Dale L Rasmussen

US Patent:

20030208379, Nov 6, 2003

Filed:

Feb 21, 2003

Appl. No.:

10/372026

Inventors:

Robert Haskey - Seattle WA, US
Ted Mayhugh - Tigard OR, US
Dale Rasmussen - Fruit Heights UT, US
Sheryl Turner - Forest Grove OR, US
Diane Kenyon - S.E. Turner OR, US
Becky Bann - Lewiston ID, US
Patricia Schulz - West Linn OR, US
Bonita Bogen - Port Angeles WA, US
Hope Aguila - Renton WA, US
John Rusche - Lewiston ID, US
Gina Quesenberry - Lewiston ID, US
Marcia Panattoni - Boise ID, US

International Classification:

G06F017/60

US Classification:

705/002000

Abstract:

A system, method, and user interface for performing maintenance of procedure clinical edit data and associated clinical code editing rules. The system includes a health insurance company and at least one health care provider. The health insurance company includes a computer system with a graphical user interface tool for generating a plurality of health care procedure clinical code editing rules and clinical edit data, and a component for sending at least a portion of the generated plurality of health care procedure clinical code editing rules to a recipient over a data network. The health care provider includes a computer system coupled to the data network for receiving the sent plurality of health care procedure clinical code editing rules and for presenting the received plurality of clinical code editing rules for review. The health care provider also includes a means for entering a claim for one or more performed health care procedures based on review of the plurality of clinical code editing rules.