| US11494752B1 (en) * | 2019-11-01 | 2022-11-08 | Chandra Bondugula | System and method for pre-paid services |
Citations (24)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5590196A (en) | 1994-10-06 | 1996-12-31 | Connotech Experts Conseils Inc. | Secure payment method using facsimile |
| US5677955A (en) | 1995-04-07 | 1997-10-14 | Financial Services Technology Consortium | Electronic funds transfer instruments |
| US5832460A (en) | 1995-06-02 | 1998-11-03 | International Business Machines Corporation | Method and system for bill presentation and payment reconciliation |
| US5890129A (en) | 1997-05-30 | 1999-03-30 | Spurgeon; Loren J. | System for exchanging health care insurance information |
| US6003007A (en) | 1996-03-28 | 1999-12-14 | Dirienzo; Andrew L. | Attachment integrated claims system and operating method therefor |
| EP1049056A2 (en) | 1999-04-26 | 2000-11-02 | CheckFree Corporation | Electronic bill presentment and/or payment clearinghouse |
| US20010034618A1 (en) | 2000-02-24 | 2001-10-25 | Kessler David G. | Healthcare payment and compliance system |
| US20020194027A1 (en) | 2001-06-18 | 2002-12-19 | Smith Thomas L. | EOB distribution system |
| US20040249745A1 (en) | 2003-06-06 | 2004-12-09 | Baaren Sharon A. Van | System and method for automatically adjudicating transactions involving an account reserved for qualified spending |
| US20050033604A1 (en) | 1999-07-13 | 2005-02-10 | Mitan Technologies, Llc | Method and apparatus for settling claims between health care providers and third party payers |
| US20050086075A1 (en) * | 2003-10-15 | 2005-04-21 | Healthcare Finance Solutions, Inc. | Benefit management |
| US20050122953A1 (en) * | 2001-12-04 | 2005-06-09 | Gregor Ilic | Method and device for one-way or two-way data transmission |
| US20050209964A1 (en) | 2003-07-25 | 2005-09-22 | Allen Robert M | Method of Providing Secure Payment and Transaction Reconciliation |
| US20050261944A1 (en) | 2004-05-24 | 2005-11-24 | Rosenberger Ronald L | Method and apparatus for detecting the erroneous processing and adjudication of health care claims |
| US20060010016A1 (en) | 2003-05-01 | 2006-01-12 | Kossol Joyce L | System and method for reconciling an insurance payment with an insurance claim |
| US20070005402A1 (en) | 2005-07-01 | 2007-01-04 | First Data Corporation | Healthcare system and method for real-time claims adjudication and payment |
| US7383223B1 (en) | 2000-09-20 | 2008-06-03 | Cashedge, Inc. | Method and apparatus for managing multiple accounts |
| US7380707B1 (en) | 2004-02-25 | 2008-06-03 | Jpmorgan Chase Bank, N.A. | Method and system for credit card reimbursements for health care transactions |
| US7434729B2 (en) * | 2005-07-08 | 2008-10-14 | American Express Travel Related Services Company, Inc. | Healthcare card closed loop network |
| US20090222353A1 (en) | 2002-12-20 | 2009-09-03 | John Guest | Payment system |
| US7590557B2 (en) * | 2003-11-19 | 2009-09-15 | American Express Travel Related Services Company, Inc. | Healthcare card incentive program for multiple users |
| US7752134B2 (en) | 2001-03-20 | 2010-07-06 | United Parcel Service Of America, Inc. | Hybrid credit card transaction system |
| US7853524B2 (en) | 1991-07-25 | 2010-12-14 | Checkfree Corporation | Systems and methods for risk based determination of a form for crediting a payee on behalf of a payer |
| US8204766B2 (en) | 2001-08-15 | 2012-06-19 | Meridian Enterprises Corporation | Insurance claim payment card system |
Family Cites Families (20)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6188766B1 (en) | 1997-03-05 | 2001-02-13 | Cryptography Research, Inc. | Apparatus and method for confirming, timestamping, and archiving printer and telecopier transmissions |
| US6636833B1 (en) | 1998-03-25 | 2003-10-21 | Obis Patents Ltd. | Credit card system and method |
| US7104440B2 (en) | 1999-10-26 | 2006-09-12 | First Data Corporation | Money transfer systems and methods for travelers |
| US6980970B2 (en) | 1999-12-16 | 2005-12-27 | Debit.Net, Inc. | Secure networked transaction system |
| US6754640B2 (en) | 2000-10-30 | 2004-06-22 | William O. Bozeman | Universal positive pay match, authentication, authorization, settlement and clearing system |
| US7072842B2 (en) | 2001-01-08 | 2006-07-04 | P5, Inc. | Payment of health care insurance claims using short-term loans |
| US7246068B2 (en) | 2001-03-23 | 2007-07-17 | Thomas Jr James C | Computerized system for combining insurance company and credit card transactions |
| US7958049B2 (en) | 2001-11-01 | 2011-06-07 | Metavante Corporation | System and method for obtaining customer bill information and facilitating bill payment at biller websites |
| US6901387B2 (en) | 2001-12-07 | 2005-05-31 | General Electric Capital Financial | Electronic purchasing method and apparatus for performing the same |
| WO2003069441A2 (en) | 2002-02-11 | 2003-08-21 | Firmview | Multiparty transaction system |
| US7925518B2 (en) | 2002-04-19 | 2011-04-12 | Visa U.S.A. Inc. | System and method for payment of medical claims |
| US20040172312A1 (en) | 2002-11-15 | 2004-09-02 | Selwanes Ragui N. | Method, system and storage medium for facilitating multi-party transactions |
| US8793187B2 (en) | 2003-10-17 | 2014-07-29 | Nexxo Financial Corporation | Self-service money remittance with an access card |
| US7613620B2 (en) | 2005-06-07 | 2009-11-03 | Angadbir Singh Salwan | Physician to patient network system for real-time electronic communications and transfer of patient health information |
| US8660862B2 (en) | 2005-09-20 | 2014-02-25 | Visa U.S.A. Inc. | Determination of healthcare coverage using a payment account |
| WO2007146817A2 (en) | 2006-06-08 | 2007-12-21 | Visa Usa Inc. | System and method using extended authorization hold period |
| US7792686B2 (en) | 2006-12-05 | 2010-09-07 | Stoneeagle Services, Inc. | Medical benefits payment system |
| US20080281641A1 (en) | 2007-05-11 | 2008-11-13 | Paul Zane Pilzer | System and method for administering a group benefit plan |
| US8224678B2 (en) | 2009-01-20 | 2012-07-17 | Ametros Financial Corporation | Systems and methods for tracking health-related spending for validation of disability benefits claims |
| US9741077B2 (en) | 2010-01-22 | 2017-08-22 | Verient, Inc. | Systems and methods for controlling payment processing |
-
2006
- 2006-12-05 US US11/566,930 patent/US7792686B2/en not_active Ceased
-
2012
- 2012-01-26 US US13/358,620 patent/USRE43904E1/en not_active Expired - Fee Related
- 2012-12-14 US US13/715,053 patent/USRE44748E1/en active Active
Patent Citations (26)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7853524B2 (en) | 1991-07-25 | 2010-12-14 | Checkfree Corporation | Systems and methods for risk based determination of a form for crediting a payee on behalf of a payer |
| US5590196A (en) | 1994-10-06 | 1996-12-31 | Connotech Experts Conseils Inc. | Secure payment method using facsimile |
| US5677955A (en) | 1995-04-07 | 1997-10-14 | Financial Services Technology Consortium | Electronic funds transfer instruments |
| US5832460A (en) | 1995-06-02 | 1998-11-03 | International Business Machines Corporation | Method and system for bill presentation and payment reconciliation |
| US6003007A (en) | 1996-03-28 | 1999-12-14 | Dirienzo; Andrew L. | Attachment integrated claims system and operating method therefor |
| US6343310B1 (en) * | 1996-03-28 | 2002-01-29 | Dirienzo Andrew L. | Attachment integrated claims system and operating method therefor |
| US5890129A (en) | 1997-05-30 | 1999-03-30 | Spurgeon; Loren J. | System for exchanging health care insurance information |
| EP1049056A2 (en) | 1999-04-26 | 2000-11-02 | CheckFree Corporation | Electronic bill presentment and/or payment clearinghouse |
| US7792749B2 (en) | 1999-04-26 | 2010-09-07 | Checkfree Corporation | Dynamic biller list generation |
| US20050033604A1 (en) | 1999-07-13 | 2005-02-10 | Mitan Technologies, Llc | Method and apparatus for settling claims between health care providers and third party payers |
| US20010034618A1 (en) | 2000-02-24 | 2001-10-25 | Kessler David G. | Healthcare payment and compliance system |
| US7383223B1 (en) | 2000-09-20 | 2008-06-03 | Cashedge, Inc. | Method and apparatus for managing multiple accounts |
| US7752134B2 (en) | 2001-03-20 | 2010-07-06 | United Parcel Service Of America, Inc. | Hybrid credit card transaction system |
| US20020194027A1 (en) | 2001-06-18 | 2002-12-19 | Smith Thomas L. | EOB distribution system |
| US8204766B2 (en) | 2001-08-15 | 2012-06-19 | Meridian Enterprises Corporation | Insurance claim payment card system |
| US20050122953A1 (en) * | 2001-12-04 | 2005-06-09 | Gregor Ilic | Method and device for one-way or two-way data transmission |
| US20090222353A1 (en) | 2002-12-20 | 2009-09-03 | John Guest | Payment system |
| US20060010016A1 (en) | 2003-05-01 | 2006-01-12 | Kossol Joyce L | System and method for reconciling an insurance payment with an insurance claim |
| US20040249745A1 (en) | 2003-06-06 | 2004-12-09 | Baaren Sharon A. Van | System and method for automatically adjudicating transactions involving an account reserved for qualified spending |
| US20050209964A1 (en) | 2003-07-25 | 2005-09-22 | Allen Robert M | Method of Providing Secure Payment and Transaction Reconciliation |
| US20050086075A1 (en) * | 2003-10-15 | 2005-04-21 | Healthcare Finance Solutions, Inc. | Benefit management |
| US7590557B2 (en) * | 2003-11-19 | 2009-09-15 | American Express Travel Related Services Company, Inc. | Healthcare card incentive program for multiple users |
| US7380707B1 (en) | 2004-02-25 | 2008-06-03 | Jpmorgan Chase Bank, N.A. | Method and system for credit card reimbursements for health care transactions |
| US20050261944A1 (en) | 2004-05-24 | 2005-11-24 | Rosenberger Ronald L | Method and apparatus for detecting the erroneous processing and adjudication of health care claims |
| US20070005402A1 (en) | 2005-07-01 | 2007-01-04 | First Data Corporation | Healthcare system and method for real-time claims adjudication and payment |
| US7434729B2 (en) * | 2005-07-08 | 2008-10-14 | American Express Travel Related Services Company, Inc. | Healthcare card closed loop network |
Non-Patent Citations (4)
| Title |
|---|
| "AP vPayment XML Supplier Training", GE Corporate Payment Services, dated Jan. 26, 2005. |
| Petition for Covered Business Method Review as filed with the United States Patent Trial and Appeal Board In re Post-Grant Review of corresponding U.S. Patent No. RE43,904 on Aug. 19, 2013. |
| Preliminary Response and Exhibit 2001 as filed on Nov. 25, 2013 in corresponding Covered Business Method Review proceeding number CBM2013-00047. |
| Visa Commercial Solutions: Merchant Category Codes for IRS Form 1099-MISC Reporting, Visa U.S.A. Inc., 2004. |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11468442B1 (en) | 2014-09-02 | 2022-10-11 | Vpay, Inc. | Payment card reconciliation by authorization code |
| US9799026B1 (en) | 2014-12-17 | 2017-10-24 | Supersede Solutions, LLC | Direct payment method using gateway exception handling |
| US11354753B1 (en) * | 2019-01-03 | 2022-06-07 | INMAR Rx SOLUTIONS, INC. | System for reconciling pharmacy payments based upon predicted claims and related methods |
Also Published As
| Publication number | Publication date |
|---|---|
| USRE43904E1 (en) | 2013-01-01 |
| US7792686B2 (en) | 2010-09-07 |
| US20080133266A1 (en) | 2008-06-05 |
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