David Scott Macleod

US Patent:

20130166311, Jun 27, 2013

Filed:

Dec 21, 2011

Appl. No.:

13/332675

Inventors:

Michael Stock - Westminster CO, US
David MacLeod - Greenwood Village CO, US
Rob Campolieto - Greenwood Village CO, US
Bill Monday - Greenwood Village CO, US
Darin Osburn - Greenwood Village CO, US
Tom Reising - Greenwood Village CO, US
Michael Saxbury - Greenwood Village CO, US
Brent Schmoker - Greenwood Village CO, US
Calvin Griffin - Greenwood CO, US
Monte Hartman - Erie CO, US
Terry Mayer - Greenwood Village CO, US

Assignee:

The TriZetto Group - Greenwood Village CO

International Classification:

G06F 9/44
G06Q 50/22
G06Q 40/08

US Classification:

705 2, 717170

Abstract:

A reference architecture embodies a common, consistent, known best practice base reference architecture and configuration that may then be used for cloning out for the base of every customer environment. Given this base, the service provider is able to control the full functionality solution layer to provide the platform for consistent monitoring, patching, upgrading, etc. Accordingly, the service provider's application solution is an integrated appliance that can contain whatever is necessary at the solution layer to allow the service provider to remotely (or within the hosting center) support, maintain and gather key system metrics to promote optimal customer performance, decrease cost of implementation/support/ownership and vastly increase service offering base.

US Patent:

20190259001, Aug 22, 2019

Filed:

May 2, 2019

Appl. No.:

16/401410

Inventors:

- Englewood CO, US
David MacLeod - Denver CO, US

Assignee:

Cognizant TriZetto Software Group, Inc. - Englewood CO

International Classification:

G06Q 10/10

Abstract:

Methods and systems for payment assurance and claim pre-validation are described. In one embodiment, a pre-visit claim for health care related services is received for payment assurance. In response to the pre-visit claim, a payer is queried for pre-visit claim detail information indicating any payment or authorization issues for services to be rendered. The pre-visit claim may be updated in certain embodiments based on the pre-visit claim detail information, and an appointment may be scheduled for services. In other aspects, a claim for health care related services is received for pre-validation. In response, a payer is queried for claim detail information indicating any payment or authorization issues for the claim. The claim may be updated in certain embodiments based on the claim detail information, and payment for services rendered may be provided by a payer in response to a submitted claim.