| Rules engine framework -> Monitor Keywords |
|
|
 
Rules engine frameworkRules engine framework description/claimsThe Patent Description & Claims data below is from USPTO Patent Application 20090271214, Rules engine framework. Brief Patent Description - Full Patent Description - Patent Application Claims
This application claims priority to U.S. Provisional Application Ser. No. 61/048,810 filed Apr. 29, 2008, and entitled “MMIS Health Enterprise Solution,” by Jack Devos, et al., which is incorporated herein by reference for all purposes. Not applicable. Not applicable. The United States Medicaid program was enacted in 1965 to provide a medical assistance program for individuals and families with low incomes. The Medicaid program comprises three main entities—the patients, the healthcare providers, and the agency administering the plan (i.e., the payer). The Medicaid program is financed through joint federal and state funding. The Medicaid program is administered by each state according to an approved state plan. The specifics of the Medicaid program differ from state to state. Differences may include covered healthcare procedures, allowable procedure costs, and patient eligibility criteria. The state administrators of the Medicaid program are required to have a Medicaid management information system (MMIS) that provides for mechanized and/or computerized Medicaid claims processing. Recently, the Medicaid information technology architecture (MITA) has been promulgated by the U.S. government to provide a blueprint and a set of standards that individual states are to follow in administering the Medicaid program and for developing the next generation MMIS. In an embodiment, an apparatus is disclosed. The apparatus comprises a computer system and an integrated development environment application. When executed on the computer system, the integrated development environment application promotes defining a plurality of rules based on a plurality of generic templates and automatically incorporating input value validation based on a type of a left hand variable into the rules. The rules, when executed by a healthcare management information system rules engine, promote enrollment of health care providers and healthcare system members and processing of healthcare claims. In another embodiment, a method of processing a healthcare claim is disclosed. The method comprises composing a rule from at least one of a generic template, system parameters custom template, a system list custom template, and a valid values custom template. The method also comprises invoking a business process function to process a healthcare claim and the business process invoking the rule to be processed by a rules engine. The method also comprises the rules engine returning the result of processing the rule in a rule return object and the business process approving payment the healthcare claim based on the rule return object. In another embodiment, a system is disclosed. The system comprises a computer system and a rules engine framework. When executed on the computer system, the rules engine framework promotes composing a plurality of rules. Each rule is composed at least in part from a left hand variable associated with a right hand input by an operator. The rules engine builder also automatically incorporates into the rules input value validation of the right hand input operand based on the type of the left hand variable. At least some of the rules are composed based on at least one of a generic template, system list custom template, a system parameters custom template, and a valid values custom template. The rules engine builder also builds a healthcare management information system rules engine based at least in part on a plurality of custom providers. The healthcare management information system rules engine promotes enrollment of health care providers and patients and promotes healthcare claims processing. These and other features will be more clearly understood from the following detailed description taken in conjunction with the accompanying drawings and claims. For a more complete understanding of the present disclosure, reference is now made to the following brief description, taken in connection with the accompanying drawings and detailed description, wherein like reference numerals represent like parts. Continue reading about Rules engine framework... Full patent description for Rules engine framework Brief Patent Description - Full Patent Description - Patent Application Claims Click on the above for other options relating to this Rules engine framework patent application. Patent Applications in related categories: 20090281831 - Automated configuration of medical practice management systems - A user (e.g., medical office manager, medical office insurance administrator, doctor) utilizes a medical practice configuration interface (e.g., web page) to input information about the user's medical practice (e.g., address, insurance plans, doctors, hospitals that the doctors utilize). Based on this information and/or rules associated with the insurance plans accepted ... 20090281831 - Automated configuration of medical practice management systems - A user (e.g., medical office manager, medical office insurance administrator, doctor) utilizes a medical practice configuration interface (e.g., web page) to input information about the user's medical practice (e.g., address, insurance plans, doctors, hospitals that the doctors utilize). Based on this information and/or rules associated with the insurance plans accepted ... 20090281825 - Automated patient flow management system - A patient flow management system includes a means for identifying a patient as the patient approaches an examination area. When the patient is identified, a patient encounter screen, which provides both patient data and medical procedure data, is provided in the examination area, thereby decreasing the need for paper charts ... 20090281825 - Automated patient flow management system - A patient flow management system includes a means for identifying a patient as the patient approaches an examination area. When the patient is identified, a patient encounter screen, which provides both patient data and medical procedure data, is provided in the examination area, thereby decreasing the need for paper charts ... 20090281830 - Collaboration marketplace platform system for research and management of chronic conditions - An integrated collaborative platform which allows for data sharing, data analysis, knowledge creation and sharing, problem solving, trading, and accelerated scientific discovery by collaborating teams which may be formed on an ad-hoc basis among users of the system is disclosed. The platform is designed to accelerate research and improve clinical ... 20090281830 - Collaboration marketplace platform system for research and management of chronic conditions - An integrated collaborative platform which allows for data sharing, data analysis, knowledge creation and sharing, problem solving, trading, and accelerated scientific discovery by collaborating teams which may be formed on an ad-hoc basis among users of the system is disclosed. The platform is designed to accelerate research and improve clinical ... 20090281827 - Integrated payment system and method of using same - An integrated payment system directed to the care of a subject and method of same is described herein. This system and method includes a care planner for accurately approximating the costs for the subject during the course of care, an insurance verifier and estimator that identifies the portion of the ... 20090281827 - Integrated payment system and method of using same - An integrated payment system directed to the care of a subject and method of same is described herein. This system and method includes a care planner for accurately approximating the costs for the subject during the course of care, an insurance verifier and estimator that identifies the portion of the ... 20090281826 - Process, knowledge, and intelligence management through integrated medical management system for better health outcomes, utilization cost reduction and provider reward programs - Disclosed herein is a computer implemented method and system for rewarding health care providers using an integrated medical management system. A web application analyzes performance of the health care providers. The web application acquires information from integrated medical management system. The acquired information includes information of health care quality improvement ... 20090281826 - Process, knowledge, and intelligence management through integrated medical management system for better health outcomes, utilization cost reduction and provider reward programs - Disclosed herein is a computer implemented method and system for rewarding health care providers using an integrated medical management system. A web application analyzes performance of the health care providers. The web application acquires information from integrated medical management system. The acquired information includes information of health care quality improvement ... 20090281828 - Sample store forecasting process and system - A method and system of predicting market information includes the steps of receiving first data, forecasting further data based on the first data, receiving second data and comparing the further data with the second data, and creating an adjustment factor to account for any difference between the further data and ... 20090281828 - Sample store forecasting process and system - A method and system of predicting market information includes the steps of receiving first data, forecasting further data based on the first data, receiving second data and comparing the further data with the second data, and creating an adjustment factor to account for any difference between the further data and ... 20090281824 - System and method for dispersing medications using a single point purchase - A computer system and method manages the dispersal and replenishment of medications. Participating health care providers are associated with a code that corresponds to medication units dispersed by a pharmacy. The amount of medication units corresponding to the code and dispersed to patients of the health care providers is tracked. ... 20090281824 - System and method for dispersing medications using a single point purchase - A computer system and method manages the dispersal and replenishment of medications. Participating health care providers are associated with a code that corresponds to medication units dispersed by a pharmacy. The amount of medication units corresponding to the code and dispersed to patients of the health care providers is tracked. ... 20090281823 - System and method for dispersing medications using a single point replenishment - A computer system and methods manages the dispersal and replenishment of medications. Participating pharmacies are associated with a code that corresponds to medication units dispersed by the pharmacies. The amount of medication units corresponding to the code and dispersed by the pharmacies is tracked. When the amount of dispersed medication ... 20090281823 - System and method for dispersing medications using a single point replenishment - A computer system and methods manages the dispersal and replenishment of medications. Participating pharmacies are associated with a code that corresponds to medication units dispersed by the pharmacies. The amount of medication units corresponding to the code and dispersed by the pharmacies is tracked. When the amount of dispersed medication ... 20090281822 - System and method to automate service delivery to medical equipment - A system and method to manage service delivery to a customer is provided. In one embodiment, a system may include a computing device that, in turn, includes a memory having a plurality of routines stored therein and a processor configured to execute the plurality of routines. The plurality of routines ... 20090281822 - System and method to automate service delivery to medical equipment - A system and method to manage service delivery to a customer is provided. In one embodiment, a system may include a computing device that, in turn, includes a memory having a plurality of routines stored therein and a processor configured to execute the plurality of routines. The plurality of routines ... 20090281829 - Systems, methods and computer program products for providing compliant messaging services - Systems, methods and computer program products for providing compliant messaging services are disclosed. Methods according to some embodiments include receiving input data from a campaign sponsor, encrypting at least a portion of the input data, generating a message schedule that includes message content, recipient identification data and temporal data corresponding ... 20090281829 - Systems, methods and computer program products for providing compliant messaging services - Systems, methods and computer program products for providing compliant messaging services are disclosed. Methods according to some embodiments include receiving input data from a campaign sponsor, encrypting at least a portion of the input data, generating a message schedule that includes message content, recipient identification data and temporal data corresponding ... ###  How KEYWORD MONITOR works... a FREE service from FreshPatents1. Sign up (takes 30 seconds). 2. Fill in the keywords to be monitored. 3. Each week you receive an email with patent applications related to your keywords. Start now! - Receive info on patent apps like Rules engine framework or other areas of interest. ### Previous Patent Application: Methods and systems for detecting a bioactive agent effect Next Patent Application: Electronic patient registration verification and payment system and method Industry Class: Data processing: financial, business practice, management, or cost/price determination ### FreshPatents.com Support Thank you for viewing the Rules engine framework patent info. IP-related news and info Results in 2.26354 seconds Other interesting Feshpatents.com categories: Canon USA , Celera Genomics , Cephalon, Inc. , Cingular Wireless , Clorox , Colgate-Palmolive , Corning , Cymer , paws |
 * Protect your Inventions * US Patent Office filing 
PATENT INFO |
|
