Stephen P Ferraro

US Patent:

20030216946, Nov 20, 2003

Filed:

May 16, 2002

Appl. No.:

10/146861

Inventors:

Stephen Ferraro - Double Oak TX, US

International Classification:

G06F017/60

US Classification:

705/004000

Abstract:

A medical claims repricing system () and method () of repricing claims from multiple PPO networks and from both primary and secondary healthcare providers. The system () comprises a terminal () for accepting and processing medical claims data and processing software () operably associated with the terminal () and adapted for receiving the data in a core claim record () and automatically repricing a medical claim by comparing and validating the claim against a plurality of client, plan and group records ().