Method and system for enhanced medical triage
    1.
    发明授权
    Method and system for enhanced medical triage 有权
    加强医疗分诊的方法和制度

    公开(公告)号:US08332234B1

    公开(公告)日:2012-12-11

    申请号:US12106635

    申请日:2008-04-21

    CPC classification number: G06Q10/087 G06F19/00 G06Q10/06 G06Q40/08 G06Q50/22

    Abstract: The present invention relates to a method and system for enhanced medical triage in managed care plans that streamlines the conventional medical triage process and referral logic, sends only those insurance claims to an integrated case management system that require medical intervention, matches claims to the right resource at the right time, reduces the time needed to review lost time cases, lessens the number of unnecessary referrals or re-referrals, and further tailors the assignment process of medical insurance claims to medical personnel based on specific market and/or employer dedication.

    Abstract translation: 本发明涉及一种在管理型医疗计划中加强医疗分诊的方法和系统,其简化了常规医疗分诊过程和转诊逻辑,仅将那些保险索赔发送到需要医疗干预的综合病例管理系统,将权利要求与正确的资源相匹配 在合适的时间缩短审查失踪时间案件所需的时间,减少不必要的转介或重新转介的次数,并根据具体的市场和/或雇主的奉献精神进一步调整医疗保险索赔的转让过程。

    Method and system for knowledge management and effective mentoring of insurance claim professionals
    2.
    发明授权
    Method and system for knowledge management and effective mentoring of insurance claim professionals 有权
    保险理赔专业人员知识管理和有效指导的方法和制度

    公开(公告)号:US07769624B1

    公开(公告)日:2010-08-03

    申请号:US10648808

    申请日:2003-08-27

    CPC classification number: G06Q10/10 G06Q10/06395 G06Q30/0202 G06Q40/08

    Abstract: The present invention relates to a method and system for virtual mentoring of a group of individuals based on the management of their work-related knowledge. According to the embodiments of the present invention, collective experience and intellectual capital of an organization and its personnel are efficiently and intelligently gathered to provide “just-in-time” training/mentoring of the organization's personnel to enhance job performance and satisfaction and to achieve Quality Management (QM) results/outcomes. The training/mentoring can be requested by or automatically provided to the personnel via various designated access locations.

    Abstract translation: 本发明涉及一种基于其工作相关知识管理的一组个人的虚拟辅导的方法和系统。 根据本发明的实施例,组织及其人员的集体经验和智力资本得到高效智能的收集,为组织人员提供“及时”的培训/指导,提高工作绩效和满意度,实现 质量管理(QM)结果/结果。 培训/指导可以通过各种指定的访问位置来请求或自动提供给人员。

    Method and system for enhanced medical triage
    3.
    发明授权
    Method and system for enhanced medical triage 有权
    加强医疗分诊的方法和制度

    公开(公告)号:US07363240B1

    公开(公告)日:2008-04-22

    申请号:US10084326

    申请日:2002-02-28

    CPC classification number: G06Q10/087 G06F19/00 G06Q10/06 G06Q40/08 G06Q50/22

    Abstract: The present invention relates to a method and system for enhanced medical triage in managed care plans that streamlines the conventional medical triage process and referral logic, sends only those insurance claims to an integrated case management system that require medical intervention, matches claims to the right resource at the right time, reduces the time needed to review lost time cases, lessens the number of unnecessary referrals or re-referrals, and further tailors the assignment process of medical insurance claims to medical personnel based on specific market and/or employer dedication.

    Abstract translation: 本发明涉及一种在管理型医疗计划中加强医疗分诊的方法和系统,其简化了常规医疗分诊过程和转诊逻辑,仅将那些保险索赔发送到需要医疗干预的综合病例管理系统,将权利要求与正确的资源相匹配 在合适的时间缩短审查失踪时间案件所需的时间,减少不必要的转介或重新转介的次数,并根据具体的市场和/或雇主的奉献精神进一步调整医疗保险索赔的转让过程。

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